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Paper devices have attracted great attention for their rapid development in multiple fields, such as life sciences, biochemistry, and materials science. When manufacturing paper chips, flexible materials, such as cellulose paper or other porous flexible membranes, can offer several advantages in terms of their flexibility, lightweight, low cost, safety and wearability. However, traditional cellulose paper sheets with chaotic cellulose fiber constitutions do not have special structures and optical characteristics, leading to poor repeatability and low sensitivity during biochemical sensing, limiting their wide application. Recent evidence showed that the addition of ordered structure provides a promising method for manufacturing intelligent flexible devices, making traditional flexible devices with multiple functions (microfluidics, motion detection and optical display). There is an urgent need for an overall summary of the evolution of paper devices so that readers can fully understand the field. Hence, in this review, we summarized the latest developments in intelligent paper devices, starting with the fabrication of paper and smart flexible paper devices, in the fields of biology, chemistry, electronics, etc. First, we outlined the manufacturing methods and applications of both traditional cellulose paper devices and modern smart devices based on pseudopaper (order paper). Then, considering different materials, such as cellulose, nitrocellulose, nature sourced photonic crystals (photonic crystals sourced from nature directly) and artificial photonic crystals, we summarized a new type of smart flexible device containing an ordered structure. Next, the applications of paper devices in biochemical sensing, wearable sensing, and cross-scale sensing were discussed. Finally, we summarized the development direction of this field. The aim of this review is to take an integral cognition approach to the development of smart flexible paper devices in multiple fields and promote communications between materials science, biology, chemistry and electrical science. [ABSTRACT FROM AUTHOR]

Inkless photonic paper has shown great potential as an alternative to traditional paper due to its unique structural color, which is dye-free and non-photobleaching. However, it is still highly challenging to produce large-area photonic crystal paper, and its angle dependence, complicated printing procedure, and difficulty of high-resolution printing have greatly limited its applications. To address these challenges, we developed a new UV printing strategy using amorphous structured inverse opal PEGDA photonic paper. The photonic paper is prepared using an amorphous assembly of colloidal SiO2 particles as templates, which are fabricated by spray coating dispersions of SiO2 particles with the addition of carbon black. The photonic paper possesses structural color with low angle independency when the observation angle varies from 0° to 40°, and the unvivid structural color can be tuned in the whole visible region by exposure to UV radiation for different amounts of time, providing a fast, convenient and high-resolution printing technique. Through a chromatic-printing-like method using a series of different masks, multi-color printing is also realized. The printed images can be further protected from UV irradiation using a layer of PET film, which provides a method to store the printings for a longer time in a harsh environment. [ABSTRACT FROM AUTHOR]

Waterproof coating is necessary for paper-based packaging materials, especially as a plastic substitute in single-use applications. Currently, most paper-based packaging employs hazardous fluorocarbon coatings or other petroleum-based additives, which has caused a lot of concerns over safety. Herein, a novel edible waterproof coating was fabricated by a beeswax-in-water Pickering emulsion using hemicellulose-grafted-lauric acid (H-LA) micelles as nano-stabilizers. The fully biomass-based waterproof coating agent presented a uniform and stable water dispersion with a droplet size of around 1 μm. And compared with conventional surfactants, H-LA micelles stabilized at the oil–water interfaces and formed Pickering emulsions with enhanced stability. The Pickering emulsion was then applied as a coating of paper. The coated paper exhibited excellent water-resistance with a water contact angle of 130 ± 2.89° and an effective waterproof time of up to 6 h. The coated paper also showed good moisture barrier properties; the water vapor transmission rate was lower than 5.05 g mm m−2 day−1. Moreover, the waterproof coating was non-toxic, environmentally friendly and biocompatible, and could completely biodegrade in soil within 2 months. This work may provide an alternative solution for safe, cost-effective and sustainable paper-based packaging materials to replace traditional disposable plastics. [ABSTRACT FROM AUTHOR]

In this work, Au nanoparticle (AuNP)-modified filter paper as a highly sensitive mercury extractant was successfully prepared in situ and applied in the head-space solid phase extraction (HS-SPE) of Hg(II) in water. The microstructure of the modified filter paper was characterized by using X-ray diffraction and scanning electron microscopy (XRD/SEM), and the results showed that AuNPs were well distributed on the fiber surface of the filter paper. Combined with portable Zeeman atomic absorption spectroscopy (ZAAS), the modified filter paper was successfully applied to Hg detection in water samples. Specifically, it can easily achieve in situ sample collection and detection under negative pressure in the field, which was reported for the first time. Several influencing factors such as extraction temperature, time, stirring speed, pH value, reductants, inorganic ions, and organic interfering and complexing agents were all investigated thoroughly. The limit of detection (LOD) for Hg(II) was 0.09 μg L−1, with linearity ranging from 0.09 to 50 μg L−1. Good recoveries were also obtained between 82 and 106% with RSDs below 7% in real water samples. The established method provided a convenient route for mercury detection in environmental water with a low amount of sample required (1 mL) and good detection performance, which is comparable to that of ICP-MS. [ABSTRACT FROM AUTHOR]

A novel miniaturized and sustainable platform exploiting two merged paper-based substrates has been applied for the programmable pre-concentration of analytes of interest and electrochemical detection of mercury traces in drinking water using printable sensor strips. This strategy represents a novel versatile possibility in merging humble materials maximizing their impacts on analytical and remediation challenges.

