Urine Solution Research Articles

Cranberry, but not D-mannose and ibuprofen, prevents against uropathogenic Escherichia coli-induced cell damage and cell death in MDCK cells

IntroductionThe main function of the urinary tract is to form an impermeable barrier against urinary solutes and bacteria. However, this barrier can be compromised by urinary tract infections, most commonly caused by uropathogenic Escherichia coli (UPEC). This can result in damage to the epithelial barrier, leading to decreased epithelial thickness, loss of tight junctions, loss of epithelial integrity, and apoptosis. Due to the rise in antimicrobial resistance, there is worldwide interest in exploring non-antibiotic agents as alternative therapy.MethodsUsing the Madin-Darby canine kidney (MDCK) cell line, a widely accepted epithelial cell model for the urinary tract, and the UPEC strain UTI89, this paper aimed to investigate the impact of UPEC on cell integrity, permeability, and barrier functions, and determine whether cranberry, D-mannose and ibuprofen could counteract the effects induced by UPEC. Furthermore, the study examined the protective potential of these agents against UPEC-induced increase in reactive oxygen species (ROS) production and programmed death-ligand 1 (PD-L1) expression.ResultsThe results demonstrated that UTI89 caused a marked reduction in cell viability and monolayer integrity. Cranberry (3 mg/mL) was protective against these changes. In addition, cranberry exhibited protective effects against UPEC-induced damage to cell barrier integrity, escalation of oxidative stress, and UPEC/TNFα-triggered PD-L1 expression. However, no effect was observed for D-mannose and ibuprofen in alleviating UPEC-induced cell damage and changes in ROS and PD-L1 levels.ConclusionOverall, cranberry, but not D-mannose or ibuprofen, has a protective influence against UPEC associated damage in urinary epithelial cells.

Decentralized electro-sanitation system as proof of concept to treat urine produced in long-distance bus

Long-distance transportation provides in-vehicle access to essential sanitation to the passengers. However, generated yellow and black waters may not be correctly managed prior sanitary effluent discharge. Processes that can handle decentralized effluent treatment can be considered alternatives to traditional chemical treatment systems. In this study, decentralized electrochemically-driven treatment is presented as a proof of concept. A compact electrochemical reactor design considering the boundary conditions and requirements for decentralized sanitary treatment for long-distance bus transportation has been accomplished. Treatment of synthetic urine effluents was conducted under filter-press reactor with continuous flow in a closed upward recirculation reactor containing a carbon felt (CF) cathode and a dimensionally stable anode (DSA: Ti/Ru0.36Ti0.64O2). The experimental design allowed the assessment of operational variable impacts on reduction of urea concentration, and consequent estimate of the total organic carbon abatement. The results revealed that synthetic urine solution diluted from toilet water flushing (TOC = 402 mg L−1) can be effectively treated under application of low current densities of 18 mA cm−2 in 300 min (average time of on-road service). Real-time monitoring of parameters revealed a decrease in pH from 6.98 to 3.49, and a gradual increase in temperature from 25.3 °C to 32.0 °C at the end of the process. Those physico-chemical changes can be useful to inhibit urea hydrolysis. Thus, the results encourage the application of electrochemical technology in decentralized effluent treatment systems to enhance and enable ecologically correct sanitation actions in portable urinary collectors, such as those used in bus road transport.

Binary metal oxide (NiO/SnO2) composite with electrochemical bifunction: Detection of neuro transmitting drug and catalysis for hydrogen evolution reaction

The synergetic effect between dual oxides in binary metal oxides (BMO) makes them promising electrode materials for the detection of toxic chemicals, and biological compounds. In addition, the interaction between the cations and anions of diverse metals in BMO tends to create more oxygen vacancies which are beneficial for energy storage devices. However, specifically targeted synthesis of BMO is still arduous. In this work, we prepared a nickel oxide/tin oxide composite (NiO/SnO2) through a simple solvothermal technique. The crystallinity, specific surface area, and morphology were fully characterized. The synthesized BMO is used as a bifunctional electrocatalyst for the electrochemical detection of dopamine (DPA) and for the hydrogen evolution reaction (HER). As expected, the active metals in the NiO/SnO2 composite afforded a higher redox current at a reduced redox potential with a nanomolar level detection limit (4 nm) and excellent selectivity. Moreover, a better recovery rate is achieved in the real-time detection of DPA in human urine and DPA injection solution. Compared to other metal oxides, NiO/SnO2 composite afforded lower overpotential (157 mV @10 mA cm−2), Tafel slope (155 mV dec−1), and long-term durability, with a minimum retention rate. These studies conclude that NiO/SnO2 composite can act as a suitable electrode modifier for electrochemical sensing and the HER.

