Perspective—Challenges in Developing Wearable Electrochemical Sensors for Longitudinal Health Monitoring

Wearable electrochemical sensors have the potential to overcome the problem of infrequent clinical visits that leads to transient events of potential diagnostic importance being unduly overlooked. The promise of real-time, personalized health care has driven multidisciplinary work on fabricating various forms of wearable sensors. Although remarkable advances in device form factor and integrated circuit design have been achieved, notable hurdles, such as shelf life, reuseability, flex and sweat resistance, and longitudinal performance, remain unaddressed. This perspective seeks to summarize major advances in current wearable electrochemical sensors and to highlight the most pressing challenges that will benefit from collective research endeavors

Fluoropolymer-Wrapped Conductive Threads for Textile Touch Sensors Operating via the Triboelectric Effect

Touch-sensitive electrical arrays are the primary user interface for modern consumer electronics. Most contemporary touch sensors, including known iterations of textile-based touch sensors, function by detecting capacitive changes within a circuit resulting from direct skin contact. However, this method of operation fails when the user’s skin or the surface of the touch sensor is dirty, oily or wet, preventing practical use of textile-based touch sensors in real-world scenarios. Here, an electrically touch-responsive woven textile is described, which is composed of fluoropolymer-wrapped conductive threads. The fluoropolymer wrapping prevents contaminant buildup on the textile surface and also electrically insulates the conductive thread core. The woven textile touch sensor operates via surface potential changes created upon skin contact. This method of operation, called the triboelectric effect, has not been widely used to create textile touch sensors, to date. The influences of surface wetness and varying skin surface chemistry are studied, and the triboelectric textile touch sensors are found to be advantageously insensitive to these environmental variables, indicating that triboelectric textiles have promise for practical use as touch interfaces in furniture and interior design

Solvent-Free Reactive Vapor Deposition for Functional Fabrics: Separating Oil–Water Mixtures with Fabrics

A facile, solvent-minimized approach to functionalize commercial raw fabrics is described. Reactive vapor deposition of conjugated polymers followed by post-deposition functionalization transforms common, off-the-shelf textiles into distinctly hydrophobic or superhydrophilic materials. The fabric coatings created by reactive vapor deposition are especially resistant to mechanical and solvent washing, as compared to coatings applied by conventional, solution-phase silane chemistries. Janus fabrics with dissimilar wettability on each face are also easily created using a simple, three-step vapor coating process, which cannot be replicated using conventional solution phase functionalization strategies. Hydrophobic fabrics created using reactive vapor deposition and post-deposition functionalization are effective, reusable, large-volume oil–water separators, either under gravity filtration or as immersible absorbants

ITO-Free Transparent Organic Solar Cell with Distributed Bragg Reflector for Solar Harvesting Windows

We demonstrated an indium tin oxide (ITO)-free, highly transparent organic solar cell with the potential to be integrated into window panes for energy harvesting purposes. A transparent, conductive ZnO/Ag/ZnO multilayer electrode and a Ag:Ca thin film electrode were used in this transparent device as the bottom and top electrode, respectively. To further improve the transmittance of the solar cell, the thickness of the top ZnO layer was investigated both experimentally and with simulations. An average visible transmittance of \u3e60% was reached, with a maximum transmittance of 73% at 556 nm. Both top and bottom illumination of the solar cell generated comparable power conversion efficiencies, which indicates the wide application of this solar cell structure. In addition, we fabricated distributed Bragg reflector mirrors with sputtered SiO2 and TiO2, which efficiently increased the power conversion efficiency over 20% for the solar cells on glass and poly(ethylene terephthalate) (PET) substrates

Enabling Longitudinal Respiration Monitoring Using Vapor-Coated Conducting Textiles

