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Biomedical Engineering and Bioengineering

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Articles 3691 - 3720 of 11475

Full-Text Articles in Engineering

Sandy Feet, Garrett E. Herbst, Jacqueline Chuang, Jerin T. Brust, Parker S. Duncan Jun 2020

Sandy Feet, Garrett E. Herbst, Jacqueline Chuang, Jerin T. Brust, Parker S. Duncan

General Engineering

Sgt. Brady is a former armed forces member with a transtibial amputation. He walks on sand frequently for work and leisure, but experiences severe pain and inconvenience because his current prosthesis is not meant for use on sand. Sand Foot V2 is a prosthesis that allows Sgt. Brady to walk on sand for long periods of time without issue.

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Mountain Arm, Conner Magnuson, Amanda Lingle, Jordan Ambrose, Marco Lopez Jun 2020

Mountain Arm, Conner Magnuson, Amanda Lingle, Jordan Ambrose, Marco Lopez

General Engineering

QL+ Challenger, US Navy Veteran, and transhumeral amputee Cassie Perando needed a way to backpack comfortably and independently while wearing a transhumeral prosthesis, as this is something that she enjoys doing often. The current prosthesis she wears causes pinching while wearing a backpack. To eliminate this issue, we decided to design and create a dynamic, pin-lock socket. This design decision allowed for a comfortable fit for Cassie that will not interfere with the backpack straps. As a secondary suspension system, we designed a sports bra with straps that attach to her opposing side and connect to the front and the …

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The Effect Of Distal Core Flattening And Heat Treatment On 304 Stainless Steel Guide Wires, Andrew Spencer Yap, Bryce Eric Veit, Matthew Frederick Lopez Villena Jun 2020

The Effect Of Distal Core Flattening And Heat Treatment On 304 Stainless Steel Guide Wires, Andrew Spencer Yap, Bryce Eric Veit, Matthew Frederick Lopez Villena

Materials Engineering

The mechanical response of 304 stainless steel guide wires due to different temper conditions and amounts of flattening is to be explored in this project. For this specific project, there is no public literature on the mechanical properties of guide wires with the above conditions through tensile testing or Turns to Failure Testing. To address this, the project with Abbott Vascular will measure the mechanical properties of guide wires using the aforementioned factors. Due to a lack of previous literature on this research topic, there are no quantitative goals for the project, however, any new research compiled in this area …

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Reading Robot, Gillian Watts, Andrew Myers, Sabrinna Tan, Taylor Klein, Omeed Djassemi Jun 2020

Reading Robot, Gillian Watts, Andrew Myers, Sabrinna Tan, Taylor Klein, Omeed Djassemi

General Engineering

Presently, there is an insufficient availability of human experts to assist students in reading competency and comprehension. Our team’s goal was to create an improved socially assistive robot for use by therapists, teachers, and parents to help children and adults develop reading skills while they do not have access to specialists. HAPI is a socially assistive robot that we created with the goal of helping students practice their reading comprehension skills. HAPI enables a student to improve their reading skills without an educator present, while enabling educators to review the student's performance remotely. Design constraints included: physical size, weight, duration …

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Prosthetic Foot Shell, Ql+, Kathryn Victoria Versteeg, Jackson A. Tucker, Ethan William Frey Jun 2020

Prosthetic Foot Shell, Ql+, Kathryn Victoria Versteeg, Jackson A. Tucker, Ethan William Frey

Mechanical Engineering

This final design review includes an overview of our project and the steps we have taken to create our final product. We discuss the background research conducted, including various products like the foot shell we are trying to design and its related patents, along with similar past senior projects. As our product is considered a medical device, there are also certain standards that we must comply with. After determining our problem statement, we established what we believe to be the wants and needs of our user. These wants and needs were converted into specifications for our design, with durability as …

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Design Of Prototype Prosthesis For A Canine With A Right Front Limb Deformity As An Alternate Approach To Stabilize Gait And Withstand Gait Forces, Tayler R. Kastlunger Jun 2020

Design Of Prototype Prosthesis For A Canine With A Right Front Limb Deformity As An Alternate Approach To Stabilize Gait And Withstand Gait Forces, Tayler R. Kastlunger