Using urine FTIR spectra to screen autism spectrum disorder

Autism spectrum disorder (ASD) is a heterogeneous neurodevelopmental disorder caused by multiple factors, lacking clear biomarkers. Diagnosing ASD still relies on behavioural and developmental signs and usually requires lengthy observation periods, all of which are demanding for both clinicians and parents. Although many studies have revealed valuable knowledge in this field, no clearly defined, practical, and widely acceptable diagnostic tool exists. In this study, 26 children with ASD (ASD+), aged 3–5 years, and 26 sex and age-matched controls are studied to investigate the diagnostic potential of the Attenuated Total Reflectance-Fourier Transform Infrared (ATR-FTIR) spectroscopy. The urine FTIR spectrum results show a downward trend in the 3000–2600/cm region for ASD+ children when compared to the typically developing (TD) children of the same age. The average area of this region is 25% less in ASD+ level 3 children, 29% less in ASD+ level 2 children, and 16% less in ASD+ level 1 children compared to that of the TD children. Principal component analysis was applied to the two groups using the entire spectrum window and five peaks were identified for further analysis. The correlation between the peaks and natural urine components is validated by artificial urine solutions. Less-than-normal levels of uric acid, phosphate groups, and ammonium ({NH}_{4}^{+}) can be listed as probable causes. This study shows that ATR-FTIR can serve as a practical and non-invasive method to screen ASD using the high-frequency region of the urine spectrum.

Enhancing the selective ciprofloxacin adsorption in urine matrices through the metal-doping of carbon sorbents

Pharmaceuticals excreted after administration can pollute water sources given their ineffective removal in conventional wastewater treatment plant. Among the techniques used during tertiary wastewater treatment, adsorption is an effective and cost-efficient method for removing antibiotics. This study aimed to investigate the adsorption of ciprofloxacin (CIP) on metal-doped granular activated carbon (GAC) and evaluate the impact of urine on CIP adsorption for pristine, pre-oxidized, and metal-doped GAC. The results showed that the uptake of CIP by iron (Fe)-doped GAC was higher than Ag-doped, pre-oxidized, and pristine GAC in single-solute isotherms (DI water). This higher uptake was attributed to the presence of Fe content (1.2%) on the carbon surface, which can strongly interact with zwitterionic CIP at a neutral pH. However, when synthetic human urine was introduced, the adsorption of CIP was negatively affected due to pore blockage and competition for available sorption sites on the GAC. Among the four types of GACs tested, the lowest reduction in CIP uptake in the urine solution was observed for Fe-doped GAC followed (%17) by pre-oxidized (64%), Ag-doped (%69), and pristine F400 (76%) carbon. These results suggested that the complexation between CIP and Fe-doped GAC in urine was stronger due to its higher functionalization compared to Ag-doped, pre-oxidized, and pristine GAC. As the equilibrium concentration of CIP increased, the competition between CIP and urine decreased on the surface of Fe-doped carbon, owing to the limited competition from urine for the available active sorption sites.

Mass spectrometry analysis of drugs using an integrated thermal desorption corona discharge ionization device

In this study, we introduce the design, characterization, and application of an integrated thermal desorption corona discharge ionization (TD-CDI) device, which was developed for direct mass spectrometry (MS) analysis of drugs in solid or liquid samples. The structure and operational parameters of the TD module were optimized through simulation and experimental investigations. For the CDI module, a hollow needle was used as the discharge electrode and sample inlet, allowing self-aspiration and efficient ionization of the desorbed samples. The TD-CDI device was tested and characterized using different mass spectrometers, exhibiting satisfactory stability and quantitative performance. Owing to its compact structure, it can be coupled to a miniature MS instrument to implement rapid identification of various drugs in urine solutions.

