The Prevalence of Social Withdrawal in Infants With Cleft Lip and Palate: The Feasibility of the Full and the Modified Versions of the Alarm Distress Baby Scale.

Background: Social withdrawal is a risk indicator for infant development with both organic and non-organic causes. Cleft lip and palate (CLP) impose a higher risk of physical and emotional distress in infants and alters parent-infant relationships. The ADBB scale is a screening tool to identify social withdrawal as a sign of distress in infants. The aim of this study is to evaluate the prevalence of social withdrawal behavior in infants with CLP using the full 8-item ADBB scale and the modified 5-item ADBB scale, and to examine the feasibility of both scales. Methods: 145 infants with Cleft Lip and Palate were enrolled and video recorded during a pediatric consultation. All infants were scored by two expert raters trained in ADBB scale, and subsequently scored with the m-ADBB by an independent expert. We measured the interrater agreement for the full ADBB scale and psychometric properties of both scales. Results: The full ADBB scale identified 15.9% of infants as having social withdrawal behavior (score above cutoff ≥5). Among the infants evaluated with the m-ADBB scale, 44.9% had a score above the suggested cutoff (≥2). For both scales, the item "vocalization" showed the higher scores. We found a good internal consistency for the full ADBB (Cronbach's alpha = 0.82) and an acceptable internal consistency for the modified ADBB (Cronbach's alpha = 0.71). The interrater agreement for the full ADBB scale was excellent (kappa = 0.837). The Spearman correlation coefficient between the total scores of the two versions was 0.88 (P < 0.001). Conclusion: Our results indicate a relatively high prevalence of social withdrawal in infants with Cleft Lip and Palate, especially evaluated with the modified 5-item ADBB scale. We found that the full ADBB and the modified ADBB scales are feasible to use as screening tools of social withdrawal in this population. Clinical Trial Registration: This trial is registered on ClinicalTrials.gov, identifier: NCT00993993. The data is the property of Assistance Publique, Hôpitaux de Paris.

Controlling adhesion using AC electric fields across fluid films.

We demonstrate reversible and switchable actuation using AC electric fields to bring two surfaces separated by a thin film of ionic fluid in and out of adhesive contact. Using a surface force balance we apply electric fields normal to a crossed-cylinder contact and measure directly the adhesive force and surface separation with sub-molecular resolution. Taking advantage of the oscillatory structural force acting between the surfaces across the fluid, which we show to be unaffected by the AC field, we pick between the distinct (quantized) adhesive states through precise tuning of the field. This proof-of-concept indicates exquisite control of surface interactions using an external field.

Surface Forces and Structure in a Water-in-Salt Electrolyte.

Water-in-salt electrolytes are a fascinating new class of highly concentrated aqueous solutions with wide electrochemical stability windows that make them viable as aqueous battery electrolytes. However, the high ion concentration of water-in-salt electrolytes means that these systems are poorly understood when compared to more dilute electrolyte solutions. Here, we present direct surface force measurements across thin films of a water-in-salt electrolyte at several concentrations. We find that the electrolyte adopts a layered structure at charged interfaces composed of a nanostructure of a hydrated cation and nonaqueous anion-rich domains. These observations will aid in the interpretation of capacitance and double-layer behavior of water-in-salt electrolytes with consequences for their use in energy storage devices.

Interfacial Structure and Boundary Lubrication of a Dicationic Ionic Liquid.

We report measurements of the normal surface forces and friction forces between two mica surfaces separated by a nanofilm of dicationic ionic liquid using a Surface Force Balance. The dicationic ionic liquid 1,10-bis(3-methylimidazolium)decane di[bis(trifluoromethylsulfonyl)imide] forms a layered structure in nanoconfinement, revealed by oscillatory structural forces. Friction measurements performed at different film thicknesses display quantized friction, i.e., discontinuities in friction as layers are squeezed out and friction coefficients dependent on the number of liquid layers confined between the surfaces. The details of the friction traces indicate a liquidlike film, and, surprisingly, decreasing friction with increasing water content; we discuss possible mechanisms underlying these observations. This latter trait may be helpful in applications where ionic liquid lubricants cannot be insulated against humid environments.

