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1.
Mikrochim Acta ; 191(3): 134, 2024 02 14.
Artículo en Inglés | MEDLINE | ID: mdl-38353778

RESUMEN

Salivary pH serves as a valuable and useful diagnostic marker for periodontal disease, as it not only plays a critical role in disease prevention but also in its development. Typically, saliva sampling is collected by draining and spitting it into collection tubes or using swabs. In this study, we have developed a Point-of-Care (POC) device for in situ determination of oral pH without the need for complex instruments, relying solely on a smartphone as the detection device. Our system utilizes a non-toxic vegetable colourimetric indicator, immobilized on a chitosan membrane located on a disposable stick, enabling direct sampling within the buccal cavity. An ad hoc designed 3D-printed attachment is used to ensure accurate positioning and alignment of the stick, as well as isolation from external lighting conditions. A custom-developed smartphone application captures and automatically processes the image of the sensing membrane, providing the salivary pH results. After optimizing the cocktail composition, the developed sensors demonstrated the capacity to determine pH within a range of 5.4 to 8.1 with a remarkable precision of 0.6%, achieving a very short analysis time of just 1 min. A stability study conducted on the sensing membranes revealed a lifetime of 50 days. To validate the performance of our analytical device, we compared its results against those obtained from a calibrated pH-meter, using a group of individuals. The device exhibited an average error of 2.4% when compared with the pH-meter results, confirming its reliability and accuracy.


Asunto(s)
Quitosano , Teléfono Inteligente , Humanos , Sistemas de Atención de Punto , Reproducibilidad de los Resultados , Concentración de Iones de Hidrógeno
2.
Lab Chip ; 23(18): 4092-4103, 2023 Sep 13.
Artículo en Inglés | MEDLINE | ID: mdl-37615614

RESUMEN

Understanding the phenomenon of liquid wicking in porous media is crucial for various applications, including the transportation of fluids in soils, the absorption of liquids in textiles and paper, and the development of new and efficient microfluidic paper-based analytical devices (µPADs). Hence, accurate and real-time monitoring of the liquid wicking process is essential to enable precise flow transport and control in microfluidic devices, thus enhancing their performance and usefulness. However, most existing flow monitoring strategies require external instrumentation, are generally bulky and unsuitable for portable systems. In this work, we present a portable, compact, and cost-effective electronic platform for real-time and wireless flow monitoring of liquid wicking in paper strips. The developed microcontroller-based system enables flow and flow rate monitoring based on the capacitance measurement of a pair of electrodes patterned beneath the paper strip along the liquid path, with an accuracy of 4 fF and a full-scale range of 8 pF. Additionally to the wired transmission of the monitored data to a computer via USB, the liquid wicking process can be followed in real-time via Bluetooth using a custom-developed smartphone application. The performance of the capacitive monitoring platform was evaluated for different aqueous solutions (purified water and 1 M NaCl solution), various paper strip geometries, and several custom-made chemical valves for flow retention (chitosan-, wax-, and sucrose-based barriers). The experimental validation delivered a full-scale relative error of 0.25%, resulting in an absolute capacitance error of ±10 fF. In terms of reproducibility, the maximum uncertainty was below 10 nl s-1 for flow rate determination in this study. Furthermore, the experimental data was compared and validated with numerical analysis through electrical and flow dynamics simulations in porous media, providing crucial information on the wicking process, its physical parameters, and liquid flow dynamics.

3.
Sensors (Basel) ; 23(13)2023 Jun 29.
Artículo en Inglés | MEDLINE | ID: mdl-37447871

RESUMEN

The world of elite sports has always been characterized by intense competition, where victories are often determined by minimal differences. This means that every little detail in the preparation of top-level athletes is crucial to their performance at the highest level. One of the most significant aspects to monitor is the jumping capacity, as it enables the measurement of performance, progression, and helps prevent injuries. Herein, we present the development of a system capable of measuring the flight time and height reached by the user, reporting the results through a smartphone using an Android ad-hoc application, which handles all the data processing. The system consists of an affordable and portable circuit based on an accelerometer. It communicates with the smartphone via UART using a Bluetooth module, and its battery provides approximately 9 h of autonomy, making it suitable for outdoor operations. To evaluate the system's precision, we conducted performance tests (counter-movement jumps) with seven subjects. The results confirmed the system's potential for monitoring high-level sports training sessions, as the average deviation obtained was only 2.1% (~0.01 s) in the analysis of flight time and 4.6% (~0.01 m) in jump height.


