Correction: Todorov et al. Electromagnetic Sensing Techniques for Monitoring Atopic Dermatitis-Current Practices and Possible Advancements: A Review. Sensors 2023, 23, 3935.

**Mahmoud Wagih** was not included as an author in the original publication [...].

Electromagnetic Sensing Techniques for Monitoring Atopic Dermatitis-Current Practices and Possible Advancements: A Review.

Atopic dermatitis (AD) is one of the most common skin disorders, affecting nearly one-fifth of children and adolescents worldwide, and currently, the only method of monitoring the condition is through an in-person visual examination by a clinician. This method of assessment poses an inherent risk of subjectivity and can be restrictive to patients who do not have access to or cannot visit hospitals. Advances in digital sensing technologies can serve as a foundation for the development of a new generation of e-health devices that provide accurate and empirical evaluation of the condition to patients worldwide. The goal of this review is to study the past, present, and future of AD monitoring. First, current medical practices such as biopsy, tape stripping and blood serum are discussed with their merits and demerits. Then, alternative digital methods of medical evaluation are highlighted with the focus on non-invasive monitoring using biomarkers of AD-TEWL, skin permittivity, elasticity, and pruritus. Finally, possible future technologies are showcased such as radio frequency reflectometry and optical spectroscopy along with a short discussion to provoke research into improving the current techniques and employing the new ones to develop an AD monitoring device, which could eventually facilitate medical diagnosis.

A Novel Screen-Printed Textile Interface for High-Density Electromyography Recording.

Recording electrical muscle activity using a dense matrix of detection points (high-density electromyography, EMG) is of interest in a range of different applications, from human-machine interfacing to rehabilitation and clinical assessment. The wider application of high-density EMG is, however, limited as the clinical interfaces are not convenient for practical use (e.g., require conductive gel/cream). In the present study, we describe a novel dry electrode (TEX) in which the matrix of sensing pads is screen printed on textile and then coated with a soft polymer to ensure good skin-electrode contact. To benchmark the novel solution, an identical electrode was produced using state-of-the-art technology (polyethylene terephthalate with hydrogel, PET) and a process that ensured a high-quality sample. The two electrodes were then compared in terms of signal quality as well as functional application. The tests showed that the signals collected using PET and TEX were characterised by similar spectra, magnitude, spatial distribution and signal-to-noise ratio. The electrodes were used by seven healthy subjects and an amputee participant to recognise seven hand gestures, leading to similar performance during offline analysis and online control. The comprehensive assessment, therefore, demonstrated that the proposed textile interface is an attractive solution for practical applications.

Electrical Stimulation for Wound Healing: Opportunities for E-Textiles.

Ulcers and chronic wounds are a large and expensive problem, costing billions of pounds a year and affecting millions of people. Electrical stimulation has been known to have a positive effect on wound healing since the 1960 s and this has been confirmed in numerous studies, reducing the time to heal, and the incidence of adverse events such as infections. However, because each study used different parameters for the treatment, inclusion criteria and metrics for quantifying the success, it is currently hard to combine them statistically and gain a true picture of its efficacy. As such, electrical stimulation has not been universally adopted as a recommended treatment for various types of wound. This paper summarises the biological basis for electrical simulation treatment and reviews the clinical evidence for its effectiveness. Notable is the lack of research focused on the electrodes used to deliver electrostimulation treatment. However, a significant amount of work has been conducted on electrodes for other medical applications in the field of e-textiles. This e-textile work is reviewed with a focus on its potential in electrostimulation and proposals are made for future developments to improve future studies and applications for wound healing via electrical stimulation.

Integration and Testing of a Three-Axis Accelerometer in a Woven E-Textile Sleeve for Wearable Movement Monitoring.

This paper presents a method to integrate and package an accelerometer within a textile to create an electronic textile (e-textile). The smallest commercially available accelerometer sensor (2 mm × 2 mm × 0.95 mm) is used in the e-textile and is fully integrated within the weave structure of the fabric itself, rendering it invisible to the wearer. The e-textile forms the basis of a wearable woven sleeve which is applied to arm and knee joint bending angle measurement. The integrated e-textile based accelerometer sensor system is used to identify activity type, such as walking or running, and count the total number of steps taken. Performance was verified by comparing measurements of specific elbow joint angles over the range of 0° to 180° with those obtained from a commercial bending sensor from Bend Labs and from a custom-built goniometer. The joint bending angles, measured by all three sensors, show good agreement with an error of less than ~1% of reading which provides a high degree of confidence in the e-textile sensor system. Subsequently, knee joint angles were measured experimentally on three subjects with each being tested three times on each of three activities (walking, running and climbing stairs). This allowed the minimum and maximum knee joint angles for each activity to be determined. This data is then used to identify activity type and perform step counting.

Reliable UHF Long-Range Textile-Integrated RFID Tag Based on a Compact Flexible Antenna Filament.

This paper details the design, fabrication and testing of flexible textile-concealed Radio Frequency Identification (RFID) tags for wearable applications in a smart city/smart building environment. The proposed tag designs aim to reduce the overall footprint, enabling textile integration whilst maintaining the read range. The proposed RFID filament is less than 3.5 mm in width and 100 mm in length. The tag is based on an electrically small (0.0033 λ 2 ) high-impedance planar dipole antenna with a tuning loop, maintaining a reflection coefficient less than -21 dB at 915 MHz, when matched to a commercial RFID chip mounted alongside the antenna. The antenna strip and the RFID chip are then encapsulated and integrated in a standard woven textile for wearable applications. The flexible antenna filament demonstrates a 1.8 dBi gain which shows a close agreement with the analytically calculated and numerically simulated gains. The range of the fabricated tags has been measured and a maximum read range of 8.2 m was recorded at 868 MHz Moreover, the tag's maximum calculated range at 915 MHz is 18 m, which is much longer than the commercially available laundry tags of larger length and width, such as Invengo RFID tags. The reliability of the proposed RFID tags has been investigated using a series of tests replicating textile-based use case scenarios which demonstrates its suitability for practical deployment. Washing tests have shown that the textile-integrated encapsulated tags can be read after over 32 washing cycles, and that multiple tags can be read simultaneously while being washed.

