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Modeling Of Nk Cells In Pediatric Patients With Unusually Severe Or Recurrent Hsv Using High-Dimensional Flow Cytometry, Yunran Feng

McKelvey School of Engineering Theses & Dissertations

HSV infection is broadly spread all over the world with some patients having severe and/or recurrent HSV infections. Our lab studies human Natural Killer (NK) cells, which are important in innate immune responses to viral infections and tumors. A publication in 2013 by Ornstein et al from our lab studied HSV+ pediatric patients and found some associations between severe infection and defects in NK cytolytic function. PLCG2 haploinsufficient variants found in 2 HSV patients causing PLCγ2 hypophosphorylation, and loss of cytolytic function in NK cells is a novel finding recently published by Alinger et al from our lab in 2023. …

Utendo Sleeve- A Tendon To Muscle Fixation Device, Sarah Miller

Chancellor’s Honors Program Projects

No abstract provided.

Development And Feasibility Studies Of Ai-Powered Socially Assistive Robotics To Promote Wellbeing Of Persons With Alzheimer’S Disease And Related Dementias, Fengpei Yuan

Doctoral Dissertations

The number of persons living with Alzheimer's Disease and Related Dementias (PLWDs) has been keeping growing. In 2024, it is estimated that there will be approximately 6.7 million individuals living with Alzheimer's Dementia. This number will increase to about 14 million in 2060. Due to the damage in neurons, the capabilities of memory, thinking, and language will decline as the disease progress. As a result, persons with dementia will gradually withdraw from their social activities and become more dependent on others during their activities of daily living. Making it worse, our society is not ready for the increasing requirements of …

A Pattern Matching Algorithm For Self-Adjusting Basal Rates In Insulin Pump Systems, Lauren Smith

Doctoral Dissertations

In a Type 1 Diabetic, Insulin can be administered in a pump system. There are two types of insulin that must be given: basal and bolus. Basal insulin is a long-acting form of insulin that works in the background while fasting, while Bolus insulin is rapid/short acting given in response to food to immediately begin working to lower blood sugar.

Modeling in Diabetes can be represented by algorithmic approaches ranging from simple autoregressive models of the Continuous Glucose Monitor time series to multivariate nonlinear regression techniques of machine learning. Other examples of modeling in Diabetes include prediction models of hypoglycemia …

The Development And Enhancement Of A Forward Mathematical Model Of The Human Knee Joint, Seth Coomer

Doctoral Dissertations

Degenerative joint disease, or osteoarthritis, is a common occurrence in the knee joint. This can often result in joint pain, decrease in range of motion, and ultimately disability. One way to counteract osteoarthritis is the incorporation of a total knee arthroplasty (TKA). TKAs replace the damaged bone and soft tissue surrounding the knee with metal and polyethylene components. Ideally this will improve the joint’s performance and reduce pain. However, there is still a number of TKA patients who remain dissatisfied. In order to investigate this, in depth research must be done on the design and performance of TKAs.

One such …

Multimodal Data Fusion And Machine Learning For Advancing Biomedical Applications, Md Inzamam Ul Haque

Doctoral Dissertations

This dissertation delves into the intricate landscape of biomedical imaging, examining the transformative potential of data fusion techniques to refine our understanding and diagnosis of health conditions. Daily influxes of diverse biomedical data prompt an exploration into the challenges arising from relying solely on individual imaging modalities. The central premise revolves around the imperative to combine information from varied sources to achieve a holistic comprehension of complex health issues.

The chapters included here contain articles and excerpts from published works. The study unfolds through an examination of four distinct applications of data fusion techniques. It commences with refining clinical task …

Motor Control Quantification And Necessary Improvements For Individuals With Post-Stroke Gait: Implications For Future Customizable Rehabilitation Approaches, Azarang Asadi

Doctoral Dissertations

Although often taken for granted, walking is an extremely complex motor skill that requires sensory inputs, neural communication, advanced control strategies, and coordination of the muscles and joints. Electrical signals traveling from the brain to the muscles are transformed to mechanical forces to achieve desired motion. A stroke damages the central nervous system and neural pathways, limiting the ability of survivors to walk. Walking speed is significantly decreased and asymmetrical walking patterns emerge. A crucial component of stroke rehabilitation is gait training, a therapeutic intervention to help individuals to improve their walking ability, as walking is essential for functional independence …