Asunto(s)
Rendimiento Atlético , Deportes , Humanos , Movimiento , Teléfono Inteligente , Fenómenos Biomecánicos
4.
Biosens Bioelectron ; 230: 115268, 2023 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-37030262

RESUMEN

The COVID-19 pandemic has highlighted the need for innovative approaches to its diagnosis. Here we present CoVradar, a novel and simple colorimetric method that combines nucleic acid analysis with dynamic chemical labeling (DCL) technology and the Spin-Tube device to detect SARS-CoV-2 RNA in saliva samples. The assay includes a fragmentation step to increase the number of RNA templates for analysis, using abasic peptide nucleic acid probes (DGL probes) immobilized to nylon membranes in a specific dot pattern to capture RNA fragments. Duplexes are formed by labeling complementary RNA fragments with biotinylated SMART bases, which act as templates for DCL. Signals are generated by recognizing biotin with streptavidin alkaline phosphatase and incubating with a chromogenic substrate to produce a blue precipitate. CoVradar results are analysed by CoVreader, a smartphone-based image processing system that can display and interpret the blotch pattern. CoVradar and CoVreader provide a unique molecular assay capable of detecting SARS-CoV-2 viral RNA without the need for extraction, preamplification, or pre-labeling steps, offering advantages in terms of time (∼3 h/test), cost (∼€1/test manufacturing cost) and simplicity (does not require large equipment). This solution is also promising for developing assays for other infectious diseases.


Asunto(s)
Técnicas Biosensibles , COVID-19 , Aplicaciones Móviles , Humanos , COVID-19/diagnóstico , SARS-CoV-2/genética , ARN Viral/genética , ARN Viral/análisis , Pandemias , Técnicas Biosensibles/métodos , Teléfono Inteligente , Técnicas de Amplificación de Ácido Nucleico/métodos
5.
Sensors (Basel) ; 22(11)2022 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-35684732

RESUMEN

In this work, we present a ballistocardiographic (BCG) system for the determination of heart and breath rates and activity of a user lying in bed. Our primary goal was to simplify the analog and digital processing usually required in these kinds of systems while retaining high performance. A novel sensing approach is proposed consisting of a white LED facing a digital light detector. This detector provides precise measurements of the variations of the light intensity of the incident light due to the vibrations of the bed produced by the subject's breathing, heartbeat, or activity. Four small springs, acting as a bandpass filter, connect the boards where the LED and the detector are mounted. Owing to the mechanical bandpass filtering caused by the compressed springs, the proposed system generates a BCG signal that reflects the main frequencies of the heartbeat, breathing, and movement of the lying subject. Without requiring any analog signal processing, this device continuously transmits the measurements to a microcontroller through a two-wire communication protocol, where they are processed to provide an estimation of the parameters of interest in configurable time intervals. The final information of interest is wirelessly sent to the user's smartphone by means of a Bluetooth connection. For evaluation purposes, the proposed system has been compared with typical BCG systems showing excellent performance for different subject positions. Moreover, applied postprocessing methods have shown good behavior for information separation from a single-channel signal. Therefore, the determination of the heart rate, breathing rate, and activity of the patient is achieved through a highly simplified signal processing without any need for analog signal conditioning.


Asunto(s)
Balistocardiografía , Humanos , Balistocardiografía/métodos , Frecuencia Cardíaca/fisiología , Procesamiento de Señales Asistido por Computador , Sueño
6.
Ultrason Sonochem ; 76: 105654, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34198128

RESUMEN

Antioxidant products present a very high added value and are demanded in the market. The optimization of their extraction is a high-stakes matter for both economic and environmental points of view. Ultrasound extraction has been considered one of the most promising methods, so the relative importance of key parameters may have decisive economic significance. For this reason, different parameters that have influence on the extraction capacity such as ultrasound power, time, temperature, pH and % ethanol in water have been studied to know the relationships between the independent parameters and their influence on the extraction from Eucalyptus globulus leaves. An experimental Box-Behnken factorial design and subsequent analysis by neural networks have been used. The relative influence of each parameter varies according to the nature of the extracted compound. In this regard, the higher capacity of extraction of the selected antioxidant compounds by means of the variation of the operation conditions can be facilitated. For all the studied compounds, temperature has been the most important parameter for their extraction. The relative content (%) of bioactive compounds (terpenes) in the optimized Eucalyptus globulus extract has been performed by GC-MS analysis.


