Design and Fabrication of a Flexible Gravimetric Sensor Based on a Thin-Film Bulk Acoustic Wave Resonator.

Sensing systems are becoming less and less invasive. In this context, flexible materials offer new opportunities that are impossible to achieve with bulky and rigid chips. Standard silicon sensors cannot be adapted to curved shapes and are susceptible to big deformations, thus discouraging their use in wearable applications. Another step forward toward minimising the impacts of the sensors can be to avoid the use of cables and connectors by exploiting wireless transmissions at ultra-high frequencies (UHFs). Thin-film bulk acoustic wave resonators (FBARs) represent the most promising choice among all of the piezoelectric microelectromechanical system (MEMS) resonators for the climbing of radio frequencies. Accordingly, the fabrication of FBARs on flexible and wearable substrates represents a strategic step toward obtaining a new generation of highly sensitive wireless sensors. In this work, we propose the design and fabrication of a flexible gravimetric sensor based on an FBAR on a polymeric substrate. The resonator presents one of the highest electromechanical coupling factors in the category of flexible AlN-based FBARs, equal to 6%. Moreover, thanks to the polymeric support layer, the presence of membranes can be avoided, which leads to a faster and cheaper fabrication process and higher robustness of the structure. The mass sensitivity of the device was evaluated, obtaining a promising value of 23.31 ppm/pg. We strongly believe that these results can pave the way to a new class of wearable MEMS sensors that exploit ultra-high-frequency (UHF) transmissions.

Wearable Heart Rate Monitoring Device Communicating in 5G ISM Band for IoHT.

Advances in wearable device technology pave the way for wireless health monitoring for medical and non-medical applications. In this work, we present a wearable heart rate monitoring platform communicating in the sub-6GHz 5G ISM band. The proposed device is composed of an Aluminium Nitride (AlN) piezoelectric sensor, a patch antenna, and a custom printed circuit board (PCB) for data acquisition and transmission. The experimental results show that the presented system can acquire heart rate together with diastolic and systolic duration, which are related to heart relaxation and contraction, respectively, from the posterior tibial artery. The overall system dimension is 20 mm by 40 mm, and the total weight is 20 g, making this device suitable for daily utilization. Furthermore, the system allows the simultaneous monitoring of multiple subjects, or a single patient from multiple body locations by using only one reader. The promising results demonstrate that the proposed system is applicable to the Internet of Healthcare Things (IoHT), and particularly Integrated Clinical Environment (ICE) applications.

Flexible Enzymatic Glucose Electrochemical Sensor Based on Polystyrene-Gold Electrodes.

Metabolic disorders such as the highly prevalent disease diabetes require constant monitoring. The health status of patients is linked to glucose levels in blood, which are typically measured invasively, but can also be correlated to other body fluids such as sweat. Aiming at a reliable glucose biosensor, an enzymatic sensing layer was fabricated on flexible polystyrene foil, for which a versatile nanoimprinting process for microfluidics was presented. For the sensing layer, a gold electrode was modified with a cysteine layer and glutaraldehyde cross-linker for enzyme conformal immobilization. Chronoamperometric measurements were conducted in PBS buffered glucose solution at two potentials (0.65 V and 0.7 V) and demonstrated a linear range between 0.025 mM to 2mM and an operational range of 0.025 mM to 25 mM. The sensitivity was calculated as 1.76µA/mM/cm2 and the limit of detection (LOD) was calculated as 0.055 mM at 0.7 V. An apparent Michaelis-Menten constant of 3.34 mM (0.7 V) and 0.445 mM (0.65 V) was computed. The wide operational range allows the application for point-of-care testing for a variety of body fluids. Yet, the linear range and low LOD make this biosensor especially suitable for non-invasive sweat sensing wearables.

Flexible SAW Microfluidic Devices as Wearable pH Sensors Based on ZnO Nanoparticles.

In this work, a new flexible and biocompatible microfluidic pH sensor based on surface acoustic waves (SAWs) is presented. The device consists of polyethylene naphthalate (PEN) as a flexible substrate on which aluminum nitride (AlN) has been deposited as a piezoelectric material. The fabrication of suitable interdigitated transducers (IDTs) generates Lamb waves (L-SAW) with a center frequency ≈500 MHz traveling in the active region. A SU-8 microfluidics employing ZnO nanoparticles (NPs) functionalization as a pH-sensitive layer is fabricated between the IDTs, causing a shift in the L-SAW resonance frequency as a function of the change in pH values. The obtained sensitivity of ≈30 kHz/pH from pH 7 to pH 2 demonstrates the high potential of flexible SAW devices to be used in the measurement of pH in fluids and biosensing.

