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Wearable, epidermal devices for assessment of swallowing function 用于评估吞咽功能的可穿戴表皮设备
IF 14.6 1区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC Pub Date : 2023-12-20 DOI: 10.1038/s41528-023-00286-9
Tarek Rafeedi, Abdulhameed Abdal, Beril Polat, Katherine A. Hutcheson, Eileen H. Shinn, Darren J. Lipomi
Swallowing is an ensemble of voluntary and autonomic processes key to maintaining our body’s homeostatic balance. Abnormal swallowing (dysphagia) can cause dehydration, malnutrition, aspiration pneumonia, weight loss, anxiety, or even mortality—especially in older adults—by airway obstruction. To prevent or mitigate these outcomes, it is imperative to regularly assess swallowing ability in those who are at risk of developing dysphagia and those already diagnosed with it. However, current diagnostic tools such as endoscopy, manometry, and videofluoroscopy require access to clinical experts to interpret the results. These results are often sampled from a limited examination timeframe of swallowing activity in a controlled environment. Additionally, there is some risk of periprocedural complications associated with these methods. In contrast, the field of epidermal sensors is finding non-invasive and minimally obtrusive ways to examine swallowing function and dysfunction. In this review, we summarize the current state of wearable devices that are aimed at monitoring swallowing function and detecting its abnormalities. We pay particular attention to the materials and design parameters that enable their operation. We examine a compilation of both proof-of-concept studies (which focus mainly on the engineering of the device) and studies whose aims are biomedical (which may involve larger cohorts of subjects, including patients). Furthermore, we briefly discuss the methods of signal acquisition and device assessment in relevant wearable sensors. Finally, we examine the need to increase adherence and engagement of patients with such devices and discuss enhancements to the design of such epidermal sensors that may encourage greater enthusiasm for at-home and long-term monitoring.
吞咽是一系列自主和自律过程的组合,是维持人体平衡的关键。吞咽异常(吞咽困难)可导致脱水、营养不良、吸入性肺炎、体重减轻、焦虑,甚至因气道阻塞而导致死亡(尤其是老年人)。为了预防或减轻这些后果,必须定期评估吞咽困难高危人群和已确诊患者的吞咽能力。然而,目前的诊断工具,如内窥镜、测压计和视频荧光镜等,都需要临床专家来解读结果。这些结果通常是从受控环境下有限的吞咽活动检查时间段中抽取的。此外,这些方法还存在一定的围手术期并发症风险。相比之下,表皮传感器领域正在寻找非侵入性和微创的方法来检查吞咽功能和功能障碍。在这篇综述中,我们总结了旨在监测吞咽功能和检测其异常的可穿戴设备的现状。我们特别关注使其能够运行的材料和设计参数。我们对概念验证研究(主要侧重于设备的工程设计)和以生物医学为目的的研究(可能涉及更大的受试者群体,包括患者)进行了汇编。此外,我们还简要讨论了相关可穿戴传感器的信号采集和设备评估方法。最后,我们探讨了提高患者对此类设备的依从性和参与度的必要性,并讨论了此类表皮传感器设计的改进措施,这些措施可能会提高患者对居家和长期监测的热情。
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引用次数: 0
Bringing sensation to prosthetic hands—chronic assessment of implanted thin-film electrodes in humans 给假肢手带来感觉——人体植入薄膜电极的慢性评估
IF 14.6 1区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC Pub Date : 2023-11-19 DOI: 10.1038/s41528-023-00284-x
Paul Čvančara, Giacomo Valle, Matthias Müller, Inga Bartels, Thomas Guiho, Arthur Hiairrassary, Francesco Petrini, Stanisa Raspopovic, Ivo Strauss, Giuseppe Granata, Eduardo Fernandez, Paolo M. Rossini, Massimo Barbaro, Ken Yoshida, Winnie Jensen, Jean-Louis Divoux, David Guiraud, Silvestro Micera, Thomas Stieglitz
Direct stimulation of peripheral nerves with implantable electrodes successfully provided sensory feedback to amputees while using hand prostheses. Longevity of the electrodes is key to success, which we have improved for the polyimide-based transverse intrafascicular multichannel electrode (TIME). The TIMEs were implanted in the median and ulnar nerves of three trans-radial amputees for up to six months. We present a comprehensive assessment of the electrical properties of the thin-film metallization as well as material status post explantationem. The TIMEs stayed within the electrochemical safe limits while enabling consistent and precise amplitude modulation. This lead to a reliable performance in terms of eliciting sensation. No signs of corrosion or morphological change to the thin-film metallization of the probes was observed by means of electrochemical and optical analysis. The presented longevity demonstrates that thin-film electrodes are applicable in permanent implant systems.