Master's Theses

Congenital and developmental limb deformities in canines are rare and can occur as a genetic disorder or be caused by extrinsic factors. Without surgery to correct the deformity, conservative management can be implemented to manage exercise and restrict high-intensity activity of the canine. However, any alteration to the normal gait and locomotive biomechanics of a canine can have significant long-term effects on the musculoskeletal health and quality of life of the canine. To improve quality of life and provide an alternative and more cost-effective approach to surgery, a custom prosthetic was designed and developed for a canine born with a …

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Septal Closure Device, Olivia N. Welch, Hillal H. Jarrar, Kai Harrison Jun 2020

Septal Closure Device, Olivia N. Welch, Hillal H. Jarrar, Kai Harrison

Biomedical Engineering

The septal closure device was designed to seal defects in the atrial septum. To fully seal an atrial defect, the device was designed to consist of two circular seals to cover the defect in both the right and left atria, attached with a central rod. The materials were chosen for compressibility (for ease of insertion), biocompatibility, and tissue ingrowth. A CAD model was drafted in SolidWorks. Key customer requirements include ease of implantation (specifications: adjustable sizing and clear directions for use), physician controlled (specifications: short implantation time and compatibility with current catheter/scope techniques), and a long lifetime (specifications: materials that …

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Modulation Of Cerebellar Purkinje Cell Activity With Low Intensity Electric And Ultrasound Stimulation, Ahmet S. Asan May 2020

Modulation Of Cerebellar Purkinje Cell Activity With Low Intensity Electric And Ultrasound Stimulation, Ahmet S. Asan

Dissertations

Non-invasive brain stimulation (NIBS) techniques garner significant interest due to their potential to offer instantaneous and region-specific treatments to neurological disorders. The cerebellum is one of the target sites for NIBS methods due to its central role in motor and cognitive functions. Among several modulation techniques, transcranial electric stimulations (tEs), in particular, transcranial direct and alternating current stimulations (tDCs/tACs), and low intensity focused ultrasound stimulation (LIFUS) show encouraging outcomes in clinical applications. tDCs and tACs are favored due to their low cost and accessibility while LIFUS offers high spatial resolution and deeper penetration without affecting the surrounding structures. In order …

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Mechanical Characterization Of Animal Derived Starting Materials For Tissue Engineering, Bin Zhang May 2020

Mechanical Characterization Of Animal Derived Starting Materials For Tissue Engineering, Bin Zhang

Dissertations

Animal derived starting materials are well established in the production of Tissue Engineered Medical Devices. Porcine specifically can be found in products ranging in application from hernia repair to breast reconstruction. Although this material has been largely accepted in the Tissue Engineering industry, little is known of its material properties and mechanical characteristics. A review of the scientific literature describes limited mechanical measures only on uncontrolled research grade material. The objective of this work is to mechanically characterize porcine starting material used in the medical device industry. Porcine skin is provided by Midwest Research Swine, LLC (MRS) an established supplier …

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Scanless Optical Coherence Tomography For High-Speed 3d Biomedical Microscopy, Yahui Wang May 2020

Scanless Optical Coherence Tomography For High-Speed 3d Biomedical Microscopy, Yahui Wang

Dissertations

Optical coherence tomography (OCT) is a high-resolution cross-sectional imaging modality that has found applications in a wide range of biomedical fields, such as ophthalmology diagnosis, interventional cardiology, surgical guidance, and oncology. OCT can be used to image dynamic scenes, in quantitative blood flow sensing and visualization, dynamic optical coherence elastography, and large-scale neural recording. However, the spatiotemporal resolution of OCT for dynamic imaging is limited by the approach it takes to scan the three-dimensional (3-D) space. In a typical OCT system, the incident light is focused to a point at the sample. The OCT system uses mechanical scanners (galvanometers or …

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Identification Of Neurobiological Mechanisms Associated With Attention Deficits In Adults Post Traumatic Brain Injury, Ziyan Wu May 2020

Identification Of Neurobiological Mechanisms Associated With Attention Deficits In Adults Post Traumatic Brain Injury, Ziyan Wu

Dissertations

Traumatic Brain Injury (TBI) is one of the major public health concerns with approximately 70 million new cases occurring worldwide per year. It is often caused by a forceful bump, blow, or jolt to the head, resulting in brain tissue damage and normal brain functions disruption. All grades of TBI, ranging from mild to severe, can cause wide-ranging and long-term effects on affected individuals, resulting in physical impairments, and neurocognitive consequences that permanently affect their abilities to perform daily activities. Attention deficits are the most common persisting neurocognitive consequences following TBI, which significantly contribute to poor academic and social functioning, …