Conformable AlN Piezoelectric Sensors as a Non-invasive Approach for Swallowing Disorder Assessment.

Deglutition disorders (dysphagia) are common symptoms of a large number of diseases and can lead to severe deterioration of the patient's quality of life. The clinical evaluation of this problem involves an invasive screening, whose results are subjective and do not provide a precise and quantitative assessment. To overcome these issues, alternative possibilities based on wearable technologies have been proposed. We explore the use of ultrathin, compliant, and flexible piezoelectric patches that are able to convert the laryngeal movement into a well-defined electrical signal, with extremely low anatomical obstruction and high strain resolution. The sensor is based on an aluminum nitride thin film, grown on a soft Kapton substrate, integrated with an electrical charge amplifier and low-power, wireless connection to a smartphone. An ad-hoc designed laryngeal motion simulator (LMS), which is able to mimic the motions of the laryngeal prominence, was used to evaluate its performances. The physiological deglutition waveforms were then extrapolated on a healthy volunteer and compared with the sEMG (surface electromyography) of the submental muscles. Finally, different tests were conducted to assess the ability of the sensor to provide clinically relevant information. The reliability of these features permits an unbiased evaluation of the swallowing ability, paving the way to the creation of a system that is able to provide a point-of-care automatic, unobtrusive, and real-time extrapolation of the patient's swallowing quality even during normal behavior.

A Flexible Carbon Nanotubes-Based Auxetic Sponge Electrode for Strain Sensors.

Soft compliant strain gauges are key devices for wearable applications such as body health sensor systems, exoskeletons, or robotics. Other than traditional piezoresistive materials, such as metals and doped semiconductors placed on strain-sensitive microsystems, a class of soft porous materials with exotic mechanical properties, called auxetics, can be employed in strain gauges in order to boost their performance and add functionalities. For strain electronic read-outs, their polymeric structure needs to be made conductive. Herein, we present the fabrication process of an auxetic electrode based on a polymeric nanocomposite. A multiwalled carbon nanotube/polydimethylsiloxane (MWCNT/PDMS) is fabricated on an open-cell polyurethane (PU) auxetic foam and its effective usability as an electrode for strain-gauge sensors is assessed.

Conformable surface acoustic wave biosensor for E-coli fabricated on PEN plastic film.

Over the last decades, great effort has gone into developing new biosensor technologies for applications in different fields such as disease diagnosis and detection of pollutants in water and food. Global developments in robotic, IoT technologies and in healthcare sensors require new flexible sensor technologies that are low cost and built from sustainable and reusable or recyclable materials. One of the most promising technologies is based on the development of surface acoustic wave (SAW) flexible biosensors, which are highly reproducible, reliable and wirelessly controllable. This work presents for the first time a novel aluminum nitride (AlN)-based conformable SAW immunosensor fabricated on recyclable polyethylene naphthalate. We apply it to the detection of E.Coli using a faster and innovative functionalization method that exploit Protein-A/antibody affinity. A higher sensitivity (Limit of detection-LoD, 6.54*105 CFU/ml) of the Lamb wave traveling on the polymeric device has been obtained in comparison with SAWs traveling on AlN on silicon substrate (LoD, 1.04*106 CFU/ml). Implementation of a finite element method allowed for the estimation of the single E.Coli mass of approximately 9*10-13 g. This work demonstrates the high biosensing potential of flexible polymeric SAW devices for bacteria contamination control in food chain, water and smart packaging.

How to meet reuse and preparation for reuse targets? Shape advertising strategies but be aware of "social washing".

Preparation for reuse (PfR) is a fundamental waste management practice that is second only to prevention in the waste hierarchy. The paper, building on advertising literature, investigates how to leverage the pro-social nature of this option for giving products that have become waste a second life. To examine how advertising strategies based on emotional, functional or combined stimuli can be used to increase intention to buy these items, we carried out an experiment on 507 actual visitors a PfR items shop run by a social cooperative in Northern Italy. We found that, depending on consumers' social involvement, both emotional and functional stimuli based on the social impact of preparation for reuse tend to outperform functional stimuli and have a positive impact on brand attitudes by shaping attitudes to advertisements. Purchasing behaviour has a positive impact on attitudes toward the PfR organization and moderates the effect of emotional and combines stimuli on attitudes toward the advertisement. Since emotional stimuli can be freely used by both legitimated and opportunistic companies, the former should seek to preserve their value proposition by making it easier for consumers to recognise actually trustworthy organizations. This is possible combining the use of advertisements with the development of solid customer relationships. To this end, awareness campaigns, closer relationships with stakeholders and third-party verifiable standards and certifications should be considered to reduce the risk of "social washing" in the current second-hand market context.

