HRM

HRM
  • 文章类型: Journal Article
    简介:大黄是一种经常使用且有益的中药。这些植物的野生资源不断枯竭,这意味着大黄产品受到了无与伦比的掺假。因此,迫切需要可靠的技术来验证大黄原料和商业植物药的真实性。方法:在本研究中,应用条形码-DNA高分辨率熔解(Bar-HRM)方法表征了63个大黄样品(五种Polygonaceae物种:大黄,Rh.掌,Rh.officinale,Rumexjaponicus和Ru。sp.)并区分了24种中成药(TCPM)样品的大黄含量。三个标记,即ITS2、RBCL和PSBA-TRNH,进行了测试,以评估候选DNA条形码在区分大黄与其掺假物方面的有效性。选择ITS2中的一个片段作为最合适的微型条形码来鉴定TCPM中的植物药大黄。然后,对大黄和TCPM样品进行基于ITS2条形码的HRM分析。结果:在测试的条形码基因座中,ITS2显示出丰富的变异位点,并有效地鉴定了the科物种及其植物起源。基于ITS2微型条形码区域的HRM分析成功区分了5种虎杖科植物和8批TCPM的真实性。在18个TCPM样品中,66.7%(12个样品)被鉴定为含有Rh。tanguticum或Rh.officinale.然而,33.3%的人被证明是掺假物。结论:这些结果表明DNA条形码结合HRM是一种特异性的,鉴定大黄物种和TCPM的合适而有力的方法,这对于保证国际交易的药用植物的安全至关重要。
    Introduction: Rhubarb is a frequently used and beneficial traditional Chinese medicine. Wild resources of these plants are constantly being depleted, meaning that rhubarb products have been subjected to an unparalleled level of adulteration. Consequentially, reliable technology is urgently required to verify the authenticity of rhubarb raw materials and commercial botanical drugs. Methods: In this study, the barcode-DNA high-resolution melting (Bar-HRM) method was applied to characterize 63 rhubarb samples (five Polygonaceae species: Rheum tanguticum, Rh. palmatum, Rh. officinale, Rumex japonicus and Ru. sp.) and distinguish the rhubarb contents of 24 traditional Chinese patent medicine (TCPM) samples. Three markers, namely ITS2, rbcL and psbA-trnH, were tested to assess the candidate DNA barcodes for their effectiveness in distinguishing rhubarb from its adulterants. A segment from ITS2 was selected as the most suitable mini-barcode to identify the botanical drug rhubarb in TCPMs. Then, rhubarbs and TCPM samples were subjected to HRM analysis based on the ITS2 barcode. Results: Among the tested barcoding loci, ITS2 displayed abundant sites of variation and was effective in identifying Polygonaceae species and their botanical origins. HRM analysis based on the ITS2 mini-barcode region successfully distinguished the authenticity of five Polygonaceae species and eight batches of TCPMs. Of the 18 TCPM samples, 66.7 % (12 samples) were identified as containing Rh. tanguticum or Rh. officinale. However, 33.3 % were shown to consist of adulterants. Conclusions: These results demonstrated that DNA barcoding combined with HRM is a specific, suitable and powerful approach for identifying rhubarb species and TCPMs, which is crucial to guaranteeing the security of medicinal plants being traded internationally.
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  • 文章类型: Journal Article
    PI3K蛋白参与PI3K/AKT/mTOR途径。该途径通过PIK3CA突变的失调在各种肿瘤中是常见的。这项工作的目的是确定突尼斯散发性或遗传性乳腺癌患者外显子9和20的热点突变。
    在从突尼斯乳腺癌患者收集的63个(42例散发性病例和21例遗传性病例)肿瘤组织中,通过QPCR-高分辨率熔解,然后进行COLD-PCR和测序,鉴定了PIK3CA基因外显子9和外显子20的热点突变。MCF7和BT20乳腺癌细胞系分别在外显子9和外显子20中具有PIK3CA热点突变E545K和H1047R,在人力资源管理实验中用作对照。
    在66.7%(42例中的28例)的散发性BC病例中检测到PIK3CA热点突变,遗传性BC的14.3%(21人中有3人)。E545K和H1048Y是散发性和遗传性BC患者中最常见的突变,而在我们的患者中未发现H1047R热点突变.统计分析表明PIK3CA突变与散发性BC患者的攻击行为有关,虽然它与年龄相关,遗传性乳腺癌患者的肿瘤分期和肿瘤大小。
    我们的结果显示,通过HRM-COLD-PCR在突尼斯乳腺癌患者中检测到一种新的PIK3CA热点突变。此外,PIK3CA热点突变缺失与预后良好相关。
    UNASSIGNED: The PI3K protein is involved in the PI3K/AKT/mTOR pathway. Deregulation of this pathway through PIK3CA mutation is common in various tumors. The aim of this work is to identify hotspot mutation at exons 9 and 20 in Tunisian patients with sporadic or hereditary breast cancer.
