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2017 IEEE Healthcare Innovations and Point of Care Technologies (HI-POCT)最新文献

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Multicolor detection of fluorescent droplets on a cell phone using time domain encoded optofluidics 利用时域编码光流体对手机上的荧光液滴进行多色检测
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227630
Venkata Yelleswaranu, D. Issadore
Digital droplet assays — in which biological samples are compartmentalized into millions of femtoliter volume droplets and interrogated individually — have generated enormous enthusiasm for their ability to robustly detect nucleic acids and proteins with single molecule sensitivity. A key challenge in the field however has been the cumbersome instrumentation necessary to generate, process, and detect millions of individual droplets. We have demonstrated the miniaturization of droplet diagnostics into a portable platform that can process millions of droplets per second by combining the parallelization of thousands of microfluidic droplet generators onto a single chip and a strategy to rapidly detect droplets using time-domain encoded cell phone imaging. Building on our work in this area, we show that multiple fluorescent dyes can be detected in each individual droplet by encoding the excitation light from multiple LEDs with unique maximum length sequences that are decoded using cloud-based computation. By developing a strategy to carry out multiplexed digital droplet assays in a portable platform at a rate (106 droplets / sec), 1000x faster than conventional approaches on a cell phone based device, we have demonstrated a key step towards translating the sensitivity of digital assays from research laboratories to portable molecular diagnostics.
数字液滴测定——将生物样本划分成数百万飞升体积的液滴,并对其进行单独检测——因其具有单分子灵敏度的强大检测核酸和蛋白质的能力而引起了巨大的热情。然而,该领域的一个关键挑战是产生、处理和检测数百万个单个液滴所需的笨重仪器。我们已经展示了液滴诊断的小型化到一个便携式平台上,通过将数千个微流体液滴发生器并行化到单个芯片上,该平台每秒可以处理数百万个液滴,并展示了使用时域编码手机成像快速检测液滴的策略。基于我们在这一领域的工作,我们表明,通过编码来自多个具有独特最大长度序列的led的激发光,使用基于云的计算解码,可以在每个液滴中检测到多种荧光染料。通过开发在便携式平台上进行多路数字液滴分析的策略(106液滴/秒),比基于手机的设备上的传统方法快1000倍,我们已经证明了将数字分析的灵敏度从研究实验室转化为便携式分子诊断的关键一步。
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引用次数: 1
Microfluidic generation of physiological oxygen gradients in vitro 体外生理氧梯度的微流控生成
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227584
Md. Daud Hossain Khan, Steven A. Roberts, J. Cressman, Nitin Agrawal
Cancer progression normally creates intrinsic hypoxic or oxygen gradients within tumor lesions that further instigate metastasis. Despite the advancements, recreating physiological oxygen gradients in vitro remains challenging yet a necessary requirement to develop effective point of care (POC) technologies for elucidating cellular migratory or therapeutic responses for personalized treatments. Here, we report a unique method of generating stable and linear oxygen gradients using the split/recombine strategy within microfluidic devices. Internal glass coating ensures proper stabilization of oxygen gradient and prevents gaseous escape. Underlying PtOEPK sensor enables accurate and instantaneous detection of gradients in real-time. The versatility of this gradient platform encompasses a wide variety of biological and biomedical analyses such as cell viability, cell migration, drug resistance, and ER (endoplasmic reticulum) stress responses under hypoxia and many of these are currently being explored.
癌症进展通常会在肿瘤病变内产生内在的缺氧或氧梯度,从而进一步引发转移。尽管取得了进展,在体外重建生理氧梯度仍然具有挑战性,但这是开发有效的护理点(POC)技术来阐明细胞迁移或个性化治疗的治疗反应的必要条件。在这里,我们报告了一种在微流体装置中使用分裂/重组策略产生稳定和线性氧梯度的独特方法。内部玻璃涂层确保氧梯度适当稳定,防止气体逸出。底层PtOEPK传感器能够实时准确瞬时检测梯度。这个梯度平台的多功能性包括各种各样的生物学和生物医学分析,如细胞活力、细胞迁移、耐药性和内质网在缺氧下的应激反应,其中许多目前正在探索中。
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引用次数: 2
Detection of arboviruses in blood and mosquito slurry samples using polymer microchip 高分子微芯片检测蚊浆及血媒虫媒病毒
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227611
R. Prakash, A. Wong, K. Pabbaraju, R. Tellier, K. Kaler
Molecular detection of arboviruses has several potential public health benefits. Worldwide increase in Dengue virus activity as well as the emergence of Zika and Chikungunya viruses underline the usefulness of a portable, small foot-print platforms for the molecular detection of viruses in diagnostic laboratories, point of care applications and field work. In this study, we have demonstrated a polymer based diagnostic microchip technology capable of extracting and purifying nucleic acid from highly complex sample matrices including mosquito slurry. We have furthermore reported a multilayered chip design on the polymer surface for nucleic acid based sample-to-answer tests while lowering the voltage and power requirements to make it suitable for in-field deployment. Several panels of human and mosquito samples containing different levels of arboviruses were successfully tested to establish the sensitivity and accuracy of this low-cost disposable diagnostic technology.
