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    Examining the Efficacy of Neural Stimulation for Reducing Paranoid Ideation and Improving Social Functioning in Schizophrenia

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    Innovative treatments for paranoia are urgently needed in Schizophrenia Spectrum Disorders (SSD) as this symptom is closely linked to the poor social relationships and impaired community functioning seen in this vulnerable population. As such, this project aimed to assess whether transcranial direct current stimulation (tDCS) to ventrolateral prefrontal cortex (VLPFC) can attenuate paranoia and enhance social functioning in SSD. A double-blind, within-subjects, crossover design was used to compare the effects of active vs. sham tDCS in 50 participants with SSD and current/recent paranoia. In addition to laboratory measurements, Ecological Momentary Assessment (EMA) was utilized to quantify real-world effects of stimulation in daily social interactions. Each participant completed three visits (i.e., 1 enrollment visit and 2 stimulation visits) and three EMA periods in total. Results showed that tDCS significantly reduced state paranoia, in that participants showed greater reductions in state paranoia after receiving the active stimulation compared to the sham procedure. Active stimulation also contributed to improvements in paranoia-related outcomes measured in the lab, including reduced self-reported hostility, decreased attributions of blame and hostility in ambiguous situations, and increased trustworthiness ratings of strangers’ faces. However, brain stimulation did not change participants’ self-reported recent social functioning. Regarding potential improvements in daily life as measured by EMA, participants’ daily paranoid thinking did not differ significantly between EMA periods (baseline vs. active vs. sham). However, we found that participants reported higher motivation to interact with others in the EMA-active period compared to their baseline and the EMA-sham period. Participants also perceived others as being more trustworthy and warm in daily social situations in the EMA- active period compared to their baseline. The current project provides initial evidence that applying tDCS to the VLPFC is effective in reducing paranoia and improving social functioning in patients with SSD, as further discussed in Chapter 8

    Engineered Proteinaceous Materials and, Their Applications in Vaccine Development

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    Recent advancements in immunotherapy and vaccinology have exploited recombinant proteins and inactivated whole organisms to replace live-attenuated pathogens, which are typically used as immunogenic agents. Structural stability of these plays a pivotal role in efficient antigen presentation to major histocompatibility complexes (MHC). Processing of antigenic peptides by MHC is an important factor in stimulation of strong immune responses. Unfortunately, most proteinaceous materials and inactivated whole organisms undergo significant structural changes during vaccine development, leading to poor antigen presentation, and eliciting low immunogenicity in vivo. Despite years of effort to improve stability of proteinaceous materials, only a few of approaches exist, and development of methods to increase their structural stability and guarantee their proper antigen presentation in vivo are still needed. In this work, we demonstrate that coordination polymers formed through the interlinking of organic ligands and metal centers, can help overcome the structural stability issues related to proteinaceous materials. Our methods not only provide structural stability in vitro but have also shown immunogenicity improvement when tested in vivo. The first chapter reviews the concept of supramolecular self-assembly, process by which materials with different physiochemical properties can be obtained. Virus-like particles are then introduced, and several different applications of these briefly discussed. The second chapter describes an innovative method for construction of near-infrared particles used for non-invasive imaging in vivo. The resulting composites show great promise as candidates for in vitro cellular and deep tissue imaging in vivo. The third chapter elaborates on the stabilization of liposomes, transmembrane proteins, and proteoliposomes through their encapsulation in zeolitic-imidazolate frameworks. The resulting composites show enhanced stability against harsh conditions (e.g., high temperatures, mechanical stress, and denaturing agents). The fourth chapter reviews commonly used polymer-based materials for vaccine development. Further, it elaborates on the rationale behind the utilization of such materials and discusses some of the current obstacles faced by in the vaccine manufacturing field. It concludes with a perspective on technologies that could help the field overcome such obstacles. The fifth chapter introduces the fabrication of whole-cell vaccines against bacterial infections using metal-organic frameworks. It systematically presents details about the synthesis, in vitro assessment, and in vivo testing of the vaccine against uropathogenic E. coli. The sixth chapter shows the generalizability of metal-organic frameworks to produce whole vaccines using different types of bacterial strains. It presents the importance of different T-cells for proper development of immunity against recurrent urinary tract infections and how ZIF-8 based vaccines can successfully recruit such cells

