Embroidered electrochemical sensors for biomolecular detection

Fabrication and Characterization of a Flexible Non-Enzymatic Electrochemical Glucose Sensor Using a Cu Nanoparticle/Laser-Induced Graphene Fiber/Porous Laser-Induced Graphene Network Electrode

We demonstrate a flexible electrochemical biosensor for non-enzymatic glucose detection under different bending conditions. The novel flexible glucose sensor consists of a Cu nanoparticle (NP)/laser-induced graphene fiber (LIGF)/porous laser-induced graphene (LIG) network structure on a polyimide film. The bare LIGF/LIG electrode fabricated using an 8.9 W laser power shows a measured sheet resistance and thickness of 6.8 Ω/□ and ~420 μm, respectively. In addition, a conventional Cu NP electroplating method is used to fabricate a Cu/LIGF/LIG electrode-based glucose sensor that shows excellent glucose detection characteristics, including a sensitivity of 1438.8 µA/mM∙cm2, a limit of detection (LOD) of 124 nM, and a broad linear range at an applied potential of +600 mV. Significantly, the Cu/LIGF/LIG electrode-based glucose sensor exhibits a relatively high sensitivity, low LOD, good linear detection range, and long-term stability at bending angles of 0°, 45°, 90°, 135°, and 180°.

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.

An Embroidered Electrochemical Sensor to Measure Glucose Made with Commercially Available Textile Materials

A textile electrochemical sensor manufactured with commercially available textile materials is presented to determine glucose concentration. The sensor design consists of three electrodes manufactured with two different conductive yarns, one made with a silver coating and the other with stainless steel fibres. Different combinations of them are used to prepare three different electrochemical textile sensor combinations. The first sensor is built only with silver-coated yarn and used as a reference sensor. The other two sensors are prepared with different combinations of conductive yarns. The textile sensors perform a cyclic voltammetric test, where it is demonstrated that the glucose concentration over the sensor can be related with the increase in the current measured. The results allow us to identify feeding voltages where the concentration-current relation is close to linear. The textile sensor shows a sensitivity between 0.0145 and 0.0452 μA/(mg/dL) for the 45-180 mg/dL glucose concentration range and 0.0012 and 0.0035 μA/(mg/dL) for the 180-1800 mg/dL range for the different sensor types presented. The regression coefficients for the sensitivities range between 0.9266 and 0.9954. This research demonstrates the feasibility to develop a fully integrated textile electrochemical sensor made completely with commercially available textile materials.

Emerging advances in biosensor technologies for quorum sensing signal molecules

Quorum sensing is a physiological phenomenon of microbial cell-to-cell information exchange, which relies on the quorum sensing signal molecules (QSSMs) to communicate and coordinate collective processes. Quorum sensing enables bacteria to alter their behavior as the population density and species composition of the bacterial community change. Effective detection of QSSMs is paramount for regulating microbial community behavior. However, traditional detection methods face the shortcomings of complex operation, high costs, and lack of portability. By combining the advantage of biosensing and nanomaterials, the biosensors play a pivotal significance in QSSM detection. In this review, we first briefly describe the QSSM classification and common detection techniques. Then, we provide a comprehensive summary of research progress in biosensor-based QSSM detection according to the transduction mechanism. Finally, challenges and development trends of biosensors for QSSM detection are discussed. We believe it offers valuable insights into this burgeoning research area.

Pumpless microfluidic sweat sensing yarn

Textile sweat sensors possess immense potential for non-invasive health monitoring. Rapid in-situ sweat capture and prevention of its evaporation are crucial for accurate and stable real-time monitoring. Herein, we introduce a unidirectional, pump-free microfluidic sweat management system to tackle this challenge. A nanofiber sheath layer on micrometer-scale sensing filaments enables this pumpless microfluidic design. Utilizing the capillary effect of the nanofibers allows for the swift capture of sweat, while the differential configuration of the hydrophilic and hydrophobic properties of the sheath and core yarns prevents sweat evaporation. The Laplace pressure difference between the cross-scale fibers facilitates the management system to ultimately expulse sweat. This results in microfluidic control of sweat without the need for external forces, resulting in rapid (<5 s), sensitive (19.8 nA μM-1), and stable (with signal noise and drift suppression) sweat detection. This yarn sensor can be easily integrated into various fabrics, enabling the creation of health monitoring smart garments. The garments maintain good monitoring performance even after 20 washes. This work provides a solution for designing smart yarns for high-precision, stable, and non-invasive health monitoring.

Embroidered Interdigitated Electrodes (IDTs) with Wireless Readout for Continuous Biomarker Monitoring

Non-invasive continuous health monitoring has become feasible with the advancement of biosensors. While monitoring certain biomarkers such as heart rate or skin temperature are now at a certain maturity, monitoring molecular biomarkers is still challenging. Progress has been shown in sampling, measurement, and interpretation of data toward non-invasive molecular sensors that can be integrated into daily wearable items. Toward this goal, this paper explores the potential of embroidered interdigitated transducer (IDT)-based sensors for non-invasive, continuous monitoring of human biomarkers, particularly glucose levels, in human sweat. The study employs innovative embroidery techniques to create flexible fabric-based sensors with gold-coated IDTs. In controlled experiments, we have shown the variation of glucose concentration in water can be wirelessly detected by tracking the resonant frequency of the embroidered sensors. The current sensors operate at 1.8 GHz to 2 GHz and respond to the change in glucose concentration with a sensitivity of 0.17 MHz/(mg/dL). The embroidered IDT-based sensors with wireless sensing will be a new measurement modality for molecular wearable sensors. The establishment of a wireless sensing mechanism for embroidered IDT-based sensors will be followed by an investigation of sweat for molecular detection. This will require adding functionalities for sampling and interpretation of acquired data. We envisage the embroidered IDT-based sensors offer a unique approach for seamless integration into clothing, paving the way for personalised, continuous health data capture.

Beyond Color Boundaries: Pioneering Developments in Cholesteric Liquid Crystal Photonic Actuators

Creatures in nature make extensive use of structural color adaptive camouflage to survive. Cholesteric liquid crystals, with nanostructures similar to those of natural organisms, can be combined with actuators to produce bright structural colors in response to a wide range of stimuli. Structural colors modulated by nano-helical structures can continuously and selectively reflect specific wavelengths of light, breaking the limit of colors recognizable by the human eye. In this review, the current state of research on cholesteric liquid crystal photonic actuators and their technological applications is presented. First, the basic concepts of cholesteric liquid crystals and their nanostructural modulation are outlined. Then, the cholesteric liquid crystal photonic actuators responding to different stimuli (mechanical, thermal, electrical, light, humidity, magnetic, pneumatic) are presented. This review describes the practical applications of cholesteric liquid crystal photonic actuators and summarizes the prospects for the development of these advanced structures as well as the challenges and their promising applications.

