Search Results (65)

Background/objectives: The continuous necessity to support biostrumental data with biolomecular data collected using non-invasive tools is influencing the world of ocular surface devices. The ocular imprint still represents a non-invasive and safety technique for collecting corneal and conjunctival epithelia in an easy way, as performed in human and veterinary clinics. Although used in clinical practice since 1977, operators might benefit from improvements in these techniques, especially in terms of handling and management. Methods: Herein, by reporting the design and characteristics of a patent of ocular surface sampling (the SurfAL pen and periocular-assisted SurfAL pen; PCT WO2016IB51474 20160316), we performed a validation and analysis of its value compared to gold standards. The level-headedness and advantages of this device were verified in 15 sclerocorneal specimens (sampling advantages) and tested in 25 volunteers (handling and operator efficiency, as well as frequency of discomfort in volunteers). Morphological as well as biomolecular analyses were used to compare SurfAL devices with conventional ones. Results: The easy management of SurfAL pens and the good detection of epithelial/goblet cells were confirmed. The SurfAL pen was found to be smart and suitable for routine analysis, as confirmed by quick and reproducible onsite sampling. Periocular-assisted SurfAL pen was comparable in terms of sampling quality but less comparable in terms of subject confidence due to its geometry. Conclusions: This study suggests that the SurfAL pen and periocular-assisted SurfAL pen might represent an additional and hands-on way of sampling ocular surface cells and improve the diagnostic route in ophthalmology. Full article

Background: Klebsiella pneumoniae represents a major cause of healthcare-associated infections in intensive care units, with resistance profiles ranging from multidrug-resistant to extensively drug-resistant and pandrug-resistant. Critically ill patients, who often require invasive devices and prolonged antibiotic therapy, are especially vulnerable to colonization and infection by these strains. Surveillance data on resistance trends and specimen-specific patterns in Romanian intensive care units (ICUs) remain limited. Methods: We conducted a four-year surveillance study (2021–2024) in a tertiary Romanian ICU, analyzing K. pneumoniae isolates collected from diverse clinical specimens. Resistance phenotypes were classified as MDR, XDR, PDR, or susceptible based on standard definitions. Trends over time were assessed using Cramér’s V and correspondence analysis, while stratification by specimen type evaluated associations between anatomical site and resistance profiles. Results: A total of 254 K. pneumoniae isolates were analyzed. MDR strains predominated in 2021 and 2022 but sharply declined by 2024 (from 80% to 8.3%). In parallel, XDR and PDR phenotypes increased substantially, indicating a shift toward more complex resistance profiles. A significant temporal association was found (Cramér’s V = 0.43), with 2024 marked by a sharp decline in MDR isolates and a predominance of XDR and PDR phenotypes, reflecting an advanced resistance profile. Specimen-type analysis showed tracheal aspirates as the main reservoir for resistant strains, followed by urine and blood cultures, with a weaker but meaningful association (Cramér’s V = 0.24). Conclusions: These findings reveal a change in resistance patterns in ICU-acquired K. pneumoniae infections, with MDR strains being displaced by XDR and PDR phenotypes. These findings highlight the urgent need for time- and specimen-informed resistance monitoring and adaptive antimicrobial stewardship. Without targeted interventions, gains made in controlling MDR strains risk being rapidly eclipsed by the spread of highly resistant organisms. Full article

Background/Objectives: Conventional blood collection can be challenging in a non-clinical or home-based setting. In response, vacuum-assisted lancing devices for capillary blood collection (typically from the upper arm) have gained popularity to broaden access to diagnostic testing. However, these devices are often costly relative to the reimbursement rate for common laboratory testing panels. This study describes the design and evaluation of Comfort Draw™, a simplified and economical vacuum-assisted capillary blood collection device. Methods: Comfort Draw™ was evaluated by 12 participants in a preliminary study and by 42 participants in a follow-up study. Metrics assessed included the following: vacuum pressure of the device, skin temperature generated by the Comfort Draw prep warmer, blood collection volume, and analytical accuracy (for 19 common serum-based analytes). Results: Acceptable blood volume (>400 µL) and serum volume (>100 µL) were collected by Comfort Draw in 85.5% and 95.1% of cases, respectively. Seventeen of the nineteen analytes examined were within CLIA acceptance limits compared to matched venous samples. Self-reported pain scores associated with Comfort Draw collection averaged 0.39 on a scale from 0 to 10. Conclusions: In this preliminary clinical study, Comfort Draw was found to be a valid and relatively painless method for collecting capillary blood specimens. The device’s simple design and lower cost could enable broader applications compared to more complex alternative capillary blood collection devices. Full article