Leukocyte esterase (LE) is a useful marker that can be used in establishing a diagnosis of urinary tract infections (UTIs). The development of a UTI diagnostic method with quantitative determinations of biomarkers across all age groups is becoming more important. In this report, microfluidic resistance sensors based on silver ink (Ag ink) and silver ink mixed with ZnO nanoparticles (Ag-ZnO ink) were synthesized and coated on cellulose paper, namely LE-Ag-μPADs and LE-Ag-ZnO-μPADs, respectively, for the sensitive detection of LE. The microfluidic design increases the precision of data and further allows for quantitative determination and early detection of LE in human urine. The quantification of LE relies on the change in the resistance readout coating with Ag ink as well as Ag-ZnO ink in the detection zone. A mixture of 3-(N-tosyl-l-alaninyloxy)-5-phenylpyrrole (PE) and 1-diazo-2-naphthol-4-sulfonic acid (DAS) was deposited in the sample zone to selectively recognize LE, and the resulting nonconductive products, i.e., azo compounds, further reacted with the Ag ink and Ag-ZnO ink to increase resistance. The quantitative detectable LE concentrations between 2 to 32 (×5.2 U mL-1), i.e. ≈12 to 108 μg L-1, cover the commercial dipstick range of trace, +1 and +2. The minimum detectable concentration of LE in urine was 1 (×5.2 U mL-1). The lower concentrations of LE detectable by LE-Ag-μPADs (1-8 × 5.2 U mL-1) are below the value achieved with the ELISA LE kit. Urine samples from inpatients with indwelling urinary catheters were used, and the LE levels measured by the present device were highly correlated with those determined by a commercial urine analyser.

Valproic acid (VPA) is mainly used in the clinic to treat epilepsy, for which the therapeutic window is narrow to avoid causing adverse reactions such as hepatotoxicity and teratogenicity. Therefore, timely therapeutic drug monitoring is needed. A hapten containing a benzene ring and an amino group was designed and used to screen a monoclonal antibody (mAb) 3G10 with high specificity and sensitivity. The IC50 value of mAb 3G10 was ascertained as 68.13 ng mL−1 through an indirect competitive enzyme-linked immunosorbent assay. A colloidal gold-based immunochromatographic strip (CG-ICS) for the detection of free VPA in human serum was developed with gold-labeled mAb 3G10. Qualitative analysis of human serum samples can be conducted through visual observation. The visual limit of detection (vLOD) was 2 μg mL−1, and the cut-off value was 100 μg mL−1. A standard curve for quantitative detection was generated using a portable scanner, with a calculated LOD (cLOD) value of 0.144 μg mL−1 and a linear range of 0.565–48.385 μg mL−1. Comparing the results of CG-ICS for actual positive samples with those of a direct chemiluminescence kit, there was a good correlation between the two methods. Therefore, our CG-ICS can be applied to the rapid clinical monitoring of free VPA. [ABSTRACT FROM AUTHOR]

Multilayer graphene (MLG) is in situ formed in a matrix of amorphous carbon prepared from carbonized waste paper at 750 °C. The resulting samples are systematically characterized by morphology, spectroscopy, diffractometry, nitrogen adsorption–desorption and electrochemistry. The carbon structure with six layered graphene can be formed in a matrix of amorphous carbon at such a low temperature. The resulting sample displays a specific surface area of 862 m2 g−1, a meso-pore volume of 0.55 cm3 g−1 and a capacitance of 214 F g−1, which are correspondingly 2.16, 2.29 and 2.14 times higher than those of the sample prepared directly from carbonized waste paper. Although the sample displays the basic characteristics of amorphous carbon, MLG is mostly found to be formed around the regular nickel crystal face in the amorphous carbon matrix. It is also found that the formation of MLG can be affected by the coexistence of nickel crystals and sodium metal. The optimized porous structural characteristics, including the specific surface area, and the micro- and meso-pore volumes, result from the rearrangement of graphite microcrystallites, giving an improved capacitive performance. [ABSTRACT FROM AUTHOR]

Bimodal NiCo2O4·MnO2 (NCM) nanorods were grown on carbon fiber paper (CFP) using a hydrothermal process. The structural and morphological studies were performed via powder X-ray diffraction and field-emission scanning electron microscopy, respectively. The aspect ratio of the developed electrode significantly improved up to a threshold concentration of manganese in the Ni/Co binary oxide, and thereafter decreased. The capacitive performance and electrochemical parameters of the developed NCM nanorods were analyzed using cyclic voltammetry, galvanostatic charge–discharge, and impedance spectroscopy. The maximum specific capacitance of the developed NCM nanorods was found to be 2575 F g−1 (305 mA h g−1) at a current density of 5 A g−1. Additionally, the excellent cyclic retention of nearly 92.5% was achieved for the NCM nanocomposite even after 5000 cycles. Also, the response time (τo) calculated from the Bode plot was found to be ∼22 s, which validated the fast charging of the developed electrode material. Furthermore, an asymmetric solid-state supercapacitor (ASC) device was successfully assembled utilizing NCM (1 : 2 : 2) nanorods and activated carbon as positive and negative electrodes, respectively. The developed device achieved a capacitance of 130 F g−1 (176.1 mA h g−1) with an energy density and power density of 138 W h kg−1 and 722 W kg−1, respectively, which could illuminate an LED bulb (1.8 V) for 50 min. [ABSTRACT FROM AUTHOR]