Surface-engineered natural fibers: Emerging alternative substrates for chemical sensor applications: A review

Natural fiber has become one of the most widely used alternative materials for chemical sensor fabrication due to its advantages, such as biocompatibility, flexibility, and self-microfluidic properties. Enhanced natural fiber surface has been used as a substrate in colorimetric and electrochemical sensors. This review focuses on improving the natural fiber properties for preparation as a substrate for chemical sensors. Various methods for natural fiber extraction are discussed and compared. Bleaching and decolorization is important for preparation of colorimetric sensors, while carbonization and nanoparticle doping are favorable for increasing their electrical conductivity for electrochemical sensor fabrication. Also, example fabrications and applications of natural fiber-based chemical sensors for chemical and biomarker detection are discussed. The selectivity of the sensors can be introduced and improved by surface modification of natural fiber, such as enzyme immobilization and biorecognition element functionalization, illustrating the adaptability of natural fiber as a smart sensing device, e.g., wearable and portable sensors. Ultimately, the high performances of natural fiber-based chemical sensors indicate the potential uses of natural fiber as a renewable and eco-friendly substrate material in the field of chemical sensors and biosensors for clinical diagnosis and environmental monitoring.

Microfluidic Sensing Textile for Continuous Monitoring of Sweat Glucose at Rest

Wearable sweat sensors have received considerable attention due to their great potential for noninvasive continuous monitoring of an individual's health status applications. However, the low secretion rate and fast evaporation of sweat pose challenges in collecting sweat from sedentary individuals for noninvasive analysis of body physiology. Here, we demonstrate wearable textiles for continuous monitoring of sweat at rest using the combination of a heating element and a microfluidic channel to increase localized skin sweat secretion rates and combat sweat evaporation, enabling accurate and stable monitoring of trace amounts of sweat. The Janus sensing yarns with a glucose sensing sensitivity of 36.57 mA cm-2 mM-1 are embroidered into the superhydrophobic heated textile to collect sweat directionally, resulting in improved sweat collection efficiency of up to 96 and 75% retention. The device also maintains a highly durable sensing performance, even in dynamic deformation, recycling, and washing. The microfluidic sensing textile can be further designed into a wireless sensing system that enables sedentary-compatible sweat analysis for the continuous, real-time monitoring of body glucose levels at rest.

Large-Scale Wearable Textile-Based Sweat Sensor with High Sensitivity, Rapid Response, and Stable Electrochemical Performance

Textile-based sweat sensors display great potential to enhance wearable comfort and health monitoring; however, their widespread application is severely hindered by the intricate manufacturing process and electrochemical characteristics. To address this challenge, we combined both impregnation coating technology and conjugated electrospinning technology to develop an electro-assisted impregnation core-spinning technology (EAICST), which enables us to simply construct a sheath-core electrochemical sensing yarn (TPFV/CPP yarn) via coating PEDOT:PSS-coated carbon fibers (CPP) with polyurethane (TPU)/polyacrylonitrile (PAN)/poloxamer (F127)/valinomycin as shell. The TPFV/CPP yarn was sewn into the fabric and integrated with a sensor to achieve a detachable feature and efficiently monitor K+ levels in sweat. By introducing EAICST, a speed of 10 m/h can be realized in the continuous preparation of the TPFV/CPP yarn, while the interconnected pores in the yarn sheath enable it to quickly capture and diffuse sweat. Besides, the sensor exhibited excellent sensitivity (54.26 mV/decade), fast response (1.7 s), anti-interference, and long-term stability (5000 s or more). Especially, it also possesses favorable washability and wear resistance properties. Taken together, this study provides a crucial technical foundation for the development of advanced wearable devices designed for sweat analysis.

A Fully Elastic Wearable Electrochemical Sweat Detection System of Tree-Bionic Microfluidic Structure for Real-Time Monitoring

Fresh sweat contains a diverse range of physiological indicators that can effectively reflect changes in the body. However, existing wearable sweat detection systems face challenges in efficiently collecting and detecting fresh sweat in real-time. Additionally, they often lack the necessary deformation capabilities, resulting in discomfort for the wearer. Here, a fully elastic wearable electrochemical sweat detection system is developed that integrates a sweat-collecting microfluidic chip, a multi-parameter electrochemical sensor, a micro-heater, and a sweat detection elastic circuit board system. The unique tree-bionic structure of the microfluidic chip significantly enhances the efficiency of fresh sweat collection and discharge, enabling real-time detection by the electrochemical sensors. The sweat multi-parameter electrochemical sensor offers high-precision and high-sensitivity measurements of sodium ions, potassium ions, lactate, and glucose. The electronic system is built on an elastic circuit board that matches perfectly to wrinkled skin, ensuring improved wearing comfort and enabling multi-channel data sampling, processing, and wireless transmission. This state-of-the-art system represents a significant advancement in the field of elastic wearable sweat detection and holds promising potential for extending its capabilities to the detection of other sweat markers or various wearable applications.

Porous Conductive Textiles for Wearable Electronics

Over the years, researchers have made significant strides in the development of novel flexible/stretchable and conductive materials, enabling the creation of cutting-edge electronic devices for wearable applications. Among these, porous conductive textiles (PCTs) have emerged as an ideal material platform for wearable electronics, owing to their light weight, flexibility, permeability, and wearing comfort. This Review aims to present a comprehensive overview of the progress and state of the art of utilizing PCTs for the design and fabrication of a wide variety of wearable electronic devices and their integrated wearable systems. To begin with, we elucidate how PCTs revolutionize the form factors of wearable electronics. We then discuss the preparation strategies of PCTs, in terms of the raw materials, fabrication processes, and key properties. Afterward, we provide detailed illustrations of how PCTs are used as basic building blocks to design and fabricate a wide variety of intrinsically flexible or stretchable devices, including sensors, actuators, therapeutic devices, energy-harvesting and storage devices, and displays. We further describe the techniques and strategies for wearable electronic systems either by hybridizing conventional off-the-shelf rigid electronic components with PCTs or by integrating multiple fibrous devices made of PCTs. Subsequently, we highlight some important wearable application scenarios in healthcare, sports and training, converging technologies, and professional specialists. At the end of the Review, we discuss the challenges and perspectives on future research directions and give overall conclusions. As the demand for more personalized and interconnected devices continues to grow, PCT-based wearables hold immense potential to redefine the landscape of wearable technology and reshape the way we live, work, and play.

