Although many people suffer from sleep disorders, most are undiagnosed, leading to impairments in health. The existing polysomnography method is not easily accessible; it's costly, burdensome to patients, and requires specialized facilities and personnel. Here, we report an at-home portable system that includes wireless sleep sensors and wearable electronics with embedded machine learning. We also show its application for assessing sleep quality and detecting sleep apnea with multiple patients. Unlike the conventional system using numerous bulky sensors, the soft, all-integrated wearable platform offers natural sleep wherever the user prefers. In a clinical study, the face-mounted patches that detect brain, eye, and muscle signals show comparable performance with polysomnography. When comparing healthy controls to sleep apnea patients, the wearable system can detect obstructive sleep apnea with an accuracy of 88.5%. Furthermore, deep learning offers automated sleep scoring, demonstrating portability, and point-of-care usability. At-home wearable electronics could ensure a promising future supporting portable sleep monitoring and home healthcare.

Achieving large-scale, cost-effective, and reproducible manufacturing of stem cells with the existing devices is challenging. Traditional single-use cell-bag bioreactors, limited by their rigid and single-point sensors, struggle with accuracy and scalability for high-quality cell manufacturing. Here, we introduce a smart bioreactor system that enables multi-spatial sensing for real-time, wireless culture monitoring. This scalable system includes a low-profile, label-free thin-film sensor array and electronics integrated with a flexible cell bag, allowing for simultaneous assessment of culture properties such as pH, dissolved oxygen, glucose, and temperature, to receive real-time feedback for up to 30 days. The experimental results show the accurate monitoring of time-dynamic and spatial variations of stem cells and myoblast cells with adjustable carriers from a plastic dish to a 2-liter cell bag. These advances open up the broad applicability of the smart sensing system for large-scale, lower-cost, reproducible, and high-quality engineered cell manufacturing for broad clinical use.

Integrating artificial intelligence (AI) into biomedical signal analysis represents a significant breakthrough in enhanced precision and efficiency of disease diagnostics and therapeutics. From traditional computational models to advanced machine learning algorithms, AI technologies have improved signal processing by efficiently handling complexity and interpreting intricate datasets. Understanding physiological data, which requires highly trained professionals, is now more accessible; in regions with limited access, AI tools expand healthcare accessibility by providing high-level diagnostic insights, ultimately improving health outcomes. This review explores various AI methodologies, including supervised, unsupervised, and reinforcement learning, and examines their synergy for biomedical signal analysis and future directions in medical science. By capturing a comprehensive overview of the current state and prospects of AI-driven healthcare, this paper highlights the transformative potential of AI in analyzing biomedical signals. Graphical Abstract

The increase in the number of adolescents with internet gaming disorder (IGD), a type of behavioral addiction is becoming an issue of public concern. Teaching adolescents to suppress their craving for gaming in daily life situations is one of the core strategies for treating IGD. Recent studies have demonstrated that computer-aided treatment methods, such as neurofeedback therapy, are effective in relieving the symptoms of a variety of addictions. When a computer-aided treatment strategy is applied to the treatment of IGD, detecting whether an individual is currently experiencing a craving for gaming is important. We aroused a craving for gaming in 57 adolescents with mild to severe IGD using numerous short video clips showing gameplay videos of three addictive games. At the same time, a variety of biosignals were recorded including photoplethysmogram, galvanic skin response, and electrooculogram measurements. After observing the changes in these biosignals during the craving state, we classified each individual participant’s craving/non-craving states using a support vector machine. When video clips edited to arouse a craving for gaming were played, significant decreases in the standard deviation of the heart rate, the number of eye blinks, and saccadic eye movements were observed, along with a significant increase in the mean respiratory rate. Based on these results, we were able to classify whether an individual participant felt a craving for gaming with an average accuracy of 87.04%. This is the first study that has attempted to detect a craving for gaming in an individual with IGD using multimodal biosignal measurements. Moreover, this is the first that showed that an electrooculogram could provide useful biosignal markers for detecting a craving for gaming.

Recent advances in soft sensors and flexible electronics offer various applications in detecting physical, electrical, and chemical signals. However, there are still technical barriers in current mechanical, electrical, and material properties for enhanced signal sensing. When measuring signals from the human skin, minimizing the skin‐sensor contact impedance is still challenging while maximizing sensitivity through optimized materials and soft electronics. Here, this review summarizes recent advances in materials, manufacturing, and integration technologies to develop ultrathin soft sensors for monitoring various human physiological signals. The enhancements in soft and compliant structures and mechanical properties are critical to making reliable wearable electronic systems. This article shares the details of soft sensors, integration processes, manufacturing methods, and their applications to target physical, electrical, and chemical signals. In addition, the limitations and current trends in developing multifunctional sensors, self‐powered devices, and integration with external stimuli systems are discussed.