Cervical cancer is a leading cause of cancer death for women in low-resource settings. The World Health Organization recommends that cervical cancer screening programs incorporate HPV DNA testing, but available tests are expensive, require laboratory infrastructure, and cannot be performed at the point-of-care. We developed a two-dimensional paper network (2DPN), hybrid-capture, signal amplification assay and a point-of-care sample preparation protocol to detect high-risk HPV DNA from exfoliated cervical cells within an hour. The test does not require expensive equipment and has an estimated cost of <$3 per test without the need for batching. We evaluated performance of the paper HPV DNA assay with short synthetic and genomic HPV DNA targets, HPV positive and negative cellular samples, and two sets of clinical samples. The first set of clinical samples consisted of 16 biobanked, provider-collected cervical samples from a study in El Salvador previously tested with careHPV and subsequently tested in a controlled laboratory environment. The paper HPV DNA test correctly identified eight of eight HPV-negative clinical samples and seven of eight HPV-positive clinical samples. We then performed a field evaluation of the paper HPV DNA test in a hospital laboratory in Mozambique. Cellular controls generated expected results throughout field testing with fully lyophilized sample preparation and 2DPN reagents. When evaluated with 16 residual self-collected cervicovaginal samples previously tested by the GeneXpert HPV assay ("Xpert"), the accuracy of the HPV DNA paper test in the field was reduced compared to testing in the controlled laboratory environment, with positive results obtained for all eight HPV-positive samples as well as seven of eight HPV-negative samples. Further evaluation showed reduction in performance was likely due in part to increased concentration of exfoliated cells in the self-collected clinical samples from Mozambique compared with provider-collected samples from El Salvador. Finally, a formal usability assessment was conducted with users in El Salvador and Mozambique; the assay was rated as acceptable to perform after minimal training. With additional optimization for higher cell concentrations and inclusion of an internal cellular control, the paper HPV DNA assay offers promise as a low-cost, point-of-care cervical cancer screening test in low-resource settings. [ABSTRACT FROM AUTHOR]

The pressing priority for flexible photo-responsive systems is scalability and simplistic fabrication routes at low production costs. The extraordinary properties seen in 2D materials, paired with solution-processing advantages, assert their employability for superior photoresponsive systems. Herein, we demonstrate versatile and flexible photodetectors and photo-thermal actuators by integrating 2D materials onto paper substrates. All-solution processed flexible photodetectors have been fabricated by spray coating dispersions of MoS2 nanosheets onto screen printed carbon electrodes. By employing MoSe2 as a photothermal conversion layer, actuators with paper-tape bilayers have also been demonstrated. For both photoresponsive applications, the process of calendering investigated in detail results in remarkable augmentation of the performances. Real-world thermally stimulated soft robotic applications like jacks, grippers and crawlers are realized by leveraging a configuration dependent response to illumination. Thus, a well-structured and feasible implementation of a chain of protocols that includes screen printing, spray coating, lamination and calendering with paper as the substrate led us to fabricate flexible photoresponsive systems with significantly enhanced performances. [ABSTRACT FROM AUTHOR]

Paper-based diagnostic devices have been widely applied to assess the presence and status of a variety of clinical diseases by analyzing samples such as urine or blood. Due to their low cost, user-friendliness, and convenience, they have been used as point-of-care (POC) devices in countries lacking resources or energy. Despite wide-ranging research and implementation, paper-based devices have not previously been developed for wound analysis. Here, we discuss the successful development of such a tool to facilitate simple and rapid wound status assessment. The purpose of this study was to develop a paper-based elastase detection device (PEDD) for clinical wound assessment that specifically examines human neutrophil elastase (HNE), one of the most abundant serine proteases found in chronic wounds. The first step in this study was an examination of different paper substrate types (i.e., chromatography paper and filter paper) to determine which provided the best protease immobilization and colorimetric response. We then used a wax printing approach to create hydrophobic and hydrophilic regions and designated test zones created on both chromatography and filter papers. This allowed us to physically immobilize both substrate and protease within the desired test zone regions. This PEDD which demonstrated good sensitivity (0.631 μg mL−1, in a wound fluid system) can be used to monitor protease activity expressed in wounds. After developing this device, we examined samples from 9 patients presenting a total of 7 acute and 4 chronic wounds to determine wound HNE concentration. We believe that this study may be widely applicable in both academic and commercial sciences, including the development of practical POC detection devices. [ABSTRACT FROM AUTHOR]

Plasmonic paper has received attention as a surface-enhanced Raman scattering (SERS) substrate due to several advantages. These include low cost, high rates of sample collection, high physical flexibility and relative ease of fabrication. Here, we report the development of a plasmonic paper based on a combination of graphene oxide (GO) and gold nanorods (AuNRs) on cellulose substrates using a simple layer-by-layer immersion method. Rhodamine 6G (R6G) was selected as the probe molecule to determine the SERS efficiency. The GO–AuNR plasmonic paper composite demonstrated superior signal intensity compared to that of the paper substrate coated only with AuNRs. The signal enhancement was due to synergism between the electromagnetic enhancement (EM) originating from the AuNRs and the chemical enhancement effect (CE) originating from GO. To optimize the fabrication process, the first step was accomplished by varying the GO concentration during the paper pretreatment step. This was followed by determining the number of immersion cycles required for optimal absorption of AuNRs. The highest SERS signals derived from R6G molecules indicated that the 2 mg mL−1 GO pretreatment condition followed by two immersion cycles into the AuNR solution proved to be the best condition for plasmonic paper fabrication. The enhancement factor (EF) of the plasmonic paper was calculated to be 4.56 × 107 and the limit of detection (LOD) for R6G analysis was as low as 0.1 nM. Moreover, the plasmonic paper was tested in the detection of Mitoxantrone (MTX), an anti-cancer drug. We found that the LOD for detection of MTX was on the order of 5 μM. This simple and cost effective plasmonic paper offers an alternative SERS substrate which has potential in trace analysis and drug monitoring. [ABSTRACT FROM AUTHOR]