Electrochemical sensing fibers for wearable health monitoring devices

Real-time monitoring of health conditions is an emerging strong issue in health care, internet information, and other strongly evolving areas. Wearable electronics are versatile platforms for non-invasive sensing. Among a variety of wearable device principles, fiber electronics represent cutting-edge development of flexible electronics. Enabled by electrochemical sensing, fiber electronics have found a wide range of applications, providing new opportunities for real-time monitoring of health conditions by daily wearing, and electrochemical fiber sensors as explored in the present report are a promising emerging field. In consideration of the key challenges and corresponding solutions for electrochemical sensing fibers, we offer here a timely and comprehensive review. We discuss the principles and advantages of electrochemical sensing fibers and fabrics. Our review also highlights the importance of electrochemical sensing fibers in the fabrication of "smart" fabric designs, focusing on strategies to address key issues in fiber-based electrochemical sensors, and we provide an overview of smart clothing systems and their cutting-edge applications in therapeutic care. Our report offers a comprehensive overview of current developments in electrochemical sensing fibers to researchers in the fields of wearables, flexible electronics, and electrochemical sensing, stimulating forthcoming development of next-generation "smart" fabrics-based electrochemical sensing.

Electrochemical Sensors for Detection of Phytomolecules: A Mechanistic Approach

High demand and ongoing technological advancements have created a market for sensors that is both varied and rapidly evolving. Bioactive compounds are separated systematically to conduct an in-depth investigation, allowing for the profiling or fingerprinting of different Plantae kingdoms. The profiling field is significant in elucidating the complex interplay of plant traits, attributes, and environmental factors. Flexible technology advancements have enabled the creation of highly sensitive sensors for the non-destructive detection of molecules. Additionally, very specialized integrated systems that will allow multiplexed detection by integrating many hybrid approaches have been developed, but these systems are highly laborious and expensive. Electrochemical sensors, on the other hand, are a viable option because of their ability to accomplish exact compound detection via efficient signal transduction. However, this has not been investigated because of some obstacles to learning minimum metabolites' fundamentals and nonredox properties. This article reviews the electrochemical basis of plants, contrasting it with more conventional techniques and offering both positive and negative perspectives on the topic. Because few studies have been devoted to the concept of merging the domains, we've expanded the scope of this work by including pertinent non-phytochemical reports for better report comparison.

Survey of Transfer Learning Approaches in the Machine Learning of Digital Health Sensing Data

Machine learning and digital health sensing data have led to numerous research achievements aimed at improving digital health technology. However, using machine learning in digital health poses challenges related to data availability, such as incomplete, unstructured, and fragmented data, as well as issues related to data privacy, security, and data format standardization. Furthermore, there is a risk of bias and discrimination in machine learning models. Thus, developing an accurate prediction model from scratch can be an expensive and complicated task that often requires extensive experiments and complex computations. Transfer learning methods have emerged as a feasible solution to address these issues by transferring knowledge from a previously trained task to develop high-performance prediction models for a new task. This survey paper provides a comprehensive study of the effectiveness of transfer learning for digital health applications to enhance the accuracy and efficiency of diagnoses and prognoses, as well as to improve healthcare services. The first part of this survey paper presents and discusses the most common digital health sensing technologies as valuable data resources for machine learning applications, including transfer learning. The second part discusses the meaning of transfer learning, clarifying the categories and types of knowledge transfer. It also explains transfer learning methods and strategies, and their role in addressing the challenges in developing accurate machine learning models, specifically on digital health sensing data. These methods include feature extraction, fine-tuning, domain adaptation, multitask learning, federated learning, and few-/single-/zero-shot learning. This survey paper highlights the key features of each transfer learning method and strategy, and discusses the limitations and challenges of using transfer learning for digital health applications. Overall, this paper is a comprehensive survey of transfer learning methods on digital health sensing data which aims to inspire researchers to gain knowledge of transfer learning approaches and their applications in digital health, enhance the current transfer learning approaches in digital health, develop new transfer learning strategies to overcome the current limitations, and apply them to a variety of digital health technologies.

The emerging progress on wound dressings and their application in clinic wound management

BACKGROUND

In addition to its barrier function, the skin plays a crucial role in maintaining the stability of the body's internal environment and normal physiological functions. When the skin is damaged, it is important to select proper dressings as temporary barriers to cover the wound, which can exert significant effects on defence against microbial infection, maintaining normal tissue/cell functions, and coordinating the process of wound repair and regeneration. It now forms an important approach in clinic practice to facilitate wound repair.

SEARCH STRATEGIES

We conducted a comprehensive literature search using online databases including PubMed, Web of Science, MEDLINE, ScienceDirect, Wiley Online Library, CNKI, and Wanfang Data. In addition, information was obtained from local and foreign books on biomaterials science and traumatology.

RESULTS

This review focuses on the efficacy and principles of functional dressings for anti-bacteria, anti-infection, anti-inflammation, anti-oxidation, hemostasis, and wound healing facilitation; and analyses the research progress of dressings carrying living cells such as fibroblasts, keratinocytes, skin appendage cells, and stem cells from different origins. We also summarize the recent advances in intelligent wound dressings with respect to real-time monitoring, automatic drug delivery, and precise adjustment according to the actual wound microenvironment. In addition, this review explores and compares the characteristics, advantages and disadvantages, mechanisms of actions, and application scopes of dressings made from different materials.

CONCLUSION

The real-time and dynamic acquisition and analysis of wound conditions are crucial for wound management and prognostic evaluation. Therefore, the development of modern dressings that integrate multiple functions, have high similarity to the skin, and are highly intelligent will be the focus of future research, which could drive efficient wound management and personalized medicine, and ultimately facilitate the translation of health monitoring into clinical practice.

Hierarchical Fermat helix-structured electrochemical sensing fibers enable sweat capture and multi-biomarker monitoring

Wearable electrochemical sensors have shown potential for personal health monitoring due to their ability to detect biofluids non-invasively at the molecular level. Smart fibers with high flexibility and comfort are currently ideal for fabricating electrochemical sensors, but little research has focused on fluid transport at the human-machine interface, which is of great significance for continuous and stable monitoring and skin comfort. Here, we report an electrochemical sensing fiber with a special core-sheath structure, whose outer layer is wound by nanofibers with a hierarchical Fermat helix structure which has excellent moisture conductivity, and the inner layer is based on CNT fibers covered by three-dimensional reduced graphene oxide folds which have good sensing properties after modification of active materials such as enzymes and selective membranes. This kind of fiber enables efficient sweat capture, and thus only 0.1 μL of sweat is required to activate the device, and it responds very quickly (1.5 s). The fibers were further integrated into a garment to build a wireless sweat detection system, enabling stable monitoring of six physiological markers in sweat (glucose, lactate, Na+, K+, Ca2+, and pH). This work provides a feasible proposal for future personalized medicine and the construction of "smart sensing garments".

