Biomedical Engineering and Bioengineering Commons^™

Specimen-Specific Natural, Pathological, And Implanted Knee Mechanics Using Finite Element Modeling, Azhar Akber Ali

Electronic Theses and Dissertations

There is an increasing incidence of knee pain and injury among the population, and increasing demand for higher knee function in total knee replacement designs. As a result, clinicians and implant manufacturers are interested in improving patient outcomes, and evaluation of knee mechanics is essential for better diagnosis and repair of knee pathologies. Common knee pathologies include osteoarthritis (degradation of the articulating surfaces), patellofemoral pain, and cruciate ligament injury and/or rupture. The complex behavior of knee motion presents unique challenges in the diagnosis of knee pathology and restoration of healthy knee function. Quantifying knee mechanics is essential for developing successful …

Statistical Shape And Intensity Modeling Of The Shoulder, Irene Sintini

Electronic Theses and Dissertations

Anatomical variability in the shoulder is inherently present and can influence healthy and pathologic biomechanics and ultimately clinical decision-making. Characterizing variation in bony morphology and material properties in the population can support treatment and specifically the design, via shape and sizing, of shoulder implants. Total Shoulder Arthroplasty (TSA) is the treatment of choice for glenohumeral osteoarthritis as well as bone fracture. Complications and poor outcomes in TSA are generally influenced by the inability of the implant to replicate the natural joint biomechanics and by the bone quality around the fixation features. For this reason, knowledge of bony morphology and mechanical …

Psychophysiological Analysis Of A Pedagogical Agent And Robotic Peer For Individuals With Autism Spectrum Disorders., Mohammad Nasser Saadatzi

Electronic Theses and Dissertations

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by ongoing problems in social interaction and communication, and engagement in repetitive behaviors. According to Centers for Disease Control and Prevention, an estimated 1 in 68 children in the United States has ASD. Mounting evidence shows that many of these individuals display an interest in social interaction with computers and robots and, in general, feel comfortable spending time in such environments. It is known that the subtlety and unpredictability of people’s social behavior are intimidating and confusing for many individuals with ASD. Computerized learning environments and robots, however, prepare a predictable, …

Mechanism Of Interaction Of Peptide Modified Nanoparticles With Porphyromonas Gingivalis., Ankita Jain

Electronic Theses and Dissertations

Studies suggest that P. gingivalis functions as a keystone pathogen and interacts with primary colonizers in the supragingival biofilm such as S. gordonii. This interaction contributes to the initial colonization of the oral cavity by P. gingivalis and thus represents a potential target for therapeutic intervention. We have identified a peptide (BAR) derived from the streptococcal SspB protein that functions to inhibit P. gingivalis adherence to S. gordonii. In addition, we showed that nanoparticles (NPs) functionalized with BAR inhibit this interaction more potently than free soluble peptide, possibly by promoting interaction with P. gingivalis at higher valency than …

A Cad System For Early Diagnosis Of Autism Using Different Imaging Modalities., Marwa Maher Tawfik Ismail

Electronic Theses and Dissertations

The term “autism spectrum disorder” (ASD) refers to a collection of neuro-developmental disorders that affect linguistic, behavioral, and social skills. Autism has many symptoms, most prominently, social impairment and repetitive behaviors. It is crucial to diagnose autism at an early stage for better assessment and investigation of this complex syndrome. There have been a lot of efforts to diagnose ASD using different techniques, such as imaging modalities, genetic techniques, and behavior reports. Imaging modalities have been extensively exploited for ASD diagnosis, and one of the most successful ones is Magnetic resonance imaging(MRI),where it has shown promise for the early diagnosis …

Gamma-Radiation Exposure Alters The Cardiovascular Extracellular Matrix., Nicholas Allen

Electronic Theses and Dissertations

Ionizing radiation has been associated with various cardiovascular complications; however, the associated molecular changes from radiation exposure still remain largely uncharacterized. Alterations to the cardiovascular tissue microenvironment, i.e. the extracellular matrix (ECM), directly affect the function of integrated vascular cells, including cell adhesion, potential to form vessels, and endothelial permeability, which can promote cardiovascular pathologies. The ECM is constantly remodeled in response to stimuli, such as TGF-β1, which leads to excessive ECM accumulation. We hypothesize that radiation exposure will alter the cardiovascular ECM. Human Cardiac Fibroblasts (HCFs) were utilized to produce ECM as an in vitro model to study changes …