Plastic (P) and microplastic (MP) pollution in marine and freshwater environments is an increasingly urgent issue that needs to be addressed at many levels. The Seabin (an easily operated and cost-effective floating debris collection device) can help clean up buoyant plastic debris in calm waters while monitoring water pollution. A Seabin was used to conduct a comparative analysis of plastic and microplastic concentrations in northern Lake Garda (Italy) during peak and low tourist seasons. The composition of the litter was further investigated using Fourier-Transform Infrared (FTIR) spectroscopy. The analysis showed a decreased mean amount of plastic from summer (32.5 mg/m³) to autumn (17.6 mg/m³), with an average number of collected microplastics per day of 45 ± 15 and 15 ± 3, respectively. Packaging and foam accounted for 92.2% of the recognized plastic waste products. The material composition of the plastic mass (442 pieces, 103.0 g) was mainly identified as polypropylene (PP, 47.1%) and polyethylene (PE, 21.8%). Moreover, 313 microplastics (approximately 2.0 g) were counted with average weight in the range of 1–16 mg. A case study of selected plastic debris was also conducted. Spectroscopic, microscopic, and thermal analysis of specimens provided insights into how aging affects plastics in this specific environment. The purpose of this study was to establish a baseline for further research on the topic, to provide guidelines for similar analyses from a multidisciplinary perspective, to monitor plastic pollution in Lake Garda, and to inform policy makers, scientists, and the public. Full article

Interstitial cells of Cajal (ICCs) play a key role in gastrointestinal smooth muscle contractions, but their relationship with anal canal function in advanced haemorrhoidal disease (HD) remains poorly understood. This study uses deep neural network (DNN) models to estimate ICC presence and quantity in anal canal tissues affected by HD. Haemorrhoidectomy specimens were collected from patients undergoing surgery with the LigaSure device. A YOLOv11-based machine learning model, trained on 376 immunohistochemical images, automated ICC detection using the CD117 marker, achieving a mean average precision (mAP50) of 92%, with a recall of 86% and precision of 88%. The DNN model accurately identified ICCs in whole-slide images, revealing that one-third of grade III HD patients and 60% of grade IV HD patients had a high ICC density. Preoperatively, pain was reported in 35% of grade III HD patients and 41% of grade IV patients, with a significant reduction following surgery. A significant decrease in bleeding (p < 0.0001) was also noted postoperatively. Notably, patients with postoperative bleeding, diagnosed with stage IV HD, had high ICC density in their anorectal tissues (p = 0.0041), suggesting a potential link between ICC density and HD severity. This AI-driven model, alongside clinical data, may enhance outcome prediction and provide insights into HD pathophysiology. Full article

Drug-coated balloons (DCBs) are designed to deliver an anti-proliferative drug to the stenotic vessel to combat restenosis after an angioplasty treatment. However, significant drug loss can occur during device navigation toward the lesion site, thus reducing the delivery efficiency and increasing the off-target drug loss. In this framework, this study aimed to design a novel in vitro setup to estimate the drug loss due to blood flow–coating interaction during tracking. The system consists of a millifluidic chamber, able to host small drug-coated flat patches representative of DCBs, connected at the inlet to a syringe pump able to provide an ad hoc flow and, at the outlet, to a vial collecting the testing fluid with possible drug removed from the specimen. Unlike other studies, the device presented here uniquely evaluates flow-related drug loss from smaller-scale DCB samples, making it a precise, easy-to-use, and efficient assessment tool. In order to define proper boundary conditions for these washing off tests, computational fluid dynamics (CFD) models of a DCB in an idealized vessel were developed to estimate the wall shear stresses (WSSs) experienced in vivo by the device when inserted into leg arteries. From these simulations, different target WSSs were identified as of interest to be replicated in the in vitro setup. A combined analytical–CFD approach was followed to design the testing system and set the flow rates to be imposed to generate the desired WSSs. Finally, a proof-of-concept study was performed by testing eight coated flat specimens and analyzing drug content via high-performance liquid chromatography (HPLC). Results indicated different amounts of drug loss according to the different imposed WSSs and confirmed the suitability of the designed system to assess the washing off resistance of different drug coatings for angioplasty balloons. Full article

