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Full-Text Articles in Biomedical Engineering and Bioengineering

Dreamtemp: A Platform For Sleep Monitoring And Improvement, Michelle Lim, Kyle Pedersen, Will Cockrum Jun 2023

Dreamtemp: A Platform For Sleep Monitoring And Improvement, Michelle Lim, Kyle Pedersen, Will Cockrum

Interdisciplinary Design Senior Theses

With 70 million Americans suffering from chronic sleep disorders and only 7500 board-certified sleep physicians, a clear logistical problem exists that technological solutions may be able to address. The proliferation of IoT devices in homes and on our person presents a unique opportunity to improve sleep quality by leveraging the data they produce, and the control they provide to us over our everyday lives. DreamTemp is a platform for sleep monitoring and improvement that aims to improve an individual’s quality of sleep by dynamically adjusting the room temperature based on the user’s sleep cycle using a smart wearable and thermostat. …


Rhea Breast Pump: Implementation Of Biomimicry Technology, Harper Daniels, Leanne James, Laini Reynolds, Courtney Rowe, Julia Yaklich Jun 2023

Rhea Breast Pump: Implementation Of Biomimicry Technology, Harper Daniels, Leanne James, Laini Reynolds, Courtney Rowe, Julia Yaklich

Interdisciplinary Design Senior Theses

Rhea Breast Pump is an innovative breast pump that implements biomimicry informed technology for a more efficient and comfortable breastfeeding experience. Our design implements a tongue actuator in conjunction with vacuum to mimic the suckling motion of a baby’s mouth, a heating element for pain alleviation, and a soft flange to maximize comfort. The development of this device is motivated by the goal of empowering women, specifically nursing mothers, to maintain their independence and individuality while raising a family. Our team, consisting of all female engineers, strongly believes in and supports the notion that women can and should have the …


Automation Of Life Cycle Assessment, Jacob Hickman May 2023

Automation Of Life Cycle Assessment, Jacob Hickman

Graduate Theses and Dissertations

An automation program, named Jacob LCA, was created to help perform life cycle assessment (LCA). The program uses a template file to perform controlled and consistently ordered actions with the LCA program, SimaPro, and effectively removes the need for manual user input. It can be set to run using data from one or more life cycle inventory (LCI) files, which allows for rapid iteration and testing of data. It also partially addresses some of the limitations of LCA by establishing a procedure through which temporal and spatial variations in data can be integrated into LCI files and then passed to …


Neurogen: Eeg And Near-Infrared Light Stimulation Control System, Arnold Nieto, Jaylinn Solis, Matthew Tamanaha Apr 2023

Neurogen: Eeg And Near-Infrared Light Stimulation Control System, Arnold Nieto, Jaylinn Solis, Matthew Tamanaha

Interdisciplinary Design Senior Theses

Light stimulation or transcranial photobiomodulation (tPBM) therapy has been shown to be effective when treating patients suffering neurodegenerative diseases such as Alzheimer’s and Parkinson’s disease. While there is currently no cure, light stimulation can help alleviate symptoms for those patient’s suffering from these diseases. With this in mind, the senior design team from last year began a prototype hybrid electroencephalography (EEG) and tPBM device. They implemented a specific wavelength of 810 nanometer (nm) near-infrared (NIR) light emitting diodes (LEDs), with a 16 channel EEG headset from OpenBCI. The device was intended to serve as a potential research tool, with a …


Ultra-Low Intensity Post-Pulse Affects Cellular Responses Caused By Nanosecond Pulsed Electric Fields, Kamal Asadipour, Carol Zhou, Vincent Yi, Stephen J. Beebe, Shu Xiao Jan 2023

Ultra-Low Intensity Post-Pulse Affects Cellular Responses Caused By Nanosecond Pulsed Electric Fields, Kamal Asadipour, Carol Zhou, Vincent Yi, Stephen J. Beebe, Shu Xiao

Electrical & Computer Engineering Faculty Publications

High-intensity nanosecond pulse electric fields (nsPEF) can preferentially induce various effects, most notably regulated cell death and tumor elimination. These effects have almost exclusively been shown to be associated with nsPEF waveforms defined by pulse duration, rise time, amplitude (electric field), and pulse number. Other factors, such as low-intensity post-pulse waveform, have been completely overlooked. In this study, we show that post-pulse waveforms can alter the cell responses produced by the primary pulse waveform and can even elicit unique cellular responses, despite the primary pulse waveform being nearly identical. We employed two commonly used pulse generator designs, namely the Blumlein …