Fabrication, Characterization And Skin Permeation Of Antoxidant-Loaded Lipid Vesicles For Transdermal Drug Delivery., Emily Martin

Electronic Theses and Dissertations

Excess production of Reactive Oxygen Species (ROS), which can be caused by radiation, cigarette smoke, and pollutants, can cause many damaging cellular effects, such as DNA damage and unregulated cell apoptosis. If left unmitigated, chronic overproduction of ROS has been linked to the formation of cancer, diabetes, atherosclerosis, rheumatoid arthritis, chronic inflammation, Parkinson’s disease, Alzheimer’s disease, multiple sclerosis, and amyotrophic lateral sclerosis. ROS is typically eliminated with antioxidants, which scavenge and inhibit the formation of ROS by becoming oxidized by the ROS and by binding to its precursors.

Curcumin is an effective lipid-soluble antioxidant agent. However, its poor bioavailability, rapid …

Development And Evaluation Of Custom Prosthetic Devices For A Companion Animal Utilizing Additive Manufacturing., Benjamin Joseph Cahill

Electronic Theses and Dissertations

BACKGROUND AND SIGINIFICANCE: Few options exist for companion animals in need of prosthetic devices. With the rise of rapid prototyping technology, the availability and customization of prosthetic devices for individual companion animals is now a viable and cost effective alternative to the current options of a peg leg prosthetic, or wheel-assisted prosthetic device. The goals of this study were to describe the (1) specific needs and (2) biomechanics of a feline with bilateral thoracic limb amputation, (3) develop custom prosthetic devices utilizing rapid prototyping technology, and (4) describe the biomechanics of a feline with bilateral thoracic limb amputation using the …

Development Of A Novel Device For Ventricular Assist Device Outflow Graft Anastomosis., Young Choi

Electronic Theses and Dissertations

Purpose: Left ventricular assist device (LVAD) therapy can be live-saving for advanced heart failure patients. Conventional anastomosis (surgical connection) of LVAD outflow grafts to the aorta requires aortic clamping and hand-suturing. Aortic clamping increases the risk for neurological complications. Hand-suturing may be time-consuming and requires significant surgical dexterity. There is currently no commercially available device for sutureless anastomosis of large vascular grafts (diameter > 5mm). To overcome these limitations, a prototype LVAD outflow graft anastomosis device (GrAD) that facilitates sutureless anastomosis was developed and tested to demonstrate proof-of-concept and feasibility for (1) secured attachment withstanding physiological pressures, and (2) comparable attachment …

Automated Analysis Of Cancerous Histological Samples., Thomas Allen Tennill

Electronic Theses and Dissertations

The use of immunohistochemistry has become commonplace in the field of cancer diagnosis. A major limitation to the ability to use this tool effectively is the time consuming tasks required for the analysis of data due to the fact that it is largely done by hand. Additionally, because of this, there is an inherent level of subjectivity in the results obtained from this process that may depend on who it is conducting the analysis. Therefore, there exists a need for a method that is able to quantify results from immunohistochemical techniques in a way that it is both time-effective and …

Efficacy Of Subcutaneous Electrocardiogram Leads For Synchronous Timing And Aortic Root Cannulation For Chronic Counterpulsation Therapy., Stephen R. Carnahan

Electronic Theses and Dissertations

Background: Counterpulsation devices (CPD) require electrocardiogram (ECG) lead implantation for timing device filling and ejection with the native heart. Non- implantable leads limit the scope of CPD treatment to short-term therapy. Standard transvenous/epicardial ECG leads increase the invasiveness of therapy.

Methods: To overcome these limitations, subcutaneous ECG leads were tested in chronic (n=6) and acute (n=5) bovine models. ECG waveforms from clinical- grade epicardial (control) leads and subcutaneous (test) leads were simultaneously recorded resulting in 830 data epochs (30-s each) for a total of 44,614 heart beats. Device triggering using R-wave detection was calculated for each lead type and compared. …

Foot Strike Patterns And Body Alignment Effects On Muscle Activity During Running., Nicole Knapp

Electronic Theses and Dissertations

The mechanics of the running stride was altered around the 1970s when shoes were released with an elevated heel (McDougall 2009). At this point in time a heel strike running style became increasingly common and has remained the popular pattern when running in traditional shoes. In fact, the exact same person has been seen to alter their stride when running in a traditional shoe where they heel strike verses barefoot where they take on a forefoot strike (Lieberman 2010).