Paper-based analytical devices (PADs) offer a low-cost, user-friendly platform for rapid point-of-use testing. Without scalable fabrication methods, however, few PADs make it out of the academic laboratory and into the hands of end users. Previously, wax printing was considered an ideal PAD fabrication method, but given that wax printers are no longer commercially available, alternatives are needed. Here, we present one such alternative: the air-gap PAD. Air-gap PADs consist of hydrophilic paper test zones, separated by "air gaps" and affixed to a hydrophobic backing with double-sided adhesive. The primary appeal of this design is its compatibility with roll-to-roll equipment for large-scale manufacturing. In this study, we examine design considerations for air-gap PADs, compare the performance of wax-printed and air-gap PADs, and report on a pilot-scale roll-to-roll production run of air-gap PADs in partnership with a commercial test-strip manufacturer. Air-gap devices performed comparably to their wax-printed counterparts in Washburn flow experiments, a paper-based titration, and a 12-lane pharmaceutical screening device. Using roll-to-roll manufacturing, we produced 2700 feet of air-gap PADs for as little as $0.03 per PAD. [ABSTRACT FROM AUTHOR]

The transfusion of ABO-compatible blood with blood with an unknown phenotype may result in alloimmunization, particularly in multitransfused patients. Minor blood-group phenotyping and the selection of negative blood for specific antigens reduce post-transfusion complications. With this study, a device called the DROP and READ instrument was developed with a PAD (paper-based device) and various software to phenotype ABO, Rh (D, C, c, E, e), and Mia antigens. EDTA (Ethylene diamine tetra-acetic acid) blood samples were collected from donors, volunteers, and newborns, and were then tested with the DROP and READ instrument according to the lateral flow and RBC agglutination principle. The results were compared with those obtained by using a routine column agglutination test or the tube method. Results: a total of 205 samples were tested (150 from EDTA blood donors, 50 from EDTA blood volunteers, and 5 from the cord blood of newborns). The device yielded 100% accuracy, sensitivity, and specificity, a positive predictive value, and a negative predictive value when interpreting the ABO, Rh (D, C, c, E, e), and Mia antigens. The DROP and READ instrument is developed to automatically interpret the results, and the device provided endpoint results without centrifugation and prevented misinterpretations from human error. [ABSTRACT FROM AUTHOR]

Metabolic alkalosis, the most common acid–base disorder, is related to significantly increased mortality in hospitalized patients. Hunting for pH sensors lying in the neutral to alkaline pH range still remains challenging and in demand. Herein, we engineered a colorimetric/fluorescent method for monitoring alkalic pH based on a phenylboronic acid-containing probe (DDPB). In this approach, the dicyanoisophorone group of DDPB acted as an optical signal moiety, while the boronic acid acted as the latent pH response site. It was exactly deciphered that the reversible pH monitoring principle is based on the deprotonation/protonation mechanism and intramolecular charge transfer (ICT) strategy via1H NMR and DFT calculations. This approach presented a pH-sensitive response over pH values ranging from 7.00 to 10.23 (pKa = 9.33) with excellent reversibility. We further explored its application in sensing pH on a paper substrate for visual and rapid detection. In addition, it was successfully applied to measure pH variations in HK-2 cells when the cells underwent alkalosis. This work extends the application of optical probes based on boronic acid under alkaline pH conditions, and provides a new strategy for the design of alkaline pH probes. [ABSTRACT FROM AUTHOR]

Infectious diseases cause millions of deaths annually in the developing world. Recently, microfluidic paper-based analytical devices (μPADs) have been developed to diagnose such diseases, as these tests are low cost, biocompatible, and simple to fabricate. However, current μPADs are difficult to use in resource-limited areas due to their reliance on external instrumentation to measure and analyze the test results. In this work, we propose an electricity and external instrumentation-free μPAD sensor based on the colorimetric enzyme-linked immunosorbent assay (ELISA) for the diagnosis of infectious disease (3D-tPADs). Designed based on the principle of origami, the proposed μPAD enables the sequential steps of the colorimetric ELISA test to be completed in just ∼10 min. In addition, in order to obtain an accurate ELISA result without using any instrument, we have integrated an electricity-free "timer" within the μPAD that can be controlled by the buffer viscosity and fluid path volume to indicate the appropriate times for washing and color development steps, which can avoid false positive or false negative results caused by an extended or shortened amount of washing and development times. Due to the low background noise and high positive signal intensity of the μPAD, positive and negative detection results can be distinguished by just the naked eye. Furthermore, the ELISA result can be semi-quantified by comparing the results shown on the μPAD with a color chart diagram with a detection limit of HIV type 1(HIV-1) p24 antigen as low as 0.03 ng mL-1. These results demonstrate the proposed sensor can perform infectious disease diagnosis without external instrumentation or electricity, extending the application of the μPAD test for on-site detection and use in resource-limited settings.