    UNASSIGNED: Hotspot mutations in exon 9 and exon 20 of the PIK3CA gene were identified by QPCR-High Resolution Melting followed by COLD-PCR and sequencing in 63 (42 sporadic cases and 21 hereditary cases) tumor tissues collected from Tunisian patient with breast cancer. MCF7, and BT20 breast cancer cell lines harboring the PIK3CA hotspot mutations E545K and H1047R in exon 9 and exon 20 respectively, were used as controls in HRM experiments.
    UNASSIGNED: PIK3CA hotspot mutations were detected in 66.7% (28 out of 42) of sporadic BC cases, and in 14.3% (3 out of 21) of hereditary BC. The E545K and the H1048Y were the most prevalent mutations identified in patients with sporadic and hereditary BC, whereas the H1047R hotspot mutation was not found in our patients. Statistical analysis showed that PIK3CA mutation associated with an aggressive behavior in patients with sporadic BC, while it\'s correlated with age, tumor stage and tumor size in the group patients with hereditary breast cancer.
    UNASSIGNED: Our results showed a novel PIK3CA hotspot mutation in Tunisian breast cancer patients detected by HRM-COLD-PCR. Moreover, the absence of PIK3CA hotspot mutation associated with good prognosis.
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  • 文章类型: Journal Article
    尽管存在识别混合物的准则,这些措施通常发生在分析的终点,并且是长期的。为了便于早期发现混合物,我们将高分辨率解链(HRM)混合物筛选试验整合到法医工作流程的qPCR步骤中,产生集成的QuantifilerTMTrio-HRM测定。化验,当与预测工具结合时,允许对样品的贡献者状态进行75.0%的准确识别(单一来源与混合物)。为了阐明开发的qPCR-HRM测定的局限性,进行了发育验证研究,评估重复性和不同DNA比率的样品,贡献者,和质量。从这项工作中,已确定集成QuantifilerTMTrio-HRM测定能够准确地鉴定具有多达五个供体的混合物和比例高达1:100的混合物。Further,最佳性能浓度范围为0.025至0.5ng/µL。有了这些结果,然后分析类似证据的DNA样本,导致100.0%的混合物样品被准确识别;此外,每次将样本预测为单一来源时,这是真的,给任何单一来源的电话提供信心。总的来说,QuantifilerTMTrio-HRM综合分析在qPCR阶段表现出增强的辨别混合样品与单一来源样品的能力,无论贡献者的性别如何。
    Although guidelines exist for identifying mixtures, these measures often occur at the end-point of analysis and are protracted. To facilitate early mixture detection, we integrated a high-resolution melt (HRM) mixture screening assay into the qPCR step of the forensic workflow, producing the integrated QuantifilerTM Trio-HRM assay. The assay, when coupled with a prediction tool, allowed for 75.0% accurate identification of the contributor status of a sample (single source vs. mixture). To elucidate the limitations of the developed qPCR-HRM assay, developmental validation studies were conducted assessing the reproducibility and samples with varying DNA ratios, contributors, and quality. From this work, it was determined that the integrated QuantifilerTM Trio-HRM assay is capable of accurately identifying mixtures with up to five contributors and mixtures at ratios up to 1:100. Further, the optimal performance concentration range was found to be between 0.025 and 0.5 ng/µL. With these results, evidentiary-like DNA samples were then analyzed, resulting in 100.0% of the mixture samples being accurately identified; furthermore, every time a sample was predicted as a single source, it was true, giving confidence to any single-source calls. Overall, the integrated QuantifilerTM Trio-HRM assay has exhibited an enhanced ability to discern mixture samples from single-source samples at the qPCR stage under commonly observed conditions regardless of the contributor\'s sex.
