Introduction: Research has shown that Postpartum Depression (PPD) occurs in 10-20% of new mothers. Symptoms of PPD include excessive sadness, increased anxiety, guilt, and possible suicidal ideation. PPD can increase a mother’s risk for health and psychological dysfunction including future psychiatric illnesses, substance abuse, and decrease her adaptive functioning. PDD can also have negative implications on child safety practices and a child’s psychosocial and developmental wellbeing. Treatments for PPD, such as medication and psychotherapy, have been shown to be effective at reducing the number and severity of a mother’s symptoms, and generally improving their lives and the lives of their families. Unfortunately, many mothers do not receive treatment due to fears of stigma, inadequate screening practices and an inability to access care. Thus, early detection and improved access to care is critical and literature suggests formal screening practices increases the rate of detection. Pediatrician’s offices serve as ideal locations to screen mothers and connect them to appropriate services because of frequent contact with the mother. Methods: Recognizing this public health concern, the American Academy of Pediatrics developed PPD screening guidelines. ETSU Pediatrics, a local pediatric primary care clinic, adhered to these guidelines, assembled an interdisciplinary health care team, and developed a stepped care protocol to not only screen all new mothers but connect them with immediate, onsite behavioral health services. The protocol consisted of four distinct phases: 1) distribution of the Edinburgh Postnatal Depression Scale (EPDS), an evidence- based tool screening for depression in new mothers, to every mother of infants 0 to 6 months at their well- child visit; 2) appropriate documentation of the EPDS score and plan of action noted within the electronic medical record (EHR); 3) brief behavioral health intervention conducted by the on-site behavioral health consultant, and/or referral to outside provider; 4) phone call follow up with mother and referred provider. The aim of the study is to evaluate components of intervention feasibility based upon the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance), which stems from the Dissemination and Implementation Science field. This particular project extends past previous pilot studies to include EHR chart review from an entire year and evaluates the protocol’s feasibility by examining Adoption and Maintenance domains. Results: Results were collected from EHR and billing records of all patients, 0 to 6 months of age, seen at the clinic from February 26, 2014 to February 25, 2015 (n = 755) for their well-child visit (n = 2,459). Adoption will examine feasibility by noting the percentage of mothers who were administered the EPDS as well as the general trend in administration across the year. Maintenance will examine feasibility from a financial perspective and reveal the amount of reimbursement accrued by billing for the EPDS. Conclusions: The anticipated results will have implications on the

Thermal interface materials (TIMs) are used as an aid in transporting heat away from a circuit or electronic module. Composite materials are a popular research area for TIMs because they allow the desired properties from the individual constituents to be combined. The composite selected for this study uses carbon nanotubes (CNT) as the filler and an elastomeric polymer for the matrix, specifically a multiwalled carbon nanotube (MWCNT) / polydimethylsiloxane (PDMS) composite. Additionally, functionalization of the CNT may affect the composites’ thermal conductivity because of its effect on the CNT dispersion in the polymer matrix and its effect on the CNT-polymer interface. The objective of this study was to determine the effect CNT functionalization has on the effective thermal conductivity of a MWCNT/PDMS composite. The three functionalization’s used in this study are unfunctionalized, functionalized with a carboxyl group, and functionalized with a hydroxyl group. Secondary objectives were to develop the initial stages of a carbon-polymer composite database and to perform an uncertainty analysis on the stepped bar apparatus used in this study. The database is to be used for visualization of data found in literature to promote data driven research. The uncertainty analysis on the stepped bar apparatus is to qualify the instrument for thermal measurements in this study Initial results showed some increase in thermal properties of the composite, but there was little difference between the thermal conductivity of the three functionalization’s because of the high level of uncertainty used early on in this study. Later results showed an increase in mechanical properties of the composite which offset any thermal advantage with use as a TIM. A stronger composite means less compression under a similar load, resulting in a thicker TIM and higher resistance. However, the mechanical and thermal properties compound to show that -OH functionalized MWCNT present better properties for a TIM than unfunctionalized and -COOH functionalized; none show better results than the polymer by itself.

No description available.

Postpartum Depression (PPD) occurs in 10-20% of new mothers. PPD can lead to serious health risks to both the mother and infant, increase the risk of complications during birth, and cause lasting effects on the development and wellbeing of the child. Many mothers suffering from PPD do not receive treatment due to fear of being stigmatized, lack of education, or not being able to access mental health services. High prevalence of PPD, along with the negative and lasting effects it can cause point to the importance of developing an effective and feasible method of assessing and treating this disorder. A pediatric primary care office may be an opportune setting to screen for PPD since mothers often accompany their children to regularly scheduled well child visits. While some studies have examined PPD screening within the pediatric primary care setting, few have explored the addition of an on-site Behavioral Health Consultant to provide brief interventions for depressed mothers as part of a stepped care model. The primary aim of the current study is assess the feasibility of implementing a stepped care protocol that assesses PPD and provides brief interventions and referrals for depressed mothers within a pediatric primary care clinic. The protocol consists of several phases including: 1) distribution of the Edinburgh Postpartum Depression Screener to every mother arriving for a well child visit during the first six months of their child’s life; 2) appropriate documentation in the clinic’s electronic health record (EHR) of the Edinburgh score and resulting plan of action; 3) a brief same day intervention by the on-site Behavioral Health Consultant and referral to outside provider, if applicable; and 4) phone call follow up with the mother and referred provider, if applicable. Research assistants will monitor the EHR to determine the clinic’s fidelity to the protocol (e.g., if the Edinburgh is being administered properly). Data will also be collected from the EHR to determine if a correlation exists between Edinburgh scores and number of Emergency Room visits made by the child, immunizations administered to the child, and number of well child checks the child attended. Data collected throughout the month of March showing the Edinburgh uptake, consistency with protocol, and any correlation between Edinburgh scores and other variables will be presented.