When an individual heel strikes, the ground reaction force is greater and contains an initial peak which is void in a …

Cost-Effective Prosthetic Hand Controlled By Emg, Mohammad Yahya Almuhanna

Electronic Theses and Dissertations

A cost-effective five-finger prosthetic hand is designed from aluminum, modeled and controlled using surface Electromyography (EMG) signals, which are obtained from the human body. Force sensors are used to control required forces needed to grasp and pick objects. A prototype hand is developed and it is experimentally tested to reproduce a wide spectrum of human hand motions. The size of the five-finger hand is similar to an adult male human hand, and it is capable of reproducing most of movements. Each finger has the same number of links as the real/human hand. Each finger also has a force sensor used …

Ex-Vivo Slaughterhouse Porcine Crystalloid-Perfused Beating Heart Via Langendorff Method, Rahiemin Talukder

Electronic Theses and Dissertations

The objective of this study was to resuscitate isolated beating porcine hearts obtained from slaughterhouse swine for a minimum of 1 hour with a crystalloid buffer reperfusion instead of blood via an extracorporeal Langendorff apparatus. The isolated beating heart functions outside of the body under simulated physiologic conditions. Live functional anatomy was controlled under benchtop experimental settings. Porcine hearts (26 total) were topically cooled with saline. 300mL of 25°C cardioplegia with 20KU Streptokinase was preflushed via aortic root. WIT was less than 5 minutes. 1L 4°C cardioplegia was flushed antegrade with aortic cannula (Group 1) or coronary catheterization (Group 2). …

Ultra-Wideband Radar Based Human Motion Analysis, Zhichong Zhou

Electronic Theses and Dissertations

This thesis proposes and investigates two techniques in ultra-wideband (UWB) radar based human motion analysis. The first one is accurate human body landmark detection using UWB radars. The detection is achieved by moving target indication (MTI) and constant false alarm rate detection (CFAR). A new CFAR detection technique is proposed, namely the out-of-band (OB) CFAR detection. In the field experiment, two RF reflective markers are attached to the wrist and elbow of one human arm for reflecting radar signals. It is demonstrated that detection of two markers are feasible and successfully achieved. And our results suggests the OB-CFAR performs better …

Finite Element And Probabilistic Analysis Of Soft Tissue Structures Of The Human Lumbar Spine, Dana Joseph Coombs

Electronic Theses and Dissertations

Human lumbar spine mechanics are influenced by soft tissue structures. Understanding and properly modeling these structures can help determine pathology, treatment, and implant design and performance. Finite element models of the L4-L5 level of the lumbar spine are often used, which include a representation of the intervertebral disc and spinal ligaments. Validation of these models are typically based on torque rotation data from a single subject or the models use average properties reported in literature. However, experimental testing reports variation up to 40% in ligament stiffness and even greater variability for annulus fibrosis properties. Probabilistic approaches enable consideration of the …

Anatomy, Implant Selection And Placement Influence Spine Mechanics Associated With Total Disc Replacement, Justin F.M. Hollenbeck

Electronic Theses and Dissertations

Through aging and injury, the intervertebral disc of the lumbar spine can undergo degeneration, leading to collapse of the vertebrae and low back pain, a symptom that affects half the adult population in any given year. In an effort to reduce low back pain, total disc replacement treatment removes the degenerated disc, restores natural height and lordosis of the segment, and preserves motion at the joint. Patient anatomy, implant selection, and implant placement play significant roles in a patient's outcomes after total disc replacement surgery. Thus, the objective of the work presented in this thesis was to develop a suite …

Regional Mechanical Properties And Microstructure Of Ovine Heart Chambers, Shahnaz Javani

Electronic Theses and Dissertations

Mechanical properties of cardiac tissue play an important role in the normal heart function. As a baseline for understanding of physiology and pathophysiology of the heart, and for development and validation of new therapies, it is crucial to first understand the mechanical behavior of the normal heart tissue. Although heart chambers have the same embryonic origin, differences in the development of mechanical properties are expected to manifest over time during the adulthood period. Therefore, the goal of this study was to determine the passive mechanical properties of all heart chambers through a paired comparison study in an ovine model. Ovine …