Asunto(s)
Antioxidantes/aislamiento & purificación , Antioxidantes/farmacología , Eucalyptus/química , Hojas de la Planta/química , Ondas Ultrasónicas , Antioxidantes/química , Concentración de Iones de Hidrógeno , Temperatura , Factores de Tiempo
7.
Med Phys ; 48(9): 5440-5447, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-33955015

RESUMEN

PURPOSE: The response to radiation typically used in radiotherapy treatments has been experimentally evaluated for three samples of two phototransistors (BPW85B and OP505A) and two PIN photodiodes types (VTB8440BH and BPW34S). METHODS: To that end, a staggered irradiation cycle has been applied which included dose rate values from 0.81 to 4.87 cGy/s, achieving a total absorbed dose of 21.4 Gy. The samples have been irradiated with a linear accelerator and the relations between the induced photocurrent and the average and instantaneous dose rates, and between the accumulated charge and the absorbed dose, have been determined. The radiation-induced output currents were measured by means of an external interface of the devices to a previously designed readout unit. RESULTS: Experimental results of Si PIN photodiode BPW34S have shown a sensitivity of (13.9 ± 0.5) nC/cGy, slight sensitivity dependence on dose rate, and a high linearity of the current with the average and instantaneous dose rate, requiring only 10 V of reverse bias voltage. This device thermal drift has characterized and modeled for temperature effect compensation. CONCLUSIONS: Silicon PIN photodiode BPW34S, previously tested for X-rays and Co-60 gamma ray source, can also be a reliable candidate for dose rate and absorbed skin dose determination in typical radiotherapy treatments irradiations. A low sensitivity loss below 2% up to 21.4 Gy has been measured, allowing its use as an affordable reusable skin dosimeter. Moreover, no significant difference has been observed between its response to dose-per-pulse and changing pulse repetition frequency in terms of sensitivity and dependence with dose-rate value.


Asunto(s)
Dosímetros de Radiación , Radiometría , Aceleradores de Partículas , Fotones , Rayos X
8.
Sensors (Basel) ; 21(7)2021 Apr 02.
Artículo en Inglés | MEDLINE | ID: mdl-33918498

RESUMEN

In skiing it is important to know how the skier accelerates and inclines the skis during the turn to avoid injuries and improve technique. The purpose of this pilot study with three participants was to develop and evaluate a compact, wireless, and low-cost system for detecting the inclination and acceleration of skis in the field based on inertial measurement units (IMU). To that end, a commercial IMU board was placed on each ski behind the skier boot. With the use of an attitude and heading reference system algorithm included in the sensor board, the orientation and attitude data of the skis were obtained (roll, pitch, and yaw) by IMU sensor data fusion. Results demonstrate that the proposed IMU-based system can provide reliable low-drifted data up to 11 min of continuous usage in the worst case. Inertial angle data from the IMU-based system were compared with the data collected by a video-based 3D-kinematic reference system to evaluate its operation in terms of data correlation and system performance. Correlation coefficients between 0.889 (roll) and 0.991 (yaw) were obtained. Mean biases from -1.13° (roll) to 0.44° (yaw) and 95% limits of agreements from 2.87° (yaw) to 6.27° (roll) were calculated for the 1-min trials. Although low mean biases were achieved, some limitations arose in the system precision for pitch and roll estimations that could be due to the low sampling rate allowed by the sensor data fusion algorithm and the initial zeroing of the gyroscope.