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  • 文章类型: Journal Article
    侵袭性霉菌感染(IMI)与高发病率相关,特别是在免疫功能低下的患者中,死亡率在40%到80%之间。早期开始适当的抗真菌治疗可以显著改善预后。然而,早期诊断仍难以确立,通常需要多学科团队评估临床和放射学结果以及支持性真菌学结果.通用数字高分辨率熔化(U-dHRM)分析可以实现IMI的快速和稳健的诊断。针对U-dHRM开发了通用真菌测定,并用于生成19种临床相关真菌病原体的熔解曲线特征数据库。训练机器学习算法(ML)以自动分类这些病原体曲线并检测新的熔解曲线。对来自疑似IMI患者的73个临床支气管肺泡灌洗样品进行了性能评估。通过微量移液U-dHRM反应和Sanger测序扩增子鉴定新曲线。U-dHRM实现了97%的整体真菌生物鉴定准确性和〜4小时的周转时间。U-DHRM检测到致病性霉菌(曲霉,Mucorales,Lomentospora,和镰刀菌)在30个分类为IMI的样本中,有73%,包括混合感染。通过要求在样品中检测到的致病霉菌曲线的数量>8并且样品体积为1mL来优化特异性。在21例无IMI的高危患者中产生了100%的特异性。U-dHRM有望作为标准真菌学检查的单独或组合诊断方法。U-dHRM的速度,能够同时识别和量化微生物样品中临床相关的霉菌病原体,检测新出现的机会性病原体可能有助于治疗决策,改善患者预后。
    目的:迫切需要改进侵袭性霉菌感染的诊断方法。这项工作提出了一种新的分子检测方法,解决了技术和工作流程的挑战,以提供快速病原体检测,identification,和量化,可以告知治疗,以改善患者的结果。
    Invasive mold infections (IMIs) are associated with high morbidity, particularly in immunocompromised patients, with mortality rates between 40% and 80%. Early initiation of appropriate antifungal therapy can substantially improve outcomes, yet early diagnosis remains difficult to establish and often requires multidisciplinary teams evaluating clinical and radiological findings plus supportive mycological findings. Universal digital high-resolution melting (U-dHRM) analysis may enable rapid and robust diagnoses of IMI. A universal fungal assay was developed for U-dHRM and used to generate a database of melt curve signatures for 19 clinically relevant fungal pathogens. A machine learning algorithm (ML) was trained to automatically classify these pathogen curves and detect novel melt curves. Performance was assessed on 73 clinical bronchoalveolar lavage samples from patients suspected of IMI. Novel curves were identified by micropipetting U-dHRM reactions and Sanger sequencing amplicons. U-dHRM achieved 97% overall fungal organism identification accuracy and a turnaround time of ~4 hrs. U-dHRM detected pathogenic molds (Aspergillus, Mucorales, Lomentospora, and Fusarium) in 73% of 30 samples classified as IMI, including mixed infections. Specificity was optimized by requiring the number of pathogenic mold curves detected in a sample to be >8 and a sample volume to be 1 mL, which resulted in 100% specificity in 21 at-risk patients without IMI. U-dHRM showed promise as a separate or combination diagnostic approach to standard mycological tests. U-dHRM\'s speed, ability to simultaneously identify and quantify clinically relevant mold pathogens in polymicrobial samples, and detect emerging opportunistic pathogens may aid treatment decisions, improving patient outcomes.
    OBJECTIVE: Improvements in diagnostics for invasive mold infections are urgently needed. This work presents a new molecular detection approach that addresses technical and workflow challenges to provide fast pathogen detection, identification, and quantification that could inform treatment to improve patient outcomes.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    目的:类圆圆线虫是一种具有特殊特征的寄生虫,它是一种独特的线虫。伊朗是S.stercoralis的流行地区。在这项研究中,巢式qPCR-高分辨率熔解(HRM)技术通过对进化遗传学分析,应用于一些来自该国的人分离株.
    方法:从伊朗的四个流行省份收集了12株人分离株。对于每种分离物,从单个丝状幼虫中提取基因组DNA。使用针对cox1基因部分区域的特异性引物,使用MEGA7和DnaSP5软件进行巢式qPCR-HRM和解链曲线分析,同时进行遗传邻近度评估和系统发育分析.