Multiscale Musculoskeletal Modeling Of The Lower Limb To Perform Personalized Simulations Of Movement, Alessandro Navacchia

Electronic Theses and Dissertations

Computational modeling has been used for many decades to inform design and decision-making in several fields of engineering, such as aerospace, automotive, petroleum, and others. However, it still struggles to have a similar impact in fields of medicine, such as orthopaedics. Three of the challenges that have limited the use of computational modeling in the clinical practice and in product development are model validation, personalization, and realism. Validation is a challenge because several internal parameters of the human body, such as muscle forces, are not safely measurable in vivo and, consequently, a thorough comparison between model outputs …

Novel Biomechanical Test Method For Cancellous Bone Screws And Screw Augmentation With Cement., Kevin Lancaster

Electronic Theses and Dissertations

It is often difficult to achieve adequate screw fixation for plate constructs in fractures with poor quality bone or in metaphyseal bone with extensive bone loss or comminution[7][17]. Furthermore, rescuing or augmenting failed screw fixation in inadequate bone with various cement products has yielded mixed results when tested with pure axial pullout loading[20][21]. In most cases, plate/screw constructs experience both vertical (translational) and horizontal (pullout) forces during physiologic loading[17][20][21]. The increased use of locked screws in plate constructs has also changed the loading patterns of bone screws. For this study, a novel “toggle-out” testing method was developed to more realistically …

Development Of A Vascularized, Induced Pluripotent Stem Cell-Derived Liver-Tissue Mimic For Therapeutic Applications., Venkat Madhav Ramakrishnan

Electronic Theses and Dissertations

This dissertation describes the incorporation of several technologies (stem cells, gene therapy, tissue engineering and regenerative medicine) into a single project that aims to produce a liver-tissue mimic for therapeutic applications. The liver is arguably one of the most complex organs in the body. In addition to its remarkable capacity to regenerate, it performs a host of vital functions. As a result, its impairment has widespread systemic consequences. The work described herein focused on the liver in the context of cardiovascular disease and used the heritable disorder Familial Hypercholesterolemia (FH) as a clinical disease model. As (a) the only definitive …

Synthesis And Functional Evaluation Of Peptide Modified Poly (Lactic-Co-Glycolic Acid) Nanoparticles To Inhibit Porphyromonas Gingivalis Biofilm Formation., Paridhi Kalia

Electronic Theses and Dissertations

Periodontal disease is an oral inflammatory disorder that afflicts roughly 46% of the adults in the U.S. Currently, treatment of periodontal disease involves the removal of plaque from the gingival pocket (with possible antibiotic treatment) and if necessary, gingival surgery. To our knowledge, no therapeutic approach exists that promotes host-biofilm homeostasis by limiting pathogen recolonization of the oral cavity after prophylaxis or treatment. The interaction of the pathogen Porphyromonas gingivalis with commensal streptococci is critical for initiation of periodontitis and represents a target for limiting P. gingivalis colonization of the oral cavity. Previous studies showed that a synthetic peptide …

Synthesis, Optimization, And Degradation Of A Fish Glue/Plga Polymer., Adam T. Schworer 1989-

Electronic Theses and Dissertations

Biomaterials used for tissue engineering, specifically polymers, come from either naturally occurring, like gelatin or collagen, or synthetic sources, such as polyesters. Often times, it is advantageous to combine biomaterials in order to maximize certain material properties, such as cellular adhesion and degradation. The purpose of this study is to provide direction for the synthesis, characterization, and a combination of a combination biomaterial between fish glue (FG), a natural source polymer, and poly-lactic-co-glycolic acid (PLGA), a synthetically made polyester. First, FG is characterized for molecular weight via Gel Permeation Chromatography, GPC. Two combination methods to mix FG/PLGA solutions are then …

Fibroblast-Derived Extracellular Matrix: An Alternative Cell Culture Substrate That Alters Lung Cancer Cell Line Phenotype., Michael Thomas Scherzer

Electronic Theses and Dissertations

Poor lung cancer survival can largely be contributed to the metastatic cells that invade and spread throughout the body. The tumor microenvironment (TME) is composed of multiple cell types, as well as non-cellular components. The TME plays a critical role in the development of metastatic cancers by providing migratory cues that change the growing tumor’s properties. The Extracellular Matrix (ECM), a main component of the TME, has been shown to change composition during tumor progression, allowing cancer cells to invade tissue and survive away from the primary cancer site. Although the ECM is well-known to influence the fate of tumor …