Asunto(s)
Esquí , Aceleración , Algoritmos , Fenómenos Biomecánicos , Humanos , Proyectos Piloto
9.
Biotechnol Biofuels ; 14(1): 89, 2021 Apr 08.
Artículo en Inglés | MEDLINE | ID: mdl-33827634

RESUMEN

BACKGROUND: Burning fast-growing trees for energy production can be an effective alternative to coal combustion. Thus, lignocellulosic material, which can be used to obtain chemicals with a high added value, is highly abundant, easily renewed and usually inexpensive. In this work, hemicellulose extraction by acid hydrolysis of plant biomass from three different crops (Chamaecytisus proliferus, Leucaena diversifolia and Paulownia trihybrid) was modelled and the resulting solid residues were used for energy production. RESULTS: The influence of the nature of the lignocellulosic raw material and the operating conditions used to extract the hemicellulose fraction on the heat capacity and activation energy of the subsequent combustion process was examined. The heat power and the activation energy of the combustion process were found to depend markedly on the hemicellulose content of the raw material. Thus, a low content in hemicelluloses resulted in a lower increased energy yield after acid hydrolysis stage. The process was also influenced by the operating conditions of the acid hydrolysis treatment, which increased the gross calorific value (GCV) of the solid residue by 0.6-9.7% relative to the starting material. In addition, the activation energy of combustion of the acid hydrolysis residues from Chamaecytisus proliferus (Tagasaste) and Paulownia trihybrid (Paulownia) was considerably lower than that for the starting materials, the difference increasing with increasing degree of conversion as well as with increasing temperature and acid concentration in the acid hydrolysis. The activation energy of combustion of the solid residues from acid hydrolysis of tagasaste and paulownia decreased markedly with increasing degree of conversion, and also with increasing temperature and acid concentration in the acid hydrolysis treatment. No similar trend was observed in Leucaena diversifolia (Leucaena) owing to its low content in hemicelluloses. CONCLUSIONS: Acid hydrolysis of tagasaste, leucaena and paulownia provided a valorizable liquor containing a large amount of hemicelluloses and a solid residue with an increased heat power amenable to efficient valorization by combustion. There are many potential applications of the hemicelluloses-rich and lignin-rich fraction, for example as multi-components of bio-based feedstocks for 3D printing, for energy and other value-added chemicals.

10.
ACS Omega ; 5(33): 20810-20816, 2020 Aug 25.
Artículo en Inglés | MEDLINE | ID: mdl-32875215

RESUMEN

The valorization of urban solid waste compost (MSW) in two different composting conditions (different aeration and humidity) has been studied (we work with the hypothesis that the composting process can have a significant influence on a subsequent pyrolysis process). The influence of composting on subsequent pyrolysis of the material was assessed by examining the kinetics of the process, maximizing hydrogen production and minimizing the activation energy. The thermogravimetric analysis carried out on the samples have shown that they have a greater loss of weight of 9-14% at 270-275 °C and 22-27% at 444-446 °C. Using the Kissinger-Akahira-Sunose method, the activation energy values are found to be in the range of 57.78-581.69 kJ mol-1, and the assumption that pyrolysis of compost could be modeled by a first-order reaction may be a suitable approximation. The analysis of the gases produced from the pyrolysis process revealed that hydrogen increases in concentration as composting time advances until intermediate time. In this form, the composting process could be a suitable previous treatment for improving the pyrolysis process. In fact, decreasing aeration and moisture in the MSW composting process led to the production of an increased amount of hydrogen (8.3%) by pyrolysis of the resulting compost and also to a decreased activation energy (102.8 kJ mol-1). These effects were also observed before the end of the composting process in the form of maximum hydrogen production and minimum activation energy after 20 days.

11.
Sensors (Basel) ; 20(6)2020 Mar 11.
Artículo en Inglés | MEDLINE | ID: mdl-32168978

RESUMEN

Safe quality control of radiotherapy treatments lies in reliable dosimetric sensors. Currently, ionization chambers and solid-state diodes along with electrometers as readout systems are accomplishing this task. In this work, we present a well-known and low-cost semiconductor sensor, the light-dependent resistor (LDR), as an alternative to the existing sensing devices for dosimetry. To demonstrate this, a complete characterization of the response to radiation of commercial LDRs has been conducted in terms of sensitivity, reproducibility and thermal correction under different bias voltages. Irradiation sessions have been applied under the common conditions in radiotherapy treatments using a hospital linear accelerator. Moreover, the same electrometer used for the ionization chamber has also been successfully used for LDRs. In comparison with the sensitivity achieved for the ionization chamber (0.2 nC/cGy at 400 V bias voltage), higher sensitivities have been measured for the proposed LDRs, ranging from 0.24 to 1.04 nC/cGy at bias voltages from 30 to 150 V, with a reproducibility uncertainty among samples of around 10%. In addition, LDR temperature dependence has been properly modeled using the simple thermistor model so that an easy thermal drift correction of dose measurements can be applied. Therefore, experimental results show that LDRs can be a reliable alternative to dosimetric sensors with the advantages of low size, affordable cost and the fact that it could be adopted with minimal changes in routine dosimetry quality control since the same readout system is fully compatible.