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Neurobiological Markers For Remission And Persistence Of Childhood Attention-Deficit/Hyperactivity Disorder, Yuyang Luo May 2020

Neurobiological Markers For Remission And Persistence Of Childhood Attention-Deficit/Hyperactivity Disorder, Yuyang Luo

Dissertations

Attention-deficit/hyperactivity disorder (ADHD) is one of the most prevalent neurodevelopmental disorders in children. Symptoms of childhood ADHD persist into adulthood in around 65% of patients, which elevates the risk for a number of adverse outcomes, resulting in substantial individual and societal burden. A neurodevelopmental double dissociation model is proposed based on existing studies in which the early onset of childhood ADHD is suggested to associate with dysfunctional subcortical structures that remain static throughout the lifetime; while diminution of symptoms over development could link to optimal development of prefrontal cortex. Current existing studies only assess basic measures including regional brain activation …

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Functional Connectivity Of Eeg Is Subject-Specific, Associated With Phenotype, And Different From Fmri, Maximilian Nentwich, Lei Ai, Jens Madsen, Qawi K. Telesford, Stefan Haufe, Michael P. Milham, Lucas C. Parra May 2020

Functional Connectivity Of Eeg Is Subject-Specific, Associated With Phenotype, And Different From Fmri, Maximilian Nentwich, Lei Ai, Jens Madsen, Qawi K. Telesford, Stefan Haufe, Michael P. Milham, Lucas C. Parra

Publications and Research

A variety of psychiatric, behavioral and cognitive phenotypes have been linked to brain ‘’functional connectivity’’ -- the pattern of correlation observed between different brain regions. Most commonly assessed using functional magnetic resonance imaging (fMRI), here, we investigate the connectivity-phenotype associations with functional connectivity measured with electroencephalography (EEG), using phase-coupling. We analyzed data from the publicly available Healthy Brain Network Biobank. This database compiles a growing sample of children and adolescents, currently encompassing 1657 individuals. Among a variety of assessment instruments we focus on ten phenotypic and additional demographic measures that capture most of the variance in this sample. The largest …

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Model-Based Deep Siamese Autoencoder For Clustering Single Cell Rna-Seq Data, Zixia Meng May 2020

Model-Based Deep Siamese Autoencoder For Clustering Single Cell Rna-Seq Data, Zixia Meng

Theses

In the biological field, the smallest unit of organisms in most biological systems is the single cell, and the classification of cells is an everlasting problem. A central task for analysis of single-cell RNA-seq data is to identify and characterize novel cell types. Currently, there are several classical methods, such as K-means algorithm, spectral clustering, and Gaussian Mixture Models (GMMs), which are widely used to cluster the cells. Furthermore, typical dimensional reduction methods such as PCA, t-SNE, and ZIDA have been introduced to overcome “the curse of dimensionality”. A more recent method scDeepCluster has demonstrated improved and promising performances in …

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Schwann Cells In Combination With Gag-Mimetic Scaffolds For Spinal Cord Repair, Sharareh Hashemi May 2020

Schwann Cells In Combination With Gag-Mimetic Scaffolds For Spinal Cord Repair, Sharareh Hashemi

Dissertations

Spinal cord injury (SCI) being a devastating neurological dysfunction can cause extensive irreversible neuronal loss and axonal damage. Fifty-four cases of spinal cord injury per million people occur annually in the United States. Due to the loss of glial cells and demyelination of axons, the neuronal function of surviving neurons is disrupted leading to permanent loss of sensory and motor functions. The glial scar formed by astrogliosis at the chronic stage protects undamaged tissues, but it is known to be a major barrier for axonal regeneration. The limited regeneration capacity of spinal cord makes it challenging to successfully treat the …

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Effects Of A Primary Blast-Induced Traumatic Brain Injury On The Susceptibility To Behavioral And Neuronal Deficits On A Susequent Blunt Trauma, Aswati Aravind May 2020

Effects Of A Primary Blast-Induced Traumatic Brain Injury On The Susceptibility To Behavioral And Neuronal Deficits On A Susequent Blunt Trauma, Aswati Aravind

