Exploration of a machine learning approach for diagnosing sarcopenia among Chinese community-dwelling older adults using sEMG-based data.

BACKGROUND: In the practical application of sarcopenia screening, there is a need for faster, time-saving, and community-friendly detection methods. The primary purpose of this study was to perform sarcopenia screening in community-dwelling older adults and investigate whether surface electromyogram (sEMG) from hand grip could potentially be used to detect sarcopenia using machine learning (ML) methods with reasonable features extracted from sEMG signals. The secondary aim was to provide the interpretability of the obtained ML models using a novel feature importance estimation method. METHODS: A total of 158 community-dwelling older residents (≥ 60 years old) were recruited. After screening through the diagnostic criteria of the Asian Working Group for Sarcopenia in 2019 (AWGS 2019) and data quality check, participants were assigned to the healthy group (n = 45) and the sarcopenic group (n = 48). sEMG signals from six forearm muscles were recorded during the hand grip task at 20% maximal voluntary contraction (MVC) and 50% MVC. After filtering recorded signals, nine representative features were extracted, including six time-domain features plus three time-frequency domain features. Then, a voting classifier ensembled by a support vector machine (SVM), a random forest (RF), and a gradient boosting machine (GBM) was implemented to classify healthy versus sarcopenic participants. Finally, the SHapley Additive exPlanations (SHAP) method was utilized to investigate feature importance during classification. RESULTS: Seven out of the nine features exhibited statistically significant differences between healthy and sarcopenic participants in both 20% and 50% MVC tests. Using these features, the voting classifier achieved 80% sensitivity and 73% accuracy through a five-fold cross-validation. Such performance was better than each of the SVM, RF, and GBM models alone. Lastly, SHAP results revealed that the wavelength (WL) and the kurtosis of continuous wavelet transform coefficients (CWT_kurtosis) had the highest feature impact scores. CONCLUSION: This study proposed a method for community-based sarcopenia screening using sEMG signals of forearm muscles. Using a voting classifier with nine representative features, the accuracy exceeds 70% and the sensitivity exceeds 75%, indicating moderate classification performance. Interpretable results obtained from the SHAP model suggest that motor unit (MU) activation mode may be a key factor affecting sarcopenia.

Developing excellent plantar pressure sensors for monitoring human motions by using highly compressible and resilient PMMA conductive iongels.

Based on real-time detection of plantar pressure, gait recognition could provide important health information for rehabilitation administration, fatigue prevention, and sports training assessment. So far, such researches are extremely limited due to lacking of reliable, stable and comfortable plantar pressure sensors. Herein, a strategy for preparing high compression strength and resilience conductive iongels has been proposed by implanting physically entangled polymer chains with covalently cross-linked networks. The resulting iongels have excellent mechanical properties including nice compliance (young's modulus < 300 kPa), high compression strength (>10 MPa at a strain of 90 %), and good resilience (self-recovery within seconds). And capacitive pressure sensor composed by them possesses excellent sensitivity, good linear response even under very small stress (∼kPa), and long-term durability (cycles > 100,000) under high-stress conditions (133 kPa). Then, capacitive pressure sensor arrays have been prepared for high-precision detection of plantar pressure spatial distribution, which also exhibit excellent sensing performances and long-term stability. Further, an extremely sensitive and fast response plantar pressure monitoring system has been designed for monitoring plantar pressure of foot at different postures including upright, forward and backward. The system achieves real-time tracking and monitoring of changes of plantar pressure during different static and dynamic posture processes. And the characteristics of plantar pressure information can be digitally and photography displayed. Finally, we propose an intelligent framework for real-time detection of plantar pressure by combining electronic insoles with data analysis system, which presents excellent applications in sport trainings and safety precautions.

Smart Energy Storage: W18O49 NW/Ti3C2Tx Composite-Enabled All Solid State Flexible Electrochromic Supercapacitors.