Asunto(s)
Electrónica Médica/instrumentación , Radiometría/instrumentación , Dosificación Radioterapéutica , Equipos y Suministros Eléctricos , Electrónica Médica/normas , Diseño de Equipo , Luz , Modelos Biológicos , Sensibilidad y Especificidad , Temperatura
12.
Am J Hosp Palliat Care ; 37(8): 594-599, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31726853

RESUMEN

PURPOSE: To examine quality indicators of end-of-life (EOL) care among privately insured people with cancer in Brazil. METHODS: We evaluated medical records linked to health insurance databank to study consecutive patients who died of cancer. We collected information about demographics, cancer type, and quality indicators of EOL care including emergency department (ED) visits, intensive care unit (ICU) admissions, chemotherapy use, medical imaging utilization, blood transfusions, home care support, days of inpatient care, and hospital deaths. RESULTS: We included 865 patients in the study. In the last 30 days of life, 62% visited the ED, 33% were admitted to the ICU, 24% received blood transfusions, and 51% underwent medical imaging. Only 1% had home care support in the last 60 days of life, and 29% used chemotherapy in the last 14 days of life. Patients had an average of 8 days of inpatient care and 52% died in the hospital. Patients with advanced cancer who used chemotherapy were more likely to visit the ED (78% vs 59%; P < .001), undergo medical imaging (67% vs 51%; P < .001), and die in the hospital (73% vs 50%; P = .03) than patients who did not use chemotherapy. In the multivariate analysis, chemotherapy use near death and advanced cancer were associated with ED visits and ICU admissions, respectively (odds ratio >1). CONCLUSION: Our study suggests that privately insured people with cancer receive poor quality EOL care in Brazil. Further research is needed to assess the impact of improvements in palliative care provision in this population.


Asunto(s)
Seguro de Salud/estadística & datos numéricos , Neoplasias/epidemiología , Aceptación de la Atención de Salud/estadística & datos numéricos , Sector Privado/estadística & datos numéricos , Calidad de la Atención de Salud/estadística & datos numéricos , Cuidado Terminal/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , Antineoplásicos/efectos adversos , Brasil , Femenino , Servicios de Salud/estadística & datos numéricos , Servicios de Atención de Salud a Domicilio/estadística & datos numéricos , Hospitalización/estadística & datos numéricos , Humanos , Persona de Mediana Edad , Neoplasias/tratamiento farmacológico , Cuidados Paliativos/estadística & datos numéricos , Indicadores de Calidad de la Atención de Salud , Estudios Retrospectivos , Índice de Severidad de la Enfermedad , Factores Socioeconómicos
13.
Biosens Bioelectron ; 141: 111360, 2019 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-31176114

RESUMEN

A versatile, compact and low-cost analytical platform has been designed, tested and validated to be used in the point-of-care settings. This passive measurement system is powered and complemented by a standard smartphone including a programmed application for measurement configuration and data processing as well as wireless results sharing. Electrochemical and electrochemiluminescence analytical techniques can be configured and realized by this platform that employs standard screen-printed electrodes for the sample managing and off-the-shelf electronic components. The power, electrical and optical signal processing have been studied in depth. The system can harvest energy up to 22.5 mW, set up a voltage in the range of ±1.15 V, and measure potentials in a range of 600 mV with an uncertainty of 1 mV, and current from 2 µA to 0.75 mA with a resolution of 1.1 µA. Moreover, standard tests have been performed to the platform consisting of amperometric, potentiometric, cyclic voltammetry and electrochemiluminescent analytical techniques, showing excellent agreement with a reference instrument. Finally, our design has also been applied to glucose, pH and H2O2 determinations, providing the full analytical parameters which are in very good agreement with the reference instrument results. Ranges (0.065-0.75 M, 0.62-100 mM and 3-9 pH units for glucose, H2O2 and pH, respectively) and limits of detection (0.024 M and 0.03 mM for glucose and H2O2, respectively) make this low-cost platform (

