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A Portable System to Monitor Saliva Conductivity for Dehydration Diagnosis and Kidney Healthcare

机译:便携式系统用于唾液电导率监测以进行脱水诊断和肾脏保健

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摘要

Chronic kidney disease (CKD) has become a major issue in long-term healthcare. It is caused by recurrent kidney injury, which is possible induced by dehydration and heat stress. Therefore, it is important to access the dehydration diagnosis on fields. Conventional instruments for assessing dehydration from blood and urine samples are expensive and time-consuming. These disadvantages limit their applications in high-risk groups susceptible to kidney disease. To address this unmet need, this study presents a portable miniaturized device for dehydration diagnosis with clinical saliva samples. With co-plane coating-free gold electrodes, the dehydration diagnosis was achieved with a saliva specimen at low volumes (50–500 μL). To examine the characteristics, the developed device was assessed by using standard conductivity solutions and the examined variation was <5%. To validate the use for field applications, saliva samples were measured by the developed device and the measured results were compared with standard markers of serum osmolality (N = 30). These data indicate that the measured saliva conductivity is consistent with serum osmolality. And it shows significant difference between healthy adults and healthy farmers (p < 0.05), who typically suffer high risks of CKD. Based on this work, the proposed device and measurement offer a useful method to diagnosis dehydrations and indicate possible potential for CKD.
机译:慢性肾脏病(CKD)已成为长期医疗保健中的主要问题。它是由反复出现的肾脏损伤引起的,这可能是由于脱水和热应激引起的。因此,在现场进行脱水诊断很重要。用于评估血液和尿液样本中脱水的常规仪器昂贵且耗时。这些缺点限制了它们在易患肾脏疾病的高危人群中的应用。为了满足这一未满足的需求,本研究提出了一种便携式小型设备,用于临床唾液样本的脱水诊断。使用不带共面涂层的金电极,可以用少量(50-500μL)的唾液标本进行脱水诊断。为了检查特性,使用标准电导率溶液评估了开发的设备,检查的变化<5%。为了验证其在野外应用的有效性,通过开发的设备对唾液样本进行了测量,并将测量结果与标准的血清渗透压浓度标记物进行了比较(N = 30)。这些数据表明,测得的唾液电导率与血清渗透摩尔浓度一致。结果表明,健康成年人和健康农民之间存在显着差异(p <0.05),他们通常患有CKD的风险较高。基于这项工作,所提出的设备和测量方法为诊断脱水提供了有用的方法,并指出了潜在的CKD潜力。

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