Drop out from behavioral management training programs for ADHD: a prospective study

To investigate dropout from parenting programs for disruptive behavior disorders, we followed 18 clients prospectively from the beginning of a manualized treatment program to three month follow-up. Using qualitative and quantitative methods, we then compared those who dropped out of the program with those who completed it. We found that in general, those participants who dropped out of the program were parents of children with more disturbed behavior, who perceived their children to be more difficult than others, and who experienced more subjective parenting stress. Those who dropped out were also not convinced that the strategies proposed in the program to help manage their children were useful. On the other hand, those who completed the program reported a determination to persevere with the strategies which they saw as assisting them to re-establish positive relationships with their adolescent children. The findings are discussed in the context of how manualized programs might be modified to increase retention.

Attrition from an internet-based psychological intervention for erectile dysfunction : who is likely to drop out?

The current study evaluated the dropout rate from an internet-based treatment program for erectile dysfunction (ED), and determined reasons for attrition from this program. Only 12 of 40 treatment group men and 19 of 20 control group men completed the post-test measures. Reasons for the men being excluded or dropping out of the study are discussed. These reasons included medical conditions that contributed to their ED, the man's partner not being interested in participating in the program, a lack of motivation from the man, or the time commitment being too demanding.

Why do young women drop out of sport and physical activity? A social ecological approach

This study explored significant individual, social, and environmental factors and how they interact to influence participation in physical activity for adolescent young women. These factors were explored at two transitional life stages: from primary to secondary school and from middle to upper years at secondary school. Ten focus groups with young women and 10 interviews with teachers were conducted and multiple, interrelated themes emerged. Our findings indicated that there are a number of strategies that could be undertaken to increase the participation of young women in physical activity. These include: (1) enhancing intrinsic motivation for sport and physical activity; (2) appealing to young women’s need for socialising through opportunities for informal physical activity; (3) educating parents about the benefits of sport and physical activity; (4) overcoming gender stereotypes about what is acceptable behaviour for young women; (5) improving physical education teachers’ understanding of gender issues and motivating less physically active students; (6) the provision of accessible sport and physical activity facilities, programs, and services in schools; and (7) prioritorisation of sport and physical activity in the school curriculum. These strategies are not ‘quick fixes’, but rather require a whole-ofcommunity approach and, in some cases, a reorientation of societal values.

Drop-out from parenting training programmes : a retrospective study

Objective: Parent training programmes are a well-established treatment approach for children and adolescents with disruptive behaviour disorders. However, dropout from treatment is a common problem that confounds research on the efficacy of this approach, and wastes important mental health resources. This study sought to further our understanding of the reasons why parents drop out of parent training programmes.

Method: Nine parents of children with disruptive behaviour disorders who had dropped out of a parent training programme were interviewed to investigate why they discontinued the programme.

Results: Parents who dropped out of treatment believed that their children were more difficult than other children with the same disorder and may have been better suited to a child-focused intervention. The parents themselves had very stressful lives, with the majority being single mothers with little support. Dropout parents also had difficulty with the group context and putting strategies into place. Practical concerns included parking, timing of session and the length and number of sessions.

Conclusions: The findings are discussed in terms of what modifications can be made to these programmes to increase retention.

Inspection of drop-weight impact damage in woven CFRP laminates fabricated by different processes

The influence of manufacturing process on the drop-weight impact damage in woven carbon/epoxy laminates was inspected by visual observation, dyepenetrant X-ray technique, and optical microscopy observation. The MTM56/ CF0300 woven quasi-isotropic laminates were fabricated by two processes: the autoclave and the Quickstep processes. Quickstep^TM is a novel composite manufacturing process, which was designed for the out-of-autoclave production of high-quality composite parts at lower cost. It utilizes higher heat conduction of fluid other than gas to transfer heat to components, which results in much shorter cure cycles. The laminates cured by this fast heating process showed different impact failure modes from those cured by the conventional autoclave process. The residual indentation in the top side of the Quickstep-cured laminates had a bigger diameter, but a smaller depth at the same impact energy level. Dye-penetrant X-ray revealed more intense and connected impact damage regions in the autoclave-cured laminates. Optical micrography as a supplementary method showed less severe matrix damage in the quickstep-cured laminates indicating a more ductile property of the resin matrix cured at a faster heating rate.

Differential modulation of spinal and corticospinal excitability during drop jumps

Previously it was shown that spinal excitability during hopping and drop jumping is high in the initial phase of ground contact when the muscle is stretched but decreases toward takeoff. To further understand motor control of stretch-shortening cycle, this study aimed to compare modulation of spinal and corticospinal excitability at distinct phases following ground contact in drop jump. Motor-evoked potentials (MEPs) induced by transcranial magnetic stimulation (TMS) and H-reflexes were elicited at the time of the short (SLR)-, medium (MLR)-, and long (LLR, LLR2)-latency responses of the soleus muscle (SOL) after jumps from 31 cm height. MEPs and H-reflexes were expressed relative to the background electromyographic (EMG) activity. H-reflexes were highly facilitated at SLR (172%) and then progressively decreased (MLR = 133%; LLR = 123%; LLR2 = 110%). TMS showed no effect at SLR, MLR, and LLR, whereas MEPs were significantly facilitated at the LLR2 (122%; P = 0.003). Background EMG was highest at LLR and lowest at LLR2. Strong H-reflex facilitation at the beginning of the stance phase indicated significant contribution of Ia-afferent input to the α-motoneurons during this phase that then progressively declined toward takeoff. Conversely, corticospinal excitability was exclusively increased at the phase of push off (LLR2, ∼120 ms). It is argued that corticomotoneurons increased their excitability at LLR2. At LLR (∼90 ms), Ia-afferent transmission as well as corticospinal excitability was low, whereas background EMG was high. Therefore it is speculated that other sources, presumably subcortical in origin, contributed to the EMG activity at LLR in drop jumps.