植入式电极直接刺激周围神经,成功地为假肢截肢者提供了感觉反馈。电极的寿命是成功的关键,我们改进了基于聚酰亚胺的横向束内多通道电极(TIME)。TIMEs植入三名经桡骨截肢者的正中神经和尺神经长达六个月。我们提出了薄膜金属化的电学性能的综合评估以及材料状态后解释。TIMEs保持在电化学安全范围内,同时实现一致和精确的振幅调制。这导致了在激发感觉方面的可靠表现。电化学和光学分析结果表明,探针的金属化薄膜未发生腐蚀和形态变化。所提出的寿命证明薄膜电极是适用于永久植入系统。
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引用次数: 0
The stronger venue for flexible electronics 柔性电子产品的更大舞台
IF 14.6 1区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC Pub Date : 2023-11-03 DOI: 10.1038/s41528-023-00283-y
Ravinder Dahiya
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引用次数: 0
Imperceptive and reusable dermal surface EMG for lower extremity neuro-prosthetic control and clinical assessment 不敏感和可重复使用的真皮表面肌电图用于下肢神经假体控制和临床评估
IF 14.6 1区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC Pub Date : 2023-10-25 DOI: 10.1038/s41528-023-00282-z
Jaeu Park, Jinwoong Jeong, Minseok Kang, Nagwade Pritish, Youngjun Cho, Jeongdae Ha, Junwoo Yea, Kyung-In Jang, Hyojin Kim, Jumin Hwang, Byungchae Kim, Sungjoon Min, Hoijun Kim, Soonchul Kwon, ChangSik John Pak, HyunSuk Peter Suh, Joon Pio Hong, Sanghoon Lee
Surface electromyography (sEMG) sensors play a critical role in diagnosing muscle conditions and enabling prosthetic device control, especially for lower extremity robotic legs. However, challenges arise when utilizing such sensors on residual limbs within a silicon liner worn by amputees, where dynamic pressure, narrow space, and perspiration can negatively affect sensor performance. Existing commercial sEMG sensors and newly developed sensors are unsuitable due to size and thickness, or susceptible to damage in this environment. In this paper, our sEMG sensors are tailored for amputees wearing sockets, prioritizing breathability, durability, and reliable recording performance. By employing porous PDMS and Silbione substrates, our design achieves exceptional permeability and adhesive properties. The serpentine electrode pattern and design are optimized to improve stretchability, durability, and effective contact area, resulting in a higher signal-to-noise ratio (SNR) than conventional electrodes. Notably, our proposed sensors wirelessly enable to control of a robotic leg for amputees, demonstrating its practical feasibility and expecting to drive forward neuro-prosthetic control in the clinical research field near future.
