Thesis advisor: Britt F. Pados / Background. Ankyloglossia, commonly known as tongue-tie, reduces tongue mobility through restriction of the lingual frenulum. A recent professional consensus notes that tongue-tie is one possible reason for breastfeeding challenges. Prevalence reporting of tongue-tie has been variable, and an understanding of which infants benefit most from treatment is unknown.Screening and treatment guidelines have not been developed, mainly due to low-level evidence in published research. Despite this, there has been a substantial increase in tongue-tie treatment via frenotomy in the last 15 years. Purpose. The purpose of this program of research was to improve our understanding of tongue- tie and its impact on infant feeding. Eight specific aims were developed to achieve this purpose: 1) identify the prevalence rate of anyloglossia in infants age birth through 12 months; 2) review and evaluate the diagnostic criteria used to diagnose ankyloglossia; 3) identify and summarize original research addressing the impact of ankyloglossia on infant feeding, comparing symptoms of problematic feeding before and after frenotomy; 4) review the quality of the feeding-related outcome measures and psychometric properties of the assessment tools used; 5) describe changes in problematic feeding symptoms, as measured by the NeoEAT, pre- and post-frenotomy; 6) explore the contribution of infant age to the magnitude of change in problematic feeding pre- and post-frenotomy; 7) describe changes in maternal symptoms pre- and post-frenotomy; and 8) evaluate the relationships between maternal symptoms and symptoms of problematic feedingpre- and post-frenotomy. Methods. First, we performed a systematic review and meta-analysis of the literature on tongue- tie to determine the prevalence of the anomaly in the infant population and critiqued the methods used to achieve tongue-tie diagnosis. Second, we identified and summarized original research addressing the impact of tongue-tie on infant feeding, comparing symptoms of problematic feeding before and after frenotomy. In this same study, we evaluated the psychometric properties of the assessment tools used in the published research. Next, we assessed maternal and infant symptoms of problematic feeding pre- and post-frenotomy. In this same study, we utilized a comprehensive evaluation of infant feeding symptoms using a validated measure. Results. Cumulatively, this dissertation research has identified symptoms in both mothers and their infants in the setting of tongue-tie. Each of the eight specific aims proposed for this dissertation were addressed. Specifically, through the meta-analysis and systematic review, we determined 1) prevalence of tongue-tie is higher than previously thought, affecting 8% of the infant population, 2) current screening tools for tongue-tie require psychometric evaluation, 3) LATCH scores and maternal self-efficacy improve following frenotomy but little is known about the effect of frenotomy on infant feeding, and 4) infant feeding has not been evaluated comprehensively or with a validated measure for babies with tongue-tie. The research study conducted in Chapter IV found that 5) infants with severe tongue-tie experienced significant improvements in problematic feeding symptoms following tongue-tie correction as measured by the NeoEAT, 6) regardless of infant age, improvements in symptoms of problematic feeding were seen post-frenotomy in babies with severe tongue-tie, 7) maternal symptoms previously thought to occur in the setting of tongue-tie improved following frenotomy (e.g., painful or difficult latch), and 8) symptoms that have not been assessed in earlier research also improved after tongue-tie correction (e.g., chewing on nipple, incomplete breast drainage, and over supply of breastmilk). Conclusions. The program of research in this dissertation has made meaningful contributions to the literature on tongue-tie. Through the production of the first meta-analysis of prevalence data, a thorough evaluation of the available research, and the determination of maternal and infant symptoms associated with tongue-tie, we have crafted recommendations for future research and recommendations for improvements in the clinical management of infants with this oral anomaly. / Thesis (PhD) — Boston College, 2021. / Submitted to: Boston College. Connell School of Nursing. / Discipline: Nursing.

The primary purpose of this study was to identify dimensions of weak tie relationships including characteristics (e.g., distinctive qualities, traits, or properties), functions (e.g., outcomes, purposes, or meanings derived from the interaction) and determinants of engagement to gain insight into the weak tie exchange process and develop frameworks that can be used to operationalize the concept. Data were collected through stories provided by participants during face-to-face interviews. Respondents recounted a situation when someone they did not know well and to whom they did not feel particularly close provided them with assistance. Over 70 stories were collected from 50 adults aged 65 and older who were active in their community. Stories collected were analyzed using an inductive approach that was supported by the concepts of interpersonal tie strength, loose connections, social exchange theory, and social support. Findings suggest that weak tie relationships occur in a variety of community settings and in response to a variety of daily challenges. The exchanges occur more frequently with acquaintances than strangers and the initiator of the exchange is generally the person offering support. The types of support offered are broad-based and include instrumental, emotional, and informational support. Weak tie exchanges range from one-time brief interactions to intermittent exchanges over extended periods, depending on the circumstances. Findings also suggest that weak ties have a specific task or purpose, encourage awareness about the value and purpose of social interactions, and influence participants' future social interactions. Six factors were identified as determinants of engagement in weak ties: situational factors, personal characteristics, judgments of responsibility, attitudes about helping behaviors, personal network type, and exchange history. The findings from this study provide a foundation for further conceptualization of weak ties and a framework on which to develop instruments to measure tie strength and the potential for engaging in weak tie exchanges. / Ph. D.