Development Of A Tissue Engineered Cardiac Patch, Howard Herbert Dec 2022

Development Of A Tissue Engineered Cardiac Patch, Howard Herbert

All Dissertations

Cardiovascular Disease(CVD) is the leading cause of mortality in the developed world. CVD is most commonly manifested as atherosclerosis of the coronary arteries leading to Myocardial Infarction(MI). After MI, fibrosis of the ventricular wall leads to heart failure(HF), a pandemic affecting 26 million people globally. While therapies are continuously developed to combat HF, the treatment of choice, whole heart transplant, is limited by the availability of donor hearts. It is clear that there is a need to develop a long-term solution to combat HF and its enormous economic burden. Tissue Engineering and Regenerative Medicine holds promise as a possible solution …


In Vitro Models For The Study Of Liver Biology And Diseases: Advances And Limitations, Savneet Kaur, Srivatsan Kidambi, Martí Ortega-Ribera, Le Thi Thanh Thuy, Natalia Nieto, Victoria C. Cogger, Wei-Fen Xie, Frank Tacke, Jordi Gracia-Sancho Nov 2022

In Vitro Models For The Study Of Liver Biology And Diseases: Advances And Limitations, Savneet Kaur, Srivatsan Kidambi, Martí Ortega-Ribera, Le Thi Thanh Thuy, Natalia Nieto, Victoria C. Cogger, Wei-Fen Xie, Frank Tacke, Jordi Gracia-Sancho

Department of Chemical and Biomolecular Engineering: Faculty Publications

In vitro models of liver (patho)physiology, new technologies, and experimental approaches are progressing rapidly. Based on cell lines, induced pluripotent stem cells or primary cells derived from mouse or human liver as well as whole tissue (slices), such in vitro single- and multicellular models, including complex microfluidic organ-on-a-chip systems, provide tools to functionally understand mechanisms of liver health and disease. The International Society of Hepatic Sinusoidal Research (ISHSR) commissioned this working group to review the currently available in vitro liver models and describe the advantages and disadvantages of each in the context of evaluating their use for the study of …


Bioai For Anti-Infective Drug Discovery, Maria Esquivel, Johann Fernando, Anna Fisher, Cameron Leong, Adam Weaver Apr 2022

Bioai For Anti-Infective Drug Discovery, Maria Esquivel, Johann Fernando, Anna Fisher, Cameron Leong, Adam Weaver

Interdisciplinary Design Senior Theses

Modern antibacterial drugs are quickly becoming insufficient for medical, agricultural and veterinary use, and the drug design techniques used to supplement the supply are not able to adequately and quickly produce enough effective candidates. We took a multi-pronged approach to remedying this problem, including shifting the target mechanism from antibiotic drugs in favor of anti-infective drugs, developing an AI which aimed to predict the interactions of small molecule fragments with the target protein, and refining wet lab testing protocols in order to make the drug design process holistically more efficient and effective. We have shown that there is potential in …


Neurogen: Eeg And Near-Infrared Light Stimulation Control System, Karina Sanchez, Sruthi Sakthivel, Michael Bose, Evan Jennings Apr 2022

Neurogen: Eeg And Near-Infrared Light Stimulation Control System, Karina Sanchez, Sruthi Sakthivel, Michael Bose, Evan Jennings

Interdisciplinary Design Senior Theses

Neurodegenerative diseases, such as Alzheimer’s disease and Parkinson’s disease are widespread, affecting millions of people worldwide. These diseases occur when neurons in the brain or peripheral nervous system progressively lose function and deteriorate. Current pharmacological treatments manage some of the neurological symptoms, but there is no cure yet. Interventions that mitigate or restore loss of function can fill the void until that goal is met. Light stimulation, or transcranial photobiomodulation (tPBM) therapy, can help treat people with neurodegenerative diseases, as it has been shown to improve sleep, attention, memory, and cognitive function.

