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Recently, cellulose paper based triboelectric nanogenerators (CPTENGs) has gained widely attention due to the development of wearable, green and miniaturized electronic products. Modification of cellulose fibers or paper is a feasible method to improve the output performance of CPTENGs, however, the simple and effective routes to improve the triboelectric property of cellulose paper still remain a challenge. Herein, we report a simple method to prepare PEO/cellulose composite paper (PEO/CCP) via mixing polyethylene oxide (PEO) with cationic cellulose fibers. Benefiting from amino groups and PEO, the composite paper exhibits higher triboelectric positive property and triboelectric charge density, thereby endowing PEO/CCP based TENG with outstanding output performance. The voltage, current and power density peak values of PEO/CCP based TENG exhibited linear relationship with amino groups content; in this instance, the performance of the TENGs can be readily adjusted by the amino groups. The voltage, current and power density of PEO/CCP based TENG can be up to 222.1 V, 4.3 μA, and 217.3 mW•m -2 , respectively. Moreover, a human-health detection device based on this TENG can monitor the physiological signals such as eye muscles, respiration, heart beat and wrist pulse, promising potentials for applications in human health-care., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier B.V. All rights reserved.)

Mobile integrated electrochemical sensors normally require a power supply for operation. Unfortunately, the practice of discarding batteries associated with these devices runs counter to our desire for a sustainable world. Self-powered sensing concepts that draw the energy directly from the measurement itself would overcome this limitation. Potentiometric sensors for the measurement of pH, many electrolytes, and gases are ubiquitous in analytical practice. However, in potentiometry, the voltage is acquired in the absence of current flow, making it seemingly impossible to draw power. Fortunately, it has been recently established that transient currents may be tolerated across potentiometric measurement cells to charge a capacitive or electrochromic element such as Prussian blue integrated in the measurement cell and whose absorbance then directly follows the potential changes in a reversible manner. We have shown here that commercial electronic paper (e-paper), widely used to make electronic ink and ebook readers, can directly be driven by a potentiometric measurement cell in a reversible manner at mild potentials of >100 mV typical for such sensors. The capacitance of the e-paper pixel studied here was found to be 0.53 μF mm -2 , 30 times smaller than that of Prussian blue films. The colorimetric absorbance of the e-paper was also more stable (observed drift over 2 h corresponding to 0.76 mV h -1 ) and reproducible (corresponding to 1 mV standard deviation). The e-paper pixel was directly driven by a polymeric pH electrode as a model system. Choosing a basic inner solution (pH 12.9) behind the membrane gave sufficiently positive cell potentials for driving visible absorbance change in a sample pH range of 4-10, while a more acidic pH of 3.4 and alternating the connections to the e-paper were more suited for more basic samples of pH > 10. This convenient and cost-effective approach makes it possible to directly drive an optical display from the potentiometric measurement itself and should be suitable for moderate sensing membrane resistances of less than about 100 kΩ, depending on the area of the chosen pixel.

Flexible zinc-silver oxide (Zn-Ag 2 O) batteries have attracted extensive attention for comfortable wearable electronics owing to their stable output voltage, inherent safety, and environmental benignity. However, they suffer from inferior specific capacity and poor mechanical stability due to the low utilization of Ag 2 O cathodic material and weak interfacial adhesion of active material/substrate. Inspired by the nature of the tree root system, we develop an interface-engineered cathode, in which Ag 2 O nanoparticles are rooted on an Au, Ni co-modified filter paper substrate (CFP) through an electroless plating followed by an in situ electrochemical oxidation. The staggered-stacked Ag 2 O nanoparticles provide abundant electrochemically active sites and convenient ion diffusion paths, and the unique biological tree-root-like structure of the electrode material creates robust interlocking interfaces. A quasi-solid-state Zn-Ag 2 O battery assembled with a tree-root-like Ag 2 O/CFP cathode delivers a high areal specific capacity of 1.08 mAh cm -2 and long-term cycling durability with a capacity retention of 77.3% even after 100 cycles. Moreover, the device presents good mechanical stability under various flexural deformations, including bending, folding, and twisting, and exhibits minimal capacity changes after 1000 bending cycles. These findings suggest that the bio-inspired interface-engineered electrode structure is an efficient approach for developing flexible batteries with excellent electrochemical performance and mechanical properties., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Inc. All rights reserved.)