Asunto(s)
Técnicas Biosensibles/instrumentación , Sistemas de Atención de Punto , Teléfono Inteligente/instrumentación , Diseño de Equipo , Glucosa/análisis , Humanos , Peróxido de Hidrógeno/análisis , Concentración de Iones de Hidrógeno , Límite de Detección , Tecnología Inalámbrica/instrumentación
14.
Med. crít. (Col. Mex. Med. Crít.) ; 32(5): 285-289, sep.-oct. 2018. tab, graf
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1114995

RESUMEN

Resumen: Introducción: La detección temprana de sepsis es fundamental para disminuir la mortalidad de este padecimiento. Hasta el momento, ninguna escala clínica ni biomarcador ha sido útil en su diagnóstico y detección precoz. Los niveles de actividad de la acetilcolinesterasa se han propuesto como un biomarcador muy prometedor para la detección de sepsis y choque séptico. Objetivo: Estudiar la utilidad de los niveles de acetilcolinesterasa en el diagnóstico de sepsis. Material y métodos: Estudio observacional y prospectivo, en pacientes de la Unidad de Cuidados Intensivos del Hospital San Ángel Inn Universidad con diagnóstico de inestabilidad hemodinámica, clasificados con presencia o no de sepsis, tomándose niveles de acetilcolinesterasa al ingreso. Resultados: Se evaluaron 44 pacientes, 27% con sepsis. Los valores de acetilcolinesterasa tuvieron validez diagnóstica para predecir sepsis (AUC: 0.852 IC 95%: 0.726-0.977, p < 0.001), con un punto de corte de 3,956 U/L, sensibilidad = 81%, especificidad = 75%. El valor de neutrófilos con corte < 74% también tuvo valor predictor de sepsis (AUC: 0,710 IC 95%: 0,512-0,907, p = 0.034) sensibilidad = 75%, especificidad = 75%. Conclusiones: En pacientes con inestabilidad hemodinámica con niveles de acetilcolinesterasa mayores de 4,000 U/L se descarta sepsis como causa de choque.


Abstract: Introduction: Early detection of sepsis is essential to reduce mortality from this condition. So far, no clinical scale or biomarker has been useful in its diagnosis and early detection. Levels of acetylcholinesterase activity have been proposed as a very promising biomarker for the detection of sepsis and septic shock. Objective: To study the usefulness of acetylcholinesterase levels in the diagnosis of sepsis. Material and methods: Observational and prospective study in patients of the Intensive Care Unit of the Hospital San Ángel Inn Universidad with diagnosis of hemodynamic instability, classified with or without sepsis, taking acetylcholinesterase levels at admission. Results: 44 patients were evaluated, 27% with sepsis. The acetylcholinesterase values ​​presented a normal distribution and had diagnostic validity to predict sepsis (AUC: 0.852 95% CI: 0.726-0.977, p < 0.001), with a cut-off value of < 3,956 U/L, sensitivity = 81%, specificity = 75%. The value of neutrophils with a cut < 74% also had a predictive value of sepsis (AUC: 0.710 95% CI: 0.512-0.907, p = 0.034) sensitivity = 75%, specificity = 75%. Conclusions: In patients with hemodynamic instability with acetylcholinesterase levels greater than 4,000 U/L, sepsis is ruled out as the cause of shock.


Resumo: Introdução: A detecção precoce da sepse é fundamental para reduzir a mortalidade desta doença. Até agora nenhuma escala clínica ou biomarcador tem sido útil em seu diagnóstico e detecção precoce. Os níveis de atividade da acetilcolinesterase têm sido propostos como um biomarcador muito promissor para a detecção de sepse e choque séptico. Objetivo: Estudar a utilidade dos níveis de acetilcolinesterase no diagnóstico da sepse. Material e métodos: Estudo observacional e prospectivo, realizado em pacientes da unidade de terapia intensiva do Hospital Universitário San Ángel Inn, com diagnóstico de instabilidade hemodinâmica, classificados com ou sem a presença de sepse, obtendo os níveis de acetilcolinesterase na admissão. Resultados: Foram avaliados 44 pacientes, 27% com sepse. Os valores de acetilcolinesterase apresentaram validade diagnóstica para predizer sepse (AUC: 0.852 IC 95%: 0.726-0.977, p < 0.001), com valor de corte 3956 U/L, sensibilidade = 81%, especificidade = 75%. O valor de neutrófilos com um corte < 74% também teve um valor preditivo de sepsis (AUC: 0.710 IC 95%: 0.512-0.907, p = 0.034) sensibilidade = 75%, especificidade = 75%. Conclusões: Em pacientes com instabilidade hemodinâmica com níveis de acetilcolinesterase superiores a 4,000 U/L a sepse é descartada como causa de choque.

