This article reports on a noninvasive approach in detecting and following-up
individuals who are at-risk or have an existing COVID-19 infection, with a potential
ability to serve as an epidemic control tool. The proposed method uses a developed
breath device composed of a nanomaterial-based hybrid sensor array with multiplexed
detection capabilities that can detect disease-specific biomarkers from exhaled breath,
thus enabling rapid and accurate diagnosis. An exploratory clinical study with this
approach was examined in Wuhan, China, during March 2020. The study cohort included 49
confirmed COVID-19 patients, 58 healthy controls, and 33 non-COVID lung infection
controls. When applicable, positive COVID-19 patients were sampled twice: during the
active disease and after recovery. Discriminant analysis of the obtained signals from
the nanomaterial-based sensors achieved very good test discriminations between the
different groups. The training and test set data exhibited respectively 94% and 76%
accuracy in differentiating patients from controls as well as 90% and 95% accuracy in
differentiating between patients with COVID-19 and patients with other lung infections.
While further validation studies are needed, the results may serve as a base for
technology that would lead to a reduction in the number of unneeded confirmatory tests
and lower the burden on hospitals, while allowing individuals a screening solution that
can be performed in PoC facilities. The proposed method can be considered as a platform
that could be applied for any other disease infection with proper modifications to the
artificial intelligence and would therefore be available to serve as a diagnostic tool
in case of a new disease outbreak.
The concept of generalized order statistics was introduced as a unified approach to a variety of models of ordered random variables. The purpose of this article is to establish the usual stochastic and the likelihood ratio orderings of conditional distributions of generalized order statistics from one sample or two samples, strengthening and generalizing the main results in Khaledi and Shaked [15], and Li and Zhao [17]. Some applications of the main results are also given.
Objective To investigate the computed tomography (CT) characteristics and diagnostic value of novel coronavirus pneumonia (NCP or COVID-19) in pregnancy. Methods This study included ten pregnant women infected with COVID-19, treated in the Zhongnan Hospital of Wuhan University from January 20, 2020 to February 6, 2020. Clinical and chest CT data were collected and clinical symptoms, laboratory indicators, and CT images were analyzed to explore CT characteristics and diagnostic value for COVID-19 during pregnancy. Results Laboratory examination showed that white blood cell count was normal in nine patients, and slightly higher in one patient (10.23 × 109). The lymphocyte ratio decreased in two patients by 12% and 14%, respectively. The levels of C-reactive protein was elevated in seven patients (range, 21.16-60.3 mg/L) and the levels of D-dimer was increased in eight patients (range, 507-2141 ng/mL). Six patients had low levels of total protein (range, 35.3-56.5 mg/ L). Two patients showed small patchy ground glass opacity (GGO) involving single lung, while eight patients showed multilobe GGO in both the lungs, with partial consolidation. Peripheral and non-peripheral lesion distributions were seen in ten (100%) and four (40%) patients, respectively. There were four patients who had signs of intra-bronchial air-bronchogram, six patients had small bilateral pleural effusions, while none had lymphadenopathy. Dynamic observations were performed in four patients after COVID-19 treatment. Among these four patients, one patient showed normal on the initial examination, and new lesions were observed after 3 days; 1 patient showed progression after 7 days of treatment, with expansion of the lesion area; and the other 2 patients showed improvement after 14 days of
Type B IMH is a potentially lethal disease, and the application of endovascular stent-grafts achieved an encouraging result in this study. Therefore, a more optimistic strategy, including endovascular repair, should be considered and evaluated in the future.
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