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Khokhar M. Non-invasive detection of renal disease biomarkers through breath analysis. J Breath Res 2024; 18:024001. [PMID: 38099568 DOI: 10.1088/1752-7163/ad15fb] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 12/14/2023] [Indexed: 01/06/2024]
Abstract
Breath biomarkers are substances found in exhaled breath that can be used for non-invasive diagnosis and monitoring of medical conditions, including kidney disease. Detection techniques include mass spectrometry (MS), gas chromatography (GC), and electrochemical sensors. Biosensors, such as GC-MS or electronic nose (e-nose) devices, can be used to detect volatile organic compounds (VOCs) in exhaled breath associated with metabolic changes in the body, including the kidneys. E-nose devices could provide an early indication of potential kidney problems through the detection of VOCs associated with kidney dysfunction. This review discusses the sources of breath biomarkers for monitoring renal disease during dialysis and different biosensor approaches for detecting exhaled breath biomarkers. The future of using various types of biosensor-based real-time breathing diagnosis for renal failure is also discussed.
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Affiliation(s)
- Manoj Khokhar
- Department of Biochemistry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
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Pulmonary Magnetic Resonance Imaging Replaces Bedside Imaging in Diagnosing Pneumonia in Infants. BIOMED RESEARCH INTERNATIONAL 2022; 2022:7232638. [PMID: 36164449 PMCID: PMC9509219 DOI: 10.1155/2022/7232638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 08/24/2022] [Accepted: 09/06/2022] [Indexed: 11/21/2022]
Abstract
Neonatal Bronchopulmonary Bedside Photography (NBBP) evaluates the consumption of lung magnetic resonance imaging as a replacement for bedside imaging in diagnosing infant pneumonia. In premature baby respiratory support, Neonatal Bronchopulmonary (NB) is one of the most dangerous consequences of accurate diagnosis that impact health alternatives once steroids are administered. Infants may experience eating issues and vomit if their condition is bad enough; lower birth weight, younger gestational age, and extensive breathing tube damage are the most frequently established risk factors as a component of a neonatal habitat. This paper introduces the Intelligent Medical Care (IMC) for Neonatal Bronchopulmonary Bedside Photography (NBBP), which enhances various preventive efforts such as prenatal steroid therapy. Because of many prenatal and postnatal variables, growth hormone and diet nutrients influence alveolar and vascular development. For the future prevention of NB, it is more likely that a combination of different therapies working on diverse causal pathways would be beneficial. This research in NBBP-IMC technology that enhances prenatal care medicines are the most excellent and effective treatments for all these neonates throughout the decades. As a result, premature babies at risk for NB may benefit from the findings of this research, which experts anticipate can inspire further studies in the area. The purpose of this paper is to emphasize the work performed to improve respiratory outcomes for babies at risk of NB and to place this work in perspective with relevant research currently being conducted simultaneously.
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Breath Sensor Technology for the Use in Mechanical Lung Ventilation Equipment for Monitoring Critically Ill Patients. Diagnostics (Basel) 2022; 12:diagnostics12020430. [PMID: 35204521 PMCID: PMC8870831 DOI: 10.3390/diagnostics12020430] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 02/05/2022] [Accepted: 02/06/2022] [Indexed: 12/31/2022] Open
Abstract
Background: The need for mechanical lung ventilation is common in critically ill patients, either with COVID-19 infection or due to other causes. Monitoring of patients being ventilated is essential for timely and improved management. We here propose the use of a novel breath volatile organic compound sensor technology to be used in a mechanical lung ventilation machine for this purpose; the technology was evaluated in critically ill COVID-19 patients on mechanical lung ventilation. Methods: Based on the consistency results of our study data, the breath sensor device with metal oxide gas sensors and environment-controlling sensors was mounted on the ventilation exhaust port of the ventilation machine; this allowed to ensure additional safety since the device was placed outside the contour between the patient and equipment. Results: The sensors allowed stable registration of the signals for up to several weeks for 10 patients in total, depending on the storage amount; a proportion of patients were intubated or received tracheostoma during the evaluation period. Future studies are on the way to correlate sensor readings to other parameters characterizing the severity of the patient condition and outcome. Conclusions: We suppose that such technology will allow patient monitoring in real-time for timely identification of deterioration, potentially requiring some change of management. The obtained results are preliminary and further studies are needed to examine their clinical significance.
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Adigal SS, Rayaroth NV, John RV, Pai KM, Bhandari S, Mohapatra AK, Lukose J, Patil A, Bankapur A, Chidangil S. A review on human body fluids for the diagnosis of viral infections: scope for rapid detection of COVID-19. Expert Rev Mol Diagn 2021; 21:31-42. [PMID: 33523770 DOI: 10.1080/14737159.2021.1874355] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Introduction: The unprecedented outbreaks of corona virus disease of 2019 (COVID-19) have highlighted the necessity of readily available, reliable, precise, and faster techniques for its detection. Nasopharyngeal swab has been the gold standard for the diagnosis of COVID-19. However, it is not an ideal screening procedure for massive screening as it implicates the patient's stay in the hospital or at home until diagnosis, thus causing crowding of the specimen at the diagnostic centers. Present study deal with the exploration of potential application of different body fluids using certain highly objective techniques (Optical and e-Nose) for faster detection of molecular markers thereby diagnosing viral infections.Areas covered: This report presents an evaluation of different body fluids, and their advantages for the rapid detection of COVID-19, coupled with highly sensitive optical techniques for the detection of molecular biomarkers.Expert opinion: Tears, saliva, and breath samples can provide valuable information about viral infections. Our brief review strongly recommends the application of saliva/tears and exhaled breath as clinical samples using technics such as high-performance liquid chromatography-laser-induced fluorescence, photoacoustic spectroscopy, and e-Nose, respectively, for the fast diagnosis of viral infections.
