Nilanjan Roy, Michael Powers, Minelly Gonzalez, Luca Cucullo
This scoping review examines the process of transitioning social health care tools from paper-based to web-based formats, rather than focusing solely on effectiveness outcomes. It synthesizes how adaptations are made, which strategies are used, and which challenges arise during digitalization. The findings identify common adaptation patterns and gaps in reporting, particularly regarding target group-specific design and equity considerations. These insights may support developers, researchers, and policymakers in planning more usable, inclusive, and context-sensitive digital transitions in social and health care settings.
Biosensors are evolving from isolated analytical detectors into integrated systems for molecular diagnosis, longitudinal monitoring, dynamic tissue assessment, and clinical or preclinical decision support. This critical narrative review synthesizes literature from 2018 through July 2026 on biorecognition, biointerface engineering, transduction, wearable and microneedle architectures, CRISPR diagnostics, and sensor-integrated microphysiological systems. Unlike previous work that primarily classifies biosensors by analyte, recognition chemistry, or transduction modality, this review provides a unified translational framework that shifts evaluation from analytical sensitivity alone to the ability of systems to generate reliable, longitudinal, and clinically actionable information. A central distinction is made among snapshot assays, repeated discrete measurements, and genuine molecular trajectories, which require reversible recognition, controlled sampling, calibration, drift management, and temporal fidelity. Across applications, translational maturity depends on the measurement pathway. Continuous glucose monitoring remains the clearest benchmark because it combines durable chemistry, reproducible manufacture, workflow integration, and demonstrated clinical benefit. Other platforms have reached authentic-matrix testing, feasibility, prospective validation, or regulatory clearance but remain limited by fouling, matrix effects, calibration transfer, incomplete sample-to-answer operation, device variability, and insufficient manufacturing evidence. Future progress requires durable interfaces, claim-matched validation, reproducible scale-up, interoperable data systems, and measurements that remain trustworthy across time, users, devices, and settings.