Screen-Printed Textile-Based Electrochemical Biosensor for Noninvasive Monitoring of Glucose in Sweat

Wearable sweat biosensors for noninvasive monitoring of health parameters have attracted significant attention. Having these biosensors embedded in textile substrates can provide a convenient experience due to their soft and flexible nature that conforms to the skin, creating good contact for long-term use. These biosensors can be easily integrated with everyday clothing by using textile fabrication processes to enhance affordable and scalable manufacturing. Herein, a flexible electrochemical glucose sensor that can be screen-printed onto a textile substrate has been demonstrated. The screen-printed textile-based glucose biosensor achieved a linear response in the range of 20-1000 µM of glucose concentration and high sensitivity (18.41 µA mM^-1 cm^-2, R² = 0.996). In addition, the biosensors show high selectivity toward glucose among other interfering analytes and excellent stability over 30 days of storage. The developed textile-based biosensor can serve as a platform for monitoring bio analytes in sweat, and it is expected to impact the next generation of wearable devices.

Flexible Textile-Based Sweat Sensors for Wearable Applications

The current physical health care system has gradually evolved into a form of virtual hospitals communicating with sensors, which can not only save time but can also diagnose a patient's physical condition in real time. Textile-based wearable sensors have recently been identified as detection platforms with high potential. They are developed for the real-time noninvasive detection of human physiological information to comprehensively analyze the health status of the human body. Sweat comprises various chemical compositions, which can be used as biomarkers to reflect the relevant information of the human physiology, thus providing references for health conditions. Combined together, textile-based sweat sensors are more flexible and comfortable than other conventional sensors, making them easily integrated into the wearable field. In this short review, the research progress of textile-based flexible sweat sensors was reviewed. Three mechanisms commonly used for textile-based sweat sensors were firstly contrasted with an introduction to their materials and preparation processes. The components of textile-based sweat sensors, which mainly consist of a sweat transportation channel and collector, a signal-selection unit, sensing elements and sensor integration and communication technologies, were reviewed. The applications of textile-based sweat sensors with different mechanisms were also presented. Finally, the existing problems and challenges of sweat sensors were summarized, which may contribute to promote their further development.

Wearable and flexible electrochemical sensors for sweat analysis: a review

Flexible wearable sweat sensors allow continuous, real-time, noninvasive detection of sweat analytes, provide insight into human physiology at the molecular level, and have received significant attention for their promising applications in personalized health monitoring. Electrochemical sensors are the best choice for wearable sweat sensors due to their high performance, low cost, miniaturization, and wide applicability. Recent developments in soft microfluidics, multiplexed biosensing, energy harvesting devices, and materials have advanced the compatibility of wearable electrochemical sweat-sensing platforms. In this review, we summarize the potential of sweat for medical detection and methods for sweat stimulation and collection. This paper provides an overview of the components of wearable sweat sensors and recent developments in materials and power supply technologies and highlights some typical sensing platforms for different types of analytes. Finally, the paper ends with a discussion of the challenges and a view of the prospective development of this exciting field.

Polymer-Thread-Based Fully Textile Capacitive Sensor Embroidered on a Protective Face Mask for Humidity Detection

The COVID-19 pandemic has created a situation where wearing personal protective masks is a must for every human being and introduced them as a part of everyday life. This work demonstrates a new functionality embedded in single-use face masks through an embroidered humidity sensor. The design of the face mask humidity sensor is comprised of interdigitated electrodes made of polyamide-based conductive threads and common polyester threads which act as a dielectric sensing layer embroidered between them. Therefore, the embroidered sensor acts as a capacitor, the performance of which was studied in increasing humidity conditions in the frequency range from 1 Hz to 100 kHz. The moisture adsorbed by sensitive hygroscopic polyester threads altered their dielectric and permittivity properties which were detected by the change in capacitance values of the face mask sensors at different relative humidity (RH) levels. The calculated limit of detection (LOD) values for the two proposed sensors at different frequencies (1, 10, and 100 kHz) were found in the range from 11.46% RH-27.41% RH and 29.79% RH-38.65% RH. The tested sensors showed good repeatability and stability under different humidity conditions over a period of 80 min. By employing direct embroidery of silver-coated polyamide conductive threads and moisture-sensitive polyester threads onto the face mask, the present work exploits the application of polymer-based textile materials in developing novel stretchable sensing devices toward e-textile applications.

Two-Dimensional Non-Carbon Materials-Based Electrochemical Printed Sensors: An Updated Review

Recently, there has been increasing interest in electrochemical printed sensors for a wide range of applications such as biomedical, pharmaceutical, food safety, and environmental fields. A major challenge is to obtain selective, sensitive, and reliable sensing platforms that can meet the stringent performance requirements of these application areas. Two-dimensional (2D) nanomaterials advances have accelerated the performance of electrochemical sensors towards more practical approaches. This review discusses the recent development of electrochemical printed sensors, with emphasis on the integration of non-carbon 2D materials as sensing platforms. A brief introduction to printed electrochemical sensors and electrochemical technique analysis are presented in the first section of this review. Subsequently, sensor surface functionalization and modification techniques including drop-casting, electrodeposition, and printing of functional ink are discussed. In the next section, we review recent insights into novel fabrication methodologies, electrochemical techniques, and sensors' performances of the most used transition metal dichalcogenides materials (such as MoS₂, MoSe₂, and WS₂), MXenes, and hexagonal boron-nitride (hBN). Finally, the challenges that are faced by electrochemical printed sensors are highlighted in the conclusion. This review is not only useful to provide insights for researchers that are currently working in the related area, but also instructive to the ones new to this field.

Electrochemical Profiling of Plants

The profiling, or fingerprinting, of distinct varieties of the Plantae kingdom is based on the bioactive ingredients, which are systematically segregated to perform their detailed analysis. The secondary products portray a pivotal role in defining the ecophysiology of distinct plant species. There is a crucial role of the profiling domain in understanding the various features, characteristics, and conditions related to plants. Advancements in variable technologies have contributed to the development of highly specific sensors for the non-invasive detection of molecules. Furthermore, many hyphenated techniques have led to the development of highly specific integrated systems that allow multiplexed detection, such as high-performance liquid chromatography, gas chromatography, etc., which are quite cumbersome and un-economical. In contrast, electrochemical sensors are a promising alternative which are capable of performing the precise recognition of compounds due to efficient signal transduction. However, due to a few bottlenecks in understanding the principles and non-redox features of minimal metabolites, the area has not been explored. This review article provides an insight to the electrochemical basis of plants in comparison with other traditional approaches and with necessary positive and negative outlooks. Studies consisting of the idea of merging the fields are limited; hence, relevant non-phytochemical reports are included for a better comparison of reports to broaden the scope of this work.