Dissertations

Soldiers are often exposed to more than one traumatic brain injury (TBI) event over the course of their service. In recent years, more attention has been drawn to the increased risk of neurological deficits caused by the 'blast plus' polytrauma, which typically is a blast trauma combined with other forms of TBI. The objective of this dissertation is to investigate if exposure to a blast TBI predisposes the brain to increased neurological deficits when followed with a second blunt head trauma. The behavioral and neuronal deficits resulting from a blast plus injury involving a mild-moderate blast followed by a mild …

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Brain Structure Changes Over Time In Normal And Mildly Impaired Aged Persons, Charles D. Smith, Linda J. Van Eldik, Gregory A. Jicha, Frederick A. Schmitt, Peter T. Nelson, Erin L. Abner, Richard J. Kryscio, Richard R. Murphy, Anders H. Andersen May 2020

Brain Structure Changes Over Time In Normal And Mildly Impaired Aged Persons, Charles D. Smith, Linda J. Van Eldik, Gregory A. Jicha, Frederick A. Schmitt, Peter T. Nelson, Erin L. Abner, Richard J. Kryscio, Richard R. Murphy, Anders H. Andersen

Neurology Faculty Publications

Structural brain changes in aging are known to occur even in the absence of dementia, but the magnitudes and regions involved vary between studies. To further characterize these changes, we analyzed paired MRI images acquired with identical protocols and scanner over a median 5.8-year interval. The normal study group comprised 78 elders (25M 53F, baseline age range 70-78 years) who underwent an annual standardized expert assessment of cognition and health and who maintained normal cognition for the duration of the study. We found a longitudinal grey matter (GM) loss rate of 2.56 ± 0.07 ml/year (0.20 ± 0.04%/year) and a …

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Can Transcranial Electrical Stimulation Motor Threshold Estimate Individualized Tdcs Doses Over The Prefrontal Cortex? Evidence From Reverse-Calculation Electric Field Modeling, Kevin A. Caulfield, Bashar W. Badran, Xingbao Li, Marom Bikson, Mark S. George May 2020

Can Transcranial Electrical Stimulation Motor Threshold Estimate Individualized Tdcs Doses Over The Prefrontal Cortex? Evidence From Reverse-Calculation Electric Field Modeling, Kevin A. Caulfield, Bashar W. Badran, Xingbao Li, Marom Bikson, Mark S. George

Publications and Research

No abstract provided.

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Parametric Nasopharyngeal Swab For Sampling Covid-19 And Other Respiratory Viruses: Open Source Design, Sla 3-D Printing And Uv Curing System, Nicole Gallup, Adam Pringle, Shane Oberloier, Nagendra Gautam Tanikella, Joshua M. Pearce May 2020

Parametric Nasopharyngeal Swab For Sampling Covid-19 And Other Respiratory Viruses: Open Source Design, Sla 3-D Printing And Uv Curing System, Nicole Gallup, Adam Pringle, Shane Oberloier, Nagendra Gautam Tanikella, Joshua M. Pearce

Michigan Tech Publications, Part 1

Access to nasopharyngeal swabs for sampling remain a bottleneck in some regions for COVID19 testing. This study develops a distributed manufacturing solution using only an open source manufacturing tool chain consisting of two types of open source 3-D printing and batch UV curing, and provides a parametric fully free design of a nasopharyngeal swab. The swab was designed using parametric OpenSCAD in two components (a head with engineered break point and various handles), which has several advantages: i) minimizing print time on relatively slow SLA printers, ii) enabling the use of smaller print volume open source SLA printers, iii) reducing …

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Control And Locomotion Of Inertially And Magnetically Actuated Multi-Scale Robotic Systems, Ehab Al Khatib May 2020

Control And Locomotion Of Inertially And Magnetically Actuated Multi-Scale Robotic Systems, Ehab Al Khatib

Mechanical Engineering Research Theses and Dissertations

In this research, two actuation systems were introduced, inertial and magnetic actuation. In the inertial actuation, the robot used the transfer of momentum to navigate, and this momentum could be generated by spinning masses and wheels. Recent studies in our System Laboratory proved that a wide range of inertially actuated locomotion systems could be generated. This can be achieved by using a family tree approach, starting from a very simple system, and progressively evolving it to more complex ones. The motion diversity of these robots inspired us to extend their locomotion from a macro scale to millimeter and micro scales. …