Drug discovery and therapeutic perspectives for proximal tubulopathies

The efficient reabsorption of essential nutrients by epithelial cells in the proximal tubule of the kidney is crucial for maintaining homeostasis. This process relies heavily on a complex ecosystem of vesicular trafficking pathways. At the center of this network, the lysosome plays a pivotal role in processing incoming molecules, sensing nutrient availability, sorting receptors and transporters, and balancing differentiation and proliferation in the tubular epithelial cells. Disruptions in these fundamental processes can lead to proximal tubulopathy-a condition characterized by the dysfunction of the tubular cells followed by the presence of low-molecular-weight proteins and solutes in urine. If left untreated, proximal tubulopathy can progress to chronic kidney disease and severe complications. Functional studies of rare inherited disorders affecting the proximal tubule have gleaned actionable insights into fundamental mechanisms of homeostasis while revealing drug targets for therapeutic discovery and development. In this mini review, we explore hereditary proximal tubulopathies as a paradigm of kidney homeostasis disorders, discussing the factors contributing to tubular dysfunction. In addition, we shed light on the current landscape of drug discovery approaches used to identify actionable targets and summarize the preclinical pipeline of potential therapeutic agents. These efforts may ultimately lead to new treatment avenues for proximal tubulopathies, which are currently inadequately tackled by existing therapies. Through this article, our hope is to promote academia-industry partnerships and advocate for research consortia that can accelerate the effective translation of knowledge advances into innovative therapies addressing the huge unmet needs of individuals with these debilitating diseases.

Proteomic-based electrochemical non-invasive biosensor for early breast cancer diagnosis

Breast cancer is the second highest cause of cancer-related mortality in women worldwide and in the United States, accounting for around 571,000 deaths per year. Early detection of breast cancer increases treatment results and the possibility of a cure. While existing diagnostic modalities such as mammography, ultrasound, and biopsy exist, some are prohibitively expensive, uncomfortable, time-consuming, and have limited sensitivity, necessitating the development of a cost-effective, rapid, and highly sensitive approach such as an electrochemical biosensor. Our research focuses on detecting breast cancer patients using the ECM1 biomarker, which has higher expression in synthetic urine. Our study has two primary objectives: (i) Diverse ECM1 protein concentrations are measured using electrochemical impedance spectroscopy and ELISA. Establishing a standard curve for the electrochemical biosensor by calibrating ECM-1 protein levels using electrochemical impedance spectroscopy. (ii) Validation of the effectiveness of the electrochemical biosensor. This aim entails testing the unknown concentration of ECM1 in the synthetic urine to ensure the efficiency of the biosensor to detect the biomarker in the early stages. The results show that the synthetic urine solution's ECM-1 detection range ranges from 1 pg/ml to 500 ng/ml. This shows that by detecting changes in ECM-1 protein levels in patient urine, the electrochemical biosensor can consistently diagnose breast cancer in its early stages or during increasing recurrence. Our findings highlight the electrochemical biosensor's efficacy in detecting early-stage breast cancer biomarkers (ECM-1) in patient urine. Further studies will be conducted with patient samples and develop handheld hardware for patient usage.

In vitro corrosion behavior of the extruded Mg–4Zn–1Mn alloy in different physiological solutions for biomedical applications

The extruded Mg–4Zn–1Mn alloy was prepared and its in vitro corrosion behavior in different physiological solutions of simulated body fluid (SBF), artificial saliva (AS) and artificial urine (AU) was investigated for biomedical applications. The microstructural characterization by optical microscope (OM), X-ray diffractometer (XRD), scanning electron microscopy (SEM) and energy dispersive X-ray spectrometer (EDS) showed that the alloy with an average grain size of approximate 20 ​μm was mainly composed of α-Mg matrix phase along with some MgZn2 and α-Mn precipitates. The results of electrochemical corrosion and immersion corrosion tests revealed a distinct corrosion behavior for the alloy in different solutions with increasing immersion time. The corrosion morphologies were featured with flocculent precipitates in the SBF, flower-like clusters in the AS and columnar crystals in the AU. The alloy exhibited highest corrosion resistance and lowest corrosion rate in the AS compared with the SBF and the AU, which was attributed to the formation of a stable corrosion products layer.