表面肌电(sEMG)传感器在诊断肌肉状况和实现假肢设备控制方面发挥着关键作用,尤其是在下肢机器人腿方面。然而,当在截肢者佩戴的硅内衬内的残余肢体上使用这种传感器时,会出现挑战,其中动态压力、狭窄空间和汗液会对传感器性能产生负面影响。现有的商用sEMG传感器和新开发的传感器由于尺寸和厚度而不合适,或者在这种环境中容易损坏。在本文中,我们的sEMG传感器是为佩戴插座的截肢者量身定制的,优先考虑透气性、耐用性和可靠的记录性能。通过使用多孔PDMS和Silbione基底,我们的设计实现了卓越的渗透性和粘合性能。对蛇形电极图案和设计进行了优化,以提高拉伸性、耐用性和有效接触面积,从而获得比传统电极更高的信噪比(SNR)。值得注意的是,我们提出的传感器能够无线控制截肢者的机器人腿,证明了其实际可行性,并有望在不久的将来推动临床研究领域的神经假体控制。
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引用次数: 0
Self-healable stretchable printed electronic cryogels for in-vivo plant monitoring 用于体内植物监测的可自愈拉伸印刷电子冷冻凝胶
IF 14.6 1区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC Pub Date : 2023-10-23 DOI: 10.1038/s41528-023-00280-1
Eloïse Bihar, Elliot J. Strand, Catherine A. Crichton, Megan N. Renny, Ignacy Bonter, Tai Tran, Madhur Atreya, Adrian Gestos, Jim Haseloff, Robert R. McLeod, Gregory L. Whiting
A key challenge in bioelectronics is to establish and improve the interface between electronic devices and living tissues, enabling a direct assessment of biological systems. Sensors integrated with plant tissue can provide valuable information about the plant itself as well as the surrounding environment, including air and soil quality. An obstacle in developing interfaces to plant tissue is mitigating the formation of fibrotic tissues, which can hinder continuous and accurate sensor operation over extended timeframes. Electronic systems that utilize suitable biocompatible materials alongside appropriate fabrication techniques to establish plant-electronic interfaces could provide for enhanced environmental understanding and ecosystem management capabilities. To meet these demands, this study introduces an approach for integrating printed electronic materials with biocompatible cryogels, resulting in stable implantable hydrogel-based bioelectronic devices capable of long-term operation within plant tissue. These inkjet-printed cryogels can be customized to provide various electronic functionalities, including electrodes and organic electrochemical transistors (OECTs), that exhibit high electrical conductivity for embedded conducting polymer traces (up to 350 S/cm), transconductance for OECTs in the mS range, a capacitance of up to 4.2 mF g−1 in suitable structures, high stretchability (up to 330% strain), and self-healing properties. The biocompatible functionalized cryogel-based electrodes and transistors were successfully implanted in plant tissue, and ionic activity in tomato plant stems was collected for over two months with minimal scar tissue formation, making these cryogel-based printed electronic devices excellent candidates for continuous, in-situ monitoring of plant and environmental status and health.
生物电子学的一个关键挑战是建立和改进电子设备与活体组织之间的接口,从而能够直接评估生物系统。与植物组织集成的传感器可以提供有关植物本身以及周围环境的宝贵信息,包括空气和土壤质量。开发与植物组织的界面的一个障碍是减缓纤维化组织的形成,这可能会阻碍传感器在较长时间内连续准确地工作。利用适当的生物相容性材料和适当的制造技术来建立植物电子接口的电子系统可以提供增强的环境理解和生态系统管理能力。为了满足这些需求,本研究介绍了一种将印刷电子材料与生物相容性冷冻凝胶集成的方法,从而产生能够在植物组织内长期运行的稳定的基于水凝胶的生物电子设备。这些喷墨打印的冷冻凝胶可以定制,以提供各种电子功能,包括电极和有机电化学晶体管(OECT),它们对嵌入的导电聚合物迹线表现出高电导率(高达350 S/cm),OECT的跨导在mS范围内,电容高达4.2 mF g−1,具有合适的结构、高拉伸性(高达330%应变)和自修复性能。基于生物相容性功能化冷冻凝胶的电极和晶体管被成功植入植物组织,番茄茎中的离子活性被收集了两个多月,疤痕组织形成最小,这使得这些基于冷冻凝胶的印刷电子设备成为连续、原位监测植物和环境状况及健康的绝佳候选者。
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引用次数: 0
Switchable photothermal conversion efficiency for reprogrammable actuation 可编程驱动的可切换光热转换效率
