Micro-spot with integrated pillars (MSIP) for detection of dengue virus NS1.

In this paper, we demonstrate an extremely efficient technique of diagnosing dengue virus non-structural protein (NS1) using Micro-Spot with Integrated Pillars (MSIP). Detection using MSIP is performed by employing fluorescence immunoassay specific to dengue virus NS1. MSIPs are chemically modified to ensure efficient covalent binding of antibodies on the micropillars, whereas the enormous increase in the surface area (available for the reaction) induced by the micropillars amplifies the apparent rate, which enhances the signal intensity. Therefore, the detection response of a MSIP, quantified by the intensity of the fluorescence signal, is found to be almost five times magnified than the response of a similar size micro-spot without micropillars. The response of the micropillars also depend on the pillar arrangement, since for identical concentration of dengue NS1 antigen, a stronger intensity signal is obtained for a hexagonal close packed array (staggered) pillar arrangement as compared to a square array arrangement.

Automated and unsupervised detection of malarial parasites in microscopic images.

BACKGROUND: Malaria is a serious infectious disease. According to the World Health Organization, it is responsible for nearly one million deaths each year. There are various techniques to diagnose malaria of which manual microscopy is considered to be the gold standard. However due to the number of steps required in manual assessment, this diagnostic method is time consuming (leading to late diagnosis) and prone to human error (leading to erroneous diagnosis), even in experienced hands. The focus of this study is to develop a robust, unsupervised and sensitive malaria screening technique with low material cost and one that has an advantage over other techniques in that it minimizes human reliance and is, therefore, more consistent in applying diagnostic criteria. METHOD: A method based on digital image processing of Giemsa-stained thin smear image is developed to facilitate the diagnostic process. The diagnosis procedure is divided into two parts; enumeration and identification. The image-based method presented here is designed to automate the process of enumeration and identification; with the main advantage being its ability to carry out the diagnosis in an unsupervised manner and yet have high sensitivity and thus reducing cases of false negatives. RESULTS: The image based method is tested over more than 500 images from two independent laboratories. The aim is to distinguish between positive and negative cases of malaria using thin smear blood slide images. Due to the unsupervised nature of method it requires minimal human intervention thus speeding up the whole process of diagnosis. Overall sensitivity to capture cases of malaria is 100% and specificity ranges from 50-88% for all species of malaria parasites. CONCLUSION: Image based screening method will speed up the whole process of diagnosis and is more advantageous over laboratory procedures that are prone to errors and where pathological expertise is minimal. Further this method provides a consistent and robust way of generating the parasite clearance curves.

Pneumococcal pneumonia: potential for diagnosis through a urinary metabolic profile.

Pneumonia, an infection of the lower respiratory tract, is caused by any of a number of different microbial organisms including bacteria, viruses, fungi, and parasites. Community-acquired pneumonia (CAP) causes a significant number of deaths worldwide, and is the sixth leading cause of death in the United States. However, the pathogen(s) responsible for CAP can be difficult to identify, often leading to delays in appropriate antimicrobial therapies. In the present study, we use nuclear magnetic resonance spectroscopy to quantitatively measure the profile of metabolites excreted in the urine of patients with pneumonia caused by Streptococcus pneumoniae and other microbes. We found that the urinary metabolomic profile for pneumococcal pneumonia was significantly different from the profiles for viral and other bacterial forms of pneumonia. These data demonstrate that urinary metabolomic profiles may be useful for the effective diagnosis of CAP.

Optimal sensor location design for reliable fault detection in presence of false alarms.

To improve fault detection reliability, sensor location should be designed according to an optimization criterion with constraints imposed by issues of detectability and identifiability. Reliability requires the minimization of undetectability and false alarm probability due to random factors on sensor readings, which is not only related with sensor readings but also affected by fault propagation. This paper introduces the reliability criteria expression based on the missed/false alarm probability of each sensor and system topology or connectivity derived from the directed graph. The algorithm for the optimization problem is presented as a heuristic procedure. Finally, a boiler system is illustrated using the proposed method.

Analysis of metabolomic data using support vector machines.

Metabolomics is an emerging field providing insight into physiological processes. It is an effective tool to investigate disease diagnosis or conduct toxicological studies by observing changes in metabolite concentrations in various biofluids. Multivariate statistical analysis is generally employed with nuclear magnetic resonance (NMR) or mass spectrometry (MS) data to determine differences between groups (for instance diseased vs healthy). Characteristic predictive models may be built based on a set of training data, and these models are subsequently used to predict whether new test data falls under a specific class. In this study, metabolomic data is obtained by doing a (1)H NMR spectroscopy on urine samples obtained from healthy subjects (male and female) and patients suffering from Streptococcus pneumoniae. We compare the performance of traditional PLS-DA multivariate analysis to support vector machines (SVMs), a technique widely used in genome studies on two case studies: (1) a case where nearly complete distinction may be seen (healthy versus pneumonia) and (2) a case where distinction is more ambiguous (male versus female). We show that SVMs are superior to PLS-DA in both cases in terms of predictive accuracy with the least number of features. With fewer number of features, SVMs are able to give better predictive model when compared to that of PLS-DA.

Robust baseline correction algorithm for signal dense NMR spectra.

This paper outlines a fully automated algorithm for baseline correction. Based on our experience with NMR spectra of complex mixtures, this algorithm is designed to automatically differentiate signal points from baseline points. The algorithm's strength is its ability to accurately determine baseline points in very dense spectra, without destroying the line shapes of prominent peaks. The algorithm described is implemented in Chenomx NMR Suite 4.6. It is demonstrated here using two separate spectra acquired on two different NMR spectrometers.

Investigations of the effects of gender, diurnal variation, and age in human urinary metabolomic profiles.

Metabolomics may have the capacity to revolutionize disease diagnosis through the identification of scores of metabolites that vary during environmental, pathogenic, or toxicological insult. NMR spectroscopy has become one of the main tools for measuring these changes since an NMR spectrum can accurately identify metabolites and their concentrations. The predominant approach in analyzing NMR data has been through the technique of spectral binning. However, identification of spectral areas in an NMR spectrum is insufficient for diagnostic evaluation, since it is unknown whether areas of interest are strictly caused by metabolic changes or are simply artifacts. In this paper, we explore differences in gender, diurnal variation, and age in a human population. We use the example of gender differences to compare traditional spectral binning techniques (NMR spectral areas) to novel targeted profiling techniques (metabolites and their concentrations). We show that targeted profiling produces robust models, generates accurate metabolite concentration data, and provides data that can be used to help understand metabolic differences in a healthy population. Metabolites relating to mitochondrial energy metabolism were found to differentiate gender and age. Dietary components and some metabolites related to circadian rhythms were found to differentiate time of day urine collection. The mechanisms by which these differences arise will be key to the discovery of new diagnostic tests and new understandings of the mechanism of disease.