Thesis (MScEng (Civil Engineering))--University of Stellenbosch, 2006. / Stepped spillways constructed of roller compacted concrete (RCC) is a hydraulic and cost effective measure to dissipate energy of large water flows over the spillway of a dam. Stepped spillways, like other spillway types, have its limitations and a measure to improve the energy dissipation effectiveness is proposed. Two hydraulic models were constructed at the hydraulics laboratory of the Department of Water Affairs and Forestry (DWAF) in Pretoria, South Africa. The scales of the models were 1:20 and 1:30. The study proposes the use of triangular protrusions applied over the spillway surface. The protrusions have the same height as the steps, with the width of the protrusions varying. The triangular protrusions deflect the water sideways resulting in higher energy losses. The results indicate that the protrusions reduce scouring at the toe of the dam, thus increasing the roughness of the steps. It also indicate that aeration occur earlier than with normal stepped spillways. An optimal spacing, lateral and across the steps, are proposed. The construction of the protrusions is also discussed, as well as the cost implications. It is concluded that the protrusions are effective at a unit discharge up to 35 m3/s.m. This value is however dependent on the configuration of the apron downstream of the toe of the dam. It is proposed that protrusions be added on the downstream face of the dam on every second step, with one protrusion and then no protrusion alternating in the flow path. It is recommended that the protrusions be cast in situ.

Dating back to as far as 1940, the US road and bridge infrastructure system has garnered quite the status for strategically connecting together half a continent. As monumental as the infrastructure's status, is its rate of deterioration, with the average bridge age coming at a disconcerting 50 years. Aside from visual inspection, a battery of non-destructive tests were developed to conduct structural fault assessment and detect laminations, in order to preemptively take preventive measures. The mainstream commercially favored test is the impulse time domain ground penetrating radar (GPR). An extremely short, high voltage pulse is used to visualize cross-sections of the bridge decks. While effective and it does not disturb traffic flow, impulse radar suffers from major drawbacks. The drawbacks are namely, its limited dynamic range and high cost of system manufacturing. A less prominent yet highly effective system, stepped frequency continuous wave (SFCW) GPR, was developed to address the aforementioned drawbacks. Mostly developed for research centers and academia, SFCW boasts a high dynamic range and low cost of system manufacturing, while producing comparable if not identical results to the impulse counterpart. However, data procurement speed is an inherent problem in SFCW GPR, which seems to keep impulse radar in the lead for production and development. I am proposing a novel approach to elevate SFCW's data acquisition speed and its scanning efficiency altogether. This approach combines an encoding method called orthogonal frequency division multiplexing (OFDM) and an emerging paradigm called compressive sensing (CS). In OFDM, a digital data stream, the transmit signal, is encoded on multiple carrier frequencies. These frequencies are combined in such a way to achieve orthogonality between the carrier frequencies, while mitigating any interference between said frequencies. In CS, a signal can be potentially reconstructed from a few samples below the standardized Nyquist rate. A novel design of the SFCW GPR architecture coupled with the OFDM-CS algorithm is proposed and evaluated using ideal channels and realistically modelled bridge decks.

Batch sedimentation is a method that enables us to understand the mechanism of compaction and compression of sedimenting slurry. However, batch settling behaviour is a very complex phenomenon that is not easily described fully by a mathematical model. This causes unrealistically large empirical calculations when the thickener size estimations are required. Channelling, reverse concentration gradients and the initial concentration of the slurry have large effects on batch settling. Existing procedures do not provide clear relationships involving these three significant variables. In this study, batch sedimentation phenomena are examined in detail and possible explanations are given to clarify the complex behaviour using recent theories. Modern research has shown that channelling is an unwanted formation because channels can change the concentration at the bottom and top of the bed by carrying a great amount of flocs upwards. Batch sedimentation tests were performed using flocculated slurry of Calcium Carbonate at various initial concentrations such as 250 g/l, 500 g/l, 750 g/l and 1000 g/l to observe channelling and reverse concentration gradients. Flux plots for the batch system reveal behaviour which can be attributed to the upward flow of solids. In addition, photographic methods were used to observe settling processes, channelling mechanisms and flocs in the channels. One of the purposes of this work was to examine the phenomenological solid-liquid separation theory of Buscall and White (1987), which employs the material properties of the local volume fraction, compressive yield stress Py ()ö and hindered settling function R()ö to identify the material behaviour in batch sedimentation. Stepped-pressure filtration and batch settling tests were used to measure the material characteristics for the flocculated CaCO3 suspension. Experimental data were demonstrated using Height versus Time and Height versus Concentration graphs and displayed the possible region of reverse concentration gradients and channelling in the settling bed. Mathematical predictions adopted from Usher (2002) were performed employing material characteristics of the material and graphical documentations were presented. The results of mathematical predictions were compared to the experimental results and the modes of sedimentation explained by Lester et al. (2005). Fundamental theoretical models and experimental observations highlight that the main driving force for channelling is the high-pressure gradient at the bottom of the bed and the most important factors that cause channelling are high initial concentration of slurry and settling time. The predictions also show that the material and flocculant used for the batch settling tests demonstrate important effect on the settling process. The knowledge and information gained from this study is valuable to maximize the thickening process.