IF 14.6 1区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC Pub Date : 2023-10-20 DOI: 10.1038/s41528-023-00281-0
Yongcheng He, Haojun Liu, Jiajia Luo, Nuo Li, Lihua Li, Puxian Xiong, Jiulin Gan, Zhongmin Yang
Reprogrammable soft matter brings flexibility to soft robots so that they can display various motions, which is flourishing in soft robotics. However, the reprogramming of photoresponsive materials used in soft robots is time-consuming using existing methods. In this study, we promote a strategy for rapid reprogramming via switchable photothermal conversion efficiency (PCE). The liquid crystalline elastomers doped with semiconductor bismuth compounds (Bi-LCE) used in this work exhibited large photothermal actuation with over 35% shrinkage in 5 s at high PCE state, which demonstrated little deformation at low PCE state. Furthermore, the material was capable of being reprogrammed up to 10 times, with only 20 min required for one PCE reversible switch. Based on this switchable PCE effect, the same Bi-LCE film displayed various shape changes through different programmable pattern. Additionally, a reprogrammable hollow tube made of PCE reprogrammable materials could tune the diameter, cross-section configuration, and surface morphology, which was crucial for microfluidics field. Reprogrammable materials provide endless possibilities for reusability and sustainability in robotics.
可编程软物质为软机器人带来了灵活性,使其能够显示各种运动,这在软机器人中蓬勃发展。然而,使用现有方法对软机器人中使用的光响应材料进行重新编程是耗时的。在这项研究中,我们提出了一种通过可切换光热转换效率(PCE)快速重新编程的策略。本工作中使用的掺杂有半导体铋化合物(Bi-LCE)的液晶弹性体在5 其在低PCE状态下表现出小的变形。此外,该材料能够被重新编程多达10次,只有20次 一个PCE可逆开关所需的最小值。基于这种可切换的PCE效应,同一Bi-LCE薄膜通过不同的可编程图案显示出不同的形状变化。此外,由PCE可重编程材料制成的可重编程中空管可以调节直径、横截面配置和表面形态,这对微流体领域至关重要。可重新编程的材料为机器人的可重复使用性和可持续性提供了无限的可能性。
{"title":"Switchable photothermal conversion efficiency for reprogrammable actuation","authors":"Yongcheng He, Haojun Liu, Jiajia Luo, Nuo Li, Lihua Li, Puxian Xiong, Jiulin Gan, Zhongmin Yang","doi":"10.1038/s41528-023-00281-0","DOIUrl":"10.1038/s41528-023-00281-0","url":null,"abstract":"Reprogrammable soft matter brings flexibility to soft robots so that they can display various motions, which is flourishing in soft robotics. However, the reprogramming of photoresponsive materials used in soft robots is time-consuming using existing methods. In this study, we promote a strategy for rapid reprogramming via switchable photothermal conversion efficiency (PCE). The liquid crystalline elastomers doped with semiconductor bismuth compounds (Bi-LCE) used in this work exhibited large photothermal actuation with over 35% shrinkage in 5 s at high PCE state, which demonstrated little deformation at low PCE state. Furthermore, the material was capable of being reprogrammed up to 10 times, with only 20 min required for one PCE reversible switch. Based on this switchable PCE effect, the same Bi-LCE film displayed various shape changes through different programmable pattern. Additionally, a reprogrammable hollow tube made of PCE reprogrammable materials could tune the diameter, cross-section configuration, and surface morphology, which was crucial for microfluidics field. Reprogrammable materials provide endless possibilities for reusability and sustainability in robotics.","PeriodicalId":48528,"journal":{"name":"npj Flexible Electronics","volume":" ","pages":"1-9"},"PeriodicalIF":14.6,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41528-023-00281-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71491803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"材料科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Skin-integrated, biocompatible, and stretchable silicon microneedle electrode for long-term EMG monitoring in motion scenario 皮肤集成、生物相容、可拉伸的硅微针电极,用于运动场景中的长期EMG监测