Identification of specific antibodies in patient plasma is an essential part of many diagnostic procedures and is critical for safe blood transfusion. Current techniques require laboratory infrastructure and long turnaround times which limits access to those nearby tertiary healthcare providers. Addressing this challenge, a novel and rapid paper-based antibody test is reported. We validate antibody detection with reverse blood typing using IgM antibodies and then generalise the validity by adapting to detect SARS CoV-2 (COVID-19) antibodies in patient serum samples. Reagent red blood cells (RBC) are first combined with the patient plasma containing the screened antibody and a droplet of the mixture is then deposited onto paper. The light intensity profile is analyzed to identify test results, which can be detected by eye and/or with image processing to allow full automation. The efficacy of this test to perform reverse blood typing is demonstrated and the performance and sensitivity of this test using different paper types and RBC reagents was investigated using clinical samples. As an example of the flexibility of this approach, we labeled the RBC reagent with an antibody–peptide conjugate to detect SARS CoV-2 (COVID-19) antibodies in patient serum samples. This concept could be generalized to any agglutination-based antibody diagnostics with blood plasma. [ABSTRACT FROM AUTHOR]

The design and preparation of a reduced graphene oxide (rGO) paper electrode with a reinforced concrete structure is an effective strategy to improve the mechanical properties of flexible electrodes. Therefore, PEDOT:PSS is added as a binder, toughening and conductive agent. CNTs, with good mechanical properties, are added to enhance the strength. Fe2O3 nanoparticles are added to increase the energy storage. According to these assumptions, we successfully prepared a flexible hydrophilic paper electrode with rGO nanosheets, PEDOT:PSS, CNTs and Fe2O3 nanoparticles by a constant temperature vacuum drying method. In addition, the assembled symmetrical supercapacitor exhibits a high capacitance of 1924 mF cm−3 at 1 mA cm−3, an excellent energy density of 35.6 W h kg−1 (at 166 W kg−1) and a remarkable cycle stability of 98.2% retention over 10 000 cycles at 1 mA cm−2. [ABSTRACT FROM AUTHOR]

An improved paper-based analytical device (PAD) using color screening to enhance device performance is described. Current detection methods for PADs relying on the distance-based signalling motif can be slow due to the assay time being limited by capillary flow rates that wick fluid through the detection zone. For traditional distance-based detection motifs, analysis can take up to 45 min for a channel length of 5 cm. By using a color screening method, quantification with a distance-based PAD can be achieved in minutes through a "dip-and-read" approach. A colorimetric indicator line deposited onto a paper substrate using inkjet-printing undergoes a concentration-dependent colorimetric response for a given analyte. This color intensity-based response has been converted to a distance-based signal by overlaying a color filter with a continuous color intensity gradient matching the color of the developed indicator line. As a proof-of-concept, Ni quantification in welding fume was performed as a model assay. The results of multiple independent user testing gave mean absolute percentage error and average relative standard deviations of 10.5% and 11.2% respectively, which were an improvement over analysis based on simple visual color comparison with a read guide (12.2%, 14.9%). In addition to the analytical performance comparison, an interference study and a shelf life investigation were performed to further demonstrate practical utility. The developed system demonstrates an alternative detection approach for distance-based PADs enabling fast (∼10 min), quantitative, and straightforward assays.

We present a novel microfluidic paper-based analytical device (μPAD) which utilizes the native high electroosmotic flow (EOF) in nitrocellulose to achieve stationary isotachophoresis (ITP) focusing. This approach decouples sample accumulation from the length of the channel, resulting in significant focusing over short channel lengths. We provide a brief theory for EOF-balanced ITP focusing under continuous injection from a depleting reservoir and present the design of a short (7 mm) paper-based microfluidic channel, which allows a 200 μL sample to be processed in approximately 6 min, resulting in a 20 000-fold increase in concentration - a full order of magnitude improvement compared to previous paper-based ITP devices. We show the stability of the assay over longer (40 min) durations of time, and using Morpholino probes, we present the applicability of the device for amplification-free detection of nucleic acids, with a limit-of-detection (LoD) of 5 pM in 10 min. Finally, we utilize the small footprint of the channel and show a multiplexed platform in which 12 assays operate in parallel in a 24-well plate format.

Microfluidic paper-based analytical devices (μPADs) are a versatile and inexpensive point-of-care (POC) technology, but their widespread adoption has been limited by slow flow rates and the inability to carry out complex in field analytical measurements. In the present work, we investigate multilayer μPADs as a means to generate enhanced flow rates within self-pumping paper devices. Through optical and electrochemical measurements, the fluid dynamics are investigated and compared to established flow theories within μPADs. We demonstrate a ∼145-fold increase in flow rate (velocity = 1.56 cm s -1 , volumetric flow rate = 1.65 mL min -1 , over 5.5 cm) through precise control of the channel height in a 2 layer paper device, as compared to archetypical 1 layer μPAD designs. These design considerations are then applied to a self-pumping sequential injection device format, known as a three-dimensional paper network (3DPN). These 3DPN devices are characterized through flow injection analysis of a ferrocene complex and anodic stripping detection of cadmium, exhibiting a 5× enhancement in signal compared to stationary measurements.