    Molecular Dynamics Investigation of Fluoride Ion Permeation and Mechanism in Fluoride Export Protein Bordetella Pertussis (Bpe)

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    Microorganisms struggle to survive numerous chemical threats, one of which is fluoride ions to which they developed fluoride channels (Fluc) for exporting fluoride out of their cytoplasm. The crystallographic structure and previous studies have spotted an unusual tetrahedrally coordinated non-transported central sodium cation and highlighted certain conserved polar residues along the Fluc pores. However, the exact coordination number of the central sodium and the mechanism of fluoride permeation in relation to these conserved polar residues remains elusive. In this study, we applied the all-atoms molecular dynamics method on WT Fluc-Bpe (Bordetella pertussis) with single fluoride in its pore and with four fluorides alongside its arginine mutants (R23A and R23K). We investigated the possible hydration of central sodium ion to ascertain its coordination, the role of arginine 23, which is an important conserved polar residue, and the permeation mechanism of fluoride. We found out using the watershell analysis that sodium was anhydrous in the WT Fluc and its mutants but hydrated to form a 5-ligand coordination in WT Fluc systems with single fluoride in Fo and F2 binding sites. The dihedral analysis of arginine 23 revealed that it plays a pivotal role in the stabilization of fluoride ions by electrostatic non-bonded interactions made possible by its guanidinium side chain which undergoes dihedral shift for fluoride permeation and efflux. The mechanism of fluoride export for each protein system under study provides insight into the structural dynamics of Fluc’s important arginine polar residue

    Accountability Overload and Its Consequence and Remedy

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    Accountability overload (AO) may increase cost, lower responsiveness, and decrease productivity and service quality [103]. It creates an extra burden on employees [163], erodes their trust and morale [185], and decreases their job satisfaction [43]. Specifically, it undermines organizational mission [15, 68] and performance [140, 152, 155]. However, the examination of the phenomenon and its consequence and remedies is still in a nascent stage and predominantly qualitative. This dissertation undertakes three interrelated studies to fill the research gap by advancing the concept, empirically examining the relationship between AO and organizational outcome, and exploring remedies to AO. The first study conducts a systematic review of Public Administration literature on AO. The second study empirically examines the relationship between AO and the performance of public servants across societal cultures. The third study investigates the effect of ethical leadership (EL) on AO and the mediating role of the ethical environment (EE) on the relationship between EL and AO. The first study identifies the elements of AO and its consequence and remedy. The most common element of AO is multiple accountabilities or expectations. Besides, incompatibility between accountability criteria and organizational goals, ambiguous performance standards, and excessively high accountability or performance requirements are some of the dominant elements of AO. In addition, episodic and arbitrary accountability demand, incomplete outcome measures, emphasis on punitive actions, and lack of legitimacy of the accountholder are the factors that contribute to AO. The study suggests that AO generally produces negative consequences: it undermines performance and organizational objectives and makes the accountability system ineffective. Collaboration and dialogue, moderate accountability requirements, appropriate performance criteria, ethical practice in the organization, and an emphasis on the organizational mission may reduce AO. Contextual factors such as poor governance and lack of trust in government influence AO in the organization. However, extant studies are predominantly qualitative and concentrated in a limited number of countries. Thus, the study emphasizes empirical investigation into AO in comparative settings to appreciate the phenomenon and its consequences and remedies. The second study defines perceived AO and finds a negative association between AO and employee performance. It also proves that the relationship between performance and AO does not vary across societal cultures. Therefore, the study concludes that AO is a universal phenomenon and has a similar consequence irrespective of differences in contexts or cultures. The third study finds that EL reduces AO among employees and enhances EE in the organization. However, EE does not influence the relationship between EL and AO. Thus, the study underscores the importance of EL in reducing AO among employees irrespective of the ethical condition in the organization