The 'wimple' : rippled deformation of a fluid drop caused by hydrodynamic and surface forces during thin film drainage

It is well-known that hydrodynamic pressures in a thin draining liquid film can cause inversion of the curvature of a drop or bubble surface as it approaches another surface, creating a so-called “dimple”. Here it is shown that a more complicated rippled shape, dubbed a “wimple”, can be formed if a fluid drop that is already close to a solid wall is abruptly pushed further toward it. The wimple includes a central region in which the film remains thin, surrounded by a ring of greater film thickness that is bounded at the outer edge by a barrier rim where the film is thin. This shape later evolves into a conventional dimple bounded by the barrier rim, which then drains in the normal way. During the evolution from wimple to dimple, some of the fluid in the thicker part of the film ring flows toward the central region before eventually draining in the opposite direction. Although the drop is pressed toward the wall, the central part of the drop moves away from the wall before approaching it again. This is observed even when the inward push is too small to create a wimple.

The influence of surface forces on thin film drainage between a fluid drop and a flat solid

An experiment is described in which a mica surface is driven towards a mercury drop immersed in aqueous electrolyte. Under appropriate conditions, hydrodynamic pressure in the aqueous film creates a classical dimple in the mercury drop. The use of optical interferometry and video recording to monitor the shape of the drop and the thickness of the aqueous film with sub-nanometre resolution yields a high density of precise data showing the formation and evolution of the dimple as the film drains. Variation of electrical potential applied to the mercury phase allows control of the surface forces acting between the drop and the mica surface, so that the effect of surface forces on the film drainage process is highlighted. It is found that the film thickness at the centre of the dimple and the lateral extent of the dimple are not significantly affected by surface forces. On the other hand, the minimum film thickness at the edge of the dimple is sensitive even to weak surface forces. Since this minimum film thickness is a major determinant of the film drainage rate, it is shown that surface forces have an important effect on the overall drainage process.

Thin film drainage : hydrodynamic and disjoining pressures determined from experimental measurements of the shape of a fluid drop approaching a solid wall

Accurate measurements of the shape of a mercury drop separated from a smooth flat solid surface by a thin aqueous film reported recently by Connor and Horn (Faraday Discuss. 2003, 123, 193-206) have been analyzed to calculate the excess pressure in the film. The analysis is based on calculating the local curvature of the mercury/aqueous interface, and relating it via the Young-Laplace equation to the pressure drop across the interface, which is the difference between the aqueous film pressure and the known internal pressure of the mercury drop. For drop shapes measured under quiescent conditions, the only contribution to film pressure is the disjoining pressure arising from double-layer forces acting between the mercury and mica surfaces. Under dynamic conditions, hydrodynamic pressure is also present, and this is calculated by subtracting the disjoining pressure from the total film pressure. The data, which were measured to investigate the thin film drainage during approach of a fluid drop to a solid wall, show a classical dimpling of the mercury drop when it approaches the mica surface. Four data sets are available, corresponding to different magnitudes and signs of disjoining pressure, obtained by controlling the surface potential of the mercury. The analysis shows that total film pressure does not vary greatly during the evolution of the dimple formed during the thin film drainage process, nor between the different data sets. The hydrodynamic pressure appears to adjust to the different disjoining pressures in such a way that the total film pressure is maintained approximately constant within the dimpled region.

The effect of surface and hydrodynamic forces on the shape of a fluid drop approaching a solid surface

This paper describes an experiment designed to measure surface and hydrodynamic forces between a mercury drop and a flat mica surface immersed in an aqueous medium. An optical interference technique allows measurement of the shape of the mercury drop as well as its distance from the mica, for various conditions of applied potential, applied pressure, and solution conditions. This enables a detailed exploration of the surface forces, particularly double-layer forces, between mercury and mica. A theoretical analysis of drop shape under the influence of surface forces shows that deformation of the drop is a sensitive indicator of the forces, as well as being a very important factor in establishing the overall interaction between the solid and the fluid.

Colloidal interaction between a rigid solid and a fluid drop

We present results of a theoretical study of the effect of surface deformation on a macroscopic system composed of a solid surface interacting with a fluid drop through electrostatic double-layer forces. The analysis involves numerically solving a Laplace equation suitably modified to describe the shape of a liquid drop subjected to a repulsive double-layer force. The latter is evaluated in nonlinear mean-field theory. Some analytical results are also given. The results indicate that although deformation need not be significant on the macroscopic scale, its effect on the interaction is significant and modifies the picture usually presented in DLVO theory. The decay length of the exponential repulsion deviates marginally from the Debye length, dependent on the interfacial tension of the drop. More significantly, at separations where the double-layer force becomes comparable to the internal pressure of the drop, the net force between the two bodies, the local radius of curvature of the drop, and the amount of deformation grow abruptly. The results of this work are relevant to emulsion stability, micelle, vesicle, and cell interactions, and recent experiments on bubble-particle interaction.