The objective of this project is to develop …


Innovative Techniques Of Neuromodulation And Neuromodeling Based On Focal Non-Invasive Transcranial Magnetic Stimulation For Neurological Disorders, Ivan C. Carmona-Tortolero Jan 2022

Innovative Techniques Of Neuromodulation And Neuromodeling Based On Focal Non-Invasive Transcranial Magnetic Stimulation For Neurological Disorders, Ivan C. Carmona-Tortolero

Theses and Dissertations

This dissertation aims to develop alternative technology that improves the current range of application of transcranial magnetic stimulation (TMS), on a scale that would permit defining specific non-invasive treatments for Parkinson’s disease and other neurological disorders. This is accomplished through three specific objectives. 1) The design of a neurostimulation system that increases the focality in TMS to regions of narrow target areas and variable depths in the brain cortex. 2) The assessment of the feasibility of novel high-frequency neuromodulation techniques that would allow increasing the focality in deeper areas beyond the cortical surface. 3) The development of a computational model …


The Aquatic Particle Number Quandry, Alexander B. Bochdansky, Huanqing Huang, Maureen H. Conte Jan 2022

The Aquatic Particle Number Quandry, Alexander B. Bochdansky, Huanqing Huang, Maureen H. Conte

OES Faculty Publications

Optical surveys of aquatic particles and their particle size spectra have become important tools in studies of light propagation in water, classification of water masses, and the dynamics of trophic interactions affecting particle aggregation and flux. Here, we demonstrate that typical settings used in image analysis vastly underestimate particle numbers due to the particle – gel continuum. Applying a wide range of threshold values to change the sensitivity of our detection system, we show that macrogels cannot be separated from more dense particles, and that a true particle number per volume cannot be ascertained; only relative numbers in relation to …


Conversion Of Multicellds Digital Snapshots To Isa-Tab Format., Corey P. Chitwood Aug 2021

Conversion Of Multicellds Digital Snapshots To Isa-Tab Format., Corey P. Chitwood

Electronic Theses and Dissertations

The MultiCellular Data Standard (MultiCellDS) is an interdisciplinary effort to create a data standard for sharing multicellular experimental, simulation, and clinical data. The ultimate goal of the overall project is to allow for data sharing that will lead to better analyses and simulations for multicellular biology and predictive medicine in association with the PhysiCell, a software that allows for simulations of large numbers of cells in 3D tissues. Digital cell lines are files that contain a standardized representation of a biological cell line and include phenotypic parameters as well as microenvironmental conditions for use in simulations. A Digital Cell Line …


Machine Learning Based Model For The Detection Of Brain Aneurysms From Mr Angiography, Katherine Becknell, Claire Bushnell, Rachel Fitzsimmons, Emily Sumner Jun 2021

Machine Learning Based Model For The Detection Of Brain Aneurysms From Mr Angiography, Katherine Becknell, Claire Bushnell, Rachel Fitzsimmons, Emily Sumner

Interdisciplinary Design Senior Theses

A brain aneurysm is a thin or weak spot on a blood vessel wall that expands and fills with blood. Brain aneurysms are very dangerous due to the fact that in most cases, patients do not show any symptoms. Because of this, aneurysms are difficult to diagnose unless it becomes very large or ruptures, resulting in fatal hemorrhage.

Aneurysms can be detected by a number of different brain imaging methods including Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Computed Tomography Angiography (CTA) and other imaging methods but for the sake of this report we will only be focusing on …


Classifying Brainwaves For Brain-Computer Interface Technology, Derrick Wang, Brendan Lawler Jun 2021

Classifying Brainwaves For Brain-Computer Interface Technology, Derrick Wang, Brendan Lawler

Bioengineering Senior Theses

The intention of this project is to develop a brainwave classification system that will help restore the independence of those with severe motor function impairments. While current brain computer interface (BCI) technology offers a means of control for those with limited mobility, severely motor disabled individuals represent a population in need of methods to restore independent motor control. Thus, the objective of our project is to utilize neural signals from electroencephalogram (EEG) recordings to develop a machine learning classifier. Since our specific goal is to help those with limited mobility, we are focusing on motion imagery tasks which elicit a …


Expanding Image Datasets For Deep Learning By Evaluating Independence Through Coefficient Correlation And Mean-Squared Error, Ayman Yousef May 2021

Expanding Image Datasets For Deep Learning By Evaluating Independence Through Coefficient Correlation And Mean-Squared Error, Ayman Yousef