虫媒病毒的分子检测有几个潜在的公共卫生益处。在世界范围内,登革热病毒活动的增加以及寨卡病毒和基孔肯雅病毒的出现强调了便携式小型足迹平台在诊断实验室、护理点应用和现场工作中对病毒分子检测的有用性。在这项研究中,我们展示了一种基于聚合物的诊断微芯片技术,该技术能够从包括蚊子浆在内的高度复杂的样品基质中提取和纯化核酸。我们进一步报道了聚合物表面的多层芯片设计,用于基于核酸的样本到答案测试,同时降低了电压和功率要求,使其适合现场部署。成功地测试了几组含有不同水平虫媒病毒的人类和蚊子样本,以确定这种低成本一次性诊断技术的敏感性和准确性。
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引用次数: 1
Tabla: An acoustic device designed for low cost pneumonia detection 手鼓:一种用于低成本肺炎检测的声学装置
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227612
Adam Rao, Jorge Ruiz, Chen Bao, Shuvo Roy
Every year pneumonia is the cause of death for over a million people worldwide, with most of these deaths occurring in areas that do not have access to advanced medical infrastructure. Current methods of diagnosis include physical exam findings and chest x-rays, which can greatly facilitate treatment but are limited by interobserver error and availability. Using rapid prototyping techniques, we have developed a non-invasive acoustic proof of concept device that computes the transfer function of the chest to characterize the accumulation of fluid in the lungs caused by pneumonia. Difference in sound transmission at 500 Hz is presented as a marker of acoustic mismatch. Preliminary data is presented for a pneumonia patient with a 10 dB difference at 500 Hz between healthy and consolidated lung. Our device relies on methods which are low cost to implement and simple to administer, and if successful, will provide an inexpensive and rapid method for pneumonia diagnosis.
全世界每年有100多万人死于肺炎,其中大多数死亡发生在无法获得先进医疗基础设施的地区。目前的诊断方法包括体格检查结果和胸部x光检查,这可以极大地促进治疗,但受观察者间误差和可获得性的限制。使用快速原型技术,我们开发了一种非侵入性声学概念验证设备,该设备可以计算胸部的传递函数,以表征肺炎引起的肺部积液。在500赫兹时,声音传输的差异被认为是声音失配的标志。初步资料提出了一个肺炎病人,在500赫兹时,健康和实变肺之间有10分贝的差异。我们的设备依赖于低成本实施和简单管理的方法,如果成功,将提供一种廉价和快速的肺炎诊断方法。
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引用次数: 7
Enhancing the drug encapsulation efficiency of liposomes for therapeutic delivery 提高脂质体的药物包封效率
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227603
Steven A. Roberts, Nitin Agrawal
Nano-delivery vehicles have been a staple in point of care innovations for nearly two decades. Chief among these are liposomes, which are one of the best developed FDA delivery systems. A critical step of the optimization process is the loading of drugs within the core of the nano-carrier, known as encapsulation. Several procedures have been developed to increase the encapsulation efficiency, however, none are universal and can often change the native form of the drug. Here, we highlight an approach for rapidly and efficiently loading liposomes with the chemotherapeutic, Doxorubicin. We then use this method to deliver liposomal drugs to cancer cells in vitro.
近二十年来,纳米运载工具一直是医疗点创新的主要内容。其中最主要的是脂质体,这是FDA开发最好的输送系统之一。优化过程的关键步骤是在纳米载体的核心内装载药物,称为封装。已经开发了几种方法来提高包封效率,然而,没有一种是通用的,并且经常可以改变药物的天然形式。在这里,我们重点介绍了一种快速有效地将化疗药物阿霉素装入脂质体的方法。然后我们用这种方法在体外将脂质体药物输送到癌细胞中。
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引用次数: 1
Heart rate compression & time reduction method for HRV monitoring in athletes 运动员HRV监测的心率压缩缩短时间方法
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227607
Sajad Darabi, B. Moatamed, Wenhao Huang, Migyeong Gwak, Casey J. Metoyer, Mike Linn, M. Sarrafzadeh
Heart rate variability (HRV), a feature extracted from the heart rate signal, is commonly used for monitoring training loads, and fitness status within athletes. Various sensors can be used to ascertain HRV within athletes; two of which are considered within this investigation, namely PPG and ECG. We present methods for HRV collection and calculation using PPG, reducing HRV collection time requirement by 50%, and compressing signals by an order of 6x for effective field-based data collection.
心率变异性(HRV)是一种从心率信号中提取的特征,通常用于监测运动员的训练负荷和健康状况。各种传感器可用于确定运动员体内的HRV;本研究考虑了其中两种,即PPG和ECG。我们提出了利用PPG收集和计算HRV的方法,将HRV收集时间减少了50%,并将信号压缩了6倍,从而实现了有效的现场数据收集。
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引用次数: 1
Toward wearable, crowd-sourced air quality monitoring for respiratory disease 面向可穿戴式、众源式呼吸系统疾病空气质量监测
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227604
Paul E. Stevenson, Hany M Arafa, S. Ozev, H. M. Ross, J. Christen
In this work, we demonstrate the alpha prototype for a wearable air quality sensor system. This system will be used to create precise, high-resolution maps of the environment to help individuals with respiratory disease track their response to pollutants, determine when to pre-medicate, or avoid areas with poor air quality altogether. The data from such a map will provide improved accuracy over the single air quality index value provided for large metropolitan areas. We provide data from continuous monitoring over several locations to demonstrate the difference that can be observed within a small geographic area.