The role of humidity sensors in different industries and field applications, such as agriculture, food monitoring, biomedical equipment, heating, and ventilation, is well known. However, most commercially available humidity sensors are based on polymers or electronic materials that are not degradable and thus contribute to electronic waste. Here, we report a low-cost, flexible, easy-to-fabricate, and eco-friendly parallel-plate capacitive humidity sensor for field applications. The sensor is fabricated from copper tape and tissue paper, where copper tape is used to create the plates of the capacitor, and tissue paper is used as a dielectric sensing layer. Along with the low cost, the high sensitivity, better response and recovery times, stability, and repeatability make this sensor unique. The sensor was tested for relative humidity (RH), ranging from 40% to 99%, and the capacitance varied linearly with RH from 240 pF to 720 pF, as measured by an Arduino. The response time of the sensor is ~1.5 s, and the recovery time is ~2.2 s. The experiment was performed 4-5 times on the same sensor, and repeatable results were achieved with an accuracy of ±0.1%. Furthermore, the sensor exhibits a stable response when tested at different temperatures. Due to the above advantages, the presented sensor can find ready applications in different areas.

Background: The Inventory of Physical Activity Barriers (IPAB) assesses physical activity participation barriers. Development, refinement, and psychometric evaluation of the IPAB occurred via an electronic format. However, various circumstances may require using a pen-and-paper format. As instrument formats are not always interchangeable, the authors aimed to establish whether 2 different formats (electronic and pen and paper) can be used interchangeably for the IPAB., Methods: This randomized crossover study included 66 community-dwelling adults aged 50 years and older (mean age = 73 [SD = 7.6]). Half the sample completed the electronic format of the IPAB first and the pen-and-paper format second, and the other half completed them in reverse order. Tests of equivalence and a Bland-Altman plot were performed., Results: The intraclass correlation coefficient between formats was .94, and kappa was .68. The mean difference between the 2 administration forms of the IPAB was 0.002 (P = .96). Both administration formats had high internal consistency (Cronbach alpha = .92 and .93) and illustrated construct validity (P ≤ .001 for both administration formats)., Conclusion: Pen-and-paper and electronic formats of the IPAB are equivalent and, thus, can be used interchangeably among non-Hispanic whites who are highly educated. The format should be used consistently if completing preintervention and postintervention evaluations or comparing scores.

Background and Purpose: Patient-Reported Measured Outcomes (PROMs) are essential to gain a full understanding of a patient's condition, and in spine surgery, these questionnaires are of help when tailoring a surgical strategy. Electronic registries allow for a systematic collection and storage of PROMs, making them readily available for clinical and research purposes. This study aimed to investigate the reliability between the electronic and paper form of ODI (Oswestry Disability Index), SF-36 (Short Form Health Survey 36) and COMI-back (Core Outcome Measures Index for the back) questionnaires., Methods: A prospective analysis was performed of ODI, SF-36 and COMI-back questionnaires collected in paper and electronic format in two patients' groups: Pre-Operatively (PO) or at follow-up (FU). All patients, in both groups, completed the three questionnaires in paper and electronic form. The correlation between both methods was assessed with the Intraclass Correlation Coefficients (ICC)., Results: The data from 100 non-consecutive, volunteer patients with a mean age of 55.6 ± 15.0 years were analysed. For all of the three PROMs, the reliability between paper and electronic questionnaires results was excellent (ICC: ODI = 0.96; COMI = 0.98; SF36-MCS = 0.98; SF36-PCS = 0.98. For all p < 0.001)., Conclusions: This study proved an excellent reliability between the electronic and paper versions of ODI, SF-36 and COMI-back questionnaires collected using a spine registry. This validation paves the way for stronger widespread use of electronic PROMs. They offer numerous advantages in terms of accessibility, storage, and data analysis compared to paper questionnaires., (© 2021. The Author(s).)