    Towards a High-performance and Reliable System for Emerging Edge Network

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    5G is a new paradigm that enables tremendous opportunities by delivering high-bandwidth and low-latency network. The emerging 5G-enhanced applications including smart home, smart factory, Artificial Intelligence (AI), Augmented Reality (AR)/ Virtual Reality (VR) and autonomous driving are widespread through the deployment of the 5G. In responding to the fast-varying user service requirements and highly mixed traffics, Network Function Virtualization (NFV) technique is emphasized by the 5G to enhance its functional and architectural viability. NFV is a novel paradigm that packages the network services as virtual machines (VMs) or containers on Commercial-Off-The-Shelf (COTS) servers instead of traditional vendor proprietary hardware devices. In this dissertation, we focus our performance characterization and optimization on the emerging virtual Radio Access Network (vRAN) system enabled by the NFV technique, since it plays a vital role in today’s edge infrastructure for its better support for the latency-sensitive applications. The vRAN has become an essential infrastructure to deploy the emerging edge applications, especially in the new-coming Infrastructure-Augmented Autonomous Driving (IAAD) system. This dissertation sets to illustrate the key challenges and their corresponding solutions of the vRAN’s infrastructure/architecture, mainly focusing on the vRAN’s Single Instruction Multiple Data (SIMD) mechanism and its management/control layer, to match the deployment requirements of the emerging edge applications from the performance and reliability perspective. To guarantee the performance and the reliability of the emerging edge applications, the vRAN edge network infrastructure must possess the ultra-low latency feature which is scarcely achievable by the traditional network infrastructure. However, the vRAN edge network infrastructure, specifically the Commercial-Off-The-Shelf (COTS) servers, has limited computing resources, which will hinder the vRAN edge network to meet the latency requirement applied by the emerging edge applications. Moreover, the vRAN edge applications have fundamentally differentiated computing algorithms which will ignite various resource utilization patterns. Consequently, there exists ”Inefficient computing resource utilization” caused by the mismatch between emerging edge applications’ properties and the COTS micro-architectural structure, which will degrade the performance of the edge applications. Besides, the emerging edge applications, especially the IAAD system, demand ultra-high reliability provision for the vRAN edge system. However, the current vRAN can not satisfy the provisions requested by the new-coming IAAD system, which will expose the IAAD system to the severe safety issue. To tackle the challenges, we propose a SIMD consciousness computing mechanism and a data fusion awareness management methodology to thoroughly exploit the micro-architecture of the state-of-the-art COTS servers and entirely utilize the management layer of the current vRAN infrastructure. The proposed solutions can effectively promote the vRAN infrastructure’s performance and the reliability of the emerging IAAD system. Specifically, 1) We implement a thorough architectural characterization on the key network components and MEC applications on the vRAN edge system to provide guidance on the hardware architecture design trade-off of vRAN edge COTS servers. 2) We propose ”Arithmetic Ports Consciousness Mechanism” (APCM) to exploit the idle architecture resources to eliminate the ubiquitous backend bound of the current vRAN infrastructure and promote the throttled bandwidth between the COTS server’s registers and L1 cache. 3) We develop a new architecture between the COTS server’s registers and L1 cache to avoid the congestion caused by the data arrangement procedure of the vRAN system and the emanating AI applications, which will effectively accelerate the proceeding of the current edge infrastructure.4) We create a Spatial-Temporal (S-T) fusion layer above the current control layer to tackle the edge network fluctuation challenges of the current vRAN infrastructure to guarantee the reliability requirement applied by the emerging IAAD system. This dissertation aims at developing a high-performance and reliable system for the emerging edge network to deploy emerging AI-enable applications and IAAD system efficiently and effectivel