Wearable sensors allow for portable, long-term health monitoring in natural environments. Recently, there has been an increase in demand for technology that can reliably monitor respiration, which can be indicative of cardiac diseases, asthma, and infection by respiratory viruses. However, to date, the most reliable respiration monitoring system involves a tightly worn chest belt that is not conducive to longitudinal monitoring. Herein, we report that accurate respiration monitoring can be effected using a fabric-based humidity sensor mounted within a face mask. Our humidity sensor is created using cotton fabrics coated with a persistently p-doped conjugated polymer, poly(3,4-ethylenedioxythiophene):chloride (PEDOT-Cl), using a previously reported chemical vapor deposition process. The vapor-deposited polymer coating displays a stable, rapid, and reversible change in conductivity with an increase in local humidity, such as the humidity changes experienced within a face mask as the wearer breathes. Thus, when integrated into a face mask, the PEDOT-Cl-coated cotton humidity sensor is able to transduce breaths into an electrical signal. The humidity sensor-incorporated face mask is able to differentiate between deep and shallow breathing, as well as breathing versus talking. The sensor-incorporated face mask platform also functions both while walking and sitting, providing equally high signal quality in both indoor and outdoor contexts. Additionally, we show that the face mask can be worn for long periods of time with a negligible decline in the signal quality

A Gyrochronology and Microvariability Survey of the Milky Way's Older Stars Using Kepler's Two-Wheels Program

Even with the diminished precision possible with only two reaction wheels, the Kepler spacecraft can obtain mmag level, time-resolved photometry of tens of thousands of sources. The presence of such a rich, large data set could be transformative for stellar astronomy. In this white paper, we discuss how rotation periods for a large ensemble of single and binary main- sequence dwarfs can yield a quantitative understanding of the evolution of stellar spin-down over time. This will allow us to calibrate rotation-based ages beyond ~1 Gyr, which is the oldest benchmark that exists today apart from the Sun. Measurement of rotation periods of M dwarfs past the fully-convective boundary will enable extension of gyrochronology to the end of the stellar main-sequence, yielding precise ages ({\sigma} ~10%) for the vast majority of nearby stars. It will also help set constraints on the angular momentum evolution and magnetic field generation in these stars. Our Kepler-based study would be supported by a suite of ongoing and future ground-based observations. Finally, we briefly discuss two ancillary science cases, detection of long-period low-mass eclipsing binaries and microvariability in white dwarfs and hot subdwarf B stars that the Kepler Two-Wheels Program would facilitate.Comment: Kepler white pape

Informing the design of a national screening and treatment programme for chronic viral hepatitis in primary care: qualitative study of at-risk immigrant communities and healthcare professionals

Background: Effective strategies are needed to provide screening and treatment for hepatitis B and C to immigrant groups in the UK at high risk of chronic infection. This study aimed to build an understanding of the knowledge, beliefs and attitudes towards these conditions and their management in a range of high-risk minority ethnic communities and health professionals, in order to inform the design of a screening and treatment programme in primary care. Methods: Qualitative data collection consisted of three sequential phases- (i) semi-structured interviews with key informants (n = 17), (ii) focus groups with people from Chinese, Pakistani, Roma, Somali, and French- and English-speaking African communities (n = 95), and (iii) semi-structured interviews with general practitioners (n = 6). Datasets from each phase were analysed using the Framework method. Results: Key informants and general practitioners perceived that there was limited knowledge and understanding about hepatitis B and C within high-risk immigrant communities, and that chronic viral hepatitis did not typically feature in community discourses about serious illness. Many focus group participants were confused about the differences between types of viral hepatitis, held misconceptions regarding transmission, and were unaware of the asymptomatic nature of chronic infection. Most welcomed the idea of a screening programme, but key informants and focus group participants also identified numerous practical barriers to engagement with primary care-based screening and treatment; including language and communication difficulties, limited time (due to long working hours), and (for some) low levels of trust and confidence in general practice-based care. General practitioners expressed concerns about the workload implications and sustainability of screening and treating immigrant patients for chronic viral hepatitis in primary care. Conclusions: Strategies to reduce the burden of chronic viral hepatitis in immigrant communities will need to consider how levels of understanding about hepatitis B and C within these communities, and barriers to accessing healthcare, may affect capacity to engage with screening and treatment. Services may need to work with community groups and language support services to provide information and wider encouragement for screening. Primary care services will need ongoing consultation regarding their support needs to deliver hepatitis screening and treatment programmes