Comparison of Ureteral Stent Biomaterials: Encrustation Profile in Lithogenic Artificial Urine Models.

Ureteral stent encrustation significantly limits indwelling time and can lead to downstream urological problems. However, no ideal polymeric biomaterials have been shown to completely resist encrustation in long-term urine exposure. Recently, 2-hydroxyethyl methacrylate (HEMA)-coated Pellethane was reported as a promising biomaterial resistant to encrustation. This study compared HEMA-coated Pellethane to commercially available stents under two different artificial urine environments. To evaluate the degree and composition of encrustation on HEMA-coated Pellethane, Boston Scientific Tria, Bard InLay Optima, Cook Universa Hydrogel, and Cook Black Silicone stents were used at various dwelling times in two different artificial urine environments. In a batch-flow model, samples of stents were suspended in an artificial urine solution (AUS) at 37 °C. Every 24 h for 11 weeks, 50% of the AUS would be replaced with fresh components using a programmable peristaltic pump system. The stent materials were removed at suitable time intervals and air-dried for 24 h under sterile conditions before follow-up analysis. SEM was used to assess the degree of encrustation, and inductively coupled plasma mass spectrometry (ICP-MS) was employed to quantify the encrusted compositions, specifically for calcium, magnesium, and phosphorus. We measured the weight gain over time due to encrusted deposits on the stents and quantified the amount of Ca, Mg, and P deposited on each encrusted stent. After the 11 week trial, HEMA-coated Pellethane showed the most average mass change. SEM showed that HEMA-coated Pellethane was fully encrusted in just 2 weeks in the AUS environments, and ICP-MS showed that Ca is the most abundant deposit. Among all the tested stents, Black Silicone performed the best. The two AUSs were formulated to encrust more rapidly than physiological conditions. HEMA-coated Pellethane is not an ideal stent material, while silicone is a promising material for advancing ureteral stents.

A comprehensive study on microstructure, in-vitro biodegradability, bacterial sensitivity, and cellular interactions of novel ternary Zn-Cu-xAg alloys for urological applications

Novel ternary Zn-Cu-xAg alloys are designed and fabricated by the casting method under a vacuum atmosphere and then homogenized at 350 °C for 15 h. The effect of Ag concentration (x: 0, 1, 2, 3, and 4 wt%) on microstructure, hardness, in vitro corrosion, biodegradability, and bacterial sensitivity was studied systematically. The structural analysis of the alloys was investigated by using a scanning electron microscope (SEM-EDS), and an optical microscope (OM). Besides, phase characterization of the samples was conducted using X-ray diffraction (XRD). The degradation behaviors of the alloys were determined under in vitro conditions, electrochemical polarization, and immersion tests (up to 21 days) in artificial urine (AU) solution. The maximum hardness value for Zn-1Cu-4Ag alloy was about 2.38 times higher than pure Zn due to solid-solution strengthening and precipitation hardening of (Ag, Cu)Zn4 phases. The highest and lowest Icorr values, reference also corrosion rate, were calculated in Zn-1Cu and Zn-1Cu-3Ag alloys as 17.13 and 1.318 mA·cm−2, respectively. The alloys' bacterial sensitivities were evaluated with the disc diffusion test for E. coli and S. aureus. The inhibition ratio of the Zn-1Cu-1Ag was higher than the inhibition rates of the other alloys on E. coli and S. aureus. In addition, the biological properties of the generated material were promising by altering cell survival/death ratio in both prostate epithelial and bladder cancer cells related to their use potential in urology.

The urine-to-plasma urea concentration ratio is associated with eGFR and eGFR decline over time in a population cohort.