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Exploring Attacks And Defenses In Additive Manufacturing Processes: Implications In Cyber-Physical Security, Nicholas Deily May 2020

Exploring Attacks And Defenses In Additive Manufacturing Processes: Implications In Cyber-Physical Security, Nicholas Deily

McKelvey School of Engineering Graduate Student Theses & Dissertations

Many industries are rapidly adopting additive manufacturing (AM) because of the added versatility this technology offers over traditional manufacturing techniques. But with AM, there comes a unique set of security challenges that must be addressed. In particular, the issue of part verification is critically important given the growing reliance of safety-critical systems on 3D printed parts. In this thesis, the current state of part verification technologies will be examined in the con- text of AM-specific geometric-modification attacks, and an automated tool for 3D printed part verification will be presented. This work will cover: 1) the impacts of malicious attacks on …

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The Role Of Gene Transcription And Inflammatory Cytokines In Bone Fracture Repair, Brandon Alan Coates May 2020

The Role Of Gene Transcription And Inflammatory Cytokines In Bone Fracture Repair, Brandon Alan Coates

McKelvey School of Engineering Graduate Student Theses & Dissertations

In most instances, the skeleton has a remarkable capacity for repair following injury. However, in 5 to 10% of patients, fractures fail to properly heal resulting in non-union. A need exists for a more comprehensive understanding of the complex biology of fracture repair, which involves the coordinated work of many cell types including osteoblasts, osteoclasts, and immune cells. Depending on the extent of injury, fractures will heal through either intramembranous bone formation, involving the direct formation of bone callus, or endochondral bone formation, featuring a cartilage intermediary prior to bone callus formation. Both processes begin with inflammation, which sets the …

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Application Of Photoacoustic Imaging In Understanding Tissue Remodeling, Yuan Qu May 2020

Application Of Photoacoustic Imaging In Understanding Tissue Remodeling, Yuan Qu

McKelvey School of Engineering Graduate Student Theses & Dissertations

Photoacoustic Imaging (PAI) as an imaging method in biomedical research can provide high spatial resolution, various contrasts, great detection sensitivity, and deep penetration. These advantages are attributed to the combination of optical excitation and acoustic detection, which releases PAI from the ballistic limit faced by other optical imaging technique with high spatial resolution. In this dissertation, we aim to apply this technique to understand the connective tissue remodeling that is a ubiquitous physiological change in various medical complications.Chapter 1 elaborates the mechanism of PAI as well as the motivation of my dissertation.In Chapter 2, I introduce a new contrast mechanism …

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Screening And Characterization Of A Pan-Gtpase Inhibitor, Leyla Akhadov May 2020

Screening And Characterization Of A Pan-Gtpase Inhibitor, Leyla Akhadov

Biomedical Engineering ETDs

Abnormal functioning of small GTPases is implicated in a variety of diseases, ranging from neurological and developmental diseases to cancer. In fact, mutant GTPases are found in up to 30% of cancers. Thus, small GTPases are a highly relevant target in drug discovery and development. High-throughput targeted screening of small molecules is the most productive method of discovering compounds that can give insights into drug development. This thesis describes improvements made to a high-throughput GTPase-targeted screening method to minimize confounding systematic error. It also describes the follow-up characterization of a compound that was identified in a high-throughput screen. The compound …

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The Mechanobiology Of Elbow Contracture: Pathogenesis And Prevention, Chelsey Dunham May 2020

The Mechanobiology Of Elbow Contracture: Pathogenesis And Prevention, Chelsey Dunham

McKelvey School of Engineering Graduate Student Theses & Dissertations

Post-traumatic elbow contracture is a multi-tissue pathology which develops in up to 50% of patients following elbow trauma (e.g., fracture, dislocation). It is unclear which periarticular soft tissues are driving the functional deficit following injury because it is not possible in clinical settings to isolate each soft tissues’ mechanical and biological contributions to elbow contracture. Therefore, an animal model is needed to identify the primary periarticular soft tissue(s) which contribute to contracture. The first animal models of contracture were developed in the knee; however, these studies are not generalizable to the elbow due to anatomical and functional differences between these …

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Quantitative Fluorescence Imaging For Investigation And Treatment Of Disease, Lemoyne Michael Habimana-Griffin May 2020