在这项工作中,我们展示了可穿戴空气质量传感器系统的alpha原型。该系统将用于创建精确的高分辨率环境地图,以帮助呼吸系统疾病患者跟踪他们对污染物的反应,确定何时进行预用药,或完全避开空气质量差的地区。这种地图的数据将比为大城市地区提供的单一空气质量指数值提供更高的准确性。我们提供了几个地点的连续监测数据,以证明在一个小地理区域内可以观察到的差异。
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引用次数: 7
Human factors engineering for mobile health applications 移动医疗应用的人为因素工程
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227573
Chad Snyder, J. Christen, H. M. Ross
Childhood asthma has effectively doubled since 1980 and currently affects about 8% of the U.S. childhood population. Efficiently analyzing quality of air data, which would ultimately improve the information available to parents with children suffering from asthma, is crucial to reduce the likelihood of a serious attack. In order to accomplish this task, the use of low-cost, wearable, environmental sensors contribute to construct a live “air-care” pollution map. Creating an alpha prototype application to gauge how well participants interact with and interpret healthcare information utilizing a “Wizard of Oz” paradigm becomes an important component in the research.
自1980年以来,儿童哮喘实际上翻了一番,目前影响了约8%的美国儿童人口。有效地分析空气数据的质量对降低严重哮喘发作的可能性至关重要,这将最终改善哮喘患儿家长可获得的信息。为了完成这项任务,使用低成本、可穿戴的环境传感器有助于构建实时的“空气护理”污染地图。创建alpha原型应用程序来衡量参与者如何使用“绿野仙踪”范式与医疗保健信息进行交互和解释,这成为研究中的一个重要组成部分。
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引用次数: 3
A novel clip-on for smartphone dermoscopy in India 一种新颖的夹式智能手机皮肤镜在印度
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227594
Aparajita Sahoo, A. Wahi, Sonali Patel, S. Poojary, Saurabh Jaiswal, Anshuman Das
Dermoscopy is the in vivo technique of skin surface microscopy which is frequently used in visual examination of the skin. With the rise in the usage of smartphones, many smartphone attachments have been developed that enable dermoscopy on a phone but these attachments are very expensive and are available only for high-end phones. We have developed a novel 3D printed clip-on that can convert any smartphone into a polarizing dermoscope at a price which is highly affordable than the existing devices and is universal in its design. After visual examination and comparing images taken by both the devices using Structural Similarity Index (SSIM), we found the images to be highly similar. This clip-on for smartphones is one of the first prototypes using techniques of 3D printing which can make dermoscopy affordable, especially in developing countries like India. There is an acute need for such devices by clinicians practicing in remote areas, where such clip-ons can help in improving the preliminary visual examination of a large number of patients.
皮肤镜检查是一种活体皮肤表面显微技术,经常用于皮肤的目视检查。随着智能手机使用量的增加,许多智能手机附件已经开发出来,可以在手机上进行皮肤镜检查,但这些附件非常昂贵,只适用于高端手机。我们开发了一种新颖的3D打印夹子,可以将任何智能手机转换为偏光皮肤镜,其价格比现有设备便宜得多,而且在设计上是通用的。经过目视检查和使用结构相似指数(SSIM)比较两种设备拍摄的图像后,我们发现图像高度相似。这款夹式智能手机是首批使用3D打印技术的原型产品之一,这种技术可以让人们负担得起皮肤镜检查,尤其是在印度等发展中国家。在偏远地区执业的临床医生迫切需要这种设备,在那里,这种夹子可以帮助改善大量患者的初步视力检查。
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引用次数: 0
Design and demonstration of the transmission, reflection, and intensity (TRI)-analyzer instrument for portable spectroscopy 便携式光谱学透射、反射、强度(TRI)分析仪的设计与演示
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227632
K. Long, Elizabeth V. Woodbum, B. Cunningham
In this paper, a smartphone-integrated optical cradle is designed, developed and used to perform three modalities of optical biosensing including absorptive transmission, photonic-resonance based reflection, and fluorescence intensity. Proof-of-concept demonstration of two off-the-shelf diagnostic tests for maternal and child health biomarkers is completed and compared with a traditional laboratory instrument.
本文设计、开发了一种集成智能手机的光学支架,并用于执行三种模式的光学生物传感,包括吸收传输、基于光子共振的反射和荧光强度。完成了两种现成的母婴健康生物标志物诊断测试的概念验证演示,并与传统实验室仪器进行了比较。
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引用次数: 0
期刊
2017 IEEE Healthcare Innovations and Point of Care Technologies (HI-POCT)
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