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This study describes the design and evaluation of a portable bright-field and fluorescence microscope that can be manufactured for $240 USD. The microscope uses a battery-operated LED-based flashlight as the light source and achieves a resolution of 0.8 µm at 1000× magnification in fluorescence mode. We tested the diagnostic capability of this new instrument to identify infections caused by the human pathogen, Mycobacterium tuberculosis. Sixty-four direct, decontaminated, and serially diluted smears were prepared from sputa obtained from 19 patients suspected to have M. tuberculosis infection. Slides were stained with auramine orange and evaluated as being positive or negative for M. tuberculosis with both the new portable fluorescence microscope and a laboratory grade fluorescence microscope. Concordant results were obtained in 98.4% of cases. This highly portable, low cost, fluorescence microscope may be a useful diagnostic tool to expand the availability of M. tuberculosis testing at the point-of-care in low resource settings.

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Control charts are the most popular statistical process control tools used to monitor process changes. When a control chart indicates an out-of-control signal it means that the process has changed. However, control chart signals do not indicate the real time of process changes, which is essential for identifying and removing assignable causes and ultimately improving the process. Identifying the real time of the change is known as the change-point estimation problem. Most of the traditional methods of estimating the process change point are developed based on the assumption that the process follows a normal distribution with known parameters, which is seldom true. In this paper, we propose clustering techniques to estimate Shewhart control chart change points. The proposed approach does not depend on the true values of the parameters and even the distribution of the process variables. Accordingly, it is applicable to both phase-I and phase-II of normal and non-normal processes. At the end, we discuss the performance of the proposed method in comparison with the traditional procedures through extensive simulation studies.

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