Development Of A Neuromusculoskeletal Computer Model In A Chondrodystrophic Dog., Gregory Russo States

Electronic Theses and Dissertations

Intervertebral disc disease (IVDD) is a naturally occurring disease in dogs that produces a spontaneous injury to the spinal cord. IVDD is characterized by mineralization of the intervertebral disc nucleus pulposus, which reduces its load bearing capacity and results in high rates of intervertebral disc herniation (IVDH). IVDH is disproportionately present in Dachshunds compared to other breeds, affecting an estimated 1 in 5 Dachshunds during their lifetime (Levine, J. M. et al., 2011). Assessment of injury severity and recovery in animal models is generally performed using a point scale, where subjects are graded according to metrics such as pain perception, …

Assessment Of Normal Knee Kinematics Using High-Speed Stereo-Radiography System, Vasiliki Kefala

Electronic Theses and Dissertations

The measurement of dynamic joint kinematics in vivo is important in order to understand the effects of joint injuries and diseases as well as for evaluating the treatment effectiveness. Quantification of knee motion is essential for assessment of joint function for diagnosis of pathology, such as tracking and progression of osteoarthritis and evaluation of outcome following conservative or surgical treatment. Total knee arthroplasty (TKA) is an invasive treatment for arthritic pain and functional disability and it is used for deformed joint replacement with implants in order to restore joint alignment. It is important to describe knee kinematics in healthy individuals …

The Neuromuscular Response To Spinal Manipulation: Quantifying The Effect Of Pain With Electromyography, Stuart James Currie

Electronic Theses and Dissertations

Objective

To establish a methodology to quantify the neuromuscular response to spinal manipulation, develop a comprehensive date set including factors that affect the response, and compare the responses in both healthy participants and participants with acute and chronic low back pain.

Methods

Surface and indwelling electromyography at eight muscle locations were recorded during lumbar side-lying manipulations in 20 asymptomatic participants, 20 acute pain participants, and 20 chronic pain participants. Onset delay detection was optimized for signal detection failures and methodological comparisons were performed using a generalized linear model. The number of muscle responses and muscle activity onset delays in relation …

Fabrication And Characterization Of Antioxidant Loaded Liposomes., Brian Gettler

Electronic Theses and Dissertations

Radiation exposure is both a major obstacle in space exploration and an occupational hazard for various careers causing DNA damage and ROS. In order to reduce the effects of radiation, the primary and most explored approach has been focused around mitigation in terms of exposure duration, exposure intensity, and shielding usage. In some situations none of these reduction strategies were viable and so the use of antioxidants is being explored as an alternate strategy for therapeutic purposes. One such antioxidant is curcumin, otherwise known as diferuloylmethane, is a component of turmeric with both antioxidant properties and anti-inflammatory properties. Another antioxidant …

Real-Time Bio Sensing Using Micro-Channel Encapsulated Mems Resonators, Ayesha Iqbal

Electronic Theses and Dissertations

This work presents a label-free bio-molecular detection technique based on realtime monitoring of the resonant frequency of micromechanical thermal-piezoresistive rotational mode disk resonators encapsulated in microfluidic channels. Mass loading via adsorption of molecular layers on the surface of such devices results in a frequency shift. In order to provide a reliable platform for sample-resonator interactions and to protect the resonators from contaminants, the resonators were encapsulated in PDMS-based microfluidic channels. Micro-channel encapsulation also allows insulation of electrical signals from the analyte solution. To characterize the performance of such devices as real-time label-free bio-molecular detectors, the strong non-covalent binding of Avidin …

Design Of The High-Speed Stereo Radiography System, John C. Ivester Iv

Electronic Theses and Dissertations

Orthopaedic pathologies often involve disruption of the mechanical environment of a joint at/below the mm scale. The ability to measure biomechanical kinematics at the sub-mm scale is essential for obtaining valuable insight into pathologies, but small motions of the joints are difficult to quantify. Estimates of skeletal kinematics are commonly made from optical motion capture systems and markers placed on the skin. The error caused by external marker movement is largely avoided with x-ray motion capture. Dynamic radiography uses a series of x-ray images recorded at high-speed and captures in-vivo joint motion. Uncovering the mechanical foundation of orthopaedic pathologies requires …