IF 14.6 1区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC Pub Date : 2023-10-17 DOI: 10.1038/s41528-023-00279-8
Huawei Ji, Mingyu Wang, Yutong Wang, Zhouheng Wang, Yinji Ma, Lanlan Liu, Honglei Zhou, Ze Xu, Xian Wang, Ying Chen, Xue Feng
Electromyography (EMG) signal is the electrical potential generated by contracting muscle cells. Long-term and accurate EMG monitoring is desirable for neuromuscular function assessment in clinical and the human–computer interfaces. Herein, we report a skin-integrated, biocompatible, and stretchable silicon microneedle electrode (SSME) inspired by the plant thorns. The silicon microneedles are half encapsulated by the polyimide (PI) to enhance the adaptability to deformation and resistance to fatigue. Thorn-like SSME is realized by the semi-additive method with a stretchability of not less than 36%. The biocompatibility of SSME has been verified using cytotoxicity tests. EMG monitoring in motion and long-term has been conducted to demonstrate the feasibility and performance of the SSME, which is compared with a commercial wet electrode. Hopefully, the strategies reported here can lead to accurate and long-term EMG monitoring, facilitating an effective and reliable human–computer interface.
肌电图(EMG)信号是肌肉细胞收缩产生的电位。临床和人机界面中的神经肌肉功能评估需要长期准确的肌电图监测。在此,我们报道了一种受植物刺启发的皮肤集成、生物相容和可拉伸的硅微针电极(SSME)。硅微针被聚酰亚胺(PI)半包封,以增强对变形的适应性和抗疲劳性。刺状SSME通过具有不小于36%的拉伸性的半加成法实现。SSME的生物相容性已通过细胞毒性试验得到验证。已经进行了运动和长期的EMG监测,以证明SSME的可行性和性能,并将其与商用湿电极进行了比较。希望本文报道的策略能够实现准确和长期的肌电图监测,促进有效和可靠的人机界面。
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引用次数: 0
Scalable and eco-friendly flexible loudspeakers for distributed human-machine interactions 可扩展且环保的柔性扬声器,实现分布式人机交互
IF 14.6 1区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC Pub Date : 2023-10-07 DOI: 10.1038/s41528-023-00278-9
Yucong Pi, Qiutong Liu, Zhaoyang Li, Dazhe Zhao, Kaijun Zhang, Zhirui Liu, Bingpu Zhou, Iek Man Lei, Yuan Ma, Junwen Zhong
Flexible loudspeakers that can be easily distributed in the surrounding environment are essential for creating immersive experiences in human-machine interactions, as these devices can transmit acoustic information conveniently. In this paper, we present a flexible electret loudspeaker that offers numerous benefits, such as eco-friendly, easy fabrication, flexible customization, strong durability, and excellent outputs. The output sound pressure level (SPL) and frequency response characteristic are optimized according to the simulation and experiment results. At a distance of 50 meters, a large-size loudspeaker (50 × 40 cm2) can produce an average SPL of 60 dB (normal SPL range of human voices is between 40 to 70 dB). The frequency response of our loudspeaker is high and relatively consistent up to 15 kHz, which covers the normal frequency range of human voices (<8 kHz). As demonstrated in this work, our loudspeakers can be used for scalable applications, such as being integrated with curtains or hung up like posters, offering a promising and practical solution for creating better human-machine interaction experiences.