15.
Comput Methods Programs Biomed ; 143: 97-111, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28391823

RESUMEN

BACKGROUND AND OBJECTIVE: There are many work related with segmentation techniques, including nearest neighbor algorithm, fuzzy rules, morphological filters, image entropy, thresholding, machine learning, wavelet analysis, and so on. Such methods carry out the segmentation, but take a lot of processing time by modifying the content of the image or showing discern problems in homogeneous areas, and the segmentation technique is designed to work efficiently only with the techniques used. In this paper a method to segment mammograms in order to separate breast area from pectoral-muscle avoiding bright areas that produce noise and therefore reducing false-positives is presented. METHODS: The proposed methodology is divided into four sections: 1) Pre-processing to acquire image and decreasing its size. 2) Improving the image quality through image thresholding and histogram equalization. 3) Localization of regions of interest (ROI) applying Scale-Invariant Feature Transform to find image's descriptors. Clustering methods were implemented to determine the best number of clusters and which of these represent the most significant breast area. Then found ROI's coordinates are compared with the position of abnormalities diagnosed by the Mammographic Image Analysis Society. 4) Microcalcifications (mcc) detection; wavelet transform is used, and to enhance its performance different high-pass filters and high-frequency emphasis filters are evaluated. Symlet wavelets: Sym8 and Sym16 were used with different decomposition level; images results from both processes are compared and only those elements in common are detected as microcalcifications. RESULTS: Moreover, muscle's remnants in the corners of the regions of interest were removed using fuzzy c-means clustering. The best results in terms of sensitivity (91.27), false-positives per image (80.25), and precision (74.38) are compared with previous work. CONCLUSIONS: Results shows that the breast area can be discriminated from the pectoral-muscle by avoiding to work with brightness areas that produces false positives. Moreover, because the image size is reduced the computer processing time will be decreased. This segmentation stage can be an addition to mammograms analysis broadly, not only to find mcc but abnormalities such as circumscribed masses, speculated masses and architectural distortion. Also is useful to create automatically an unsupervised segmentation in mammograms without stage of training.


Asunto(s)
Neoplasias de la Mama/diagnóstico por imagen , Mama/diagnóstico por imagen , Mamografía/métodos , Interpretación de Imagen Radiográfica Asistida por Computador/métodos , Algoritmos , Calcinosis , Análisis por Conglomerados , Reacciones Falso Positivas , Femenino , Lógica Difusa , Humanos , Procesamiento de Imagen Asistido por Computador , Modelos Estadísticos , Músculos , Músculos Pectorales/diagnóstico por imagen , Valor Predictivo de las Pruebas , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Análisis de Ondículas
16.
Sensors (Basel) ; 16(7)2016 Jul 14.
Artículo en Inglés | MEDLINE | ID: mdl-27428973

RESUMEN

This work presents the design, fabrication, and characterization of a passive printed radiofrequency identification tag in the ultra-high-frequency band with multiple optical sensing capabilities. This tag includes five photodiodes to cover a wide spectral range from near-infrared to visible and ultraviolet spectral regions. The tag antenna and circuit connections have been screen-printed on a flexible polymeric substrate. An ultra-low-power microcontroller-based switch has been included to measure the five magnitudes issuing from the optical sensors, providing a spectral fingerprint of the incident electromagnetic radiation from ultraviolet to infrared, without requiring energy from a battery. The normalization procedure has been designed applying illuminants, and the entire system was tested by measuring cards from a colour chart and sensing fruit ripening.

