We review the utility of centrifugal microfluidic technologies applied to point-of-care diagnosis in extremely under-resourced environments. The various challenges faced in these settings are showcased, using areas in India and Africa as examples. Measures for the ability of integrated devices to effectively address point-of-care challenges are highlighted, and centrifugal, often termed CD-based microfluidic technologies, technologies are presented as a promising platform to address these challenges. We describe the advantages of centrifugal liquid handling, as well as the ability of a standard CD player to perform a number of common laboratory tests, fulfilling the role of an integrated lab-on-a-CD. Innovative centrifugal approaches for point-of-care in extremely resource-poor settings are highlighted, including sensing and detection strategies, smart power sources and biomimetic inspiration for environmental control. The evolution of centrifugal microfluidics, along with examples of commercial and advanced prototype centrifugal microfluidic systems, is presented, illustrating the success of deployment at the point-of-care. A close fit of emerging centrifugal systems to address a critical panel of tests for under-resourced clinic settings, formulated by medical experts, is demonstrated. This emphasizes the potential of centrifugal microfluidic technologies to be applied effectively to extremely challenging point-of-care scenarios and in playing a role in improving primary care in resource-limited settings across the developing world.

The field of centrifugal microfluidics has experienced tremendous growth during the past 15 years, especially in applications such as lab-on-a-disc (LoD) diagnostics. The strength of LoD systems lies in its potential for development into fully integrated sample-to-answer analysis systems. This review highlights the technologies necessary to develop the next generation of these systems. In addition to outlining valving and other fluid-handling operations, we discuss the recent advances and future outlook in four categories of LoD processes: reagent storage, sample preparation, nucleic acid amplification, and analyte detection strategies.

In this work, we report on a rapid, efficient electrochemical iodine sensor based on mechanically treated carbon nanofiber (MCNF) electrodes. The electrode’s highly graphitic content, unique microstructure, and the presence of nitrogen heteroatoms in its atomic lattice contribute to increased heterogeneous electron transfer and improved kinetics compared to conventional pyrolytic carbons. The electrode demonstrates selectivity for iodide ions in the presence of both interfering agents and high salt concentrations. The sensor exhibits clinically relevant limits of detection of 0.59 µM and 1.41 µM, in 1X PBS and synthetic urine, respectively, and a wide dynamic range between 5 µM and 700 µM. These results illustrate the advantages of the material’s unique electrochemical properties for iodide sensing, in addition to its simple, inexpensive fabrication. The reported iodine sensor eliminates the need for specimen processing, revealing its aptitude for applications in point-of-care diagnostics.

This review focuses on recent advances in micro-and nano-fabrication techniques and their applications to electrochemical power devices, specifically microfabricated Lithium-ion batteries, enzymatic and microbial fuel cells (biofuel cells), and dye-sensitized solar cells (DSSCs). Although the maturity of these three technologies ranges from market ready (batteries) to fundamental research (biofuel cells) to applied research (DSSCs), advances in MEMS (Micro-Electro-Mechanical Systems) and NEMS (Nano-Electro-Mechanical Systems) techniques, particularly modifications in surface area and surface chemistry, and novel genetic and molecular engineering techniques, significantly improve the electrochemical activity of these technologies across the board. For each of these three categories of power-MEMS devices the review covers: (1) The technical challenges facing the performance and fabrication of electrochemical power devices; (2) Current MEMS and NEMS techniques used to improve efficiency; and (3) Future outlook and suggested improvements of MEMS and NEMS for implementation in electrochemical power devices.

Carbon's electrochemistry depends on its type and microstructure, and how these affect the electrode's electronic density of states. We demonstrate how pyrolysis of electro-mechanically stressed Polyacrylonitrile (PAN) nanofibers, infused with carbon nanotubes, will result in a unique graphitic electrode, which possesses enhanced and multifaceted electrochemical behavior. As corroborated by materials characterization, the microstructure of the stress-activated pyrolytic carbon (SAPC) characteristically contains a high proportion of disorders in the forms of edge planes and embedded heterogeneous nitrogen atoms. These disorders introduce a range of energy states near the Fermi level, yielding enhanced kinetics in the as-synthesized SAPC electrodes. A comprehensive electrochemical study of the SAPC electrode in surface sensitive ([Fe(CN) 6 ] 3-/4-), surface insensitive ([IrCl 6 ] 2-/3-), and adsorption sensitive (dopamine) redox probes demonstrates 5e14-fold increases in its heterogeneous electron transfer rate compared to regular PAN-based carbon electrodes. The fast kinetics of SAPC electrodes in adsorption sensitive analytes translates into its capability for simultaneous detection of dopamine, uric acid, and ascorbic acid. The results point to a new class of pyrolytic carbon electrodes with an attractive electrocatalytic capacity, geared toward electrochemical sensing platforms.