This hypothesis demonstrates that the efficiency of loop-mediated isothermal amplification (LAMP) for nucleic acid detection can be positively influenced by the preconcentration of microbial cells onto hydrophobic paper surfaces. The mechanism of this model is based on the high affinity of microbes towards hydrophobic surfaces. Extensive studies have demonstrated that hydrophobic surfaces exhibit enhanced bacterial and fungal adhesion. By exploiting this inherent affinity of hydrophobic paper substrates, the preconcentration approach enables the adherence of a greater number of target cells, resulting in a higher concentration of target templates for amplification directly from urine samples. In contrast to conventional methods, which often involve complex procedures, this approach offers a simpler, cost-effective, and user-friendly alternative. Moreover, the integration of cell adhesion, LAMP amplification, and signal readout within paper origami-based devices can provide a portable, robust, and highly efficient platform for rapid nucleic acid detection. This innovative hypothesis holds significant potential for point-of-care (POC) diagnostics and field surveillance applications. Further research and development in this field will advance the implementation of this technology, contributing to improved healthcare systems and public health outcomes.

Paper-based analysis has captivated scientists\' attention in the field of analytical chemistry and related areas for the last two decades. Arguably no other area of modern chemical analysis is so broad and diverse in its approaches spanning from simple \'low-tech\' low-cost paper-based analytical devices (PADs) requiring no or simple instrumentation, to sophisticated PADs and microfluidic paper-based analytical devices (μPADs) featuring elements of modern material science and nanomaterials affording high selectivity and sensitivity. Correspondingly diverse is the applicability, covering resource-limited scenarios on the one hand and most advanced approaches on the other. Herein we offer a view reflecting this diversity in the approaches and types of devices. The core idea of this article rests in dividing μPADs according to their type into two groups: A) instrumentation-free μPADs for resource-limited scenarios or developing countries and B) instrumentation-based μPADs as futuristic POC devices for e-diagnostics mainly aimed at developed countries. Each of those two groups is presented and discussed with the view of the main requirements in the given area, the most common targets, sample types and suitable detection approaches either implementing high-tech elements or low-tech low-cost approaches. Finally, a socioeconomic perspective is offered in discussing the fabrication and operational costs of μPADs, and, future perspectives are offered.

A novel green fabrication approach is being proposed based on radiation assisted modification of Whatman filter paper 1 (WFP) for development of Acid Free-Paper based Analytical Devices (Af-PADs). Af-PADs exude immense potential as handy tools for on-site detection of toxic pollutants such as, Cr(VI), boron, etc., which have established detection protocols involving acid mediated colorimetric reactions that necessitate external acid addition. The proposed Af-PAD fabrication protocol asserts its novelty through elimination of external acid addition step, making the detection process safer and simpler. To achieve this, poly(acrylic acid) (PAA) was grafted onto WFP via a single step, room temperature process of gamma radiation induced simultaneous irradiation grafting, introducing acidic -COOH groups in the paper thereon. Grafting parameters namely, absorbed dose and concentrations of monomer, homopolymer inhibitor and acid were optimized. The -COOH groups incorporated in PAA-grafted-WFP (PAA-g-WFP) provide localized acidic conditions for colorimetric reactions between pollutants and their sensing agents, anchored on the PAA-g-WFP. Af-PADs loaded with 1,5-diphenylcarbazide (DPC) have been ably demonstrated for visual detection and quantitative estimation of Cr(VI) in water samples using RGB image analysis, with LOD value of 1.2 mg.L-1 and a measurement range comparable to that of commercially available PADs based Cr(VI) visual detection kits.

Bridging the unmet need of efficient point-of-care testing (POCT) in biomedical engineering research and practice with the emerging development in artificial synthetic xeno nucleic acids (XNAs), this review summarized the recent development in paper-based POCT using XNAs as sensing probes. Alongside the signal transducing mode and immobilization methods of XNA probes, a detailed evaluation of probe performance was disclosed. With these new aspects, both researchers in synthetic chemistry / biomedical engineering and physicians in clinical practice could gain new insights in designing, manufacturing and choosing suitable reagents and techniques for POCT.

Simple and selective paper-based colorimetric sensors using silver nanoprism (AgNPrs) were conveniently fabricated and developed for the determination of chloride ions (Cl-) contaminated in the environment. Samples containing different concentrations of Cl- were analyzed. The analysis is based on the oxidative etching of the AgNPrs into smaller silver nanospheres (AgNPss) by Cl-. In the presence of Cl-, the distinctive color change of the AgNPrs from dark-violet to red was rapidly visualized by the naked eye in 5min without the requirement of surface modification. For quantitative measurement using image processing, a good linear relationship (R2 = 0.996) between logarithmic of Cl- concentration and the average mean color intensity was obtained in the range of 10-1000mgL-1 with a detection limit of 1.3mgL-1. The developed sensors were investigated for precision, accuracy, and sensitivity and validated by the classical method. Statistical analysis proved that the developed sensors were precise, sensitive and accurate and can be used effectively for the analysis of Cl- in natural waters.

A new platform of a paper-based analytical device (PAD) for simultaneous forward and reverse ABO blood group typing has been reported. This platform can overcome the discrepancy results as influenced by the individual haematocrit. The test and the control of non-haemagglutination on each channel were performed in parallel. The PAD was fabricated by printing six parallel channels with wax onto Whatman No. 4 filter paper. An LF1 blood separation membrane was used for the separation of plasma from whole blood for reverse grouping. The blood group was identified by haemagglutination of the corresponding antigen-antibody. For forward grouping, Anti-A, -B and -A,B were treated on the test line of PAD, and inactivated Anti-A, -B and -A,B were immobilized on the control line. For reverse grouping, 30% standard A-cells, B- and O- were added to the test channel after plasma separation, and O-cells were used as a control. Then, 0.9% normal saline (NSS) containing 1% Tween-20 was bi-functionally used for dilution of the blood sample and elution of the non-agglutinated RBCs within the channels. The distance of agglutinated RBCs in each test line was compared with the distance of non-agglutinated RBCs in the parallel control line. The forward and reverse patterns of blood groups A, B, AB and O were a barcode-like chart in which the results can be visually analysed. The PAD has excellent reproducibility when 10 replications of the A, B, AB or O blood groups were performed. The results of both forward and reverse grouping were highly correlated with conventional methods compared with the slide method and tube method, respectively (n = 76). Thus, this ABO typing PAD holds great potential for future applications in blood typing point-of-care testing.

We propose a new, paper-based analytical device (PAD) for blood typing that allows for the simultaneous determination of ABO and Rh blood groups on the same device. The device was successfully fabricated by using a combination of wax printing and wax dipping methods. A 1:2 blood dilution was used for forward grouping, whereas whole blood could be used for reverse grouping. A 30% cell suspension of A-cells or B-cells was used for haemagglutination on the reverse grouping side. The total assay time was 10 min. The ratio between the distance of red blood cell movement and plasma separation is the criterion for agglutination and indicates the presence of the corresponding antigen or antibody. The proposed PAD has excellent reproducibility in that the same blood groups, namely A, AB, and O, were reported by using different PADs that were fabricated on the same day (n=10). The accuracy for detecting blood group A (n=12), B (n=13), AB (n=9), O (n=14), and Rh (n=48) typing were 92%, 85%, 89%, 93%, and 96%, respectively, in comparison with the conventional slide test method. The haematocrit of the sample affects the accuracy of the results, and appropriate dilution is suggested before typing. In conclusion, this study proposes a novel method that is straightforward, time-saving, and inexpensive for the simultaneous determination of ABO and Rh blood groups, which is promising for use in developing countries.