Wash Testing of Electronic Yarn.

Electronically active yarn (E-yarn) pioneered by the Advanced Textiles Research Group of Nottingham Trent University contains a fine conductive copper wire soldered onto a package die, micro-electro-mechanical systems device or flexible circuit. The die or circuit is then held within a protective polymer packaging (micro-pod) and the ensemble is inserted into a textile sheath, forming a flexible yarn with electronic functionality such as sensing or illumination. It is vital to be able to wash E-yarns, so that the textiles into which they are incorporated can be treated as normal consumer products. The wash durability of E-yarns is summarized in this publication. Wash tests followed a modified version of BS EN ISO 6330:2012 procedure 4N. It was observed that E-yarns containing only a fine multi-strand copper wire survived 25 cycles of machine washing and line drying; and between 5 and 15 cycles of machine washing followed by tumble-drying. Four out of five temperature sensing E-yarns (crafted with thermistors) and single pairs of LEDs within E-yarns functioned correctly after 25 cycles of machine washing and line drying. E-yarns that required larger micro-pods (i.e., 4 mm diameter or 9 mm length) were less resilient to washing. Only one out of five acoustic sensing E-yarns (4 mm diameter micro-pod) operated correctly after 20 cycles of washing with either line drying or tumble-drying. Creating an E-yarn with an embedded flexible circuit populated with components also required a relatively large micro-pod (diameter 0.93 mm, length 9.23 mm). Only one embedded circuit functioned after 25 cycles of washing and line drying. The tests showed that E-yarns are suitable for inclusion in textiles that require washing, with some limitations when larger micro-pods were used. Reduction in the circuit's size and therefore the size of the micro-pod, may increase wash resilience.

Development of User-Friendly Wearable Electronic Textiles for Healthcare Applications.

This paper presents research into a user-friendly electronic sleeve (e-sleeve) with integrated electrodes in an array for wearable healthcare. The electrode array was directly printed onto an everyday clothing fabric using screen printing. The fabric properties and designed structures of the e-sleeve were assessed and refined through interaction with end users. Different electrode array layouts were fabricated to optimize the user experience in terms of comfort, effectivity and ease of use. The e-sleeve uses dry electrodes to facilitate ease of use and the electrode array can survive bending a sufficient number of times to ensure an acceptable usage lifetime. Different cleaning methods (washing and wiping) have been identified to enable reuse of the e-sleeve after contamination during use. The application of the e-sleeve has been demonstrated via muscle stimulation on the upper limb to achieve functional tasks (e.g., hand opening, pointing) for eight stroke survivors.

A systematic review of the key factors affecting tissue viability and rehabilitation outcomes of the residual limb in lower extremity traumatic amputees.

Most traumatic lower limb amputees ambulate using a prosthetic limb. Comfort, appearance of the missing limb and function are confirmed as being important during rehabilitation post-amputation. Emerging evidence suggests that impaired tissue viability of the stump affects rehabilitation and thus clinical ability to provide optimum care. The primary objective of this systematic review was to identify key factors relating to tissue viability of the residual limb in lower extremity traumatic amputees. A secondary objective was to identify factors that affect rehabilitation post-amputation. In total, 218 studies were assessed; 37 met pre-determined criteria. Studies were classified according to the WHO ICF framework and the NHMRC level of evidence. Five key themes emerged; Prosthetic Fit; The Residuum; Quality of Life; Amputee Care and Prosthetic Use. The evidence indicates that high frequencies of skin problems affecting tissue viability within this population are inherently linked to intolerance of the prosthesis. Stump integrity, amputee care regimen and pain were also identified as impacting on quality of life, affecting rehabilitation and the ability to become independently mobile. Levels of evidence within all studies were low and indicative of the majority being non-randomised cohort studies or case-control studies. As there are a limited number of interventional studies, further development of robust outcome measures, clinical trials and prospective studies are of utmost importance to unravel the links between tissue viability and the other key factors. This will inform clinical management strategies and help develop targeted therapies and care pathways.

An improved thick-film piezoelectric material by powder blending and enhanced processing parameters.

This paper details improvements of the d33 co-efficient for thick-film lead zirconate titanate (PZT) layers. In particular, the effect of blending ball and attritor milled powders has been investigated. Mathematical modeling of the film structure has produced initial experimental values for powder combination percentages. A range of paste formulations between 8:1 and 2:1 ball to attritor milled PZT powders by weight have been mixed into a screen-printable paste. Each paste contains 10% by weight of lead borosilicate glass and an appropriate quantity of solvent to formulate a screen printable thixotropic paste. A d33 of 63.5 pC/N was obtained with a combination of 4:1 ball milled to attritor milled powder by weight. The improved paste combines the high d33 values of ball and the consistency of attritor milled powder. The measured d33 coefficient was further improved to 131 pC/N by increasing the furnace firing profile to 1000 degrees C, increasing the poling temperature to 200 degrees C, and using gold cermet and polymer electrodes that avoid silver migration effects and repeated firing of the PZT film.