    结果:分离物的熔化温度(Tm)值为77.9°C-78.3°C。所有来自桂兰的分离株,Mazandaran,Khouzestan省的Tm值为78.2°C至78.3°C,虽然来自霍尔木兹甘省的分离株显示Tm值为77.9°C,78.0°C,和78.1°C。系统发育树表明,当前研究的序列包括9个单倍型。Tajima的D指数分析表明,胸骨链球菌分离株的cox1基因为阴性(Tajima的D=-0.27)。
    结论:将分离株分为五个温度组。尽管与PCR测序相比,HRM测定发现了更有限的遗传变化,它表明,来自Hormozgan省的分离株的Tm平均值低于其他省份,并且在系统发育树中代表了该地理区域的特定单倍型。
    OBJECTIVE: Strongyloides stercoralis is a parasite with special characteristics presenting it as a unique nematode. Iran is an endemic area for S. stercoralis. In this study, nested-qPCR-high resolution melting (HRM) technology was applied on some human isolates of S. stercoralis from this country by focusing on evolutionary genetics analysis.
    METHODS: Twelve human isolates of S. stercoralis were collected from four endemic provinces of Iran. Genomic DNA was extracted from a single filariform larva for every isolate. Using specific primers targeting partial regions in cox1 gene, nested-qPCR-HRM was performed and melting-curve profiles were analyzed alongside the evaluation of genetic proximity and phylogenetic analysis using MEGA7 and DnaSP5 software.
    RESULTS: The melting temperature (Tm) values of the isolates were 77.9 °C-78.3 °C. All isolates from Guilan, Mazandaran, and Khouzestan Provinces shared Tm values of 78.2 °C to 78.3 °C, while the isolates from Hormozgan Province showed Tm values of 77.9 °C, 78.0 °C, and 78.1 °C. The phylogenetic tree illustrated that the sequences of the current study included nine haplotypes. Tajima\'s D index analyses showed that cox1 gene in S. stercoralis isolates was negative (Tajima\'s D = - 0.27).
    CONCLUSIONS: The isolates were divided into five temperature groups. Although HRM assay compared to PCR sequencing identified more limited genetic changes, it revealed that the mean of Tm of the isolates from Hormozgan Province was lower than those of other provinces and represented specific haplotypes for this geographical region on the phylogenetic tree.
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  • 文章类型: Journal Article
    在过去的20年里,由于市场和技术力量,人力资源管理(HRM)的职能发生了根本性的变化,变得更加跨职能和数据驱动。在AI时代,人力资源管理专业人员在组织中的作用不断发展。人工智能(AI)正在改变整个组织的许多HRM功能和实践,从而提高系统和流程效率。执行高级数据分析,并为组织的价值创造过程做出贡献。越来越多的证据强调了人工智能给人力资源管理领域带来的好处。尽管人们对AI-HRM奖学金的兴趣越来越大,专注于工作中的人与人工智能互动,基于人工智能的人力资源管理技术是有限和分散的。此外,在人力资源管理技术设计和部署中缺乏人为考虑可能会阻碍人工智能数字化转型的努力。本文提供了一个当代和前瞻性的视角,以人力资源管理在组织中的战略和以人为中心的角色,因为人工智能在工作场所变得更加集成。跨越AI-HRM集成的三个不同阶段(技术官僚,集成,并完全嵌入),它检查了技术,人类,以及每个阶段的道德挑战,并就如何使用以人为中心的方法克服这些挑战提供建议。我们的论文强调了人力资源管理在人工智能驱动的组织中不断演变的作用的重要性,并提供了如何使人类和机器在工作场所更紧密地联系在一起的路线图。
    The functions of human resource management (HRM) have changed radically in the past 20 years due to market and technological forces, becoming more cross-functional and data-driven. In the age of AI, the role of HRM professionals in organizations continues to evolve. Artificial intelligence (AI) is transforming many HRM functions and practices throughout organizations creating system and process efficiencies, performing advanced data analysis, and contributing to the value creation process of the organization. A growing body of evidence highlights the benefits AI brings to the field of HRM. Despite the increased interest in AI-HRM scholarship, focus on human-AI interaction at work and AI-based technologies for HRM is limited and fragmented. Moreover, the lack of human considerations in HRM tech design and deployment can hamper AI digital transformation efforts. This paper provides a contemporary and forward-looking perspective to the strategic and human-centric role HRM plays within organizations as AI becomes more integrated in the workplace. Spanning three distinct phases of AI-HRM integration (technocratic, integrated, and fully-embedded), it examines the technical, human, and ethical challenges at each phase and provides suggestions on how to overcome them using a human-centric approach. Our paper highlights the importance of the evolving role of HRM in the AI-driven organization and provides a roadmap on how to bring humans and machines closer together in the workplace.
