Flexible pressure sensors via engineering microstructures for wearable human-machine interaction and health monitoring applications

Flexible pressure sensors capable of transducing pressure stimuli into electrical signals have drawn extensive attention owing to their potential applications for human-machine interaction and healthcare monitoring. To meet these application demands, engineering microstructures in the pressure sensors are an efficient way to improve key sensing performances, such as sensitivity, linear sensing range, response time, hysteresis, and durability. In this review, we provide an overview of the recent advances in the fabrication and application of high-performance flexible pressure sensors via engineering microstructures. The implementation mechanisms and fabrication strategies of microstructures including micropatterned, porous, fiber-network, and multiple microstructures are systematically presented. The applications of flexible pressure sensors with microstructures in the fields of wearable human-machine interaction, and ex vivo and in vivo healthcare monitoring are comprehensively discussed. Finally, the outlook and challenges in the future improvement of flexible pressure sensors toward practical applications are presented

Blood Eosinophils and Clinical Outcomes in Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Propensity Score Matching Analysis of Real-World Data in China

Background and Objective: Elevated eosinophils in chronic obstructive pulmonary disease (COPD) are recognized as a biomarker to guide inhaled corticosteroids use, but the value of blood eosinophils in hospitalized exacerbations of COPD remains controversial. This study aimed to evaluate the accuracy of eosinophils in predicting clinical outcomes in acute exacerbation of COPD (AECOPD).Methods: We analyzed data from the acute exacerbation of chronic obstructive pulmonary disease inpatient registry (ACURE) study, which is an ongoing nationwide multicenter, observational real-world study in patients admitted for AECOPD. Data collected between January 2018 and December 2019 in 163 centers were first reviewed. The eligible patients were divided into eosinophilic and non-eosinophilic groups, according to blood eosinophil with 2% of the total leukocyte count as the threshold. Propensity score (PS) matching was performed to adjust for confounders.Results: A total of 1,566 patients (median age: 69 years; 80.3% male) were included and 42.7% had an eosinophilic AECOPD. Eosinophil count <2% was associated with the development of respiratory failure and pneumonia. After PS matching, 650 pairs in overall patients, 468 pairs in patients with smoking history and 177 pairs in patients without smoking were selected, respectively. Only in patients with smoking history, the non-eosinophilic AECOPD was associated with longer median hospital stays (9 vs. 8 days, P = 0.034), higher dosage of corticosteroid use, higher economic burden of hospitalization, and poorer response to corticosteroid therapy compared to the eosinophilic AECOPD. No significant difference was found in patients without smoking. Eosinophil levels had no relationship with the change of COPD Assessment Test scores and readmissions or death after 30 days.Conclusion: Elevated eosinophils were associated with better short-term outcomes only in patients with a smoking history. Eosinophil levels cannot be confidently used as a predictor alone for estimating prognosis

Identification of microRNA-451a as a Novel Circulating Biomarker for Colorectal Cancer Diagnosis

Background. Colorectal cancer (CRC) is one of the leading causes of cancer death worldwide. Successful treatment of CRC relies on accurate early diagnosis, which is currently a challenge due to its complexity and personalized pathologies. Thus, novel molecular biomarkers are needed for early CRC detection. Methods. Gene and microRNA microarray profiling of CRC tissues and miRNA-seq data were analyzed. Candidate microRNA biomarkers were predicted using both CRC-specific network and miRNA-BD tool. Validation analyses were carried out to interrogate the identified candidate CRC biomarkers. Results. We identified miR-451a as a potential early CRC biomarker circulating in patient’s serum. The dysregulation of miR-451a was revealed both in primary tumors and in patients’ sera. Downstream analysis validated the tumor suppressor role of miR-451a and high sensitivity of miR-451a in CRC patients, further confirming its potential role as CRC circulation biomarker. Conclusion. The miR-451a is a potential circulating biomarker for early CRC diagnosis

Stretchable strain sensors with dentate groove structure for enhanced sensing recoverability

Stretchable strain sensors based on conductive polymer composites commonly utilize elastic polymers as the matrix. However, elastic polymers always show strong mechanical hysteresis effect leading to shoulder peak phenomenon and thereby poor recoverability of strain sensors. Herein, we design a stretchable rough filament strain sensor with dentate groove structure to eliminate the shoulder peak phenomenon and improve recoverability. The filament strain sensor is fabricated by the extrusion of poly(styrene-b-ethylene-b-butylene-b-styrene) (SEBS) filament constructing dentate groove structure and the subsequent ultrasonic treatment decorating carbon nanotubes (CNTs) on the surface of the SEBS filament. It is interesting to find that the strain sensing range of rough SEBS/CNTs filaments with dentate groove structure is wider than that of smooth filaments. More importantly, the rough filament strain sensors exhibit significantly enhanced recoverability without shoulder peak during the releasing process while the rough dentate groove structure has minor effects on the mechanical properties of SEBS filaments. The great improvement is ascribed to the uniform distribution of deformation because of the dentate groove structure, which induces reduction of the mechanical hysteresis effect and thereby decreases residual strain. Moreover, the rough filament strain sensors have a favorable integration of good stability, fast response time of 300 ms (0.5% strain is applied with a high strain rate of 500 mm/min) and excellent durability (1976 cycles at the strain of 50%). The rough filament strain sensors can accurately and stably monitor both large and subtle human motions (such as body motion, expression and phonation), showing broad application prospects in wearable devices

