A hands-free stool sampling system for monitoring intestinal health and disease.

Analysis of stool offers simple, non-invasive monitoring for many gastrointestinal (GI) diseases and access to the gut microbiome, however adherence to stool sampling protocols remains a major challenge because of the prevalent dislike of handling one's feces. We present a technology that enables individual stool specimen collection from toilet wastewater for fecal protein and molecular assay. Human stool specimens and a benchtop test platform integrated with a commercial toilet were used to demonstrate reliable specimen collection over a wide range of stool consistencies by solid/liquid separation followed by spray-erosion. The obtained fecal suspensions were used to perform occult blood tests for GI cancer screening and for microbiome 16S rRNA analysis. Using occult blood home test kits, we found overall 90% agreement with standard sampling, 96% sensitivity and 86% specificity. Microbiome analysis revealed no significant difference in within-sample species diversity compared to standard sampling and specimen cross-contamination was below the detection limit of the assay. Furthermore, we report on the use of an analogue turbidity sensor to assess in real time loose stools for tracking of diarrhea. Implementation of this technology in residential settings will improve the quality of GI healthcare by facilitating increased adherence to routine stool monitoring.

Enhanced bonding between YSZ surfaces using a gas-phase fluorination pretreatment.

The present investigation focuses on the surface modification, via gas-phase fluorination process, of yttria- stabilized zirconia (YSZ) to increase its wettability and chemical bonding directly to acrylate-based resin cements. YSZ plates and cylinders, as-received and roughened, were pretreated in a fluorine containing plasma and bonded with a commercially available resin cement for simple shear bond adhesion testing. No organo-silane coupling agent was used to enhance bonding between the two substrates. Shear bond tests revealed that bond strength increased with fluorination time. Furthermore, the pretreated, as received (nonroughened) specimen group displayed relatively high bond strengths suggesting surface reactivity and direct chemical bonding with the resin cement. X-ray photoelectron spectroscopy analysis revealed the surface conversion layer to be a mixture of phases; zirconium oxyfluoride, zirconium fluoride, and yttrium fluoride. It is hypothesized that these fluoride and oxyfluoride phases have the potential to increase surface hydroxylation, enabling direct covalent bonding between YSZ and resin cement. It is believed that this surface treatment has broad reaching impact when using high-strength ceramics in a multitude of bioapplications.