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  • 文章类型: Journal Article
    这项工作的目标是使用组织文化评估工具(OCAI)诊断方法来找出捷克共和国公司中现有和首选的组织文化,然后评估其对组织规模的依赖。数据收集于2019-2021年,并使用MicrosoftExcel和IBMSPSS24统计程序进行评估,例如,描述性统计工具,单样本z检验,方差分析和事后检验(Tukey的诚实显著性差异-HSD)。这项研究是对整个共和国和各个领域的962家公司进行的。研究结果表明,捷克共和国的氏族文化盛行,在所有六个维度中占主导地位。捷克共和国的企业按以下顺序混合了组织文化:(1)氏族文化(31.72%),(2)等级文化(25.46%),(3)市场文化(21.5%),(4)教化文化(21.28%)。然而,关于所需的文化组合,这一顺序变化如下:(1)宗族(35.3%),(2)分层(22.91%),(3)好教(22.63%),和(4)市场文化(19.17%)。此外,发现根据捷克共和国组织的规模,在组织文化评估中观察到统计学上的显着差异。这项研究的局限性可能是2020年和2021年的受访者人数不相等,这不允许比较时间段的差异。这项工作可以作为组织文化与另一种民族文化的比较基础。
    The goal of this work was to use the Organizational Culture Assessment Instrument (OCAI) diagnostic method to find out the existing and preferred organizational culture in companies in the Czech Republic and then to evaluate their dependence on the size of the organizations. Data were collected in 2019-2021 and evaluated using Microsoft Excel and IBM SPSS 24 statistical program, e.g., descriptive statistics tools, one-sample z-test, analysis of variance and post hoc test (Tukey\'s honest significant difference - HSD). The research was conducted on a sample of 962 companies across the entire republic and fields. The results of the study show that clan culture prevails in the Czech Republic, which was dominant in all six dimensions. Enterprises in the Czech Republic have a mix of organizational cultures in the following order: (1) clan culture (31.72%), (2) hierarchical culture (25.46%), (3) market culture (21.5%), and (4) adhocratic culture (21.28%). However, with regard to the desired cultural mix, this order changes as follows: (1) clan (35.3%), (2) hierarchical (22.91%), (3) adhocratic (22.63%), and (4) market culture (19.17%). Furthermore, it was found that a statistically significant difference was observed in the assessment of organizational culture depending on the size of the organization in the Czech Republic. A limitation of the research could be the unequal number of respondents in 2020 and 2021, which does not allow comparing differences in the time period. This work can serve as a comparative basis of organizational culture with another national culture.
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  • 文章类型: Journal Article
    医疗保健中的人力资源管理(HRM)是关系到医疗保健提供质量和效率的重要组成部分。然而,缺乏全面的概述来评估和跟踪医疗保健中人力资源管理研究的现状和趋势。本研究旨在描述医疗保健人力资源管理研究的现状和全球趋势,并指出研究的前沿和未来方向。研究方法基于使用科学可视化软件(VOSviewer)的文献计量学制图。数据来自WebofScience(WoS)核心引文数据库。应用搜索条件后,我们检索了833种出版物,在过去的30年里稳步增长。此外,93个国家和地区发表了相关研究。美国和澳大利亚在这一领域做出了重大贡献。当前的研究文章关注的主题集中在性能方面,医院/COVID-19,工作满意度,人力资源管理,职业/心理健康,和护理质量。最常见的共同出现的关键词是人力资源管理,工作满意度,护士,医院,卫生服务,护理质量,COVID-19和护理。关于薪酬管理和员工关系管理的研究有限,因此,当前的人力资源管理研究领域仍然无法提出完整,系统的路线图。我们建议我们的同事们在未来应该考虑关注这些研究差距。
    Human resource management (HRM) in healthcare is an important component in relation to the quality and efficiency of healthcare delivery. However, a comprehensive overview is lacking to assess and track the current status and trends of HRM research in healthcare. This study aims to describe the current situation and global trends in HRM research in healthcare as well as to indicate the frontiers and future directions of research. The research methodology is based on bibliometric mapping using scientific visualization software (VOSviewer). The data were collected from the Web of Science(WoS) core citation database. After applying the search criteria, we retrieved 833 publications, which have steadily increased over the last 30 years. In addition, 93 countries and regions have published relevant research. The United States and Australia have made significant contributions in this area. Current research articles focus on topics clustered into performance, hospital/COVID-19, job satisfaction, human resource management, occupational/mental health, and quality of care. The most frequently co-occurring keywords are human resource management, job satisfaction, nurses, hospitals, health services, quality of care, COVID-19, and nursing. There is limited research on compensation management and employee relations management, so the current HRM research field still has not been able to present a complete and systematic roadmap. We propose that our colleagues should consider focusing on these research gaps in the future.