Experimental Study of Soft Ballistic Packages with Embroidered Structures Fabricated by Using the Tailored Fiber Placement Technique

Textile ballistic shields are the basis of protection against bullets and fragments with low kinetic energy. They are usually made of para-aramid fabrics or unidirectional structure (UD) sheets of ultra-high molecular weight polyethylene (UHMWPE). The aim of the research presented in the article was to obtain ballistic packages made of embroidered structures and to compare their ballistic properties with those of woven structures in terms of deformation of the standardized ballistic substrate after impact with a 9 mm bullet at a velocity of 380 ± 3 m/s. Using the tailored fiber placement method, embroidered structures were fabricated by embroidering two sets of para-aramid threads at an angle of 90°. As the woven structures, the use of para-aramid fabric made of the same yarn and with a surface weight comparable to that of embroidered structures was adopted. Ballistic packages consisted of 26 layers in five variants, also taking into account the hybrid arrangement of woven and embroidered layers. Ballistic tests have shown that the best ballistic properties have hybrid packages made by folding 13 woven and then 13 embroidered layers, where the maximum deformation of the plasticine substrate is below 23 mm. The conducted research confirmed that embroidered structures in appropriate combination with woven structures can significantly improve the ballistic properties of textile packages.

State of the Art in Smart Portable, Wearable, Ingestible and Implantable Devices for Health Status Monitoring and Disease Management

Several illnesses that are chronic and acute are becoming more relevant as the world's aging population expands, and the medical sector is transforming rapidly, as a consequence of which the need for "point-of-care" (POC), identification/detection, and real time management of health issues that have been required for a long time are increasing. Biomarkers are biological markers that help to detect status of health or disease. Biosensors' applications are for screening for early detection, chronic disease treatment, health management, and well-being surveillance. Smart devices that allow continual monitoring of vital biomarkers for physiological health monitoring, medical diagnosis, and assessment are becoming increasingly widespread in a variety of applications, ranging from biomedical to healthcare systems of surveillance and monitoring. The term "smart" is used due to the ability of these devices to extract data with intelligence and in real time. Wearable, implantable, ingestible, and portable devices can all be considered smart devices; this is due to their ability of smart interpretation of data, through their smart sensors or biosensors and indicators. Wearable and portable devices have progressed more and more in the shape of various accessories, integrated clothes, and body attachments and inserts. Moreover, implantable and ingestible devices allow for the medical diagnosis and treatment of patients using tiny sensors and biomedical gadgets or devices have become available, thus increasing the quality and efficacy of medical treatments by a significant margin. This article summarizes the state of the art in portable, wearable, ingestible, and implantable devices for health status monitoring and disease management and their possible applications. It also identifies some new technologies that have the potential to contribute to the development of personalized care. Further, these devices are non-invasive in nature, providing information with accuracy and in given time, thus making these devices important for the future use of humanity.

Smart Electronic Textiles for Wearable Sensing and Display

Increasing demand of using everyday clothing in wearable sensing and display has synergistically advanced the field of electronic textiles, or e-textiles. A variety of types of e-textiles have been formed into stretchy fabrics in a manner that can maintain their intrinsic properties of stretchability, breathability, and wearability to fit comfortably across different sizes and shapes of the human body. These unique features have been leveraged to ensure accuracy in capturing physical, chemical, and electrophysiological signals from the skin under ambulatory conditions, while also displaying the sensing data or other immediate information in daily life. Here, we review the emerging trends and recent advances in e-textiles in wearable sensing and display, with a focus on their materials, constructions, and implementations. We also describe perspectives on the remaining challenges of e-textiles to guide future research directions toward wider adoption in practice.

Textile-based electrochemical sensors and their applications

Textile and their composite-based functional sensors are extensively acknowledged and preferred detection platforms in recent times. Developing suitable methodologies for fabricating textile sensors can be achieved either by integration of conductive fibers and yarns into textiles using technologies such as weaving, knitting and embroidery; or by functionalization of textile materials with conductive nanomaterials/inks using printing or coating methods. Textile materials are gaining enormous attention for fabricating soft lab-on-fabric devices due to their unique features such as high flexibility, wear and wash resistance, mechanical strength and promising sensing performances. Owing to these collective properties, textile-based electrochemical transducers are now showcasing rapid and accurate electrical measurements towards real time point-of-care diagnostics and environmental monitoring applications. The present review provides a brief overview of key progress made in the field of developing textile materials and their composites-based electrochemical sensors and biosensors in recent years where electrode configurations are specifically based on either natural or synthetic fabrics. Different ways to fabricate and functionalize textiles for their application in electrochemical analysis are briefly discussed. The review ends with a conclusive note focusing on the current challenges in the fabrication of textile-based stable electrochemical sensors and biosensors.

Biomedical IoT: Enabling Technologies, Architectural Elements, Challenges, and Future Directions

This paper provides a comprehensive literature review of various technologies and protocols used for medical Internet of Things (IoT) with a thorough examination of current enabling technologies, use cases, applications, and challenges. Despite recent advances, medical IoT is still not considered a routine practice. Due to regulation, ethical, and technological challenges of biomedical hardware, the growth of medical IoT is inhibited. Medical IoT continues to advance in terms of biomedical hardware, and monitoring figures like vital signs, temperature, electrical signals, oxygen levels, cancer indicators, glucose levels, and other bodily levels. In the upcoming years, medical IoT is expected replace old healthcare systems. In comparison to other survey papers on this topic, our paper provides a thorough summary of the most relevant protocols and technologies specifically for medical IoT as well as the challenges. Our paper also contains several proposed frameworks and use cases of medical IoT in hospital settings as well as a comprehensive overview of previous architectures of IoT regarding the strengths and weaknesses. We hope to enable researchers of multiple disciplines, developers, and biomedical engineers to quickly become knowledgeable on how various technologies cooperate and how current frameworks can be modified for new use cases, thus inspiring more growth in medical IoT.

