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Abstract Breath ammonia is an essential biomarker for patients with many chronic illnesses, such as chronic kidney disease (CKD), chronic liver disease (CLD), urea cycle disorders (UCD), and hepatic encephalopathy. However, existing breath ammonia sensors fail to compensate for the impact of breath humidity and complex breathing motions associated with a human breath sample. Here, a multimodal breath sensing system is presented that integrates an ammonia sensor based on a thermally cleaved conjugated polymer, a humidity sensor based on reduced graphene oxide (rGO), and a breath dynamics sensor based on a 3D folded strain‐responsive mesostructure. The miniaturized construction and module‐based configuration offer flexible integration with a broad range of masks. Experimental results present the capabilities of the system in continuously detecting diagnostic ranges of breath ammonia under real, humid breath conditions with sufficient sensing accuracy and selectivity over 3 weeks. A machine‐learning algorithm based on K‐means clustering decodes multimodal signals collected from the breath sensor to differentiate between healthy and diseased breath concentrations of ammonia. The on‐body test highlights the operational simplicity and practicality of the system for noninvasively tracing ammonia biomarkers. 

Abstract Transdermal drug delivery is of vital importance for medical treatments. However, user adherence to long-term repetitive drug delivery poses a grand challenge. Furthermore, the dynamic and unpredictable disease progression demands a pharmaceutical treatment that can be actively controlled in real-time to ensure medical precision and personalization. Here, we report a spatiotemporal on-demand patch (SOP) that integrates drug-loaded microneedles with biocompatible metallic membranes to enable electrically triggered active control of drug release. Precise control of drug release to targeted locations (<1 mm²), rapid drug release response to electrical triggers (<30 s), and multi-modal operation involving both drug release and electrical stimulation highlight the novelty. Solution-based fabrication ensures high customizability and scalability to tailor the SOP for various pharmaceutical needs. The wireless-powered and digital-controlled SOP demonstrates great promise in achieving full automation of drug delivery, improving user adherence while ensuring medical precision. Based on these characteristics, we utilized SOPs in sleep studies. We revealed that programmed release of exogenous melatonin from SOPs improve sleep of mice, indicating potential values for basic research and clinical treatments. 

A microfolding strategy realizes kirigami at nanoscale to form 3D shape-morphable microelectronic systems in freestanding forms.