Developing a highly efficient electrochromic energy storage device with sufficient color fluctuation and significant electrochemical performance is highly desirable for practical energy-saving applications. Here, to achieve a highly stable material with a large electrochemical storage capacity, a W18O49 NW/Ti3C2Tx composite has been fabricated and deposited on a pre-assembled Ag and W18O49 NW conductive network by Langmuir-Blodgett technique. The resulting hybrid electrode composed of 15 layers of W18O49 NW/Ti3C2Tx composite exhibits an areal capacitance of 125 mF cm-2, with a fast and reversible switching response. An optical modulation of 98.2% can be maintained at a current density of 5 mA cm-2. Using this electrode, a bifunctional symmetric electrochromic supercapacitor device having an energy density of 10.26 µWh cm-2 and a power density of 0.605 mW cm-2 is fabricated, with high capacity retention and full columbic efficiency over 4000 charge-discharge cycles. Meanwhile, the device displays remarkable electrochromic characteristics, including fast switching time (5 s for coloring and 7 s for bleaching), and a significant coloration efficiency of 116 cm2 C-1 with good optical modulation stability. In addition, the device exhibits significant mechanical flexibility and fast switching while being stable over 100 bending cycles, which is promising for real-world applications.

Electrostatic Smart Textiles for Braille-To-Speech Translation.

A wearable Braille-to-speech translation system is of great importance for providing auditory feedback in assisting blind people and people with speech impairment. However, previous reported Braille-to-speech translation systems still need to be improved in terms of comfortability or integration. Here, a Braille-to-speech translation system that uses dual-functional electrostatic transducers which are made of fabric-based materials and can be integrated into textiles is reported. Based on electrostatic induction, the electrostatic transducer can either serve as a tactile sensor or a loudspeaker with the same design. The proposed electrostatic transducers have excellent output performances, mechanical robustness, and working stability. By combining the devices with machine learning algorithms, it is possible to translate the Braille alphabet and 40 commonly used words (extensible) into speech with an accuracy of 99.09% and 97.08%, respectively. This work demonstrates a new approach for further developments of advanced assistive technology toward improving the lives of disabled people.

Construction of a Novel Semiautomated Electrochemical Sensor Array Platform and Its Application in Multiplexed Monitoring of Antibiotic Therapy.

At present, traditional analytical methods suffer from issues such as complex operation, expensive equipment, and a lengthy testing time. Electrochemical sensors have shown great advantages and application potential as an alternative solution. In this study, we proposed a novel semiautomated electrochemical sensor array (SAESA) platform. The sensor array was fabricated using screen-printed technology with a tubular design where all electrodes were printed on the inner wall. The integration of the tubular sensor array with a pipet allows for a semiautomated process including sampling and rinsing, which simplifies operation and reduces overall time. Each working electrode in the tubular sensor array underwent distinct decoration to get specific sensing responses toward the target analytes in a mixture environment (e.g., blood samples). To demonstrate the applicability of the developed sensing platform for simultaneous multianalyte detection, we chose antibiotic treatment for inflammatory infection as a model scenario and continuously measured three biomarkers, namely, tigecycline (TGC), procalcitonin (PCT), and alanine aminotransferase (ALT). The detection limits were 0.3 µM, 0.3 ng/L, and 2.76 U/L, respectively. The developed semiautomated electrochemical sensor array exhibits characteristics such as rapid and simple operation, portability, good selectivity, and excellent stability.

Porous nanocomposites with enhanced intrinsic piezoresistive sensitivity for bioinspired multimodal tactile sensors.

In this work, we propose porous fluororubber/thermoplastic urethane nanocomposites (PFTNs) and explore their intrinsic piezoresistive sensitivity to pressure. Our experiments reveal that the intrinsic sensitivity of the PFTN-based sensor to pressure up to 10 kPa increases up to 900% compared to the porous thermoplastic urethane nanocomposite (PTN) counterpart and up to 275% compared to the porous fluororubber nanocomposite (PFN) counterpart. For pressures exceeding 10 kPa, the resistance-pressure relationship of PFTN follows a logarithmic function, and the sensitivity is 221% and 125% higher than that of PTN and PFN, respectively. With the excellent intrinsic sensitivity of the thick PFTN film, a single sensing unit with integrated electrode design can imitate human skin for touch detection, pressure perception and traction sensation. The sensing range of our multimodal tactile sensor reaches ~150 Pa, and it exhibits a linear fit over 97% for both normal pressure and shear force. We also demonstrate that an electronic skin, made of an array of sensing units, is capable of accurately recognizing complex tactile interactions including pinch, spread, and tweak motions.