Biomedical Engineering Undergraduate Honors Theses

With deep learning being leveraged more regularly in the field of image classification, particularly in medical imaging, network optimizations have become a field in and of itself. With open source, comprehensive medical image datasets few and far, computational dataset expansion has become a useful tool for researchers without the ability to further manually collect data. However, with the rich amount of data that imaging modalities like multi-photon microscopy collect at a time, there is potential to expand datasets through proper utilization of this data that often time goes unused. Previous deep learning studies have shown that improper expansion can conflate …


Low-Cost, Biomimetic, Vibrotactile Stimulation For Non-Invasive Sensory Feedback, Joe Kutteh, Alexander Kobilnyk Jan 2021

Low-Cost, Biomimetic, Vibrotactile Stimulation For Non-Invasive Sensory Feedback, Joe Kutteh, Alexander Kobilnyk

Summer Scholarship, Creative Arts and Research Projects (SCARP)

Prosthetic limbs provide individuals with amputations the ability to regain function in lost body parts. However, most prostheses are seen as tools rather than the embodiment of the user’s missing limb. To strengthen the connection between prosthesis and user, a sense of touch can be enabled via vibrotactile feedback. The goal of our experiment is to find the just-noticeable-difference (JND) in stimuli that an individual can distinguish while using two different waveforms: biomimetic and traditional. The biomimetic waveform mimics rapidly and slowly adapting receptors in the body by encoding rate-of-change in stimuli at the onset and offset of a more …


Bio Circuits For Evolutionary Biotech, Camilo Toruno Jun 2020

Bio Circuits For Evolutionary Biotech, Camilo Toruno

ENGS 86 Independent Projects (AB Students)

The field of bioengineering has much promise for renewable chemical production, bioremediation, and of course medical applications. Developing new useful microorganisms is extremely time and capital intensive, typically taking 50 million USD and eight years. This is due in large part to the low throughput techniques that are characteristic of the field of metabolic engineering. Here we describe the modification of an existing synthetic biosensor to measure the pharmaceutical dopamine, and the use of a circuit simulator Cadence to predict improvements to the biosensor. This biosensor paired with directed evolution techniques could reach throughputs of 5 million cells per day …


3-D Silk Fibroin Porous Particles Created By The Ouzo Effect For Biomedical Applications, Ashley Nicole Lamb May 2020

3-D Silk Fibroin Porous Particles Created By The Ouzo Effect For Biomedical Applications, Ashley Nicole Lamb

UNLV Theses, Dissertations, Professional Papers, and Capstones

Due to its high biocompatibility and biodegradability, silk fibroin – produced from

Bombyx mori (B. mori) cocoons – has been at the forefront of research for many

biomedical application formats: hydrogels, films, microspheres, and porous

sponges/scaffolding, to name a few. For drug delivery, in particular, porous particles are

desirable for their large surface area, uniform and tunable pore structure, and high

porosity. This thesis focuses on the fabrication of porous particles from silk fibroin by the

very interesting Ouzo effect. The Ouzo effect, so named because of the Greek

beverage ouzo, describes the phenomenon of an ethanol + anethole oil …


Developing A Skin Phantom For The Testing Of Biowearables, Tawni Henderson, Ju Young Lee, Matthew Placide, Kiran Sutaria Apr 2020

Developing A Skin Phantom For The Testing Of Biowearables, Tawni Henderson, Ju Young Lee, Matthew Placide, Kiran Sutaria

Interdisciplinary Design Senior Theses

There is a demonstrated need in the biowearables industry for a benchtop model that can accurately emulate the perspiration mechanism and corresponding impedance vs. frequency spectra of skin. This model, or skin phantom, could increase the efficiency and accuracy of early-stage testing of biowearables, as well as minimize animal, human, and cadaver testing.