Evaluation of renal function and of factors associated with its decline are important public health issues. Besides markers of glomerular function [e.g. glomerular filtration rate (GFR)], those of tubular functions are rarely evaluated. Urea, the most abundant urinary solute, is markedly concentrated in urine when compared with plasma. We explored the urine-to-plasma ratio of urea concentrations (U/P urea ratio) as a marker of tubular functions. We evaluated the relationship of the U/P urea ratio with eGFR at baseline in 1043 participants (48±17 years) from the Swiss Kidney Project on Genes in Hypertension (SKIPOGH) population-based cohort, using mixed regression. In 898 participants, we assessed the relation between U/P urea ratio and renal function decline between two study waves 3 years apart. We studied U/P ratios for osmolarity, Na, K and uric acid for comparison. In a transversal study at baseline, estimated GFR (eGFR) was positively associated with U/P-urea ratio [βscaled=0.08, 95% CI (0.04; 0.13)] but not with the U/P ratio of osmolarity. Considering separately participants with renal function >90 or ≤90mL/min × 1.73 m2, this association was observed only in those with reduced renal function. In the longitudinal study, eGFR declined at a mean rate of 1.2mL/min per year. A significant association was observed between baseline U/P urea ratio and eGFR decline [βscaled=0.08, 95% CI (0.01; 0.15)]. A lower baseline U/P urea ratio was associated with a greater eGFR decline. This study provides evidence that the U/P urea ratio is an early marker of kidney function decline in the general adult population. Urea is easy to measure with well-standardized techniques and at low cost. Thus, the U/P urea ratio could become an easily available tubular marker for evaluating renal function decline.

Action of Urine on Stone-Built Heritage

Due to its resistance and durability, stone is the material most used in construction by humanity. The aim of this study was to investigate the action of urine on granites. Accelerated alteration tests were performed on Grey Itaquera, Pink Itupeva, and Black Piracaia granites – stones from the São Paulo State, Brazil, which were widely used in the historical built heritage of the São Paulo state. The test was performed with 30 cycles of partial immersion of nine samples in artificial urine solution and the sanitising of the specimens, totalling 60 consecutive days of testing. In the first 24 hours, the samples were partially immersed in urine; in the following 24 hours, the samples were sanitised in three different groups: A) without washing; B) washing with natural water; C) washing with a 5:1 solution of natural water with bleach. The alterations induced in the specimens were evaluated by spectrophotometry, P-wave velocity, and scanning electron microscopy. The main results obtained were chromatic alterations and crystallisation of salts on the three types of granite. The study concluded that urine is a substance that can cause moderate alterations in the aesthetics and structure of granitic stones.

A modelling approach to prepare synthetic urine for struvite precipitation studies.

Nutrient recovery from wastewater is an effective strategy to prevent eutrophication and provide value for the treatment process. Human urine is a small but highly nutrient-rich stream in the total flux of domestic wastewater from which struvite (MgNH4PO4.6H2O) could be recovered and used as a fertiliser. Consequently, synthetic urine was used in most struvite precipitation studies, due to biohazard issues in real human urine. A modelling approach was developed to formulate synthetic urine recipes based on elemental urine composition, using matrix solving strategy to select and quantify chemical salts for synthetic urine preparation. The model also included mass balance, chemical speciation, and equilibrium dissociation expression for solution thermodynamics predictions in the formulated urine. In this study, synthetic solutions of fresh and stored urine were assessed with this model using Engineering Equation Solver (EES) software to calculate the quantity of salts, pH, ionic strength, and struvite saturation index. Simulation results in EES were successfully verified using PHREEQC simulations, while model validation comprised the examination of urine composition with their reported recipes.

Evaluation of absorbent sheet to prevent anticancer drugs contamination spread in urine

Medically, anticancer drugs contamination leading to human exposure has become an issue. The urine of patients receiving chemotherapy contains anticancer drugs. If urine containing anticancer drugs is excreted, the anticancer drugs are scattered around the toilet bowl, then adhere to slipper soles and spread. Therefore, we developed an absorbent sheet containing activated carbon that absorbs anticancer drugs and prevents anticancer drug contamination spread. In this article, we report the data on the sheet performance evaluation. In artificial urine solutions, 100 μL (20 drops) of cyclophosphamide (CPA; 2,000 μg/mL), methotrexate (MTX; 6,000 μg/mL), and paclitaxel (PTX; 200 μg/mL) were dropped onto the stainless plate of two commercially available medical sheets (Pitapa SheetⓇ; control product 1 and Absocare sheetⓇ; control product 2) and a newly developed sheet (HD Safe Sheet-Neo, test product). Polyvinyl chloride (PVC) slippers were placed on the sheets for 30 s, and anticancer drugs that adhered to the slippers were quantified. We compared the drug quantities that were transferred to the slippers from different sheets. An average of 31.5%, 38.7%, and 50.5% of each of the dropped anticancer agents (CPA, MTX, and PTX, respectively) adhered to the slipper sole. Compared to that of the control product 2, the average adhesion of CPA and MTX was significantly reduced in the test product containing activated charcoal (224 vs 2 μg, p < .050 and 2,235 vs 19 μg, p < .050). Contrastingly, there was no significant difference in the PTX mean adherence (35 vs 13 μg). Activated carbon adsorbs anticancer drugs in urine. The test product containing activated charcoal reduced the amount of scattered anticancer drugs that adhered to the slippers. The results suggest that the activated carbon sheet may prevent anticancer drugs contamination spread in urine.