Self-Adaptive Perception of Object's Deformability with Multiple Deformation Attributes Utilizing Biomimetic Mechanoreceptors.

The perception of object's deformability in unstructured interactions relies on both kinesthetic and cutaneous cues to adapt the uncertainties of an object. However, the existing tactile sensors cannot provide adequate cutaneous cues to self-adaptively estimate the material softness, especially in non-standard contact scenarios where the interacting object deviates from the assumption of an elastic half-infinite body. This paper proposes an innovative design of a tactile sensor that integrates the capabilities of two slow-adapting mechanoreceptors within a soft medium, allowing self-decoupled sensing of local pressure and strain at specific locations within the contact interface. By leveraging these localized cutaneous cues, the sensor can accurately and self-adaptively measure the material softness of an object, accommodating variations in thicknesses and applied forces. Furthermore, when combined with a kinesthetic cue from the robot, the sensor can enhance tactile expression by the synergy of two relevant deformation attributes, including material softness and compliance. It is demonstrated that the biomimetic fusion of tactile information can fully comprehend the deformability of an object, hence facilitating robotic decision-making and dexterous manipulation.

Biomimetic Ion Channel Regulation for Temperature-Pressure Decoupled Tactile Perception.

The perception of temperature and pressure of skin plays a vital role in joint movement, hand grasp, emotional expression, and self-protection of human. Among many biomimetic materials, ionic gels are uniquely suited to simulate the function of skin due to its ionic transport mechanism. However, both the temperature and pressure sensing are heavily dependent on the changes in ionic conductivity, making it impossible to decouple the temperature and pressure signals. Here, a pressure-insensitive and temperature-modulated ion channel is designed by synergistic strategies for gel skeleton's compact packing and ultra-thin structure, mimicking the function of the temperature ion channel in human skin. This ion-confined gel can completely suppress the pressure response of the temperature sensing layer. Furthermore, a temperature-pressure decoupled ionic sensor is fabricated and it is demonstrated that the ionic sensor can sense complex signals of temperature and pressure. This novel and effective approach has great potential to overcome one of the current barriers in developing ionic skin and extending its applications.

Chemical Scissors Tailored Nano-Tellurium with High-Entropy Morphology for Efficient Foam-Hydrogel-Based Solar Photothermal Evaporators.

The development of tellurium (Te)-based semiconductor nanomaterials for efficient light-to-heat conversion may offer an effective means of harvesting sunlight to address global energy concerns. However, the nanosized Te (nano-Te) materials reported to date suffer from a series of drawbacks, including limited light absorption and a lack of surface structures. Herein, we report the preparation of nano-Te by electrochemical exfoliation using an electrolyzable room-temperature ionic liquid. Anions, cations, and their corresponding electrolytic products acting as chemical scissors can precisely intercalate and functionalize bulk Te. The resulting nano-Te has high morphological entropy, rich surface functional groups, and broad light absorption. We also constructed foam hydrogels based on poly (vinyl alcohol)/nano-Te, which achieved an evaporation rate and energy efficiency of 4.11 kg m-2 h-1 and 128%, respectively, under 1 sun irradiation. Furthermore, the evaporation rate was maintained in the range 2.5-3.0 kg m-2 h-1 outdoors under 0.5-1.0 sun, providing highly efficient evaporation under low light conditions.

Road Narrow-Inspired Strain Concentration to Wide-Range-Tunable Gauge Factor of Ionic Hydrogel Strain Sensor.

The application of stretchable strain sensors in human movement recognition, health monitoring, and soft robotics has attracted wide attention. Compared with traditional electronic conductors, stretchable ionic hydrogels are more attractive to organization-like soft electronic devices yet suffer poor sensitivity due to limited ion conduction modulation caused by their intrinsic soft chain network. This paper proposes a strategy to modulate ion transport behavior by geometry-induced strain concentration to adjust and improve the sensitivity of ionic hydrogel-based strain sensors (IHSS). Inspired by the phenomenon of vehicles slowing down and changing lanes when the road narrows, the strain redistribution of ionic hydrogel is optimized by structural and mechanical parameters to produce a strain-induced resistance boost. As a result, the gauge factor of the IHSS is continuously tunable from 1.31 to 9.21 in the strain range of 0-100%, which breaks through the theoretical limit of homogeneous strain-distributed ionic hydrogels and ensures a linear electromechanical response simultaneously. Overall, this study offers a universal route to modulate the ion transport behavior of ionic hydrogels mechanically, resulting in a tunable sensitivity for IHSS to better serve different application scenarios, such as health monitoring and human-machine interface.