    Contributions of Specific Peripheral Nociceptor Signaling Pathways to Analgesia

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    Chronic pain represents a massive socioeconomic burden, impacting the lives of 1 in 5 Americans. Existing therapeutics vary widely in both efficacy and availability. Understanding the mechanisms behind chronic pain, including any sexually dimorphic differences, drives the search for novel, efficacious therapeutics. Interestingly, pain correlates with metabolic stress in peripheral sensory neurons; alleviating this metabolic stress relieves chronic pain conditions. We have thus sought to investigate neuronal metabolism in chronic pain in two ways. Our first study involves disrupting the ability to appropriately respond to metabolic stress by deleting liver kinase B1 (LKB1) from peripheral nociceptive neurons marked by Nav1.8 and exposing animals to a stressor in the form of a 24-hour fast. Whereas females experienced LKB1-mediated hypersensitivity, males experienced an initial genotype-independent period of mechanical hypersensitivity, which was maintained in an LKB1-specific fashion. In females, LKB1 was requisite to generate sufficient mitochondrial activity to counteract the fast; male mitochondria were unaffected by fasting. Interestingly, in a model of paclitaxel induced metabolic stress, males but not females experienced anti-nociception in response to PPAR-alpha signaling. This is concurrent with a downregulation of PPAR-alpha after paclitaxel treatment in the DRG, suggesting males and females utilize different metabolic pathways for anti-nociception. Our final study involved the role of cannabinoid receptor one (CB1R) in Nav1.8-containing neurons. Canonically, CB1R reduces cellular energy expenditure via the Gi/o pathway; it has also been established as effective in reducing both chronic and acute pain, but it is unclear what cell is responsible for this phenomenon. To investigate this, we utilized a novel model where CB1R is only present on Nav1.8-contaning neurons (CB1RNav1.8) and exposed animals to a variety of behavioral experiments. Interestingly, we found males and females responded similarly to CB1R agonism, increasing the desirability of the target for pain relief. CB1RNav1.8 and knockout animals behaved similarly in inflammatory pain experiments, and CB1RNav1.8 and wildtype animals behaved similarly in neuropathic pain experiments. These data suggest CB1R in neurons mediate nociception differently based on the source of insult, and CB1R on immune cells may be more responsible in mediating inflammatory pain. Our data lay the foundation for sex-specific and sex-independent peripheral signaling pathways, continuing to establish peripheral mechanisms for more targeted therapeutics

    Micromachined Acoustic Transducers With Embedded Vertical Capacitive Arrays

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    Acoustic transducers are the crucial interface between acoustic signals and electrical signals, playing a pivotal role in converting and manipulating sound waves for a wide range of applications across industries and healthcare, such as non-destructive evaluation, range finding, proximity sensing, ultrasonic actuation and sensors, medical imaging probes, therapeutic ultrasound, microphones, and micro speakers. Such applications require transducers operating at frequencies spanning from tens of hertz to hundreds of megahertz. For most of the applications, generating strong acoustical signal is the most important design parameter. Achieving strong acoustic signals and heightened sensitivity demands a high output pressure per transducer unit area. To generate high output pressure per transducer unit area, higher vibration amplitude is required. When a transducer vibrates with a large vibrational amplitude, it can generate high output pressure per surface area even at a lower frequency. For example, when an acoustic membrane generates high output pressure per surface area, it would enable the membrane to produce enough audible sound at low frequency and works as a low frequency speakers or hearing aid instruments. Over the past century, acoustic transducer technology has evolved from piezoelectric crystals to contemporary capacitive micromachined ultrasonic transducer (CMUT) or piezoelectric micromachined ultrasonic transducer (PMUT). However, current piezoelectric or electrostatic micromachined transducer face design and fabrication limitations for generating substantial vibration amplitudes. The main objective of this work is to demonstrate a novel approach that transforms the electrostatic transduction that is conventionally performed by a closely spaced electrode next to the vibrating membrane to an array of electrostatic cells embedded within the membrane. The air gap between the fixed electrode and moveable membrane of the conventional electrostatic acoustic transducers limits the vibration amplitude in the range of tens of nm to few microns. Expanding this gap further is restricted by concerns related to reliability, difficulties in fabrication, and the need for higher operating voltages. The array structures of this research can bypass all the above-mentioned issues and enable the realization of ultrasonic transducers and microspeakers with large out-of-plane displacement, resulting in high sound pressure output per unit area at moderate operating voltage. Extremely narrow air gaps can be made in the vertical electrostatic cells which allows the devices to be operated at low operating voltage while generating high electrostatic force and energy per unit area. Electrostatic cells embedded within the membrane also facilitate the membrane to vibrate with much larger vibration amplitude compared to the conventional devices. Using this novel approach, an acoustic membrane operating in the audible range has shown almost 5 times higher output pressure per surface area per volt compared to the state-of-the-art. Smaller membrane with a resonance frequency in the ultrasonic range would have much higher output pressure per surface area compared to the conventional CMUT and PMUT. This approach can also be used to design a much stronger MEMS micropump for drug delivery, and other MEMS devices where vibrating membrane is the crucial part