Two new stepped-frequency continuous wave (SFCW) radar sensor prototypes, based on a coherent super-heterodyne scheme, have been developed using Microwave Integrated Circuits (MICs) and Monolithic Millimeter-Wave Integrated Circuits (MMICs) for various surface and subsurface applications, such as profiling the surface and subsurface of pavements, detecting and localizing small buried Anti-Personnel (AP) mines and measuring the liquid level in a tank. These sensors meet the critical requirements for subsurface and surface measurements including small size, light weight, good accuracy, fine resolution and deep penetration. In addition, two novel wideband microstrip quasi-TEM horn antennae that are capable of integration with a seamless connection have also been designed. Finally, a simple signal processing algorithm, aimed to acquire the in-phase (I) and quadrature (Q) components and to compensate for the I/Q errors, was developed using LabView. The first of the two prototype sensors, named as the microwave SFCW radar sensor operating from 0.6-5.6-GHz, is primarily utilized for assessing the subsurface of pavements. The measured thicknesses of the asphalt and base layers of a pavement sample were very much in agreement with the actual data with less than 0.1-inch error. The measured results on the actual roads showed that the sensor accurately detects the 5-inch asphalt layer of the pavement with a minimal error of 0.25 inches. This sensor represents the first SFCW radar sensor operating from 0.6-5.6-GHz. The other sensor, named as the millimeter-wave SFCW radar sensor, operates in the 29.72-35.7-GHz range. Measurements were performed to verify its feasibility as a surface and sub-surface sensor. The measurement results showed that the sensor has a lateral resolution of 1 inch and a good accuracy in the vertical direction with less than  0.04-inch error. The sensor successfully detected and located AP mines of small sizes buried under the surface of sand with less than 0.75 and 0.08 inches of error in the lateral and vertical directions, respectively. In addition, it also verified that the vertical resolution is not greater than 0.75 inches. This sensor is claimed as the first Ka-band millimeter-wave SFCW radar sensor ever developed for surface and subsurface sensing applications.

Two new stepped-frequency continuous wave (SFCW) radar sensor prototypes, based on a coherent super-heterodyne scheme, have been developed using Microwave Integrated Circuits (MICs) and Monolithic Millimeter-Wave Integrated Circuits (MMICs) for various surface and subsurface applications, such as profiling the surface and subsurface of pavements, detecting and localizing small buried Anti-Personnel (AP) mines and measuring the liquid level in a tank. These sensors meet the critical requirements for subsurface and surface measurements including small size, light weight, good accuracy, fine resolution and deep penetration. In addition, two novel wideband microstrip quasi-TEM horn antennae that are capable of integration with a seamless connection have also been designed. Finally, a simple signal processing algorithm, aimed to acquire the in-phase (I) and quadrature (Q) components and to compensate for the I/Q errors, was developed using LabView. The first of the two prototype sensors, named as the microwave SFCW radar sensor operating from 0.6-5.6-GHz, is primarily utilized for assessing the subsurface of pavements. The measured thicknesses of the asphalt and base layers of a pavement sample were very much in agreement with the actual data with less than 0.1-inch error. The measured results on the actual roads showed that the sensor accurately detects the 5-inch asphalt layer of the pavement with a minimal error of 0.25 inches. This sensor represents the first SFCW radar sensor operating from 0.6-5.6-GHz. The other sensor, named as the millimeter-wave SFCW radar sensor, operates in the 29.72-35.7-GHz range. Measurements were performed to verify its feasibility as a surface and sub-surface sensor. The measurement results showed that the sensor has a lateral resolution of 1 inch and a good accuracy in the vertical direction with less than  0.04-inch error. The sensor successfully detected and located AP mines of small sizes buried under the surface of sand with less than 0.75 and 0.08 inches of error in the lateral and vertical directions, respectively. In addition, it also verified that the vertical resolution is not greater than 0.75 inches. This sensor is claimed as the first Ka-band millimeter-wave SFCW radar sensor ever developed for surface and subsurface sensing applications.

No description available.