Recent Progress in MXene Hydrogel for Wearable Electronics.

Recently, hydrogels have attracted great attention because of their unique properties, including stretchability, self-adhesion, transparency, and biocompatibility. They can transmit electrical signals for potential applications in flexible electronics, human-machine interfaces, sensors, actuators, et al. MXene, a newly emerged two-dimensional (2D) nanomaterial, is an ideal candidate for wearable sensors, benefitting from its surface's negatively charged hydrophilic nature, biocompatibility, high specific surface area, facile functionalization, and high metallic conductivity. However, stability has been a limiting factor for MXene-based applications, and fabricating MXene into hydrogels has been proven to significantly improve their stability. The unique and complex gel structure and gelation mechanism of MXene hydrogels require intensive research and engineering at nanoscale. Although the application of MXene-based composites in sensors has been widely studied, the preparation methods and applications of MXene-based hydrogels in wearable electronics is relatively rare. Thus, in order to facilitate the effective evolution of MXene hydrogel sensors, the design strategies, preparation methods, and applications of MXene hydrogels for flexible and wearable electronics are comprehensively discussed and summarized in this work.

Wearable Triboelectric Nanogenerator with Ground-Coupled Electrode for Biomechanical Energy Harvesting and Sensing.

Harvesting biomechanical energy for electricity as well as physiological monitoring is a major development trend for wearable devices. In this article, we report a wearable triboelectric nanogenerator (TENG) with a ground-coupled electrode. It has a considerable output performance for harvesting human biomechanical energy and can also be used as a human motion sensor. The reference electrode of this device achieves a lower potential by coupling with the ground to form a coupling capacitor. Such a design can significantly improve the TENG's outputs. A maximum output voltage up to 946 V and a short-circuit current of 36.3 µA are achieved. The quantity of the charge that transfers during one step of an adult walking reaches 419.6 nC, while it is only 100.8 nC for the separate single-electrode-structured device. In addition, using the human body as a natural conductor to connect the reference electrode allows the device to drive the shoelaces with integrated LEDs. Finally, the wearable TENG is able to perform motion monitoring and sensing, such as human gait recognition, step count and movement speed calculation. These show great application prospects of the presented TENG device in wearable electronics.

Electrospun Nanofibers Hybrid Wrinkled Micropyramidal Architectures for Elastic Self-Powered Tactile and Motion Sensors.

Conformable, sensitive, long-lasting, external power supplies-free multifunctional electronics are highly desired for personal healthcare monitoring and artificial intelligence. Herein, we report a series of stretchable, skin-like, self-powered tactile and motion sensors based on single-electrode mode triboelectric nanogenerators. The triboelectric sensors were composed of ultraelastic polyacrylamide (PAAm)/(polyvinyl pyrrolidone) PVP/(calcium chloride) CaCl2 conductive hydrogels and surface-modified silicon rubber thin films. The significant enhancement of electrospun polyvinylidene fluoride (PVDF) nanofiber-modified hierarchically wrinkled micropyramidal architectures for the friction layer was studied. The mechanism of the enhanced output performance of the electrospun PVDF nanofibers and the single-side/double-side wrinkled micropyramidal architectures-based sensors has been discussed in detail. The as-prepared devices exhibited excellent sensitivity of a maximum of 20.1 V/N (or 8.03 V/kPa) as tactile sensors to recognize a wide range of forces from 0.1 N to 30 N at low frequencies. In addition, multiple human motion monitoring was demonstrated, such as knee, finger, wrist, and neck movement and voice recognition. This work shows great potential for skin-like epidermal electronics in long-term medical monitoring and intelligent robot applications.

One-dimensional TeSe nano-heterojunction: formation, calculations, carrier dynamics, and application in broad-spectrum photodetectors.