Sodium Salt of Partially Carboxymethylated Sodium Alginate-Graft-Poly(Acrylonitrile): II Superabsorbency, Salt Sensitivity and Swelling Kinetics of Hydrogel, H-Na-PCMSA-g-PAN.

The water absorption measurements of a novel superabsorbent anionic hydrogel, H-Na-PCMSA-g-PAN, has been reported first time in water with a poor conductivity, 0.15 M saline (NaCl, CaCl2, and AlCl3) solutions, and simulated urine (SU) solutions at various times. The hydrogel has been prepared by the saponification of the graft copolymer, Na-PCMSA-g-PAN (%G = 316.53, %GE = 99.31). Results indicated that as compared to the swelling capacity values evaluated in water with a poor conductivity, the ability of the hydrogel to swell in various saline solutions with the same concentration is significantly reduced at all different durations. The swelling tends to be Na+ > Ca2+ > Al3+ at the same saline concentration in the solution. Studies of the absorbency in various aqueous saline (NaCl) solutions also revealed that the swelling capacity decreased as the ionic strength of the swelling medium rose, which is consistent with the experimental results and Flory's equation. Furthermore, the experimental results strongly suggested that second-order kinetics governs the swelling process of the hydrogel in various swelling media. The swelling characteristics and equilibrium water contents for the hydrogel in various swelling media have also been researched. The hydrogel samples have been successfully characterized by FTIR to show the change in chemical environment to COO- and CONH2 groups after swelling in different swelling media. The samples have also been characterized by SEM technique.

Effects of structural characteristics of (un)conjugated steroid metabolites in their collision cross section value.

In this work, the collision cross section (CCS) value of 103 steroids (including unconjugated metabolites and phase II metabolites conjugated with sulfate and glucuronide groups) was determined by liquid chromatography coupled to traveling wave ion mobility spectrometry (LC-TWIMS). A time of flight (QTOF) mass analyzer was used to perform the analytes determination at high-resolution mass spectrometry. An electrospray ionization source (ESI) was used to generate [M+H]+, [M+NH4]+ and/or [M-H]- ions. High reproducibility was observed for the CCS determination in both urine and standard solutions, obtaining RSD lower than 0.3% and 0.5% in all cases respectively. CCS determination in matrix was in accordance with the CCS measured in standards solution showing deviations below 2%. In general, CCS values were directly correlated with the ion mass and allowed differentiating between glucuronides, sulfates and free steroids although differences among steroids of the same group were less significant. However, more specific information was obtained for phase II metabolites observing differences in the CCS value of isomeric pairs concerning the conjugation position or the α/β configuration, which could be useful in the structural elucidation of new steroid metabolites in the anti-doping field. Finally, the potential of IMS reducing interferences from the sample matrix was also tested for the analysis of a glucuronide metabolite of bolasterone (5β-androstan-7α,17α-dimethyl-3α,17β-diol-3-glucuronide) in urine samples.