Direct measurements of structural forces and twist transitions in cholesteric liquid crystal films with a surface force apparatus.

Using a surface force apparatus, a cholesteric liquid crystal was confined between two crossed cylindrical surfaces that induced strong planar anchoring and normal alignment of the chiral helix. The film thickness and total twist angle of the chiral molecular structure were simultaneously measured using multiple-beam optical interference. As the film thickness was increased and the chiral structure deformed, the twist angle remained almost unchanged until discontinuous changes occurred at critical distances that were equally spaced by one cholesteric half-pitch length. Structural deformations generated oscillatory elastic forces with periodically spaced maxima corresponding to twist transitions. These findings were reproduced using an equilibrium model of cholesteric confinement and force generation. The analysis indicates that the strength of the azimuthal surface anchoring on mica is high, exceeding 0.2 mJ m-2.

Surface forces generated by the action of electric fields across liquid films.

We explore the force generation and surface interactions arising when electric fields are applied across fluid films. Using a surface force balance (SFB) we measure directly the force between two electrodes in crossed-cylinder geometry across dielectric and electrolytic fluids. In the case of dielectric films the field between the electrodes exerts a force which can be well explained using classic expressions and with no fitting parameters. However when the electrodes are separated by a film of electrolyte, an alternating electric field induces a force which diverges substantially from the calculated static response of the electrolyte. The magnitude of the force is larger than predicted, and the interaction can switch from attractive to repulsive. Furthermore, the approach to steady state in electrolyte takes place over 102-103 s which is very slow compared to both the charging and viscous timescales of the system. The non-trivial electrolyte response in AC electric fields, measured here directly, is likely to underlie several recent reports of unexpected and bifurcating forces driving colloids in AC fields. Our measurements suggest ways to control colloidal and soft matter using electric fields, as well as providing a direct measure of the length- and time-scales relevant in AC electrochemical and electrokinetic systems.

Scaling Analysis of the Screening Length in Concentrated Electrolytes.

The interaction between charged objects in an electrolyte solution is a fundamental question in soft matter physics. It is well known that the electrostatic contribution to the interaction energy decays exponentially with object separation. Recent measurements reveal that, contrary to the conventional wisdom given by the classic Poisson-Boltzmann theory, the decay length increases with the ion concentration for concentrated electrolytes and can be an order of magnitude larger than the ion diameter in ionic liquids. We derive a simple scaling theory that explains this anomalous dependence of the decay length on the ion concentration. Our theory successfully collapses the decay lengths of a wide class of salts onto a single curve. A novel prediction of our theory is that the decay length increases linearly with the Bjerrum length, which we experimentally verify by surface force measurements. Moreover, we quantitatively relate the measured decay length to classic measurements of the activity coefficient in concentrated electrolytes, thus showing that the measured decay length is indeed a bulk property of the concentrated electrolyte as well as contributing a mechanistic insight into empirical activity coefficients.

Underscreening in concentrated electrolytes.

Screening of a surface charge by an electrolyte and the resulting interaction energy between charged objects is of fundamental importance in scenarios from bio-molecular interactions to energy storage. The conventional wisdom is that the interaction energy decays exponentially with object separation and the decay length is a decreasing function of ion concentration; the interaction is thus negligible in a concentrated electrolyte. Contrary to this conventional wisdom, we have shown by surface force measurements that the decay length is an increasing function of ion concentration and Bjerrum length for concentrated electrolytes. In this paper we report surface force measurements to test directly the scaling of the screening length with Bjerrum length. Furthermore, we identify a relationship between the concentration dependence of this screening length and empirical measurements of activity coefficient and differential capacitance. The dependence of the screening length on the ion concentration and the Bjerrum length can be explained by a simple scaling conjecture based on the physical intuition that solvent molecules, rather than ions, are charge carriers in a concentrated electrolyte.