Paper-based microfluidic devices with screen-printed electrodes (SPEs) for electrochemical sensing are popular for low-cost point-of-care diagnostics. The electroactive sensing area in these devices is always the irregular, bottom-SPE surface which is in contact with the analyte flowing within the paper substrate. Unfortunately, this results in an electroactive area which varies widely from sensor to sensor. In this paper, we present a three-dimensional paper-based analytical device with a hollow 3D fluid reservoir which allows for use of a more uniform top-SPE surface as the electroactive sensing area. The use of this isolated reservoir eliminates the need for dielectric inks used in conventional SPEs on paper. Our sensors are fabricated using a combination of wax-printing, screen-printing and simple folding via a cleanroom free process without the need for expensive equipment. Additionally, for the first time, we demonstrate an electrochemical paper-based analytical device with a custom designed potentiostat integrated circuit (IC) as a miniaturized reader. The versatility of the sensor is demonstrated through voltammetric, amperometric and potentiometric measurements of important biochemical analytes such as dopamine, glucose and pH. The 3D ePAD together with a custom CMOS potentiostat demonstrates a low-cost, versatile, self-contained system suitable for point-of-care diagnostic devices.

The design of the three-dimensional (3D) porous and defective molecular structure of nanocarbons can potentially enhance their functionalities for advanced electronic applications by providing a large working volume, rapid transport of electrolytes and reactants, and active sites for electrochemical reactions. Here, we report successful fabrication of 3D porous and defective nanocarbons by direct pyrolysis of crab shell-derived chitin nanofiber paper. The pyrolyzed chitin nanofiber paper has tunable electrical resistivity (1013 to 10−2 Ω cm), 3D porous structures with layered nanofiber networks, and defective nitrogen-doped carbon molecular structures. The pyrolyzed chitin nanofiber paper shows good performance as a photosensor and an energy-storage supercapacitor electrode, proving that the tailored 3D porous and defective carbon structures play key roles in the drastic improvement of the performance. This pioneering approach can be used for fabrication of chitin nanofiber-derived nanocarbons with excellent multiple functions for future sustainable electronics. [ABSTRACT FROM AUTHOR]

Hydrogel-based flexible electronics have received increasing attention owing to the requirement in a variety of applications. However, the design and development of underwater and self-adaptive high-temperature strain sensors remain a significant challenge because of the swelling and dehydration of hydrogels in aquatic environments and extreme climate conditions. Herein, a versatile gel with superior self-adhesiveness, long-lasting underwater stability, excellent high-temperature tolerance and long-term non-drying properties is successfully prepared, which can serve as a wearable sensor for precisely and reliably detecting diverse body movements and the direction of human movements in air and aquatic environments. Meanwhile, based on the Morse code expression, the as-fabricated gel sensor can also be utilized as a wearable communication device for delivering various messages to the receiver. Furthermore, a wireless sensor with high-temperature adaptability is constructed, which can transmit in real time the motion signals at high temperature to the specific APP of a smartphone at room temperature via wireless communication. This strategy provides a new perspective and great convenience for motion monitoring under harsh conditions. In particular, the as-prepared gel demonstrates an obvious transparency-shifting behavior in different polar solvents, thus inspiring us to engineer it as a novel water-writing paper for achieving repeatable "writing–erasing" applications. [ABSTRACT FROM AUTHOR]

The diagnosis of infectious diseases is entering a new and interesting phase. Technologies based on paper microfluidics, coupled to developments in isothermal amplification of Nucleic Acids (NAs) raise opportunities for bringing the methods of molecular biology in the field, in a low setting environment. A lot of work has been performed in the domain over the last few years and the landscape of contributions is rich and diverse. Most often, the level of sample preparation differs, along with the sample nature, the amplification and detection methods, and the design of the device, among other features. In this review, we attempt to offer a structured description of the state of the art. The domain is not mature and there exist bottlenecks that hamper the realization of Nucleic Acid Amplification Tests (NAATs) complying with the constraints of the field in low and middle income countries. In this domain however, the pace of progress is impressively fast. This review is written for a broad Lab on a Chip audience.

Microfluidic platforms are an attractive option for incorporating complex fluid handling into low-cost and rapid diagnostic tests. A persistent challenge for microfluidics, however, is the mismatch in the "world-to-chip" interface - it is challenging to detect analytes present at low concentrations in systems that can only handle small volumes of sample. Here we describe a new technique termed pre-concentration by liquid intake by paper (P-CLIP) that addresses this mismatch, allowing digital microfluidics to interface with volumes on the order of hundreds of microliters. In P-CLIP, a virtual microchannel is generated to pass a large volume through the device; analytes captured on magnetic particles can be isolated and then resuspended into smaller volumes for further processing and analysis. We characterize this method and demonstrate its utility with an immunoassay for Plasmodium falciparum lactate dehydrogenase, a malaria biomarker, and propose that the P-CLIP strategy may be useful for a wide range of applications that are currently limited by low-abundance analytes.

Developing accurate, precise, instrument-free, and point-of-need microfluidic paper-based devices is highly significant in clinical diagnosis and biomedical analysis. In the present work, a ratiometric distance-based microfluidic paper-based analytical device (R-DB-μPAD), along with a three-dimensional (3D) multifunctional connector (spacer), was designed to improve the accuracy and detection resolution analyses. Specifically, the novel R-DB-μPAD was used for the accurate and precise detection of ascorbic acid (AA) as a model analyte. In this design, two channels were fabricated as detection zones, with a 3D spacer located between the sampling and detection zones to improve the detection resolution by preventing the reagents mixing from overspreading between these zones. Two probes for AA were used: Fe 3+ and 1,10-phenanthroline were deposited in the first channel, and oxidized 3,3',5,5'-tetramethylbenzidine (oxTMB) was added to the second channel. Accuracy improvement of this ratiometry-based design was achieved by enhancing the linearity range and reducing the volume dependency of the output signal. Moreover, the 3D connector improved the detection resolution by eliminating the systematic errors. Under the optimal conditions, the ratio of the distances of the color bands in the two channels was used to construct an analytical calibration curve in the range from 0.05 to 1.2 mM, with a limit of detection of 16 μM. The proposed R-DB-μPAD combined with the connector was successfully used for the detection of AA in orange juice and vitamin C tablets with satisfactory accuracy and precision. This work opens the door for multiplex analysis of various analytes in different matrices., Competing Interests: Authors declare that there are no conflicts of interest with this submission., (This journal is © The Royal Society of Chemistry.)