Here we present an alternative technological approach to paper-based microfluidics that, to the best of our knowledge, has not been reported so far. Instead of defining fluid conducting paths by cutting fluidic structures, or by printing hydrophobic substances on paper, we prepare cellulose/polymer composites that can be printed additively on, in principle, arbitrarily shaped substrates and surfaces. In this way, with respect to geometry and properties, well defined fluid conducting structures based on cellulose can be realized, that can additionally be fully embedded in an organic surface coating. Moreover, the composite can, prior to the printing step, be doped with a functional component, which facilitates the realization of printed analytical devices using just a single base material and process technology. In this sense, the proposed technology can be seen as an alternative pathway to paper-based microfluidics, that may be attractive for specific niche-applications such as, for example, bio-chemical assays embedded in the surface of everyday necessities or commodities. Especially lateral flow immunoassays, pandemic-driven needed in large quantities, may embody a future application field of the presented technology.

Abstract Paper-based electronics have attracted much attention due to their softness, degradability, and low cost. However, paper-based sensors are difficult to apply to high-humidity environments or even underwater. Here, we report a fully paper-integrated piezoresistive sensing system that exhibits flexibility, waterproofing, air permeability, and biocompatibility. This system consists of hydrophobic paper as the substrate and encapsulation layer, conductive paper with a double ‘zig-zag’ and dotted surface structure as the sensing layer, and silver paste films as the interconnects. The structural design of the sensing layer helps to increase the contact area in adjacent layers under pressure and further improves the pressure sensitivity. The piezoresistive system can be worn on human skin in the ambient environment, wet environment, and water for real-time monitoring of physiological signals with air permeability and waterproofing due to its hydrophobic fiber structure. Such a device provides a reliable, economical, and eco-friendly solution to wearable technologies.

Abstract Flexible sensors have recently attracted much attention for potential applications in motion measurement and wearable health monitoring. In this paper, an environment-friendly, economic, and high-performance paper-based self-inductive folding displacement sensor (PSIFS) was proposed, with displacement resolution of 20 μm and wide measurement range of 43.2 mm. The sensor sensitivity could reach 4.44% mm−1 with the maximum deviation of 0.00904 in experiments. The sensing mechanism based on inductance variation due to three-dimensional deformation of planar inductor coil and structural design principle under two dimensions of sensitivity and size were proposed and studied. The folding method to enhance sensitivity was proposed and 3 times sensitivity enhancement could be achieved by once folding. Multiple breathing states and motion states of the human joints could be recognized. The proposed simple paper-based sensor, folding method to increase sensitivity, and structural design model may provide a way for the research of flexible sensors.

Abstract Paper-based electrochemical sensors provide the opportunity for low-cost, portable and environmentally friendly single-use chemical analysis and there are various reports of surface-functionalized paper electrodes. Here we report a composite paper electrode that is fabricated through designed papermaking using cellulose, carbon fibers (CF), and graphene oxide (GO). The composite paper has well-controlled structure, stable, and repeatable properties, and offers the electrocatalytic activities for sensitive and selective chemical detection. We demonstrate that this CF/GO/cellulose composite paper can be reduced electrochemically using relatively mild conditions and this GO reduction confers electrocatalytic properties to the composite paper. Finally, we demonstrate that this composite paper offers sensing performance (sensitivity and selectivity) comparable to, or better than, paper-based sensors prepared by small-batch surface-modification (e.g., printing) methods. We envision this coupling of industrialized papermaking technologies with interfacial engineering and electrochemical reduction can provide a platform for single-use and portable chemical detection for a wide range of applications.