Design and Fabrication by Thermal Imprint Lithography and Mechanical Characterization of a Ring-Based PDMS Soft Probe for Sensing and Actuating Forces in Biological Systems.

In this paper, the design, fabrication and mechanical characterization of a novel polydimethylsiloxane (PDMS) soft probe for delivering and sensing forces in biological systems is proposed. On the basis of preliminary finite element (FEM) analysis, the design takes advantage of a suitable core geometry, characterized by a variable spring-like ring. The compliance of probes can be finely set in a wide range to measure forces in the micronewton to nanonewton range. In particular, this is accomplished by properly resizing the ring geometry and/or exploiting the mixing ratio-based elastic properties of PDMS. Fabrication by the thermal imprint lithography method allows fast and accurate tuning of ring sizes and tailoring of the contact section to their targets. By only varying geometrical parameters, the stiffness ranges from 1080 mNm-1 to 50 mNm-1, but by changing the base-curing agent proportion of the elastomer from 10:1 to 30:1, the stiffness drops to 37 mNm-1. With these compliances, the proposed device will provide a new experimental tool for investigating force-dependent biological functions in sensory systems.

Bidirectional biomimetic flow sensing with antiparallel and curved artificial hair sensors.

Background: Flow stimuli in the natural world are varied and contain a wide variety of directional information. Nature has developed morphological polarity and bidirectional arrangements for flow sensing to filter the incoming stimuli. Inspired by the neuromasts found in the lateral line of fish, we present a novel flow sensor design based on two curved cantilevers with bending orientation antiparallel to each other. Antiparallel cantilever pairs were designed, fabricated and compared to a single cantilever based hair sensor in terms of sensitivity to temperature changes and their response to changes in relative air flow direction. Results: In bidirectional air flow, antiparallel cantilever pairs exhibit an axially symmetrical sensitivity between 40 µV/(m s-1) for the lower air flow velocity range (between ±10-20 m s-1) and 80 µV/(m s-1) for a higher air flow velocity range (between ±20-32 m s-1). The antiparallel cantilever design improves directional sensitivity and provides a sinusoidal response to flow angle. In forward flow, the single sensor reaches its saturation limitation, flattening at 67% of the ideal sinusoidal curve which is earlier than the antiparallel cantilevers at 75%. The antiparallel artificial hair sensor better compensates for temperature changes than the single sensor. Conclusion: This work demonstrated the successive improvement of the bidirectional sensitivity, that is, improved temperature compensation, decreased noise generation and symmetrical response behaviour. In the antiparallel configuration, one of the two cantilevers always extends out into the free stream flow, remaining sensitive to directional flow and preserving a sensitivity to further flow stimuli.

Microenvironmental Stiffness of 3D Polymeric Structures to Study Invasive Rates of Cancer Cells.

Cells are highly dynamic elements, continuously interacting with the extracellular environment. Mechanical forces sensed and applied by cells are responsible for cellular adhesion, motility, and deformation, and are heavily involved in determining cancer spreading and metastasis formation. Cell/extracellular matrix interactions are commonly analyzed with the use of hydrogels and 3D microfabricated scaffolds. However, currently available techniques have a limited control over the stiffness of microscaffolds and do not allow for separating environmental properties from biological processes in driving cell mechanical behavior, including nuclear deformability and cell invasiveness. Herein, a new approach is presented to study tumor cell invasiveness by exploiting an innovative class of polymeric scaffolds based on two-photon lithography to control the stiffness of deterministic microenvironments in 3D. This is obtained by fine-tuning of the laser power during the lithography, thus locally modifying both structural and mechanical properties in the same fabrication process. Cage-like structures and cylindric stent-like microscaffolds are fabricated with different Young's modulus and stiffness gradients, allowing obtaining new insights on the mechanical interplay between tumor cells and the surrounding environments. In particular, cell invasion is mostly driven by softer architectures, and the introduction of 3D stiffness "weak spots" is shown to boost the rate at which cancer cells invade the scaffolds. The possibility to modulate structural compliance also allowed estimating the force distribution exerted by a single cell on the scaffold, revealing that both pushing and pulling forces are involved in the cell-structure interaction. Overall, exploiting this method to obtain a wide range of 3D architectures with locally engineered stiffness can pave the way for unique applications to study tumor cell dynamics.