The objective of this project is to develop a skin phantom that can emulate the perspiration mechanism and impedance spectrum behavior of human skin for the testing of biowearables in the 2,000 - 20,000 Hz range. We also endeavored to create computer-simulated models to aid in the …


Proteomic Analysis Of Fetal Rat Neural Stem Cells After Treatment With Hericium Erinaceus, Bright Adam Test Jan 2020

Proteomic Analysis Of Fetal Rat Neural Stem Cells After Treatment With Hericium Erinaceus, Bright Adam Test

University of the Pacific Theses and Dissertations

The fungus, Hericium erinaceus, has outstanding chemical properties, displaying health benefits in digestive, hepatic, and nervous tissues. Its ease of accessibility and use makes it one of the most common substances used for treatment in Eastern medicine. More and more recent research is confirming the incredible health benefits of this fungus, especially the impact that is seen on nervous tissue growth and recovery post-treatment. Such neurite outgrowth and myelin sheath regeneration could illustrate the beginning of the cure to lifelong neurodegenerative diseases such as Multiple Sclerosis. In this first-of-its-kind study, we cultured and differentiated fetal rat neural stem cells while …


Investigation Of The Effect Of Age On Regenerative Outcomes Following Treatment Of Volumetric Muscle Loss Injuries, John Taehwan Kim Aug 2019

Investigation Of The Effect Of Age On Regenerative Outcomes Following Treatment Of Volumetric Muscle Loss Injuries, John Taehwan Kim

Graduate Theses and Dissertations

Volumetric muscle loss (VML) is a traumatic injury in skeletal muscle resulting in the bulk loss of more than 20% of the muscle’s volume. Included in the bulk loss of muscle is the skeletal muscle niche comprised of nerve bundles, vasculature, local progenitor cells, basal lamina, and muscle fibers, overwhelming innate repair mechanisms. The hallmark of VML injury is the excessive accumulation of non-contractile, fibrotic tissue and permanent functional deficits. Though predominant in the younger demographic, the elderly population is also captured within VML injuries. There are many factors that change with aging in skeletal muscle that may further hinder …


Epic: Examining Patch Impedance Characteristics, Shane Buck, Jyotsna Gopinath, Kyle Markfield Jun 2019

Epic: Examining Patch Impedance Characteristics, Shane Buck, Jyotsna Gopinath, Kyle Markfield

Interdisciplinary Design Senior Theses

In the United States, approximately one in 4 adults have at least one chronic illness, making up approximately 84% of US Healthcare Spending. Unfortunately, 50% of patients with chronic diseases do not take their medication properly and as such spend more money trying to get better – approximately $100 billion in annual preventable costs. One solution to this issue is digital medicine as it allows for the monitoring of patient medicine consumption.

Our industry partner has developed a three-part digital medicine system with the aim of allowing patients with chronic health issues to better reach their health goals through monitoring …


Justrun - Social Gps Running Game, Riley Bergin, Maggie Cai, Simran Judge, Grace Ling Jun 2019

Justrun - Social Gps Running Game, Riley Bergin, Maggie Cai, Simran Judge, Grace Ling

Interdisciplinary Design Senior Theses

With advances in technology allowing people to live more sedentary lives, more and more people are struggling to live a healthy active lifestyle. In the efforts to combat unhealthy styles of living, we wish to introduce a mobile app that takes advantage of motivational game mechanics to motivate players will make go on runs regularly.


The Theia Soteria: Alternative Design For Safer Initial Entry During Laparoscopic Procedures, Kayla Dubois, Patrick Ryan, Madelyn Joanis Jun 2019

The Theia Soteria: Alternative Design For Safer Initial Entry During Laparoscopic Procedures, Kayla Dubois, Patrick Ryan, Madelyn Joanis

Honors Theses

Laparoscopic procedures account for 15 million surgeries worldwide [1], with the initial entry into the peritoneal cavity accounting for 33-50% of all major laparoscopic complications [7]. This initial entry is the most dangerous as surgeons must enter the cavity using a sharp object with no visibility and space between the outer surface of the cavity and internal tissues. During the initial entry into the peritoneal cavity, the patients undergoing laparoscopic procedures are at a high risk for damage to internal organs and vasculature, necessitating the development of a device to protect these internal tissues and increase patient safety.


