Improvement of the quality and efficiency of healthcare in medicine, both at home and in hospital, is becoming more and more important for patients and society at large. As many technologies (micro technologies, telecommunication, low-power design, new textiles, and flexible sensors) are now available, new user-friendly devices can be developed to enhance the comfort and security of the patient. As clothes and textiles are in direct contact with about 90% of the skin surface, smart sensors and smart clothes with noninvasive sensors are an attractive solution for home-based and ambulatory health monitoring. Moreover, wearable devices or smart homes with exosensors are also potential solutions. All these systems can provide a safe and comfortable environment for home healthcare, illness prevention, and citizen medicine.

Improvement of the quality and efficiency of the quality of health in medicine, at home and in hospital becomes more and more important Designed to be user-friendly, smart clothes and gloves fit well for such a citizen use and health monitoring. Analysis of the autonomic nervous system using non-invasive sensors provides information for the emotional, sensorial, cognitive and physiological analysis. MARSIAN (modular autonomous recorder system for the measurement of autonomic nervous system) is a wrist ambulatory monitoring and recording system with a smart glove with sensors for the detection of the activity of the autonomic nervous system. It is composed of a "smart tee shirt", a "smart glove", a wrist device and PC which records data. The smart glove is one of the key point of MARSIAN. Complex movements, complex geometry, sensation make smart glove designing a challenge. MARSIAN has a large field of applications and researches (vigilance, behaviour, sensorial analysis, thermal environment for human, cognition science, sport, etc...) in various fields like neurophysiology, affective computing and health monitoring.

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Given the soaring costs associated with the treatment of ever more prevalent chronic disease, it is widely agreed that a revolution is required in health care provision. It is often thought that the necessary technology already exists for the home-based monitoring of such patients and that it is other factors which are holding back the more widespread clinical uptake of these new tools. The authors suggest that the necessary sensor-related technologies are often not as advanced as may first appear; certainly they are generally not adequate for the robust, long-term monitoring of patients under real-life conditions. An additional problem is the evident efforts to apply a given sensor and related technology platform to any and all monitoring scenarios without sufficient consideration of patient needs and the clinical requirements. The authors review the key sensing platforms and suggest the applications for which they are best suited.

This paper presents a novel method to prepare stretchable conductors and pressure sensors based on the gold/polydimethylsiloxane (PDMS) system. The gold films were sputtered onto structured PDMS surfaces produced with a photolithographic surface treatment with the aim of reducing tensile strains in the gold film. Scanning electron microscopy (SEM) and atomic force microscopy analyses showed that these 3D patterns reduce cracks and delaminations in the gold film. Electrical measurements indicate that the patterns also protect the films against repeated tensile cycling, although the un-patterned samples remained conducting as well after the completion of 120 cycles. The extrapolated resistivity value of the patterned sample (4.5 × 10 −5 cm) compares well with previously published data. SEM micrographs indicate that the pattern features deflect the cracks and therefore toughen the gold film. However, x-ray photoelectron spectroscopy and contact angle analyses indicate that the patterning process also slightly modifies the surface chemistry. This patterning method was used to prepare capacitive strain gauges with pressure sensitivity (Z/Z)/P of 0.14 kPa −1 in the sub-kPa regime. Such stretchable and potentially conformal low-pressure sensors have not been produced before and could prove advantageous for many smart fabric applications.

The purpose of MAPI project is to propose a method for interface pressure measurement. This method must be exact, easy to build, low cost, and must take into consideration viscoelastic characteristics of the skin and of human morphology. The main areas of the project is related to ergonomics of seating surfaces and prevention of pressure ulcers. An additional stage was performed by developing an electro-pneumatic interface pressure sensor directly integrated into a seat. The sensor is easy to use and presents acceptable characteristics. The average error is 2.58%, and the standard deviation is 1.66 mmHg. Spatial resolution is 3 cm. This first prototype will be improved, with better spatial resolution, and used for different pressure ulcer study and prevention tests.

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Health smart clothes are in contact with almost all the surface of the skin offer large possibilities for the location of sensors for non invasive measurements. Head band, collar, tee-shirt, socks, shoes, belts for chest, arm, wrist, legs ... provide localization with specific purpose taking into account their proximity of an organ or a source of biosignal, and also its ergonomic possibility (user friendly) to fix a sensor, and the associated instrumentations (batteries, amplifiers, signal processing, telecom, alarm, display ...). Progress in science and technology offers, for the first time, intelligence, speed, miniaturization, sophistication and new materials at low cost. In this new landscape, microtechnologies, information technologies and telecommunications are a key factor. Microsensors : Microtechnologies offer the possibility of small size, but also intelligent, active device, working with low energy, wireless and non invasive or mini invasive. These sensors have to be thin, flexible and compatible with textile, or made using textile technologies, new fibers with specific properties: mechanical, electrical, optical ... The field of applications is very large, e.g. continuous monitoring on elderly population, professional and military activities, athlete's performance and condition, and people with disabilities. The research are oriented toward two complementary directions: Improving the relevancy of each sensor and increasing the number of sensors for having a more global synthetic and robust information.