Evaluation of the Impact of Cognitive Training on Quality of Life in Patients with Multiple Sclerosis.

OBJECTIVE: The aim of this study was to evaluate the effectiveness of cognitive rehabilitation in a group of multiple sclerosis (MS) patients. METHODS: Thirty-four patients were included in this study and randomly allocated either to treatment with multidisciplinary rehabilitation plus cognitive training or to treatment with multidisciplinary rehabilitation alone. RESULTS: After 3 months of cognitive treatment, the patients assigned to the rehabilitation plus cognitive training group displayed an improvement in the cognitive test of executive function and a marked improvement in quality of life (QoL). The patients treated with multidisciplinary rehabilitation without cognitive training improved in the physical composite score alone. Both groups of patients displayed an improvement in depression, though the improvement was confirmed at the 6-month follow-up examination (p = 0.036) only in patients treated with multidisciplinary rehabilitation plus cognitive training. CONCLUSIONS: Our results indicate that the multidisciplinary rehabilitation treatment is the best approach to treat MS. The specific effect of each treatment needs to be assessed to be able to determine its role within a multidisciplinary approach. Cognitive rehabilitation is an important aspect of this multidisciplinary approach insofar as it may improve the QoL of MS people.

Nitride-Based Materials for Flexible MEMS Tactile and Flow Sensors in Robotics.

The response to different force load ranges and actuation at low energies is of considerable interest for applications of compliant and flexible devices undergoing large deformations. We present a review of technological platforms based on nitride materials (aluminum nitride and silicon nitride) for the microfabrication of a class of flexible micro-electro-mechanical systems. The approach exploits the material stress differences among the constituent layers of nitride-based (AlN/Mo, Si x N y /Si and AlN/polyimide) mechanical elements in order to create microstructures, such as upwardly-bent cantilever beams and bowed circular membranes. Piezoresistive properties of nichrome strain gauges and direct piezoelectric properties of aluminum nitride can be exploited for mechanical strain/stress detection. Applications in flow and tactile sensing for robotics are described.

Extended producer responsibility: The impact of organizational dimensions on WEEE collection from households.

Extended Producer Responsibility (EPR) has been the backbone of product life cycle management in Europe since the 2000s. Unfortunately, EPR implementation has multiple impacts on the supply chain and, thus, its consequences are not always easily manageable. Although several studies have explored various examples within the EU, the determinants of the effectiveness of EPR management are still not fully understood. This research seeks to bridge this gap by making use of quantitative analyses to investigate how key issues related to: WEEE Directive transposition and organizational settings adopted by each Member State, influenced the results achieved in those Member States in terms of collection from households. In details, a latent class analysis (LCA) has been used to analyse different EPR management strategies based on the policy set, the supply chain structure, and the performance of the household collection of electronic waste. Results highlight the strong connection between allocation of responsibility and organizational model adopted in Member States and performance related to small households equipment's. Conclusions shows the need for stronger coordination of EPR and waste policies in order to achieve adequate levels of Waste Electrical and Electronic Equipment (WEEE) collection, the need of a clear delineation of the responsibilities of each subject of the supply chain and also the importance of "clearing houses" in moderating the impacts of short-sighted competition between collective schemes.

Parylene C surface functionalization and patterning with pH-responsive microgels.

Parylene C is a polymer well-known for its inertness and chemical resistance, thus ideal for covering and sealing 3D substrates and structures by conformal coating. In the present study, the Parylene C surface is modified by functionalization with pH-responsive poly(methacrylic acid) microgels either over the whole surface, or in a pattern through a poly(dimethylsiloxane) stamp. The surface functionalization consists of two phases: first, an oxygen plasma treatment is used to make the surface superhydrophilic, inducing the formation of polar functional groups and surface topography modifications; then, the plasma-treated samples are functionalized by drop casting a solution of pH-responsive microgels, or in a pattern via microcontact printing of the same solution. While both techniques, namely, drop casting and microcontact printing, are easy to use, fast, and cheap, the microcontact printing was found to provide a more homogeneous functionalization and to be applicable to any shape of substrate. The functionalization effectiveness was tested by the repeated uptake and release of a fluorescent labeled monoclonal CD4 antibody at different pH values, thus suggesting a new sensing approach.