Background/Objectives: Limited surgical invasiveness is desirable in elderly patients with femur fracture. Serum cytokines have been considered as a possible marker but with inconclusive evidence. The present study aimed to assess the systemic inflammatory response to surgical trauma through the serum levels of several cytokines (IL1β, IL6, IL8, and IL-10), inflammatory markers (c reactive protein—CRP), and muscular damage markers (creatinkinase—CK) at different time intervals in a consecutive series of patients affected by pertrochanteric fractures (PFs) and treated by two different surgical devices (intramedullary nailing (IM) vs. dynamic hip screw plate—DHS). Methods: A total of 60 consecutive patients (45 female and 15 male, mean age 85.6 years) with PFs (AO31A1.2-2.2) were randomly assigned to two groups according to the surgical procedure used (IM vs. DHS). Specimens of venous blood were collected 1 h preoperatively and at 24, 48, and 72 h postoperatively. Commercial ELISA kits were used. Results: In the adjusted linear mixed model, the serum levels of IL-1β, IL-8, IL-10, CRP, and CK revealed no statistically significant correlation with the type of surgical intervention performed. A significant (p < 0.001) correlation was found for IL-6 values in patients undergoing IM, showing higher serum values than patients receiving DHSs in all postoperative blood sample collections. Conclusions: The results of this study reveal that the use of DHSs may have less biological impact than IM in frail elderly due to a more limited secretion of IL-6 cytokines deriving from the preservation of the femoral medullary canal, representing a possible guide for the choice of the surgical device. Full article

Plant pathogen zoospores play a vital role in the transmission of several significant plant diseases, with their early detection being important for effective pathogen management. Current methods for pathogen detection involve labour-intensive specimen collection and laboratory testing, lacking real-time feedback capabilities. Methods that can be deployed in the field and remotely addressed are required. In this study, we have developed an innovative zoospore-sensing device by combining a microfluidic sampling system with a microfluidic cytometer and incorporating a chemotactic response as a means to selectively detect motile spores. Spores of Phytophthora cactorum were guided to swim up a detection channel following a gradient of attractant. They were then detected by a transient change in impedance when they passed between a pair of electrodes. Single-zoospore detection was demonstrated with signal-to-noise ratios of ~17 when a carrying flow was used and ~5.9 when the zoospores were induced to swim into the channel following the gradient of the attractants. This work provides an innovative solution for the selective, sensitive and real-time detection of motile zoospores. It has great potential to be further developed into a portable, remotely addressable, low-cost sensing system, offering an important tool for field pathogen real-time detection applications. Full article

This study investigated the population dynamics, growth, reproduction, and parasitism of Penaeus aztecus over a 27-month period in Antalya Bay (Eastern Mediterranean). P. aztecus was the most abundant shrimp species, comprising 53.4% of the collected shrimp specimens. Abundance varied seasonally, with peak densities in summer. Males had a smaller mean carapace length (CL) of 25.8 mm compared to females at 30.2 mm. Females dominated larger size classes, with all individuals ≥ 46 mm CL being female. The sex ratio was balanced at 1:1, with no seasonal variations. Spawning occurred year-round, peaking in June, late summer, and November. Females displayed four ovarian stages, with the first mature size (FMS) at 36 mm CL. Parasitism by Epipenaeon ingens reduced the density of mature females, with 42% of potential spawners failing to develop gonads. The prevalence of parasitism showed seasonal variation and was inversely correlated with sea surface temperature (SST). Marine recruitment occurred from June to November, with a peak between July and September. Growth analysis revealed faster rates in females, while males reached a smaller maximum size. This study also identified inefficiencies in gear selectivity, with many juvenile shrimp (below recruitment size) being retained. Trawl efficiency improved with the use of turtle excluder devices (TEDs), which reduced bycatch of nontarget species, such as loggerhead turtles and cartilaginous fishes. The instantaneous total mortality rate (Z) ranged from 0.658 to 0.026 month⁻¹ for male shrimp and from 1.00 to 0.014 month⁻¹ for female shrimp, with survival sharply declining after recruitment, leaving only about 3.6% of individuals surviving beyond 10 months. Full article