Machine Learning Solution To Organ-At-Risk Segmentation For Radiation Treatment Planning, Brie Goo, Katrina May, Haobo Zhang, James Olivas Apr 2019

Machine Learning Solution To Organ-At-Risk Segmentation For Radiation Treatment Planning, Brie Goo, Katrina May, Haobo Zhang, James Olivas

Interdisciplinary Design Senior Theses

In the treatment of cancer using ionizing radiation, it is important to design a treatment plan such that dose to normal, healthy organs is sufficiently low. Today, segmentation requires a trained human to carefully outline, or segment, organs on each slice of a treatment planning computed tomography (CT) scan but it is laborious, time-consuming, and contains intra- and inter-rater variability. Currently, existing clinical automation technology relies on atlas-based automation, which has limited segmentation accuracy. Thus the auto-segmentations require post process editing by an expert. In this paper, we propose a machine learning solution that shortens the segmentation time of organs-at-risk …


Human-Centered Electric Prosthetic (Help) Hand, Jamie Ferris, Shiyin Lim, Michael Mehta, Evan Misuraca Apr 2019

Human-Centered Electric Prosthetic (Help) Hand, Jamie Ferris, Shiyin Lim, Michael Mehta, Evan Misuraca

Interdisciplinary Design Senior Theses

Through a partnership with Indian non-profit Bhagwan Mahaveer Viklang Sahayata Samiti, we designed a functional, robust, and and low cost electrically powered prosthetic hand that communicates with unilateral, transradial, urban Indian amputees through a biointerface. The device uses compliant tendon actuation, a small linear servo, and a wearable garment outfitted with flex sensors to produce a device that, once placed inside a prosthetic glove, is anthropomorphic in both look and feel. The prosthesis was developed such that future groups can design for manufacturing and distribution in India.


Expression, Purification, And Characterization Of Recombinant Basic Fibroblast Growth Factor In Pichia Pastoris, Henry Hieu Minh Le Jan 2019

Expression, Purification, And Characterization Of Recombinant Basic Fibroblast Growth Factor In Pichia Pastoris, Henry Hieu Minh Le

University of the Pacific Theses and Dissertations

Wounds in the mouth, occurring after oral surgery, take time to heal. No ointment can be added to help with the healing process because mouth saliva will constantly wash it away. In order to combat this problem, we propose engineering a normal flora microbe to grow at the site of injury and secrete a recombinant growth factor to promote healing of the damaged tissue. Our goal is to have the yeast Pichia pastoris produce human basic fibroblast growth factor (bFGF), which aids in cellular proliferation. P. pastoris is a good choice for this application because not only is it considered …


Biodegradable And Biocompatible Silk Fibroin For Optical Applications, Corey Bryce Malinowski Dec 2018

Biodegradable And Biocompatible Silk Fibroin For Optical Applications, Corey Bryce Malinowski

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study presents nanopatterned silk fibroin films that were fabricated using soft lithography and nanoimprinting to replicate patterns from diffraction gratings. These film’s optics were analyzed based on their light scattering potential as well as their transmittance and transmission haze using a laser light, spectrometer, and UV-Vis spectrophotometer, respectively. The patterned fibroin films all displayed similar light scattering patterns to their master patterns with some transmission haze. When using the spectrometer to measure samples, those made without any nanostructure displayed transmission of 90% and over, while those with patterns depended on the structure used. The denser a structure, like the …


Modeling In The Physiology Classroom, Sowmya Anjur Nov 2018

Modeling In The Physiology Classroom, Sowmya Anjur

Faculty Publications & Research

Physiology and Disease is a Biology elective at IMSA that has been developed to be mostly student-centered. Some examples of student projects include modeling heart structure to reflect function and creating LED arduino monitors to measure heart rate. Students also measure their lung capacity and blood pressure to demonstrate correlation of these values with heart rate, and trace the correlation back to neuronal controls. Projects such as these integrate other disciplines such as engineering and conform to NGSS Science and Engineering standards and NGSS Cross cutting Concepts standards. Students take responsibility for their own learning and articulate better on tests.


Enhancing Mobility And Independence Of Wheelchair Users, Briar Blake, Paul Nauleau Jun 2018

Enhancing Mobility And Independence Of Wheelchair Users, Briar Blake, Paul Nauleau

Interdisciplinary Design Senior Theses

Conditions as simple as a leg fracture or more severe impairments such as paralysis and stroke may confine a person to a wheelchair. Wheelchairs help people with limited mobility transport themselves to different locations, but do not help the person leave the wheelchair. Users would need to do this to enter a car, use the restroom, take a shower, and sit at a table comfortably with family. The following design is a wheelchair attachment that serves to provide the user with increased mobility and independence. Wheelchair users struggle to get into and out of their chairs due to the unassisted …