3D microfluidic cloth-based analytical devices on a single piece of cloth by one-step laser hydrophilicity modification

In this work, we report for the first time a simple and robust method for constructing a 3D microfluidic analytical device on a single piece of hydrophobic cotton cloth. Specifically, laser scanning technology was applied to process hydrophilic regions at the top and bottom of a single piece of hydrophobic cloth. Symmetrical hydrophilic regions at the bottom and top constituted vertical microfluidic channels, and asymmetrical hydrophilic regions constituted transverse flow channels. Liquid flow velocity in 3D cloth-based microchannels can be adjusted flexibly by modifying laser parameters, and programmable laser scanning can be utilized to process 3D microfluidic devices with various patterns. Single-piece 3D cloth-based microfluidic devices formed via this method can be used in many fields such as information encryption and anti-counterfeiting, multi-liquid printing and liquid mixing dilution. Compared to traditional processing methods of 3D cloth-based microfluidic devices, the laser scanning method eliminates multiple complex and repetitive assembly processes, which is a significant advance in this research area. This processing method provides a new option for fast and large-scale manufacturing of 3D cloth-based microfluidic analysis devices for point-of-care testing application in undeveloped regions/countries.

Recent Progress in Intelligent Wearable Sensors for Health Monitoring and Wound Healing Based on Biofluids

The intelligent wearable sensors promote the transformation of the health care from a traditional hospital-centered model to a personal portable device-centered model. There is an urgent need of real-time, multi-functional, and personalized monitoring of various biochemical target substances and signals based on the intelligent wearable sensors for health monitoring, especially wound healing. Under this background, this review article first reviews the outstanding progress in the development of intelligent, wearable sensors designed for continuous, real-time analysis, and monitoring of sweat, blood, interstitial fluid, tears, wound fluid, etc. Second, this paper reports the advanced status of intelligent wound monitoring sensors designed for wound diagnosis and treatment. The paper highlights some smart sensors to monitor target analytes in various wounds. Finally, this paper makes conservative recommendations regarding future development of intelligent wearable sensors.

Monolithic processing of a layered flexible robotic actuator film for kinetic electronics

Low-invasive soft robotic techniques can potentially be used for developing next-generation body-machine interfaces. Most soft robots require complicated fabrication processes involving 3D printing and bonding/assembling. In this letter, we describe a monolithic soft microrobot fabrication process for the mass production of soft film robots with a complex structure by simple 2D processing of a robotic actuator film. The 45 µg/mm² lightweight film robot can be driven at a voltage of CMOS compatible 5 V with 0.15 mm^-1 large curvature changes; it can generate a force 5.7 times greater than its self-weight. In a durability test, actuation could be carried out over 8000 times without degradation. To further demonstrate this technique, three types of film robots with multiple degrees of freedom and a moving illuminator robot were fabricated. This technique can easily integrate various electrical circuits developed in the past to robotic systems and can be used for developing advanced wearable sensing devices; it can be called "Kinetic electronics".

Non-invasive wearable chemical sensors in real-life applications

Over the past decade, non-invasive wearable chemical sensors have gained tremendous attention in the field of personal health monitoring and medical diagnosis. These sensors provide non-invasive, real-time, and continuous monitoring of targeted biomarkers with more simplicity than the conventional diagnostic approaches. This review primarily describes the substrate materials used for sensor fabrication, sample collection and handling, and analytical detection techniques that are utilized to detect biomarkers in different biofluids. Common substrates including paper, textile, and hydrogel for wearable sensor fabrication are discussed. Principles and applications of colorimetric and electrochemical detection in wearable chemical sensors are illustrated. Data transmission systems enabling wireless communication between the sensor and output devices are also discussed. Finally, examples of different designs of wearable chemical sensors including tattoos, garments, and accessories are shown. Successful development of non-invasive wearable chemical sensors will effectively help users to manage their personal health, predict the potential diseases, and eventually improve the overall quality of life.

Review on the Integration of Microelectronics for E-Textile

Modern electronic textiles are moving towards flexible wearable textiles, so-called e-textiles that have micro-electronic elements embedded onto the textile fabric that can be used for varied classes of functionalities. There are different methods of integrating rigid microelectronic components into/onto textiles for the development of smart textiles, which include, but are not limited to, physical, mechanical, and chemical approaches. The integration systems must satisfy being flexible, lightweight, stretchable, and washable to offer a superior usability, comfortability, and non-intrusiveness. Furthermore, the resulting wearable garment needs to be breathable. In this review work, three levels of integration of the microelectronics into/onto the textile structures are discussed, the textile-adapted, the textile-integrated, and the textile-based integration. The textile-integrated and the textile-adapted e-textiles have failed to efficiently meet being flexible and washable. To overcome the above problems, researchers studied the integration of microelectronics into/onto textile at fiber or yarn level applying various mechanisms. Hence, a new method of integration, textile-based, has risen to the challenge due to the flexibility and washability advantages of the ultimate product. In general, the aim of this review is to provide a complete overview of the different interconnection methods of electronic components into/onto textile substrate.

Electrochemical Mini-Platform with Thread based Electrodes for Interference Free Arsenic Detection

Herein, a fully integrated thread/textile-based electrochemical sensing device has been demonstrated. A hydrophilic conductive carbon thread, chemically modified with gold nanoparticles through an electrodeposition process, was used as a working electrode (WE). The hydrophilic thread coated with Ag/AgCl and an unmodified bare hydrophilic thread were used as reference electrode (RE) and counter electrode (CE) respectively. The device was fabricated with hydrophilic conductive carbon threads supported by capillary tubes and these integrated electrodes were placed in a 2 mL glass vial. The physico-chemical characterization of the working electrode was carried out using SEM (scanning electron microscopy) and X-ray photoelectron spectroscopy (XPS). Furthermore, the fabricated sensing platform, was tested for electrochemical sensing of arsenic. The electrocatalytic oxidation activity of arsenic in the designed platform was investigated via cyclic voltammetry (CV) and square wave Voltammetry (SWV). An oxidation peak at -0.4 V corresponding to the oxidation of arsenic was obtained. Scan rate effect was performed using CV analysis and the diffusion coefficient was found to be 2.478×10-10 with a regression coefficient of R2 = 0.9647. Further, concentration effect was accomplished in the linear range 0.4 μM to 60 μM. The limit of detection was obtained as 0.416 μM. For the practical application, effect of interference from other chemicals and real sample analysis from the tap water and blood serum sample was carried out which gave remarkable recovery values.