Uniting Cognitive Models And Ai: Early Alzheimer’S Screening Through Language Analysis, Ziming Liu

Doctoral Dissertations

Alzheimer's Disease (AD) and related dementias (PwADRD) often lead to memory issues, language difficulties, and cognitive impairments. These symptoms can cause social isolation, anxiety, depression, accelerating cognitive decline, and negatively impacting quality of life. Traditional diagnostic and rehabilitation methods, relying on Artificial Intelligence (AI) or clinical observations, sometimes lack transparency and explainability for the growing population affected by AD. My research aims to address these challenges by developing AI systems that analyze affective states and cognitive deficits in PwADRD interactions. This involves creating more precise diagnostic tools and rehabilitation methods, as well as trustworthy AI agents to improve PwADRD's quality …

Novel Kinetic Description Of Real-Time Polymerase Chain Reaction Characterizes Interrelated Effects Of Sample, Master Mix, And Cycle Time, David Tafur

All Graduate Theses and Dissertations, Fall 2023 to Present

Real-time quantitative polymerase chain reaction fluorescent curves are influenced by the quantification method, template length, primer sequence, polymerase activity, reaction conditions, and unwanted side reactions. Interpretation of these curves depends on understanding the subjacent mechanisms by which those factors can alter the curve profile, particularly on highly diluted analytes or impure samples. However, such factors are individually described today, or their interplay is not fully developed. The present work examines the effect of primer dimer formation and extension, resource competition, template reannealing, and polymerase thermodegradation, in addition to novel descriptions of polymerase competitive inhibition, extended primer amplification, and the probability …

Mathematical Modeling For Dental Decay Prevention In Children And Adolescents, Mahdiyeh Soltaninejad

Dissertations

The high prevalence of dental caries among children and adolescents, especially those from lower socio-economic backgrounds, is a significant nationwide health concern. Early prevention, such as dental sealants and fluoride varnish (FV), is essential, but access to this care remains limited and disparate. In this research, a national dataset is utilized to assess sealants' reach and effectiveness in preventing tooth decay, particularly focusing on 2nd molars that emerge during early adolescence, a current gap in the knowledge base. FV is recommended to be delivered during medical well-child visits to children who are not seeing a dentist. Challenges and facilitators in …

Low Impedance, Durable, Self-Adhesive Hydrogel Epidermal Electrodes For Electrophysiology Recording, Naiyan Wu

McKelvey School of Engineering Theses & Dissertations

Traditional electrodes used for electrophysiology recording, characterized by their hard, dry, and inanimate nature, are fundamentally mismatched with the soft, moist, and bioactive characteristics of biological tissues, leading to suboptimal skin-electrode interfaces. Hydrogel materials, mirroring the high water content and biocompatibility of biological tissues, emerge as promising candidates for epidermal electronic materials due to their adjustable physicochemical properties. However, challenges such as inadequate electrical conductivity, elevated skin impedance, unreliable adhesion in moist conditions, and performance decline from dehydration have significantly restricted the efficacy and applicability of hydrogel-based electrodes. In this thesis, we report a high-performance hydrogel epidermal electrode patch for …

Tunable Dual-Phase Dual-Drug Delivery System Using A Plga Microparticle/Pva Hydrogel Composite, Timothy John Eck

Theses and Dissertations

Current drug-eluting coatings have demonstrated controlled long-term, sustained release but have only tried to mitigate short-term burst release as a negative side effect. For applications like wound healing, there is a need for a drug-eluting coating which is adjustable in both short- and long-term release, independent of each other. We present a tunable dual-phase dual-drug delivery coating composed of drug-loaded polymer microparticles and drug-loaded hydrogel which can control short term and long term release individually in this study. This coating was created using lidocaine and dexamethasone encapsulated in poly(D,L-lactide-co-glycolide) particles combined with lidocaine- and dexamethasone-loaded poly(vinyl alcohol) hydrogel. Hydrogel drug …

Physical And Geometrical Modulation Of Human Fibroblast Behaviour, Sarah M. Brooks