Background/Objectives: Vacuum-assisted excision (VAE) is a minimally invasive technique for breast tumor treatment, offering precision, comfort, and quick recovery. It is widely used for benign breast lesions and is playing an increasingly important role in the therapeutic management of non-surgical patients or patients who refuse surgery. Optimal outcomes require an understanding of device features to tailor treatment to each lesion. The Mammotome^® Elite 10G operates in a fixed mode, while the Mammotome^® Revolve EX 8G offers multiple aspiration levels and aperture windows for greater versatility. This study analyzed the specimen features (weight and length), comparing the weight obtained from two different VAE systems to aid the appropriate selection of a device based on the clinical setting. It also determined the number of specimens needed to achieve the 4 g diagnostic threshold. Methods: The Mammotome^® Elite 10G and the Mammotome^® Revolve EX were evaluated under controlled conditions. For Mammotome^® Revolve EX, combinations of five aspiration levels and three aperture lengths (12 mm, 18 mm, and 25 mm) were tested. Twelve samples were collected from a chicken breast phantom for each setting. Specimen weights and the minimum excisions required to reach the 4 g threshold were analyzed. Results: The mean weight per sample for the Mammotome^® Elite 10G was 0.16 ± 0.04 g. For the Mammotome^® Revolve EX, the weights increased with aperture size and aspiration level, ranging from a minimum of 0.132 ± 0.028 g (a window length of 12 mm and aspiration level 1) to a maximum of 0.407 ± 0.055 g (a window length of 25 mm and aspiration level 5). The 25 mm window at aspiration level 5 achieved the 4 g threshold in as few as 10 samples. By comparison, the Mammotome^® Elite required up to 26 samples. Conclusions: Compared to the Mammotome Elite, Mammotome^® Revolve EX offers superior versatility and efficiency, reducing patient discomfort by minimizing the required samples. Its technical advantages make it a valuable tool for both diagnostic and therapeutic applications. Full article

Mineralogy 4.0 can play a significant role in the future of geological research, education, and exploration by providing a more comprehensive and interactive understanding of rocks and minerals. This paper explores the application of digital photogrammetry and augmented reality (AR) technologies as part of Mineralogy 4.0. An atlas of 3D rocks and minerals with 915 high-quality models was created to showcase the potential of photogrammetry in the mineral sciences. The repository contains a wide range of sample types, featuring transparency, metallic luster, fluorescence, or millimetric-scale crystals. The three-dimensional rocks and minerals can also be accessed on-the-go through a mobile application that was developed for Android devices. Additionally, web applications have been developed with specific three-dimensional collections as well as three-dimensional storytelling. AR technology was also integrated into the 3D repository, allowing users to superimpose virtual 3D models of rocks and minerals onto real-world surfaces through their device’s camera. Also, a digital solution with 3D holograms of rocks and minerals was effectively implemented to provide an interactive and immersive experience. The 3D datasets of rocks and minerals can play a significant role in the geoscience community’s research, developing not only in-depth knowledge of specimens but also opening new frontiers in mineral sciences, leading towards a more advanced era of mineralogy. Full article

Arthropod biodiversity research usually requires large sample collections. The efficient handling of these samples has always been a critical bottleneck. Sweep netting along transects is an effective and commonly used approach to sample diverse insects. However, sweep netting requires the time-consuming task of sorting insects from the large amounts of debris and foliage that end up in the sweep net along with the insects. To address this, we introduce a robust, portable, and inexpensive photocollector device with an LED light source to extract insects from sweep net samples in a standardized way. Timed field trials tested the photocollector’s efficiency in extracting live insect samples from debris, focusing on Hymenoptera and Diptera. We found that 73% (±13%) of undamaged specimens moved toward the collection bottle within the first hour and 79% (±13%) after four hours. Of the insects failing to move after four hours, most (81%) were damaged and likely unable to move. Accounting only for undamaged specimens, 83% (±11%) moved after 1 h and 90% (±11%) moved after 4 h. We found significant differences in when families of Hymenoptera and Diptera moved. We suggest that the photocollector can be a useful tool in standardized biodiversity assessments. Full article