Textile Chemical Sensors Based on Conductive Polymers for the Analysis of Sweat

Wearable textile chemical sensors are promising devices due to the potential applications in medicine, sports activities and occupational safety and health. Reaching the maturity required for commercialization is a technology challenge that mainly involves material science because these sensors should be adapted to flexible and light-weight substrates to preserve the comfort of the wearer. Conductive polymers (CPs) are a fascinating solution to meet this demand, as they exhibit the mechanical properties of polymers, with an electrical conductivity typical of semiconductors. Moreover, their biocompatibility makes them promising candidates for effectively interfacing the human body. In particular, sweat analysis is very attractive to wearable technologies as perspiration is a naturally occurring process and sweat can be sampled non-invasively and continuously over time. This review discusses the role of CPs in the development of textile electrochemical sensors specifically designed for real-time sweat monitoring and the main challenges related to this topic.

Smartphone-Addressable 3D-Printed Electrochemical Ring for Nonenzymatic Self-Monitoring of Glucose in Human Sweat

Nowadays, there is increased demand for wearable sensors for sweat glucose monitoring in order to facilitate diabetes management in a patient-friendly and noninvasive manner. This work describes a wearable glucose monitoring device in the form of an electrochemical ring (e-ring) fabricated by 3D printing. The 3D-printed e-ring consists of three carbon-based plastic electrodes (fabricated using a conductive filament) integrated at the inner side of a ring-shaped flexible plastic holder (fabricated using a nonconductive filament). The e-ring is modified with an electrodeposited gold film and is coupled to a miniature potentiostat directly addressable by a smartphone, offering the possibility for nonenzymatic amperometric self-testing of glucose levels in human sweat. Optical and electrochemical techniques are employed for the characterization of the e-ring. The device is resistant to mechanical bending and enables noninvasive glucose detection in sweat in the physiologically relevant concentration range of 12.5-400 μmol L^-1 without interference from common electroactive metabolites. The 3D-printed e-ring bridges the gap between the existing fabrication/sensing technologies and the desired operational features for glucose self-monitoring and may be employed as a paradigm of in-house fabricated wearable sensors.

Wearable Biosensors: An Alternative and Practical Approach in Healthcare and Disease Monitoring

With the increasing prevalence of growing population, aging and chronic diseases continuously rising healthcare costs, the healthcare system is undergoing a vital transformation from the traditional hospital-centered system to an individual-centered system. Since the 20th century, wearable sensors are becoming widespread in healthcare and biomedical monitoring systems, empowering continuous measurement of critical biomarkers for monitoring of the diseased condition and health, medical diagnostics and evaluation in biological fluids like saliva, blood, and sweat. Over the past few decades, the developments have been focused on electrochemical and optical biosensors, along with advances with the non-invasive monitoring of biomarkers, bacteria and hormones, etc. Wearable devices have evolved gradually with a mix of multiplexed biosensing, microfluidic sampling and transport systems integrated with flexible materials and body attachments for improved wearability and simplicity. These wearables hold promise and are capable of a higher understanding of the correlations between analyte concentrations within the blood or non-invasive biofluids and feedback to the patient, which is significantly important in timely diagnosis, treatment, and control of medical conditions. However, cohort validation studies and performance evaluation of wearable biosensors are needed to underpin their clinical acceptance. In the present review, we discuss the importance, features, types of wearables, challenges and applications of wearable devices for biological fluids for the prevention of diseased conditions and real-time monitoring of human health. Herein, we summarize the various wearable devices that are developed for healthcare monitoring and their future potential has been discussed in detail.

Fiber-Based Sensors and Energy Systems for Wearable Electronics

Wearable electronics have been receiving increasing attention for the past few decades. Particularly, fiber-based electronics are considered to be ideal for many applications for their flexibility, lightweight, breathability, and comfortability. Furthermore, fibers and fiber-based textiles can be 3D-molded with ease and potentially integrated with everyday clothes or accessories. These properties are especially desired in the fields of bio-related sensors and energy-storage systems. Wearable sensors utilize a tight interface with human skin and clothes for continuous environmental scanning and non-invasive health monitoring. At the same time, their flexible and lightweight properties allow more convenient and user-friendly experiences to the wearers. Similarly, for the wearable devices to be more accessible, it is crucial to incorporate energy harvesting and storage systems into the device themselves, removing the need to attach an external power source. This review summarizes the recent applications of fibers and fiber-based textiles in mechanical, photonic, and biomedical sensors. Pressure and strain sensors and their implementation as electronic skins will be explored, along with other various fiber sensors capable of imaging objects or monitoring safety and health markers. In addition, we attempt to elucidate recent studies in energy-storing fibers and their implication in self-powered and fully wireless wearable devices.

Stretchable gold fiber-based wearable textile electrochemical biosensor for lactate monitoring in sweat

Past several years have witnessed growing interest in developing wearable biosensors for non-invasive monitoring vital signs of chemical/biological markers such as lactate. In this context, textiles can be seen as a promising platform for the integration of wearable chemical sensors due to their inherent breathability, flexibility, softness and comfortableness. Gold is regarded as a preferred active sensing material due to its excellent biocompatibility, chemical inertness and wide electrochemical window. Here, a dry-spinning method was used to fabricate stretchable, strain-insensitive and highly conductive gold fibers. Such gold fibers could be used to fabricate lactate-sensing working electrodes, reference electrode, counter electrodes and further weaved into textiles in a standard three-electrode system with a planar layout. The textile lactate biosensors showed a high sensitivity of 19.13 μA/mM cm² in phosphate-buffered solution (PBS) and 14.6 μA/mM cm² in artificial sweat. This sensitivity could be maintained under high tensile strain up to 100% without external structural design. The results presented here indicate the potential application of wearable smart textile towards non-invasive lactate monitoring.

Weaving Off-The-Shelf Yarns into Textile Micro Total Analysis Systems (μTAS)

Textile based biosensors have garnered much interest in recent years. Devices woven out of yarns have the ability to be incorporated into clothing and bandages. Most woven devices reported in the literature require yarns that are not available on an industrial scale or that require modifications which are not possible in large scale manufacturing. In this work, commercially produced yarns are taken without any modification or cleaning, and developed woven textile diagnostic devices out of them. The yarn properties that are important to their function within the device have been characterised and discussed. The wicking ability and analyte retention of Coolmax yarns, developed to wick sweat in mass produced sportswear, are determined. The electrochemistry and functionalizability of Au coated multifilament yarns are investigated with no cleaning or treatment and are found to have as good a thiolate self-assembled monolayer (SAM) coverage as cleaned Au disk electrodes. The feasibility of using these yarns is established off the shelf, with no cleaning, to make woven capillary force driven microfluidic devices and three electrode sensing devices. A proof of principle three electrode system capable of detecting clinically relevant concentrations of glucose in human sweat is reported.