Electronic Thesis and Dissertation Repository

This thesis investigates the impact of mechanical stimuli, specifically substratum topography and elastic modulus, on dermal and gingival fibroblast behaviour associated with scarring and regeneration. Scar formation presents a significant issue for implanted biomaterials often leading to device failure. Even though scar formation is a normal end point to adult human dermal wound healing, gingival wounds are capable of tissue regeneration or scarless wound healing. Understanding how these cells respond to environmental cues, including substratum topography and elastic modulus, is central to the development of novel biomaterials for stimulation of tissue regeneration. It was hypothesized that topographic features, with submicron …

Bioactive And Electrically Conductive Nanocomposite Bone Biomaterials, Rebeca A. Arambula-Maldonado

Electronic Thesis and Dissertation Repository

Electrically conductive carbon-based materials are emerging as potential biomaterials for bone tissue engineering. Their incorporation into organic-inorganic nanocomposites mimics the structural composition and electrically conductive nature of bone.

The aim of this research was to design bone biomaterials from gelatin-based polymers, tertiary bioactive glasses (BG) via a sol-gel method, and multiwall carbon nanotubes (MWCNT). The incorporation of calcium into organic-inorganic nanocomposites plays an essential role in the development of bioactive bone biomaterials. Calcium chloride and calcium ethoxide were investigated as calcium sources in gelatin-BG-MWCNT nanocomposites. The resulting surface elemental distribution was homogeneous, but the swelling, degradation and porosity properties of …

Redesign Of Robotic Walking Training Device To Involve Zero Gravity Capabilities And Daily Activities, Chad Ballard

Mechanical Engineering Theses

Many patients struggle with disabilities that hinder their ability to walk. This project aimed to create a leg assembly capable of variable gravity so that it could be combined with a Robotic Walking Training Device, and lead to better rehabilitation options for patients. This was accomplished by deriving equations of joint torque, creating circuit diagrams for Arduino systems, modeling leg assemblies in CAD, and finally combining it to create a working small-scale prototype. The result of the prototype testing showed accurate movement on each joint, especially the ankle and knee segments, to create virtual zero gravity. In addition to this, …

Surgical Navigation In Image-Guided Transoral Robotic Surgery, Yuan Shi

Dartmouth College Ph.D Dissertations

Transoral robotic surgery (TORS) is a minimally invasive approach in treating head and neck cancers and has demonstrated improved surgical outcomes with reduced morbidity when compared to traditional open surgery. However, the lack of haptic feedback makes it more difficult to assess the tumor extent and locate critical structures (e.g., artery and nerves). In standard-of-care TORS, preoperative imaging is used as guidance; however, it becomes inaccurate intraoperatively: the patient’s neck is hyper-extended, surgical instruments are introduced, and soft tissues deform significantly. As a result, the surgeon is required to mentally predict intraoperative deformation, which can lead to bleeding complications and …

Pulsed Electric Fields Sensitize Methicillin-Resistant Staphylococcus Aureus To Antibacterial Therapies And Stimulate Host Immune Responses, Alexandra E. Chittams-Miles

Biomedical Sciences Theses & Dissertations

This research explores the impact of nanosecond pulsed electric fields (nsPEF) on two fronts: their immune stimulatory effects and their potential as a novel strategy to enhance the sensitivity of Methicillin-resistant Staphylococcus aureus (MRSA) to clinically relevant antibiotics. While pulsed electric fields have been reported to have an immune stimulatory effect, the mechanisms responsible for these effects have yet to be determined.

Our investigation addresses the rising concern of MRSA derived skin and soft tissue infections (SSTIs). Consistent with other publications, we found that nsPEF alone cause modest inactivation of planktonic MRSA. We then investigated the effects of nsPEF in …

Development And Characterization Of Injectable, Cell-Encapsulated Chitosan-Genipin Hydrogels, Tyler R. Priddy-Arrington

Doctoral Dissertations

Over 150,000 patients undergo lower extremity amputation every year in the United States, most commonly caused by complications due to diabetes mellitus, peripheral vascular disease, and trauma. Diseased or damaged tissues that are unable to naturally repair themselves must either be fully removed or replaced, otherwise the injuries can lead to further complications such as infection or death. Tissue resection and amputation, as forms of removing damaged tissue, are not favorable to patients as they can cause pain, reduce mobility, and negatively impact quality of life. However, replacing lost or damaged tissues with donor tissues carries the risks of tissue …