    The Future of Zirconia as an Alternative Biomaterial for Dental Implant Systems: A Comprehensive Evaluation of Its Biological, Mechanical, and Surface Properties

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    Dental implants are some of the most common and successful implantable devices with approximately 800,000 procedures being performed annually in the US alone. Titanium has served as the material of choice for dental implants since the discovery of its ability to undergo osseointegration with bone tissue. However, titanium dental implants can inevitably fail for a plethora of reasons including bacterial infection, excessive cyclic loading, failure to achieve or loss of implant stability, surgical trauma, and patient-related complications. Many failure modes associated with titanium dental implants stem from the material itself which can degrade via corrosion-mediated mechanisms in the oral cavity. Ultimately, this can result in the generation and accumulation of toxic metal ions and debris in the host tissue, triggering an inflammatory cascade leading to eventual implant loss. To avoid problems associated with metallic biomaterials, zirconium oxide, also known as zirconia, has been explored as an alternative material comprising the entire dental implant system. As a ceramic, zirconia exhibits properties including mechanical strength and osseointegration desirable for dental implant applications while also possessing immunity to corrosion, an esthetically appealing ivory white color, and lower plaque accumulation as opposed to titanium. Despite these advantages and promising results from short-term clinical data, the material behavior and response of zirconia to the same oral environmental factors including bacterial adhesion and mechanical fatigue that deteriorate titanium surfaces remain understudied. Therefore, the goal of this study was to systematically assess the biological and mechanical properties of zirconia as compared to titanium when subjected to oral environmental factors including bacterial biofilm and fatigue-inducing cyclic stresses and their impact on zirconia surface degradation. Based on preliminary data, it was hypothesized that the biological response to zirconia would be equivalent to or better than that on titanium while the mechanical performance of zirconia would become compromised depending on prior surface treatment and environmental conditions. To test these hypotheses, this project was divided into two aims. Aim 1 investigated the “race-for-the-surface” between mammalian host tissue cell attachment and oral bacterial biofilm growth in mono- and co-culture on zirconia to understand its effect on the outcome for soft tissue healing and osseointegration of zirconia. Afterward, aim 2 focused on characterization of potential degradation conditions of zirconia after exposure to biological milieu, namely bacterial adhesion and cyclic mechanical loading under individual and synergistic test conditions simulating mastication (chewing) and oral environment, to determine which factors accelerate degradation of zirconia surfaces. Accomplishing the aims of this proposal yielded new knowledge about the material performance of zirconia which can provide guidance on the design of future zirconia-based dental and related implant systems