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Distributed generation (DG) is getting more and more popular due to the environmentally-friendly feature, the new generation unit developments, and the ability to operate in a remote area. By clustering the paralleled DGs, storage system and loads, a microgrid (MG) can offer a power system with increased reliability, flexibility, cost effectiveness, and energy efficient feature. Popular energy sources like photovoltaic modules (PV), wind turbines, and fuel cells require the power-electronic interface as the bridge to connect to the utility grid for usable transmission. The inverter-based microgrid system, however, suffers more challenges than traditional rotational power system. Those challenges, including much less over current capability, the nature of the intermittent renewable energy sources, a wide-band dynamic of generation units, and a large grid impedance variation, call for more careful system hardware and control designs to ensure a reliable system operation. Major design interests are found in (i) precision power flow control, (ii) proper current sharing, (iii) smooth transition between grid-tie and islanding modes, and (iv) stability analysis. This dissertation will cover a complete design and implementation of an experimental microgrid with paralleled power conditioning systems operating in the gridtie mode, islanding mode, and mode transfers. A universal inverter is proposed with the LCL filter to operate in both grid-tie and standalone mode without any hardware modification. Next, controllers of individual inverters running in basic microgrid modes will be discussed to ensure high quality output characteristics. The admittance compensation will also be proposed to avoid reverse power flow during the grid-tie connection transient. Combining previous designed single inverters, a CAN-bus multiinverter microgrid system will be established. The current sharing with the proposed frequency-decoupled transmission will be implemented to extend the transmission distance. Next, smooth mode transfer procedures between grid-tie mode and islanding mode will be suggested based on the circuit principles to minimize the excessive electrical stresses. Finally, the state-space analysis of the proposed multi-inverter microgrid system will be conducted to investigate the stability under system variations and optimize the system performance. Experimental and simulation results show that the designed universal inverter can provide stable outputs in different basic microgrid operation modes. With the proposed current sharing scheme, the output current is equally shared among paralleled inverters without a noticeable circulating current. Both the simulation and experimental results of mode transfer show that the multi-inverter based microgrid system is able to switch between grid-tie and islanding modes smoothly to guarantee an uninterrupted power supply to the critical loads. Based on eigenvalue analysis, the study of stability analysis also shows the agreement of the design, simulation and test results which further verifies the reliability of the designed multi-inverter microgrid system. / Ph. D.

Renewable energy and distributed generation are getting more and more popular, including photovoltaic modules (PV), wind turbines, and fuel cells. The renewable energy sources need the power electronics interface to the utility grid because of different characteristics between the sources and the grid. No matter what renewable energy source is utilized, inverters are essential in the microgrid system. Thanks to flexible modular design, transformerless connection, extended voltage and power output, less maintenance and higher fault tolerance, the cascade inverters are good candidates for utility interface of various renewable energy sources. This dissertation proposes a new type of cascade inverters based on dual-buck topology and phase-shift control scheme. Compared to traditional cascade inverters, they have enhanced system reliability thanks to no shoot-through problems and lower switching loss with the help of using power MOSFETs. With phase-shift control, it theoretically eliminates the inherent current zero-crossing distortion of the single-unit dual-buck type inverter. In addition, phase-shift control can greatly reduce the ripple current or cut down the size of passive components by increasing the equivalent switching frequency. An asymmetrical half-cycle unipolar (AHCU) PWM technique is proposed for dual-buck full-bridge inverter. The proposed approach is to cut down the switching loss of power MOSFETs by half. At the same time, this AHCU PWM leads to current ripple reduction, and thus reducing ripple-related loss in filter components. Therefore, the proposed PWM strategy results in significant efficiency improvement. Additionally, the AHCU PWM also compensates for the zero-crossing distortion problem of dual-buck full-bridge inverter. Several PWM techniques are analyzed and compared, including bipolar PWM, unipolar PWM and phase-shifted PWM, when applied to the proposed cascade dual-buck full-bridge inverter. It has been found out that a PWM combination technique with the use of two out of the three PWMs leads to better performance in terms of less output current ripple and harmonics, no zero-crossing distortion, and higher efficiency. A grid-tie control system is proposed for cascade dual-buck inverter with both active and reactive power flow capability in a wide range under two types of renewable energy and distributed generation sources. Fuel cell power conditioning system (PCS) is Type I system with active power command generated by balance of plant (BOP) of each unit; and photovoltaic or wind PCS is Type II system with active power harvested by each front-end unit through maximum power point tracking (MPPT). Reactive power command is generated by distributed generation (DG) control site for both systems. Selective harmonic proportional resonant (PR) controller and admittance compensation controller are first introduced to cascade inverter grid-tie control to achieve better steady-state and dynamic performances. / Ph. D.