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Affiliation(s)
- Sphurti S Adigal
- Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academic of Higher Education, Manipal, India
| | - Nidheesh V Rayaroth
- Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academic of Higher Education, Manipal, India
| | - Reena V John
- Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academic of Higher Education, Manipal, India
| | - Keerthilatha M Pai
- Department Oral Medicine and Radiology, Manipal College of Dental Sciences, Manipal, Manipal Academic of Higher Education, Manipal, Karnataka, India
| | - Sulatha Bhandari
- Department of Ophthalmology, Kasturba Medical College, Manipal, Manipal Academic of Higher Education, Manipal, Karnataka, India
| | - Aswini Kumar Mohapatra
- Department of Respiratory Medicine, Kasturba Medical College, Manipal, Manipal Academic of Higher Education, Manipal, Karnataka, India
| | - Jijo Lukose
- Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academic of Higher Education, Manipal, India
| | - Ajeetkumar Patil
- Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academic of Higher Education, Manipal, India
| | - Aseefhali Bankapur
- Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academic of Higher Education, Manipal, India
| | - Santhosh Chidangil
- Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academic of Higher Education, Manipal, India
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Lu JY, You B, Wang JY, Jhuo SS, Hung TY, Yu CP. Volatile Gas Sensing through Terahertz Pipe Waveguide. SENSORS 2020; 20:s20216268. [PMID: 33153176 PMCID: PMC7662959 DOI: 10.3390/s20216268] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 10/31/2020] [Accepted: 11/02/2020] [Indexed: 12/29/2022]
Abstract
Gas sensing to recognize volatile liquids is successfully conducted through pipe-guided terahertz (THz) radiation in a reflective and label-free manner. The hollow core of a pipe waveguide can efficiently deliver the sensing probe of the THz confined waveguide fields to any place where dangerous vapors exist. Target vapors that naturally diffuse from a sample site into the pipe core can be detected based on strong interaction between the probe and analyte. The power variation of the THz reflectance spectrum in response to various types and densities of vapors are characterized experimentally using a glass pipe. The most sensitive THz frequency of the pipe waveguide can recognize vapors with a resolution at a low part-per-million level. The investigation found that the sensitivity of the pipe-waveguide sensing scheme is dependent on the vapor absorption strength, which is strongly related to the molecular amount and properties including the dipole moment and mass of a gas molecule.
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Affiliation(s)
- Ja-Yu Lu
- Department of Photonics, National Cheng Kung University, No. 1 University Road, Tainan 70101, Taiwan; (J.-Y.W.); (S.-S.J.)
- Correspondence: (J.-Y.L.); (B.Y.)
| | - Borwen You
- Department of Applied Physics, Faculty of Pure and Applied Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8577, Japan
- Correspondence: (J.-Y.L.); (B.Y.)
| | - Jiun-You Wang
- Department of Photonics, National Cheng Kung University, No. 1 University Road, Tainan 70101, Taiwan; (J.-Y.W.); (S.-S.J.)
| | - Sheng-Syong Jhuo
- Department of Photonics, National Cheng Kung University, No. 1 University Road, Tainan 70101, Taiwan; (J.-Y.W.); (S.-S.J.)
| | - Tun-Yao Hung
- Department of Photonics, National Sun Yat-sen University, Kaohsiung 80424, Taiwan; (T.-Y.H.); (C.-P.Y.)
| | - Chin-Ping Yu
- Department of Photonics, National Sun Yat-sen University, Kaohsiung 80424, Taiwan; (T.-Y.H.); (C.-P.Y.)
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Low-Cost, Open-Source Mechanical Ventilator with Pulmonary Monitoring for COVID-19 Patients. ACTUATORS 2020. [DOI: 10.3390/act9030084] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
This paper shows the construction of a low-cost, open-source mechanical ventilator. The motivation for constructing this kind of ventilator comes from the worldwide shortage of mechanical ventilators for treating COVID-19 patients—the COVID-19 pandemic has been striking hard in some regions, especially the deprived ones. Constructing a low-cost, open-source mechanical ventilator aims to mitigate the effects of this shortage on those regions. The equipment documented here employs commercial spare parts only. This paper also shows a numerical method for monitoring the patients’ pulmonary condition. The method considers pressure measurements from the inspiratory limb and alerts clinicians in real-time whether the patient is under a healthy or unhealthy situation. Experiments carried out in the laboratory that had emulated healthy and unhealthy patients illustrate the potential benefits of the derived mechanical ventilator.
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