Selective Targeting Of Microglia By Quantum Dots And Green Synthesis Of Metal Organic Biohybrids; Applications In Dynamic Cell And Assay Systems, Navya Uppu

Doctoral Dissertations

Neurological disorders are the leading cause of physical and cognitive disability across the globe, currently affecting approximately 15% of the worldwide population. Part of the glioma microenvironment are microglia, resident immune cells of the CNS that were thought to be involved in the pathogenesis of diverse neurodegenerative diseases. Though it remains uncertain what triggers microglial activation in these disorders, targeting and tracking microglial functions using nanotools like Quantum Dots (QDs) could help us elucidate them in such neurological diseases. This research focuses on the comparative study of different QDs formulations and their selective uptake by brain microglia in primary cultures …

Blow-Spun Hybrid Pcl-Peo/Hnts Scaffolds With Enhanced Biological And Mechanical Properties, Meichen Liu

Doctoral Dissertations

With the development of technology and engineering, nanotechnology has been a multidisciplinary scientific field applied in nearly all science areas, including medicine, genetics, food industry, robotics. In this respect, nanomedicine has gained increasing attention and been a useful, effective therapy for cancer diagnosis, gene transfer, and drug delivery. To design an ideal nano drug delivery system with controlled drug releasing and improved encapsulated drug’s pharmacokinetic and pharmacodynamic profiles, hydrogels and polymer composites have witnessed increased research interest during the last decades. Recently, numerous polymers have been studied to fabricate the ideal wound dressing with biocompatibility, biodegradability, porous structural, and suitable …

Neonatal Respiratory Therapy Interface, Kennedy Austin, Evan Manley, Parker Murray, Harrison Oen

Biomedical Engineering

This Final Report reviews and outlines the scope, objectives, and deliverables for the BCPAP Interface Redesign project, aimed at enhancing the functionality, usability, and patient experience of the existing BCPAP interface. It also includes detailed testing results and manufacturing plans for the device prototype. The current system has challenges in universal usability, time constraints, and patient comfort, which this project intends to address effectively. The goal of this project is to reevaluate and redesign the interface of the bubble continuous positive air pressure (BCPAP) machine’s attachment site with the infant. Due to the millions of premature neonates and thousands of …

Development Of An In Vitro 3-Dimensional Co-Culture Human Colorectal Cancer Model In Microfluidic Devices, Abby Jens

Master's Theses

Colorectal cancer is the second most common cause of cancer-related deaths in the United States, with the relative 5-year survival rate for distant stage cancer being only 14%. The most common treatment for colorectal cancer is with chemotherapeutic drugs; however, the discovery of these drugs is costly, time-consuming, and often requires the use of animal models that do not yield results that translate to clinical trials. Due to these shortcomings, researchers seek to develop physiologically relevant in vitro tumor models that more accurately mimic the tumor microenvironment for cheaper and faster high-throughput drug screening. The aim of this research was …

Comparison Of Scanning Electron Microscopy And Confocal Laser Microscopy For Tissue Surface Roughness Characterization, Tarnvir Dhaliwal

Master's Theses

It was found that the measurements captured by confocal microscopy and scanning electron microscopy had a statistically significant difference for bovine tissue. There was not a statistically significant for porcine and poultry tissue.

The intent of the study is to perform a comparative study to examine efficacy of two distinct technologies for a singular purpose: tissue surface roughness characterization. The two technologies compared are a confocal reflectance microscope and a scanning electron microscope. The comparison was made by comparing two surface roughness parameters [Ra and Rq] within ImageJ.