One of the cardiac biomarkers, myoglobin (Mb), is important in the rapid identification of cardio-vascular disorders. Therefore, point-of-care monitoring is essential. Pursuing this goal, a robust, reliable, and affordable paper-based analytical apparatus for potentiometric sensing has been developed and characterized. The molecular imprint technique was used to create a customized biomimetic antibody for myoglobin (Mb) on the surface of carboxylated multiwalled carbon nanotubes (MWCNT-COOH). This was accomplished by attaching Mb to carboxylated MWCNTs' surfaces and then filling the empty spaces through the mild polymerization of acrylamide in N , N -methylenebisacrylamide and ammonium persulphate. The modification of the MWCNTs' surface was verified by SEM and FTIR analysis. A hydrophobic paper substrate coated with fluorinated alkyl silane (CF 3 (CF 2 ) 7 CH 2 CH 2 SiCl 3 , CF 10 ) has been coupled with a printed all-solid-state Ag/AgCl reference electrode. The presented sensors showed a linear range of 5.0 × 10 -8 to 1.0 × 10 -4 M with a potentiometric slope of -57.1 ± 0.3 mV decade -1 ( R = 0.9998) and a detection limit of 28 nM at pH 4. Compared to creatinine, sucrose, fructose, galactose, sodium glutamate, thiamine, alanine, ammonium, uric acid, albumin, glutamine, guanine, troponine T, and glucose, the sensor showed good selectivity for Mb. It demonstrated a good recovery for the detection of Mb in several fake serum samples (93.0-103.3%), with an average relative standard deviation of 4.5%. The current approach might be viewed as a potentially fruitful analytical tool for obtaining disposable, cost-effective paper-based potentiometric sensing devices. These types of analytical devices can be potentially manufacturable at large scales in clinical analysis.2 = 0.9998) and a detection limit of 28 nM at pH 4. Compared to creatinine, sucrose, fructose, galactose, sodium glutamate, thiamine, alanine, ammonium, uric acid, albumin, glutamine, guanine, troponine T, and glucose, the sensor showed good selectivity for Mb. It demonstrated a good recovery for the detection of Mb in several fake serum samples (93.0-103.3%), with an average relative standard deviation of 4.5%. The current approach might be viewed as a potentially fruitful analytical tool for obtaining disposable, cost-effective paper-based potentiometric sensing devices. These types of analytical devices can be potentially manufacturable at large scales in clinical analysis., Competing Interests: The authors declare that there are no conflicts of interest., (This journal is © The Royal Society of Chemistry.)

Cellular viability measurements quantify decreased proliferation or increased cytotoxicity caused by drug candidates or potential environmental toxins. Direct viability measures count each cell to provide an accurate readout. This approach can prove analytically challenging and time-consuming when cells are maintained in 3D structures akin to tissues or solid tumors. While less labor-intensive, indirect viability measures can be less accurate due to the heterogeneous structural and chemical microenvironment that arises when cells are maintained in tissue-like architectures and in contact with extracellular matrices. Here we determine the analytical figures of merit of five indirect viability assays in the paper-based cell culture platform we continue to develop in our laboratory: calcein-AM staining, the CellTiter-Glo assay, imaging fluorescent protein expression, propidium iodide staining, and the resazurin assay. We also determined the compatibility of each indirect assay with hypoxic conditions, intra-experimental repeatability, inter-experimental reproducibility, and ability to predict a potency value for a known antineoplastic drug. Our results show that each assay has benefits and drawbacks to consider when choosing the appropriate readout to answer a particular research question. We also highlight that only one indirect readout is unaffected by hypoxia, a commonly overlooked variable in cell culture that likely yields inaccurate viability measures.

Polymerase chain reaction (PCR)-based diagnostic kits for point-of-care (POC) testing are highly desirable to prevent the spread of infectious diseases. Here, we demonstrate a rapid PCR testing kit that involves integrating a lateral flow paper strip with a nichrome-based thin film heater. The use of a paper membrane as a PCR-solution container results in fast thermocycling without a cooler because the membrane can contain the solution with a high specific surface area where Joule heating is applied. After PCR, amplified products are simultaneously detected at the lateral flow paper strip with the naked eye. Severe acute respiratory syndrome β-coronavirus RNA can be detected within 30 min after PCR solution injection. This work reveals that the paper membrane can act as not only a capillary flow channel but also as a promising platform for fast PCR and detection.

We report a series of structurally relevant copper phenanthroline complexes as pre-catalysts for highly selective electrocatalytic reduction of CO 2 to C 2 products using inexpensive carbon paper electrodes. The Cu complexes with non-substituted phenanthroline promote the production of ethylene with a high faradaic efficiency of 71.2%, while the one with pyridinium-functionalized ligands is more selective for ethanol. The C 2 selectivity can be effectively tuned by increasing the number of coordinated phenanthrolines and remains high at a wide range of potentials.