    Metronidazole Degradation by the Gram-positive Bacterium Enterococcus Faecalis

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    Enterococcus faecalis is a species of Gram-positive bacterium that natively inhabits the human gastrointestinal tract. This bacterium is capable of causing sepsis and endocarditis and is associated with the decreased effectiveness of antibiotic treatments for other bacterial infections. One such antibiotic is metronidazole, a 5-nitroimidazole drug once used commonly in the treatment of Clostridioides difficile infections. We hypothesize that E. faecalis reduces the efficacy of metronidazole in treating C. difficile infections. The molecular mechanism for how E. faecalis degrades metronidazole is unknown. In this work, we demonstrate how different strains of E. faecalis affect levels of metronidazole in in vitro culture. Through the use of spectrophotometry, we screened for E. faecalis transposon mutants unable to degrade metronidazole and used DNA sequencing to determine the insertion sites of the transposons. Screening has yielded two E. faecalis strains of interest, dubbed E. faecalis A7 and E. faecalis H8. These strains have disruptions in genes that encode the proteins AroA and AroB, respectively, which indicates that the chorismate synthesis pathway is crucial to E. faecalis’s ability to degrade metronidazole. These data lead us to propose that E. faecalis utilizes extracellular electron transfer to degrade metronidazole, a process that relies on a reliable supply of chorismate to synthesize demethylmenaquinone. This compound, alongside other membrane proteins, is utilized in extracellular electron transfer in E. faecalis. Since the reduction of metronidazole to a toxic form is seen in C. difficile, we theorize that E. faecalis uses extracellular electron transfer to reduce metronidazole to a different compound that is non-toxic to bacteria. In summary, we hypothesize that the work of demethylmenaquinone and other extracellular electron transfer proteins is the link behind E. faecalis and metronidazole degradation due to the nature of extracellular metronidazole reduction mechanisms that exist in Gram-positive bacteria

    EphrinB2 Mediation of EphB Dependent Nociceptive Plasticity Through the MNK-eIF4E Signaling Axis

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    Chronic pain types often exist as a manifestation of overconnectivity after Sustaining an injury. The molecular mechanisms that govern this transition from Acute to chronic pain is largely unknown. The ligand EphrinB and its primary receptor, the EphB family of receptor tyrosine kinases is fundamental in the formation of homeostatic functions, including angiogenesis, axonal guidance, and synaptic adherence. The mechanisms that govern these functions are largely unknown in the context of pain. Our laboratory has previously demonstrated the involvement of extracellular kinase phosphorylation events at specific tyrosine residues residue phosphorylated the EphB2 receptor to engage the NR2B subunit of the NMDA receptor to initiate pain hypersensitivity in the dorsal horn of the spinal cord cord in rodents through EphrinB2 administration. Therefore, I hypothesized that The interaction between EphrinB2 and EphB2 in the peripheral nervous system may be involved in peripheral sensitization to initiate central sensitization in the dorsal horn and reveal the downstream mechanistic target of this signaling cascade. I have uncovered EphrinB2 is sufficient to induce peripheral sensitization in a dependent manner driven by phosphorylation of eIF4E through MNK. EphrinB2 initiates both mechanical hypersensitivity and thermal hyperalgesia in males, but only mechanical hypersensitivity in females. Furthermore, we found both sexes experience hyperalgesic priming through prostaglandin E2 and is blocked through MNK activity. To discern which neuronal population is responsible for these behavioral effects, we used an EphB2-Pirt mouse line to demonstrate the loss of nociceptive behaviors and priming initiation. Molecularly, pre-treatment of EphrinB2 in vitro to demonstrate the ability of ligands to initiate priming calcium imaging and alterations in latency to peak We confirmed these findings are translatable in human in vitro models in which the blockade of priming responses through the MNK inhibitor eft508 and subsequent decreases in peIF4E levels treatment. Together, these findings indicate a novel role for EphrinB2–EphB2 family in the context of pain and characterize nociceptive behavioral differences between the sexes and unveils a key downstream signaling target that is necessary for initiate these effects between species

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