Quantitative Fluorescence Imaging For Investigation And Treatment Of Disease, Lemoyne Michael Habimana-Griffin

McKelvey School of Engineering Graduate Student Theses & Dissertations

Molecular imaging is a powerful tool that enables interrogation of basic molecular mechanisms, diagnosis of disease, guidance of therapeutic modalities and monitoring of treatment response. Among the various imaging modalities, optical imaging is particularly suited for preclinical molecular imaging owing to its high sensitivity, lack of exposure to ionizing radiation, low cost, portability and scalability of imaging from the microscopic to macroscopic scale. In particular, fluorescence molecular tomography (FMT) provides quantitative 3D reconstructions of fluorescence distributions down to picomole quantities allowing for whole animal molecular imaging. In this work, FMT is applied to detect disease-specific molecular probes, to monitor and …

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Ultrasensitive Biodetection Based On Plasmonically-Active Materials, Jingyi Luan May 2020

Ultrasensitive Biodetection Based On Plasmonically-Active Materials, Jingyi Luan

McKelvey School of Engineering Graduate Student Theses & Dissertations

A broad range of biomarkers continue to emerge as potentially important parameters for early detection of many pathological conditions.1 A disease biomarker (e.g. protein, a fragment of a pro-tein, DNA/RNA, or metabolites) is a ‘molecular signature’ of the physiological state of patient at specific time and is therefore extremely important for early and possibly pre-symptomatic diagno-sis and accurate monitoring of therapeutic intervention. Relevant concentrations of biomarkers related to diseases such as cancer, heart disease, inflammation, and neurological disorders can range in many orders of magnitude from μg/ml levels to sub-fg/ml, some of which possibly still remain unidentified due to the …

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Tissue Engineering Of Induced Pluripotent Stem Cells For The Development Of Novel Treatment Strategies For Osteoarthritis, Alison Ross May 2020

Tissue Engineering Of Induced Pluripotent Stem Cells For The Development Of Novel Treatment Strategies For Osteoarthritis, Alison Ross

McKelvey School of Engineering Graduate Student Theses & Dissertations

Osteoarthritis (OA) is a debilitating joint disease that is primarily characterized by the degeneration of articular cartilage, the soft connective tissue that covers articulating bone surfaces in diarthrodial joints. While there are a number of risk factors for developing OA, the progression of this disease is mediated in part by pro-inflammatory cytokines from both the synovium and chondrocytes, the resident cells of articular cartilage. These cytokines, specifically interleukin 1 (IL-1) and tumor necrosis factor alpha (TNF-α), induce aberrant expression of catabolic and degradative enzymes and inflammatory cytokines in OA, which promotes degradation of engineered tissues as well as native articular …

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Ultrasound Guided Diffuse Optical Tomography For Breast Cancer Diagnosis: Algorithm Development, K M Shihab Uddin May 2020

Ultrasound Guided Diffuse Optical Tomography For Breast Cancer Diagnosis: Algorithm Development, K M Shihab Uddin

McKelvey School of Engineering Graduate Student Theses & Dissertations

According to National Breast Cancer Society, one in every eight women in United States is diagnosed with breast cancer in her lifetime. American Cancer Society recommends a semi-annual breast-cancer screening for every woman which can be heavily facilitated by the availability of low-cost, non-invasive diagnostic method with good sensitivity and penetration depth. Ultrasound (US) guided Diffuse Optical Tomography (US-guided DOT) has been explored as a breast-cancer diagnostic and screening tool over the past two decades. It has demonstrated a great potential for breast-cancer diagnosis, treatment monitoring and chemotherapy-response prediction. In this imaging method, optical measurements of four different wavelengths are …

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Wearable Blood Pressure Device For Detection Of Orthostatic Hypotension, Mariam Hafez May 2020

Wearable Blood Pressure Device For Detection Of Orthostatic Hypotension, Mariam Hafez

Honors Scholar Theses

Orthostatic hypotension may be described as an inevitable response from the body in the form of a drop in blood pressure after changing positions. This quick drop in blood pressure can cause a syncopal episode, often injuring victims. There are limitations in the currently used cuff-type blood pressure sensor, which is used in healthcare settings, in that it does not continuously measure blood pressure. This research project developed a wearable device that measures heart rate variability (HRV) to detect changes in blood pressure using the correlation between the two measurements. The instrumentation was developed and included a commercially available pulse …

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