Seawater contains many electrolytes, is abundant in nature, environmentally friendly, and chemically stable, and exhibits substantial potential for replacement of traditional inorganic electrolytes in photoelectrochemical-type photodetectors (PDs). Herein, one-dimensional semiconductor TeSe nanorods (NRs) with core-shell nanostructures were reported, and their morphology, optical behavior, electronic structure, and photoinduced carrier dynamics were systematically investigated. As photosensitizers, the as-resultant TeSe NRs were assembled into PDs, and the influence of the bias potential, light wavelength and intensity, and the concentration of seawater on the photo-response of TeSe NR-based PDs was evaluated. These PDs exhibited favorable photo-response performance upon illumination with light in the ultraviolet-visible-near-infrared (UV-Vis-NIR) range and even simulated sunlight. Moreover, the TeSe NR-based PDs also exhibited a long duration and cycling stability of its on-off switching and might be useful in marine monitoring.

A novel photoelectrochemical microfluidic chip for multi-index determination of diabetes and its complications.

Rapid and accurate monitoring of glucose, lactic acid, pyruvic acid, and 3-hydroxybutyric acid is essential in preventing, diagnosing, and treating diabetes, lactic acidosis and diabetic ketoacidosis. Herein, a novel sensing chip for multi-index determination of diabetes, lactic acidosis, and diabetic ketoacidosis was presented by integrating microfluidic device and photoelectrochemical (PEC) sensor. In order to block the interference from the reductive species in real samples, the PEC sensor was divided into a biocathode and a photoanode, which were installed separately in the upper and bottom layers of the device. The photoanodes were modified with ZnIn2S4 nanoflower as photosensitive material, while enzymes for catalyzing the analytes were immobilized on the biocathodes. The PEC chip displayed wide detection ranges with low detection limits of 0.035 µM, 0.34 µM, 3.3 µM and 0.035 µM for the four analytes (S/N = 3). The chip also demonstrated decent anti-interference capability and reliability in monitoring the four biomarkers in human serum. Furthermore, a household amperemeter was deployed to record the photocurrent signals, which helps to reduce the cost. By replacing the enzyme on the biocathode, the sensing chip could play a role in monitoring a broad range of species.

Cellulose Nanofiber-Reinforced MXene Membranes as Stable Friction Layers and Effective Electrodes for High-Performance Triboelectric Nanogenerators.

In this work, MXene films incorporating cellulose nanofibers (CNFs) with a spider-web-like structure were fabricated using a facile vacuum-assisted filtration method. The CNFs significantly improved the flexibility and stability of the MXene membranes. The resulting composites functioned well as electrodes and friction layers in triboelectric nanogenerators (TENGs) when paired with either polytetrafluoroethylene (PTFE) as an electropositive material or nylon as an electronegative material. A membrane containing 20 wt % CNFs in conjunction with PTFE was extremely effective during the prolonged operation of a TENGs, generating an output voltage in excess of 1120 V at a frequency of 3.5 Hz. The surface charge density of this device was as high as 100 µC m-2. When paired with nylon, the MXene/CNF film produced a surface charge density of over 60 µC m-2. The microstructures on the rough surface of these membranes, together with the presence of -F and other polar terminations on the MXene, are responsible for the high performance of the nanocomposite. This work demonstrates that MXenes are not necessarily equivalent to PTFE within the triboelectric series and suggests that the MXene-based friction layer could greatly enhance the performance of TENGs.

A novel colorimetric sensor array for real-time and on-site monitoring of meat freshness.

Food quality control is essential in industry and daily life. In this work, we developed a novel colorimetric sensor array composed of several pH-sensitive dyes for monitoring meat freshness. A color change in the sensor array was seen after exposure to volatile organic compounds (VOCs), and the images were captured for precise quantification of the VOCs. In conjunction with pattern recognition, meat freshness at different storage periods was readily discerned, revealing that the as-fabricated colorimetric sensor array possessed excellent discrimination ability. The linear range for quantitative analysis of volatiles related to meat spoilage was from 5 ppm to 100 ppm, with a limit of detection at the ppb level (S/N = 3). Furthermore, the testing results obtained by the sensor in assessing meat freshness were validated by a standard method for measuring the total volatile basic nitrogen (TVB-N). The sensing signals showed good agreement with the results obtained in TVB-N when measuring real food samples. The sensor also displayed good reproducibility (RSD < 5%) and long-term stability. The sensor was successfully used for on-site and real-time determination of volatiles emitted from rotting meat, demonstrating its potential application in monitoring the quality and safety of meat products.