Stainless steel core plates (SSCPs) show great potential for modular construction due to their superiority of excellent mechanical properties, light weight, and low cost over traditional concrete and honeycomb structures. During the brazing process of SSCP joints which connect the skin panel and core tubes, it is difficult to keep an even heat flow of inert gas in the vast furnace, which can lead to partially missing solder defects in brazing joints. Pulsed eddy current imaging (PECI) has demonstrated feasibility for detecting missing solder defects, but various factors including lift-off variation and image blurring can deteriorate the quality of C-scan images, resulting in inaccurate evaluation of the actual state of the brazed joints. In this study, a differential pulsed eddy current testing (PECT) probe is designed to reduce the lift-off noise of PECT signals, and a mask-based image segmentation and thinning method is proposed to eliminate the blurring effect of C-scan images. The structure of the designed probe was optimized based on finite element simulation and the positive peak of the PECT signal was selected as the signal feature. Experiments with the aid of a scanning device are then carried out to image the interrogated regions of the SSCP specimen. The peak values of the signals were collected in a matrix to generate images of the scanned brazing joints. Results show that lift-off noise is significantly reduced by using the differential probe. Image blurring caused by the convolution effect of the probe’s point spread function with the imaging object was eliminated using a mask-based image segmentation and thinning method. The restored C-scan images enhance the sharpness of the profiles of the brazing joints and the opening in the images accurately reflect the missing solder of the brazed joints. Full article

Background: There are currently no effective screening measures to detect early or occult tubo-ovarian cancers, resulting in late-stage detection and high mortality. This work explores whether an optical imaging catheter can detect early-stage tubo-ovarian cancers or precursor lesions where they originate in the fallopian tubes. Methods: This device collects co-registered optical coherence tomography (OCT) and autofluorescence imaging (AFI). OCT provides three-dimensional assessment of underlying tissue structures; autofluorescence imaging provides functional contrast of endogenous fluorophores. Ex vivo fallopian tubes (n = 28; n = 7 cancer patients) are imaged; we present methods for the calculation of and analyze eleven imaging biomarkers related to fluorescence, optical attenuation, and OCT texture for their potential to detect tubo-ovarian cancers and other lesions of interest. Results: We visualize folded plicae, vessel-like structures, tissue layering, hemosiderin deposits, and regions of fibrotic change. High-grade serous ovarian carcinoma appears as reduced autofluorescence paired with homogenous OCT and reduced mean optical attenuation. Specimens containing cancerous lesions demonstrate a significant increase in median autofluorescence intensity and decrease in Shannon entropy compared to specimens with no lesion. Non-cancerous specimens demonstrate an increase in optical attenuation in the fimbriae when compared to the isthmus or the ampulla. Conclusions: We conclude that this approach shows promise and merits further investigation of its diagnostic potential. Full article

In 2015, U.K. newborn screening (NBS) laboratory guidelines were introduced to standardize dried blood spot (DBS) specimen quality acceptance and specify a minimum acceptable DBS diameter of ≥7 mm. The UK ‘acceptable’ avoidable repeat rate (AVRR) is ≤2%. To assess inter-laboratory variability in specimen acceptance/rejection, two sets of colored scanned images (n = 40/set) of both good and poor-quality DBS specimens were distributed to all 16 U.K. NBS laboratories for evaluation as part of an external quality assurance (EQA) assessment. The mean (range) number of specimens rejected in the first EQA distribution was 7 (1–16) and in the second EQA distribution was 7 (0–16), demonstrating that adherence to the 2015 guidelines was highly variable. A new minimum standard for DBS size of ≥8 mm (to enable a minimum of six sub-punches from two DBS) was discussed. NBS laboratories undertook a prospective audit and demonstrated that using ≥8 mm as the minimum acceptable DBS diameter would increase the AVRR from 2.1% (range 0.55% to 5.5%) to 7.8% (range 0.55% to 22.7%). A significant inverse association between the number of specimens rejected in the DBS EQA distributions and the predicted AVVR (using ≥8 mm minimum standard) was observed (r = −0.734, p = 0.003). Before implementing more stringent standards, the impact of a standard operating procedure (SOP) designed to enable a standardized approach of visual assessment and using the existing ≥7 mm diameter (to enable a minimum of four sub-punches from two DBS) as the minimum standard was assessed in a retrospective audit. Implementation of the SOP and using the ≥7 mm DBS diameter would increase the AVRR from 2.3% (range 0.63% to 5.3%) to 6.5% (range 4.3% to 20.9%). The results demonstrate that there is inconsistency in applying the acceptance/rejection criteria, and that a low AVVR is not an indication of good-quality specimens being received into laboratories. Further work is underway to introduce and maintain standards without increasing the AVRR to unacceptable levels. Full article