Real‐time detection and differentiation of diverse external stimuli with one tactile senor remains a huge challenge and largely restricts the development of electronic skins. Although different sensors have been described based on piezoresistivity, capacitance, and triboelectricity, and these devices are promising for tactile systems, there are few, if any, piezoelectric sensors to be able to distinguish diverse stimuli in real time. Here, a human skin‐inspired piezoelectric tactile sensor array constructed with a multilayer structure and row+column electrodes is reported. Integrated with a signal processor and a logical algorithm, the tactile sensor array achieves to sense and distinguish the magnitude, positions, and modes of diverse external stimuli, including gentle slipping, touching, and bending, in real time. Besides, the unique design overcomes the crosstalk issues existing in other sensors. Pressure sensing and bending sensing tests show that the proposed tactile sensor array possesses the characteristics of high sensitivity (7.7 mV kPa−1), long‐term durability (80 000 cycles), and rapid response time (10 ms) (less than human skin). The tactile sensor array also shows a superior scalability and ease of massive fabrication. Its ability of real‐time detection and differentiation of diverse stimuli for health monitoring, detection of animal movements, and robots is demonstrated.

The prevention of work-related upper extremity musculoskeletal disorders (MSDs; e.g., neck pain and shoulder fatigue) requires frequent exercises of neck and shoulder that primarily rely on the assistance of joint motion monitoring devices. However, most available wearable healthcare sensors are rigid, bulky, and incapable of recognizing the full range of human motions. Here, we propose a kirigami-structured highly anisotropic piezoelectric network composite sensor that is able to monitor multiple information of joint motions, including bending direction, bending radius, and motion modes, and to distinguish them simultaneously within one sensor unit. On the basis of the modified template-assisted processing method, we design a functional piezoceramic kirigami with a honeycomb network structure that is stretchable (~100% strain), highly sensitive (15.4 mV kPa−1), and highly anisotropic to bending directions (17.3 times from 90° to 0°). An integrated monitoring system is further established to alarm the prolonged sedentary behaviors, facilitating the prevention of upper extremity MSDs.

The human somatosensory system is capable of extracting features with millimeter-scale spatial resolution and submillisecond temporal precision. Current technologies that can render tactile stimuli with such high definition are neither portable nor easily accessible. Here, we present a wearable electrotactile rendering system that elicits tactile stimuli with both high spatial resolution (76 dots/cm 2 ) and rapid refresh rates (4 kHz), because of a previously unexplored current-steering super-resolution stimulation technique. For user safety, we present a high-frequency modulation method to reduce the stimulation voltage to as low as 13 V. The utility of our high spatiotemporal tactile rendering system is highlighted in applications such as braille display, virtual reality shopping, and digital virtual experiences. Furthermore, we integrate our setup with tactile sensors to transmit fine tactile features through thick gloves used by firefighters, allowing tiny objects to be localized based on tactile sensing alone.

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Background This study aimed to investigate the incidence and long-term survival outcomes of occult lung cancer between 2004 and 2015. Methods A total of 2958 patients were diagnosed with occult lung cancer in the 305,054 patients with lung cancer. The entire cohort was used to calculate the crude incidence rate. Eligible 52,472 patients (T1-xN0M0, including 2353 occult lung cancers) were selected from the entire cohort to perform survival analyses after translating T classification according to the 8th TNM staging system. Cancer-specific survival curves for different T classifications were presented. Results The crude incidence rate of occult lung cancer was 1.00 per 100 patients, and it was reduced between 2004 and 2015 [1.4 per 100 persons in 2004; 0.6 per 100 persons in 2015; adjusted risk ratio = 0.437, 95% confidence interval (CI) 0.363–0.527]. In the survival analysis, there were 2206 death events in the 2353 occult lung cancers. The results of the multivariable analysis revealed that the prognoses with occult lung cancer were similar to patients with stage T3N0M0 (adjusted hazard ratio = 1.054, 95% CI 0.986–1.127, p = 0.121). Adjusted survival curves presented the same results. In addition, adjusted for other confounders, female, age ≤ 72 years, surgical treatment, radiotherapy, adenocarcinoma, and non-squamous and non-adenocarcinoma non-small cell carcinoma were independent protective prognostic factors (all p < 0.05). Conclusions Occult lung cancer was uncommon. However, the cancer-specific survival of occult lung cancer was poor, therefore, we should put the assessment of its prognoses on the agenda. Timely surgical treatment and radiotherapy could improve survival outcomes for those patients. Besides, we still need more research to confirm those findings.

Cell spheroids are a promising bioprinting building block that can mimic several physiological conditions in embryonic development. However, it remains challenging to efficiently prepare cell-spheroid-based bioink (Sph-bioink) with favorable printability and spheroid fusion ability. In this work, a poly(N-isopropylacrylamide) (PNIPAAm)-based porous hydrogel is developed as an "all-in-one" platform for Sph-bioink preparation. On the one hand, the nonadhesive porous structure in hydrogels is an effective tool for fabricating adipose-derived stem cell (ASC) spheroids in high yield, and the hydrogel itself also serves as a "carrier" for conveniently transferring cell spheroids to the bioprinter. On the other hand, the integration of redox/thermo-responsiveness allows the hydrogel to shift from a solid spheroid-making tool to an extrudable bioprinting medium that is sensitive to temperature. These features enabled a simple procedure for preparing Sph-bioink, in which the cell spheroids were densely packed to retain fusion capability. The present study also demonstrates that ASC spheroids formed in hydrogels have good biological preservation and superior chondrogenic differentiation, and verified the feasibility of using Sph-bioink to build custom-shaped mature cartilage. In conclusion, this strategy provides a simple, efficient, and standardized approach for Sph-bioink preparation, making it possible to produce tissue-engineered constructs with accelerated maturation and functionalization.

Piezoceramic films are an essential class of energy-conversion materials that have been widely used in the electronics industry. Although current methods create a great freedom for fabricating high-quality piezoceramic films, it requires well-controlled synthesis conditions, including special high-cost equipment and planar substrates particularly. The limited substrate selections hinder the applications of piezoceramic films in 3D conformal structures where most objects possess complex curvilinear surfaces. To overcome such limitations, a fast, energy-efficient, and cost-effective approach, named flame treated spray (FTS) coating, is developed for preparing piezoceramic films on free-form surfaces. The flame treatment significantly enhances the hydrophilicity of a substrate, assisting in forming a uniform and continuous thin film. The followed spray coating deposits hundreds of nanometers to several micrometers thick films on 3D free-form surfaces. Given the size controllability and arbitrary surface compatibility of the FTS method, a highly conformal piezoelectric tactile sensor array (4 × 4) is assembled on a spherical surface for mimicking robot fingers and an on-site thin-film sensor on the wing of an aircraft model to monitor the vibration in real-time during flight. The FTS film deposition offers a highly promising methodology for the application of functional thin-film from micro-to marcoscale devices, regardless of conformal problems.

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