As regular cervical cancer screening becomes more common, the detection of cervical intraepithelial neoplasia (CIN) is increasing. We proposed a noninvasive and low-cost multi-channel electrical impedance spectroscopy (EIS) and probe with multiple active electrodes for screening CIN. Compared with four-electrode probes for impedance spectroscopy, the multiple active electrodes facilitated more flexible combination of current injection and voltage measurement, which allowed well-designed measurement protocols for focused sensitivity underneath the large size of the probe. Furthermore, the multiple active electrodes reduced the negative effects of the cabling between the system and probe inserted into the cervix. After presenting the basic performance, the EIS probe was tested by three different experimental phantoms using four different materials of electrical properties. The corresponding experimental results were presented to prove the functionality of the EIS probe and characterize the electrical properties at a wide range of frequencies from 0.625 to 100 kHz. It had high sensitivity underneath the surface of the probe and a rapidly decreased outer. Furthermore, we verified the frequency-dependent impedance changes using the giant vesicle phantoms with different amounts of extra- and intra-fluids separated by the insulating membranes. This study facilitates the feasibility into clinical practice for identifying CIN in the future.

High-flow nasal cannula (HFNC) is widely used to treat hypoxemic respiratory failure. The effectiveness of HFNC treatment and the methods for monitoring its efficacy in the general ward remain unclear. This prospective observational study enrolled 42 patients who had acute hypoxemic respiratory failure requiring HFNC oxygen therapy in the general adult respiratory ward. The primary outcome was the all-cause in-hospital mortality. Secondary outcomes included the association between initial blood test results and HFNC outcomes. Regional ventilation distributions were monitored in 24 patients using electrical impedance tomography (EIT) after HFNC initiation. Patients with successful HFNC treatment had better in-hospital survival (94%) compared to those with failed HFNC treatment (0%, p < 0.001). Neutrophil-to-lymphocyte ratios of ≥9 were more common in patients with failed HFNC (70%) compared to those with successful HFNC (52%, p = 0.070), and these patients had shorter hospital survival rates after HFNC treatment (p = 0.046, Tarone-Ware test). Patients with successful HFNC treatment had a more central ventilation distribution compared to those with failed HFNC treatment (p < 0.05). Similarly, patients who survived HFNC treatment had a more central distribution compared to those who did not survive (p < 0.001). We concluded that HFNC in the general respiratory ward may be a potential rescue therapy for patients with respiratory failure. EIT can potentially monitor patients receiving HFNC therapy.