Thermal insulation materials by recycling pulp and paper wastes play an important role in environmental sustainability of green buildings. As society is pursuing the goal of zero carbon emissions, it is highly desirable to use eco-friendly materials and manufacturing technologies for building insulation envelopes. Here we report additive manufacturing of flexible and hydrophobic insulation composites from recycled cellulose-based fibers and silica aerogel. The resultant cellulose-aerogel composites exhibit thermal conductivity of 34.68 mW m -1 K -1 , mechanical flexibility with a flexural modulus of 429.21 MPa, and superhydrophobicity with water contact angle of 158.72°. Moreover, we present the additive manufacturing process of recycled cellulose aerogel composites, providing enormous potential for high energy efficiency and carbon-sequestration building applications., Competing Interests: There are no conflicts to declare., (This journal is © The Royal Society of Chemistry.)

Deterministic lateral displacement (DLD) is a passive separation method that separates particles by hydrodynamic size. This label-free method is a promising technique for cell separation because of its high size resolution and insensitivity to flow rate. Development of capillary-driven microfluidic technologies allows microfluidic devices to be operated without any external power for fluid pumping, lowering their total cost and complexity. Herein, we develop and test a DLD-based particle and cell sorting method that is driven entirely by capillary pressure. We show microchip self-filling, flow focusing, flow stability, and capture of separated particles. We achieve separation efficiency of 92% for particle-particle separation and more than 99% efficiency for cell-particle separation. The high performance of driven flow and separation along with simplicity of the operation and setup make it a valuable candidate for point-of-care devices.

Currently, major energy sources such as fossil fuels and nuclear fuels face various issues such as resource depletion, environmental pollution, and climate change. Therefore, there is increasing interest in technology that converts mechanical, heat, vibration, and solar energy discarded in nature and daily life into electrical energy. As various wearable devices have been released in recent years, wearable energy-harvesting technologies capable of self-power generation have garnered attention as next-generation technologies. Among these, triboelectric nanogenerators (TENGs), which efficiently convert mechanical energy into electrical energy, are being actively studied. Textile-based TENG (T-TENGs) are one of the most promising energy harvesters for realizing wearable devices and self-powered smart clothing. This device exhibited excellent wearability, biocompatibility, flexibility, and breathability, making it ideal for powering wearable electronic devices. Most existing T-TENGs generate energy only in the intentional vertical contact mode and exhibit poor durability against twisting or bending deformation with metals. In this study, we propose a sandwich-structured T-TENG (STENG) with stretchability and flexibility for use in wearable energy harvesting. The STENG is manufactured with a structure that can maintain elasticity and generate a maximum voltage of 361.4 V and current of 58.2 μA based on the contact between the upper and lower triboelectric charges. In addition, it exhibited a fast response time and excellent durability over 5000 cycles of repetitive pushing motions. Consequently, the STENG could operate up to 135 light-emitting diodes (with output) without an external power source, and as an energy harvester, it could successfully harvest energy for various operations. These findings provide textile-based power sources with practical applications in e-textiles and self-powered electronics., Competing Interests: The authors declare no competing financial interest., (This journal is © The Royal Society of Chemistry.)

In the practical application of microwave absorbing materials, traditional powder materials need to be mixed with the matrix to fabricate composite coatings. However, the complex preparation process of composite coatings and the uneven dispersion of powders in the matrix limit their application. To solve these problems, two-dimensional (2D) F-WS 2 /CP composite films were prepared by using carbon paper (CP) as a dispersion matrix and loading flower-like WS 2 on its surface through a simple hydrothermal method. The morphology and microwave absorption (MA) performance of the composite films are easily regulated by adjusting the amount of reaction precursors. The combination of WS 2 and CP facilitates impedance matching and improves the electromagnetic wave attenuation performance based on the synergistic effect of different loss mechanisms including multiple reflections and scattering, interfacial polarization, dipolar polarization, and conduction loss. At a low filler content (5 wt%), the maximum reflection loss (RL) of the composite film is up to -50 dB (99.999% energy absorption) at 12.5 GHz with 2.8 mm thickness. Moreover, at a relatively thin 1.8 mm thickness, its maximum RL remains -35 dB (>99.9% energy absorption). The as-prepared composite film shows excellent MA properties at a thinner thickness and lower filling content, providing inspiration for the preparation of light weight and efficient 2D thin-film microwave absorbers in the future.

From HIV and influenza to emerging pathogens like COVID-19, each new infectious disease outbreak has highlighted the need for massively-scalable testing that can be performed outside centralized laboratory settings at the point-of-care (POC) in order to prevent, track, and monitor endemic and pandemic threats. Nucleic acid amplification tests (NAATs) are highly sensitive and can be developed and scaled within weeks while protein-based rapid tests require months for production. Combining NAATs with paper-based detection platforms are promising due to the manufacturability, scalability, and simplicity of each of these components. Typically, paper-based NAATs consist of three sequential steps: sample collection and preparation, amplification of DNA or RNA from pathogens of interest, and detection. However, these exist within a larger ecosystem of sample collection and interpretation workflow, usability, and manufacturability which can be vastly perturbed during a pandemic emergence. This review aims to explore the challenges of paper-based NAATs covering sample-to-answer procedures along with three main types of clinical samples; blood, urine, and saliva, as well as broader operational, scale up, and regulatory aspects of device development and implementation. To fill the technological gaps in paper-based NAATs, a sample-in-result-out system that incorporates the integrated sample collection, sample preparation, and integrated internal amplification control while also balancing needs of users and manufacturability upfront in the early design process is required.