The study examined three different animal species [porcine, bovine, and poultry] to …

Finite Element Analysis Of The Bearing Component Of Total Ankle Replacement Implants During The Stance Phase Of Gait, Timothy S. Jain

Master's Theses

Total ankle replacement (TAR) implants are an effective option to restore the range of motion of the ankle joint for arthritic patients. An effective tool for analyzing these implants’ mechanical performance and longevity in-silico is finite element analysis (FEA). ABAQUS FEA was used to statically analyze the von Mises stress and contact pressure on the articulating surface of the bearing component in two newly installed fixed-bearing total ankle replacement implants (the Wright Medical INBONE II and the Exactech Vantage). This bearing component rotates on the talar component to induce primary ankle joint motion of plantarflexion and dorsiflexion. The stress response …

Auto Adjustable Flow Regulator, Ethan Hemmerlin, Jack Dooley

Biomedical Engineering

The Auto-Adjustable Oxygen Flowmeter device is to be used in conjunction with an oxygen source or reservoir, as well as a low-flow nasal cannula apparatus. The device is applicable for patients requiring an oxygen flow rate of 0-6 L/min. Further, the device works to maintain a healthy blood-oxygen concentration of 90-94% for typical patients, as well as an 88-92% range for COPD patients who are chronic CO2 retainers. A reflective pulse oximeter will record the SpO2 concentration of the patient. The outputted SpO2 concentration will be transmitted to an internal processing PCB from which it will interact with the oxygen …

Assisted Delivery Device, Rachel Rowe, Madeliene Mumford, Jenna Eissmann, Brittany Trinh

Biomedical Engineering

Current devices used to assist in complicated births present serious risks to both the mother and the fetus, which has caused a decline in the use of these devices over the last decade. This senior project team has proposed an alternative device that interfaces with the infant’s shoulders that would decrease these risks and contribute to the decrease of unnecessary c-sections due to device inadequacy. This Statement of Work includes research on the downfalls of current devices, existing patents, customer requirements, engineering specifications, and a design plan through December of this year. The next phase of this project will include …

Tourniquet Pressure Gradient Measurement Apparatus, Luis Enrique Perez, Elsa Elizabeth Bates

Biomedical Engineering

The goal of this project was to design a device that would measure pressure gradient data across the width of an elastic and inelastic tourniquet cuff using a human limb model. The main customer requirements that were focused on were to accurately measure the pressure from a tourniquet, keep the cost down, and be easy to use. The targeted design specifications were to read pressure values ranging from 0-400 mmHg, keep the test length under 5 minutes, and to keep the cost of materials under $400. The design of the device ended up consisting of 5 IV pouches that were …

The Development And Testing Of A Gyroscope-Based Neck Strengthening Rehabilitation Device, Nicole D. Devos

Electronic Thesis and Dissertation Repository

Neck pain can be debilitating, and is experienced by the majority of people at some point over the course of their life. Resistance training has been shown to have significant improvement in pain or disability for patients. There are few options available for telerehabilitation, and the use of gyroscope stabilizers is proposed for this use. A biomechanics model of a head--neck--gyroscope system was created. In order to also model the dynamics of such a system, this work proposes a blended method using the Denavit--Hartenberg (DH) convention, popular in the field of robotics, with the Lagrangian mechanics approach to analyze an …

Steminism: Analyzing Factors That Improve Retention Of Women In Stem, Kira Carter, Jane Kelley, Jason Vasser-Elong, Rc Patterson

Dissertations

Our co-authored research ‘Steminism: Analyzing Factors That Improve Retention for Women as STEM Majors’ analyzed factors that contributed to the retention of women in science, technology, engineering, and mathematics (STEM) programs at Missouri University of Science & Technology (Missouri S&T). Women make up half of the US population, and while careers in (STEM) are an integral part of the US economy, women are underrepresented in these career fields. The purpose of our dissertation is to address the underrepresentation of women in STEM majors. Our methodology included homogeneous sampling to collect qualitative data. More specifically, we consulted with academic advisors and …

Mri Image Regression Cnn For Bone Marrow Lesion Volume Prediction, Kevin Yanagisawa

Theses and Dissertations

Bone marrow lesions (BMLs), occurs from fluid build up in the soft tissues inside your bone. This can be seen on magnetic resonance imaging (MRI) scans and is characterized by excess water signals in the bone marrow space. This disease is commonly caused by osteoarthritis (OA), a degenerative join disease where tissues within the joint breakdown over time [1]. These BMLs are an emerging target for OA, as they are commonly related to pain and worsening of the diseased area until surgical intervention is required [2]–[4]. In order to assess the BMLs, MRIs were utilized as input into a regression …