17.
Anal Bioanal Chem ; 408(11): 3013-20, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26869344

RESUMEN

A portable reconfigurable platform for copper (Cu(II)) determination based on luminescent carbon dot (Cdots) quenching is described. The electronic setup consists of a light-emitting diode (LED) as the carbon dot optical exciter and a photodiode as a light-to-current converter integrated in the same instrument. Moreover, the overall analog conditioning is simply performed with one integrated solution, a field-programmable analog array (FPAA), which makes it possible to reconfigure the filter and gain stages in real time. This feature provides adaptability to use the platform as an analytical probe for carbon dots coming from different batches with some variations in luminescence characteristics. The calibration functions obtained that fit a modified Stern-Volmer equation were obtained using luminescence signals from Cdots quenching by Cu(II). The analytical applicability of the reconfigurable portable instrument for Cu(II) using Cdots has been successfully demonstrated in tap water analysis.


Asunto(s)
Carbono/química , Cobre/análisis , Luminiscencia , Estándares de Referencia , Difracción de Rayos X
18.
Waste Manag ; 48: 174-180, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26445365

RESUMEN

The composting process produces and emits hundreds of different gases. Volatile organic compounds (VOCs) can provide information about progress of composting process. This paper is focused on the qualitative and quantitative relationships between compost age, as sign of compost maturity, electronic-nose (e-nose) patterns and composition of compost and composting gas at an industrial scale plant. Gas and compost samples were taken at different depths from composting windrows of different ages. Temperature, classical chemical parameters, O2, CO, combustible gases, VOCs and e-nose profiles were determined and related using principal component analysis (PCA). Factor analysis carried out to a data set including compost physical-chemical properties, pile pore gas composition and composting time led to few factors, each one grouping together standard composting parameters in an easy to understand way. PCA obtained from e-nose profiles allowed the classifying of piles, their aerobic-anaerobic condition, and a rough estimation of the composting time. That would allow for immediate and in-situ assessment of compost quality and maturity by using an on-line e-nose. The e-nose patterns required only 3-4 sensor signals to account for a great percentage (97-98%) of data variance. The achieved patterns both from compost (chemical analysis) and gas (e-nose analysis) samples are robust despite the high variability in feedstock characteristics (3 different materials), composting conditions and long composting time. GC-MS chromatograms supported the patterns.


Asunto(s)
Nariz Electrónica , Suelo , Análisis Factorial , Gases/análisis , Suelo/química , Temperatura , Compuestos Orgánicos Volátiles/análisis
19.
Anal Chim Acta ; 899: 23-56, 2015 Oct 29.
Artículo en Inglés | MEDLINE | ID: mdl-26547492

RESUMEN

Chemical analysis based on colour changes recorded with imaging devices is gaining increasing interest. This is due to its several significant advantages, such as simplicity of use, and the fact that it is easily combinable with portable and widely distributed imaging devices, resulting in friendly analytical procedures in many areas that demand out-of-lab applications for in situ and real-time monitoring. This tutorial review covers computer vision-based analytical (CVAC) procedures and systems from 2005 to 2015, a period of time when 87.5% of the papers on this topic were published. The background regarding colour spaces and recent analytical system architectures of interest in analytical chemistry is presented in the form of a tutorial. Moreover, issues regarding images, such as the influence of illuminants, and the most relevant techniques for processing and analysing digital images are addressed. Some of the most relevant applications are then detailed, highlighting their main characteristics. Finally, our opinion about future perspectives is discussed.

20.
Sensors (Basel) ; 15(10): 26769-82, 2015 Oct 22.
Artículo en Inglés | MEDLINE | ID: mdl-26506353

RESUMEN

This work presents the design, fabrication, and characterization of a printed radio frequency identification tag in the ultra-high frequency band with multiple sensing capabilities. This passive tag is directly screen printed on a cardboard box with the aim of monitoring the packaging conditions during the different stages of the supply chain. This tag includes a commercial force sensor and a printed opening detector. Hence, the force applied to the package can be measured as well as the opening of the box can be detected. The architecture presented is a passive single-chip RFID tag. An electronic switch has been implemented to be able to measure both sensor magnitudes in the same access without including a microcontroller or battery. Moreover, the chip used here integrates a temperature sensor and, therefore, this tag provides three different parameters in every reading.

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