Microfabricated electrochemical sensing devices

Electrochemistry provides possibilities to realize smart microdevices of the next generation with high functionalities. Electrodes, which constitute major components of electrochemical devices, can be formed by various microfabrication techniques, and integration of the same (or different) components for that purpose is not difficult. Merging this technique with microfluidics can further expand the areas of application of the resultant devices. To augment the development of next generation devices, it will be beneficial to review recent technological trends in this field and clarify the directions required for moving forward. Even when limiting the discussion to electrochemical microdevices, a variety of useful techniques should be considered. Therefore, in this review, we attempted to provide an overview of all relevant techniques in this context in the hope that it can provide useful comprehensive information.

Advanced Wearable Microfluidic Sensors for Healthcare Monitoring

Wearable flexible sensors based on integrated microfluidic networks with multiplex analysis capability are emerging as a new paradigm to assess human health status and show great potential in application fields such as clinical medicine and athletic monitoring. Well-designed microfluidic sensors can be attached to the skin surface to acquire various pieces of physiological information with high precision, such as sweat loss, information regarding metabolites, and electrolyte balance. Herein, the recent progress of wearable microfluidic sensors for applications in healthcare monitoring is summarized, including analysis principles and microfabrication methods. Finally, the challenges and opportunities for wearable microfluidic sensors in practical applications are discussed.

Recent Developments of Flexible and Stretchable Electrochemical Biosensors

The skyrocketing popularity of health monitoring has spurred increasing interest in wearable electrochemical biosensors. Compared with the traditionally rigid and bulky electrochemical biosensors, flexible and stretchable devices render a unique capability to conform to the complex, hierarchically textured surfaces of the human body. With a recognition element (e.g., enzymes, antibodies, nucleic acids, ions) to selectively react with the target analyte, wearable electrochemical biosensors can convert the types and concentrations of chemical changes in the body into electrical signals for easy readout. Initial exploration of wearable electrochemical biosensors integrates electrodes on textile and flexible thin-film substrate materials. A stretchable property is needed for the thin-film device to form an intimate contact with the textured skin surface and to deform with various natural skin motions. Thus, stretchable materials and structures have been exploited to ensure the effective function of a wearable electrochemical biosensor. In this mini-review, we summarize the recent development of flexible and stretchable electrochemical biosensors, including their principles, representative application scenarios (e.g., saliva, tear, sweat, and interstitial fluid), and materials and structures. While great strides have been made in the wearable electrochemical biosensors, challenges still exist, which represents a small fraction of opportunities for the future development of this burgeoning field.

Recent Advances in Fiber Supercapacitors: Materials, Device Configurations, and Applications

Fiber supercapacitors (SCs), with their small size and weight, excellent flexibility and deformability, and high capacitance and power density, are recognized as one of the most robust power supplies available for wearable electronics. They can be woven into breathable textiles or integrated into different functional materials to fit curved surfaces for use in day-to-day life. A comprehensive review on recent important development and progress in fiber SCs is provided, with respect to the active electrode materials, device configurations, functions, integrations. Active electrode materials based on different electrochemical mechanisms and intended to improve performance including carbon-based materials, metal oxides, and hybrid composites, are first summarized. The three main types of fiber SCs, namely parallel, twist, and coaxial structures, are then discussed, followed by the exploration of some functions including stretchability and self-healing. Miniaturized integration of fiber SCs to obtain flexible energy fibers and integrated sensing systems is also discussed. Finally, a short conclusion is made, combining with comments on the current challenges and potential solutions in this field.

Wearable Sensors for Biochemical Sweat Analysis

Sweat is a largely unexplored biofluid that contains many important biomarkers ranging from electrolytes and metabolites to proteins, cytokines, antigens, and exogenous drugs. The eccrine and apocrine glands produce and excrete sweat through microscale pores on the epidermal surface, offering a noninvasive means for capturing and probing biomarkers that reflect hydration state, fatigue, nutrition, and physiological changes. Recent advances in skin-interfaced wearable sensors capable of real-time in situ sweat collection and analytics provide capabilities for continuous biochemical monitoring in an ambulatory mode of operation. This review presents a broad overview of sweat-based biochemical sensor technologies with an emphasis on enabling materials, designs, and target analytes of interest. The article concludes with a summary of challenges and opportunities for researchers and clinicians in this swiftly growing field.

Evolution of Wearable Devices with Real-Time Disease Monitoring for Personalized Healthcare

Wearable devices are becoming widespread in a wide range of applications, from healthcare to biomedical monitoring systems, which enable continuous measurement of critical biomarkers for medical diagnostics, physiological health monitoring and evaluation. Especially as the elderly population grows globally, various chronic and acute diseases become increasingly important, and the medical industry is changing dramatically due to the need for point-of-care (POC) diagnosis and real-time monitoring of long-term health conditions. Wearable devices have evolved gradually in the form of accessories, integrated clothing, body attachments and body inserts. Over the past few decades, the tremendous development of electronics, biocompatible materials and nanomaterials has resulted in the development of implantable devices that enable the diagnosis and prognosis through small sensors and biomedical devices, and greatly improve the quality and efficacy of medical services. This article summarizes the wearable devices that have been developed to date, and provides a review of their clinical applications. We will also discuss the technical barriers and challenges in the development of wearable devices, and discuss future prospects on wearable biosensors for prevention, personalized medicine and real-time health monitoring.

Soft and flexible material-based affinity sensors

Recent advances in biosensors and point-of-care (PoC) devices are poised to change and expand the delivery of diagnostics from conventional lateral-flow assays and test strips that dominate the market currently, to newly emerging wearable and implantable devices that can provide continuous monitoring. Soft and flexible materials are playing a key role in propelling these trends towards real-time and remote health monitoring. Affinity biosensors have the capability to provide for diagnosis and monitoring of cancerous, cardiovascular, infectious and genetic diseases by the detection of biomarkers using affinity interactions. This review tracks the evolution of affinity sensors from conventional lateral-flow test strips to wearable/implantable devices enabled by soft and flexible materials. Initially, we highlight conventional affinity sensors exploiting membrane and paper materials which have been so successfully applied in point-of-care tests, such as lateral-flow immunoassay strips and emerging microfluidic paper-based devices. We then turn our attention to the multifarious polymer designs that provide both the base materials for sensor designs, such as PDMS, and more advanced functionalised materials that are capable of both recognition and transduction, such as conducting and molecularly imprinted polymers. The subsequent content discusses wearable soft and flexible material-based affinity sensors, classified as flexible and skin-mountable, textile materials-based and contact lens-based affinity sensors. In the final sections, we explore the possibilities for implantable/injectable soft and flexible material-based affinity sensors, including hydrogels, microencapsulated sensors and optical fibers. This area is truly a work in progress and we trust that this review will help pull together the many technological streams that are contributing to the field.