可以轻松分布在周围环境中的灵活扬声器对于在人机交互中创造身临其境的体验至关重要,因为这些设备可以方便地传输声学信息。在本文中,我们提出了一种柔性驻极体扬声器,它具有许多优点,如环保、易于制造、灵活定制、坚固耐用和出色的输出。根据仿真和实验结果,对输出声压级和频率响应特性进行了优化。在50米的距离处,一个大尺寸扬声器(50 × 40 cm2)可以产生60的平均SPL dB(人声的正常SPL范围在40到70之间 dB)。我们扬声器的频率响应很高,并且相对一致,最高可达15 kHz,其覆盖人声的正常频率范围(<;8 kHz)。正如这项工作所展示的,我们的扬声器可以用于可扩展的应用,例如与窗帘集成或像海报一样挂起来,为创造更好的人机交互体验提供了一个有前景和实用的解决方案。
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引用次数: 0
Author Correction: Resilient conductive membrane synthesized by in-situ polymerisation for wearable non-invasive electronics on moving appendages of cyborg insect 作者更正:通过原位聚合合成弹性导电膜,用于在半机械昆虫活动附肢上安装可穿戴无创电子设备
IF 14.6 1区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC Pub Date : 2023-09-20 DOI: 10.1038/s41528-023-00277-w
Qifeng Lin, Rui Li, Feilong Zhang, Kazuki Kai, Zong Chen Ong, Xiaodong Chen, Hirotaka Sato
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引用次数: 0
Skin-interfaced colorimetric microfluidic devices for on-demand sweat analysis 用于按需汗液分析的皮肤界面比色微流控装置
IF 14.6 1区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC Pub Date : 2023-09-01 DOI: 10.1038/s41528-023-00275-y
Weiyi Liu, Huanyu Cheng, Xiufeng Wang
As sweat biomarker levels are continuously changing over metabolism and daily activities, pathological and physiological processes can be dynamically analyzed by wearable devices. The colorimetric skin-interfaced microfluidic devices that do not have external circuit modules exhibit enhanced deformability with a small footprint. However, it is difficult to achieve sampling over time and self-feedback for closed-loop systems. This review summarizes recent advances in microfluidic valves for biofluid management and chrono-sampling, as well as active triggers in microfluidics self-feedback. After enumerating the current limitations in temporal resolution and reliability, we further point out a few potential feasible strategies for future developments.
由于汗液中的生物标志物水平会随着新陈代谢和日常活动而不断变化,因此可穿戴设备可对病理和生理过程进行动态分析。无外部电路模块的皮肤比色微流控设备具有更强的可变形性,且占地面积小。然而,闭环系统很难实现随时间采样和自我反馈。本综述总结了用于生物流体管理和计时采样的微流体阀门以及微流体自反馈主动触发器的最新进展。在列举了目前在时间分辨率和可靠性方面的局限性之后,我们进一步指出了未来发展的一些潜在可行策略。
{"title":"Skin-interfaced colorimetric microfluidic devices for on-demand sweat analysis","authors":"Weiyi Liu,&nbsp;Huanyu Cheng,&nbsp;Xiufeng Wang","doi":"10.1038/s41528-023-00275-y","DOIUrl":"10.1038/s41528-023-00275-y","url":null,"abstract":"As sweat biomarker levels are continuously changing over metabolism and daily activities, pathological and physiological processes can be dynamically analyzed by wearable devices. The colorimetric skin-interfaced microfluidic devices that do not have external circuit modules exhibit enhanced deformability with a small footprint. However, it is difficult to achieve sampling over time and self-feedback for closed-loop systems. This review summarizes recent advances in microfluidic valves for biofluid management and chrono-sampling, as well as active triggers in microfluidics self-feedback. After enumerating the current limitations in temporal resolution and reliability, we further point out a few potential feasible strategies for future developments.","PeriodicalId":48528,"journal":{"name":"npj Flexible Electronics","volume":" ","pages":"1-9"},"PeriodicalIF":14.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41528-023-00275-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48279818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"材料科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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npj Flexible Electronics
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