Morphological classification of mesoporous silicas synthesized in a binary water-ether solvent system

Using diethyl ether as a co-solvent, a non-stable interface of biphasic oil-water system (the so-called oil-water two-phase (OWTP) system) was employed in the preparation of mesostructured silicas with diversified particle morphologies. By adjusting the molar ratios of H2O:C2H5OC2H5:NH3 center dot H2O and the alkalinity of the OWTP system, several product morphologies could be obtained under different reaction conditions. On the other hand, different product morphologies with distinct structural properties could be obtained at a specific reaction condition, indicating that product morphology varied upon intrinsic characteristics of non-equilibrium processes in the system as well. There are six kinds of product morphologies in our results. In the biphasic region the morphotypes such as vesicles, slices, and spheres were widely distributed. Multi-lamellar fragments were formed under relatively strong alkaline conditions and at a high proportion of diethyl ether (>41%). bi-continuously phased fragments were observed in the weak alkaline conditions and medium proportion between diethyl ether and water. In the single-phase region, hexagonally ordered MCM-41, plain sheets of MCM-48, as well as smooth and plain slices with worm-like pore structures were formed with bi-modal pore-size distribution structure. Based on HRTEM analysis, these structural features were rationalized being derived from fragments that originated from the oil/water interface. Apparently, the product morphosynthesis resulted from a combination of fluid theological distortions and reconstructive reaction fields. With a systematic approach we have established the reaction phase diagram of the system, which enabled us to define the structural properties and to classify the morphology of the products for nomenclatural purposes in studying OWTP systems. (c) 2007 Elsevier Inc. All rights reserved

Morphological classification of mesoporous silicas synthesized in a binary water-ether solvent system

Using diethyl ether as a co-solvent, a non-stable interface of biphasic oil-water system (the so-called oil-water two-phase (OWTP) system) was employed in the preparation of mesostructured silicas with diversified particle morphologies. By adjusting the molar ratios of H2O:C2H5OC2H5:NH3 center dot H2O and the alkalinity of the OWTP system, several product morphologies could be obtained under different reaction conditions. On the other hand, different product morphologies with distinct structural properties could be obtained at a specific reaction condition, indicating that product morphology varied upon intrinsic characteristics of non-equilibrium processes in the system as well. There are six kinds of product morphologies in our results. In the biphasic region the morphotypes such as vesicles, slices, and spheres were widely distributed. Multi-lamellar fragments were formed under relatively strong alkaline conditions and at a high proportion of diethyl ether (>41%). bi-continuously phased fragments were observed in the weak alkaline conditions and medium proportion between diethyl ether and water. In the single-phase region, hexagonally ordered MCM-41, plain sheets of MCM-48, as well as smooth and plain slices with worm-like pore structures were formed with bi-modal pore-size distribution structure. Based on HRTEM analysis, these structural features were rationalized being derived from fragments that originated from the oil/water interface. Apparently, the product morphosynthesis resulted from a combination of fluid theological distortions and reconstructive reaction fields. With a systematic approach we have established the reaction phase diagram of the system, which enabled us to define the structural properties and to classify the morphology of the products for nomenclatural purposes in studying OWTP systems. (c) 2007 Elsevier Inc. All rights reserved

Facile Fabrication of PEDOT:PSS‐Based Free‐Standing Conducting Film for Highly Efficient Electromagnetic Interference Shielding

Abstract With the growing popularity of portable and wearable smart electronics, the electromagnetic shielding materials with high shielding effectiveness (SE) as well as light weight and excellent mechanical strength are in high. In this work, the PEDOT:PSS‐based free‐standing conducting film with superior conductivity and mechanical strength is prepared through a facile fabrication. The cellulose nanofibers (CNFs) are first introduced to induce an orderly grow and stack of the PEDOT grains. A phosphoric acid immersion process is then employed to remove the insulating CNF and PSS in the film. The obtained free‐standing conducting film shows a record conductivity of 3508 S cm−1 and its elongation at break reaches 3.75%. Encouragingly, the film delivers an excellent electromagnetic interference (EMI) shielding behavior with a SE of 49 dB in the X‐band (8.2–12.4 GHz) at a thickness of 4 µm. The superior conductivity, mechanical strength, and high SE as well as its facile solution processability make this free‐standing conducting film to be an attractive EMI material for portable and wearable smart electronics