English

The influence of aqueous extract of millet on the crystallization and the dissolution of calcium oxalate (CaOx) crystals were investigated in detail under supersaturated and artificial urinary circumstances in order to understand the effect of the water-soluble components of millet on CaOx kidney stones in humans. To investigate the inhibition effect, different volumes of millet extract were added separately to the combined supersaturated and artificial urinary solutions while the crystal deposition process was monitored by UV-Vis and conductivity measurements. The harvested crystals were characterized by FT-IR, SEM, TGA, XRD and redox titrations so as to determine the structure and the morphology of CaOx crystals formed. Our findings indicate that the crystals obtained from inhibition and dissolution experiments were mainly calcium oxalate monohydrate (COM), the thermodynamically more stable phase. Furthermore, the results show that the millet extract has a promising inhibition effect in the supersaturated solution and in artificial urinary circumstances showing ~34 and ~26% decrease in crystal deposition, respectively, with 50 mL of millet extract compared to control experiments. The dissolution effect of millet extract is far superior to that of the inhibition effect. One gram of COM crystals completely disappeared when the crystals were washed ten times with 300 mL millet extracts. Under the same conditions, the control experiment showed only ~44% dissolution of COM crystals. Further investigations conducted with actual kidney stones under artificial urinary circumstances showed approximately 20% dissolution when washings were carried out using 300-mL portions of millet over one week. This novel finding may shed the light on the possible use of millet as a potential natural antiurolithic remedy to treat CaOx kidney stones in humans. Key words: Calcium oxalate, kidney stones, millet, inhibition, dissolution effect.

Identifying the main predictors of urine output in autosomal-dominant polycystic kidney disease (ADPKD) patients taking tolvaptan.

Few works have analyzed factors associated with urine output in ADPKD patients taking tolvaptan (TVP). We selected 24-h urine samples from ADPKD patients treated withTVP. Urine osmolality/creatinine ratio was used as estimator of urinary osmolar load. We included 127 urine samples from 61 patients. After TVP, urine output doubled with a parallel reduction in urine solute concentration. However, when expressed as urine solute/creatinine ratios, no significant changes were observed. Daily osmolar load and osmolality/creatinine ratio did not change significantly. Before TVP, urine output was positively correlated with body weight and urine osmolality/creatinine ratio and negatively with eGFR, urine morning osmolality, and 24-h urine-calculated osmolality. After TVP, urine output was positively correlated with body weight, eGFR and negatively with age. There was a poor correlation with urine-calculated osmolality. We constructed a predictor model using mixed-effects modeling and we found that urine output was related to lower age, higher body weight, higher eGFR, and greater doses of TVP. When body weight was removed, urine output was also related to male sex and a higher daily osmolar excretion. Equation of prediction was: Urine output (mL/day) = 2771-52.9 × Age (years) + 58.4 × Weight (kg) + 18.7 × eGFR (mL/min) + 870 (if TVP = 90/30mg) + 517 (if TVP = 60/30mg). Patients taking TVP will undergo an increase about twice in urine production from baseline. Greater doses of TVP cause a progressive increase in urine production. GFR, age, and body weight are the main predictors of future urine output in patients taking TVP.

A smartphone integrated paper (SIP)-based platform for rapid and on-site screening of urinary tract infections

We present a smartphone integrated paper (SIP)-based system that enables accurate screening of urinary tract infections (UTIs) by directly identifying white blood cells (WBCs) in human urine samples. The SIP platform mainly consists of a paper-based capillaric filter and a smartphone-integrated fluorescence microscope. A paper filtration device allows a low-cost, simple method for selectively dying and isolating target WBCs in urine with more than 95% collection efficiency using capillary action through paper layers with several different pore sizes without extra pumps and tubes typically required for fluidic actuation in microfluidic systems. Furthermore, an integrated smartphone can be conveniently used for fluorescence imaging of the stained WBCs and microscopic analysis to rapidly provide UTI diagnostic results at the point of care without the need of bulky laboratory equipment and specialized training. The fabrication process for the SIP platform is simple and cost-effective, being beneficial for resource-limited field applications. We have experimentally demonstrated the capability of the SIP for isolation of target WBCs in a urine solution (more than 95% selectivity) using the paper capillaric filter, the effectiveness of the smartphone microscope for fluorescence imaging of urine solutions with 14.4 × magnification over a field of view of ∼12.25 mm2, the reliability of the platform’s cell counting with the 96.67% sensitivity and 100% specificity, and successful differentiation of the real urine samples between UTI patient and healthy person. The entire screening processes from filtration to quantification of WBCs in real human urine samples were rapidly completed within 10 min, showing its potential for point-of-care applications. The SIP technology provides a low-cost, rapid, and portable UTI diagnostic tool that can improve the access of accurate test results to developing areas and thus reduce suffering by speeding up therapy timelines.