Interfacially Locked Metal Aerogel Inside Porous Polymer Composite for Sensitive and Durable Flexible Piezoresistive Sensors.

Flexible pressure sensors play significant roles in wearable devices, electronic skins, and human-machine interface (HMI). However, it remains challenging to develop flexible piezoresistive sensors with outstanding comprehensive performances, especially with excellent long-term durability. Herein, a facile "interfacial locking strategy" has been developed to fabricate metal aerogel-based pressure sensors with excellent sensitivity and prominent stability. The strategy broke the bottleneck of the intrinsically poor mechanical properties of metal aerogels by grafting them on highly elastic melamine sponge with the help of a thin polydimethylsiloxane (PDMS) layer as the interface-reinforcing media. The hierarchically porous conductive structure of the ensemble offered the as-prepared flexible piezoresistive sensor with a sensitivity as high as 12 kPa-1 , a response time as fast as 85 ms, and a prominent durability over 23 000 compression cycles. The excellent comprehensive performance enables the successful application of the flexible piezoresistive sensor as two-dimensional (2D) array device as well as three-dimensional (3D) force-detecting device for real-time monitoring of HMI activities.

A paper-based microfluidic sensor array combining molecular imprinting technology and carbon quantum dots for the discrimination of nitrophenol isomers.

Paper-based microfluidic analytical devices (µPADs) have recently attracted attention as a rapid test kit owing to their low cost and nonrequirement for external driving pump. However, low accuracy and poor anti-interference ability of µPADs under complex detection condition limit their practical applications. Here, we present a facile way to prepare a novel fluorescence sensor-array µPAD for multi-analyte discrimination based on molecular imprinting technology, and its sensing behavior was studied by using three nitrophenol (NP) isomers (2-, 3-, and 4-NP) as the testing models. Carbon quantum dots (CQDs) emitting blue light were grafted on glass-fiber paper, followed by in-situ modification of three types of molecularly imprinted polymers (MIPs) with 2-, 3-, and 4-NP as template. Each sensing unit on the array showed differential yet cross-reactive binding affinity to NP isomers, resulting in distinct fluorescence quenching efficiency. Thus, precise distinguishment of the three NPs was realized with the MIPs/CQDs/paper-based sensor array. Furthermore, the discrimination ability of the platform was evaluated in mixtures of the NP isomers. Practicability of this apparatus was validated by identification of blind samples and 100% accuracy was achieved. The µPAD has proven to be highly sensitive and accurate, which will serve as an ideal analytical tool in the fields of environment monitoring, disease prognosis, food safety and so on.

Cobalt-based MOF nanoribbons with abundant O/N species for cycloaddition of carbon dioxide to epoxides.

Chemical fixation of CO2 with epoxides is an effective option to achieve sustainable synthesis of cyclic organic carbonates. Although metal-organic frameworks (MOFs) are promising catalysts for this reaction, their low stability in aqueous solutions makes this application infeasible. In an effort to overcome this limitation, cobalt-based metal-organic framework (Co(II)MOF) nanoribbons have been prepared by coordinating the Co(II) ions with a new ligand (C16H12N4O4) full of oxygen and nitrogen moieties. Strong chemical interactions occur between the adsorbed CO2 and oxygen/nitrogen atoms in this porous MOF structure. Co(II)-MOF nanoribbons with tetra-n-butylammonium bromide acted as cocatalysts with ∼97% yield of cyclic carbonate (reaction kinetic rate of 14.7 × 106 µmol g-1 h-1) upon the cycloaddition of epichlorohydrin (ECH) to CO2 (>99% reaction selectivity under solvent-free reaction condition at 80 °C, 3 h and 1 MPa CO2 pressure). This work may open a new avenue for chemical fixation of CO2 by rational design of the components and morphology of MOF-based catalysts.