The research conducted was sponsored by JVI of Pittsfield, Massachusetts. JVI has developed a steel embedded connection, referred to as a shooter. The shooter is provided in capacities, a 40 kip capacity shooter and a 50 kip capacity shooter. This steel connection is embedded near the end of a double-tee prestressed girder. Double-tee prestressed girders are a primary component used in the construction of parking garages. Typical double-tee lengths are 60 to 75 feet; however, for this research 20 ft long segments were cast and tested with the shooter installed. This project had three main goals. The first goal was to develop a preliminary design for the reinforcement around the shooter and test the shooters' capacity in the laboratory to determine if the stated capacity was correct. Four different designs were created, two designs for the 40 kip capacity shooter and 2 designs for the 50 kip capacity shooter. Each design was placed in one stem of the double-tee and tested at the laboratory. Results from these tests indicate that that each specimen achieved the stated capacity. However, failure was not a connection failure but a shear bond failure. The second goal was to take the information gathered from testing and develop a design model that could be used for other situations for this type of connection. The design model was created according to the guidelines in the ACI 318-08 code. Two different methods were used, a strut-and-tie model and a modified ACI code approach. From these designs it was determined that the strut-and-tie model should be used for the design of these connections; however, more research needs to be done before using the modified ACI code approach. The final goal was to determine if finite element analysis could be used to determine if the load at which large cracks that immediately proceed failure occur could be predicted. From this analysis it was determined that a load range could be predicted in which a crack could form as well as a range of what the transfer length of the strands could be. / Master of Science

Precast/Prestressed concrete girders are commonly used in bridge construction in the United States. The application and diffusion of the prestress force in a pretensioned girder causes a vertical tension force to develop near the end of the beam. Field surveys of the beam ends of pretensioned bridge girders indicate that many of the PCBT beams used in the Commonwealth of Virginia develop cracks within the anchorage zone region. The lengths and widths of these cracks range from acceptable to poor and in need of repair. Field observations also indicate deeper cross sections, very heavily prestressed sections, and girders with lightweight concrete tend to be most susceptible to crack formation. This research examined a new strut-and-tie based design approach to the anchorage zone design of the PCBT bridge girders used in Virginia. Case study girders surveyed during site visits are discussed and used to illustrate the nature of the problem and support the calibration of the strut-and-tie based model. A parametric study was conducted using this proposed design model and the results of this study were consolidated into anchorage zone design tables. The results of the parametric study were compared to the results obtained using existing anchorage zone design models, international bridge codes, and standard anchorage zone details used by other states. A set of new standard details was developed for the PCBT girders which incorporates elements of the new design approach and is compatible with the anchorage zone design aids. A 65 ft PCBT-53 girder was fabricated to verify the new strut-and-tie based design model. This girder contained anchorage zone details designed with the new model. The new anchorage zone details were successful at controlling the development of anchorage zone cracks. The new design approach is recommended for implementation by the Virginia Department of Transportation. / Master of Science

Yes / Test results of 24 reinforced concrete continuous deep beams are reported. The main variables studied were concrete strength, shear span-to-overall depth ratio (a/h) and the amount and configuration of shear reinforcement. The results of this study show that the load transfer capacity of shear reinforcement was much more prominent in continuous deep beams than in simply supported deep beams. For beams having an a/ h of 0.5, horizontal shear reinforcement was always more effective than vertical shear reinforcement. The ratio of the load capacity measured and that predicted by the strutand-tie model recommended by ACI 318-05 dropped against the increase of a/h. This decrease rate was more remarkable in continuous deep beams than that in simple deep beams. The strut-and-tie model recommended by ACI 318-05 overestimated the strength of continuous deep beams having a/ h more than 1.0.