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  • 文章类型: Preprint
    侵袭性霉菌感染(IMIs),如曲霉病,毛霉菌病,镰刀菌病,Lomentosporiosis与高发病率和死亡率相关,特别是在免疫功能低下的患者中,死亡率高达40%到80%。早期开始适当的抗真菌治疗可以大大改善预后。然而,早期诊断仍难以确立,通常需要多学科团队评估临床和放射学结果以及支持性真菌学结果.通用数字高分辨率熔解分析(U-dHRM)可以实现IMI的快速和稳健的诊断。该技术旨在通过以数字聚合酶链反应(dPCR)格式对微生物条形码基因进行广泛的扩增,在单基因组水平上实现及时的病原体检测。随后在每个数字反应中高分辨率解链DNA扩增子以产生通过机器学习鉴定的生物体特异性解链曲线签名。
    针对U-dHRM开发了通用真菌测定,并用于生成19种临床相关真菌病原体的熔解曲线特征数据库。训练机器学习算法(ML)以自动分类这19种真菌熔解曲线并检测新的熔解曲线。对来自疑似IMI患者的73个临床支气管肺泡灌洗(BAL)样品进行性能评估。通过微量移液U-dHRM反应和Sanger测序扩增子鉴定新曲线。
    U-dHRM实现了平均97%的真菌生物体鉴定准确度和4小时的周转时间。致病性霉菌(曲霉,Mucorales,通过U-dHRM在73%的怀疑IMI的BALF样品中检测到Lomentospora和镰刀菌)。检测到19%的致病霉菌混合物。U-DHRM对IMI表现出良好的敏感性,根据当前诊断标准的定义,当还考虑临床发现时。
    U-dHRM作为标准真菌学测试的单独或组合诊断方法显示出有希望的性能。U-dHRM的速度及其同时识别和量化多重微生物样品中的临床相关霉菌病原体以及检测新出现的机会病原体的能力可以提供可以帮助治疗决策和改善患者结果的信息。
    UNASSIGNED: Invasive mold infections (IMIs) such as aspergillosis, mucormycosis, fusariosis, and lomentosporiosis are associated with high morbidity and mortality, particularly in immunocompromised patients, with mortality rates as high as 40% to 80%. Outcomes could be substantially improved with early initiation of appropriate antifungal therapy, yet early diagnosis remains difficult to establish and often requires multidisciplinary teams evaluating clinical and radiological findings plus supportive mycological findings. Universal digital high resolution melting analysis (U-dHRM) may enable rapid and robust diagnosis of IMI. This technology aims to accomplish timely pathogen detection at the single genome level by conducting broad-based amplification of microbial barcoding genes in a digital polymerase chain reaction (dPCR) format, followed by high-resolution melting of the DNA amplicons in each digital reaction to generate organism-specific melt curve signatures that are identified by machine learning.
    UNASSIGNED: A universal fungal assay was developed for U-dHRM and used to generate a database of melt curve signatures for 19 clinically relevant fungal pathogens. A machine learning algorithm (ML) was trained to automatically classify these 19 fungal melt curves and detect novel melt curves. Performance was assessed on 73 clinical bronchoalveolar lavage (BAL) samples from patients suspected of IMI. Novel curves were identified by micropipetting U-dHRM reactions and Sanger sequencing amplicons.
    UNASSIGNED: U-dHRM achieved an average of 97% fungal organism identification accuracy and a turn-around-time of 4hrs. Pathogenic molds (Aspergillus, Mucorales, Lomentospora and Fusarium) were detected by U-dHRM in 73% of BALF samples suspected of IMI. Mixtures of pathogenic molds were detected in 19%. U-dHRM demonstrated good sensitivity for IMI, as defined by current diagnostic criteria, when clinical findings were also considered.
    UNASSIGNED: U-dHRM showed promising performance as a separate or combination diagnostic approach to standard mycological tests. The speed of U-dHRM and its ability to simultaneously identify and quantify clinically relevant mold pathogens in polymicrobial samples as well as detect emerging opportunistic pathogens may provide information that could aid in treatment decisions and improve patient outcomes.
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