Following Racialized Motherhood from the Plantation to the Courtroom

Senior Project submitted to The Division of Languages and Literature of Bard College

3D nano-architected metallic glass: Size effect suppresses catastrophic failure

We investigate the mechanical behavior of 3D periodically architected metallic glass nanolattices, constructed from hollow beams of sputtered Zr-Ni-Al metallic glass. Nanolattices composed of beams with different wall thicknesses are fabricated by varying the sputter deposition time, resulting in nanolattices with median wall thicknesses of ∼88 nm, ∼57 nm, ∼38 nm, ∼30 nm, ∼20 nm, and ∼10 nm. Uniaxial compression experiments conducted inside a scanning electron microscope reveal a transition from brittle, catastrophic failure in thicker-walled nanolattices (median wall thicknesses of ∼88 and ∼57 nm) to deformable, gradual, layer-by-layer collapse in thinner-walled nanolattices (median wall thicknesses of ∼38 nm and less). As the nanolattice wall thickness is varied, large differences in deformability are manifested through the severity of strain bursts, nanolattice recovery after compression, and in-situ images obtained during compression experiments. We explain the brittle-to-deformable transition that occurs as the nanolattice wall thickness decreases in terms of the “smaller is more deformable” material size effect that arises in nano-sized metallic glasses. This work demonstrates that the nano-induced failure-suppression size effect that emerges in small-scale metallic glasses can be proliferated to larger-scale materials by the virtue of architecting

Irradiation Enhances Strength and Deformability of Nano-Architected Metallic Glass

The quest for radiation-damage tolerant materials has found good candidates in nanoporous metals, whose abundance of free surfaces provides ample sinks for radiation-induced defects, as well as in metallic glasses, whose characteristic failure via shear banding can be alleviated by irradiation. This type of catastrophic failure in metallic glass can also be suppressed by reducing their dimensions to the nanoscale. To combine the beneficial effects of resilience against irradiation in materials containing many free surfaces and nano-sized metallic glasses, the authors fabricate Zr–Ni–Al metallic glass nano-architecture and irradiate them with 12 MeV Ni^(4+) ions. These 3D nanolattices are composed of hollow beams of sputtered metallic glass with beam wall thicknesses ≈10–100 nm, with a relative density of ≈5%, which renders them to be 20 times lighter than their bulk-level counterparts. The authors find that the thickest-walled nanolattices, those with a median wall thickness of ≈88 nm, are able to withstand irradiation without significant contraction; all other substantially shrunk; and collapsed upon irradiation. In situ nanomechanical experiments on the irradiated samples compressed inside a scanning electron microscope (SEM) reveal substantial improvement in mechanical response upon irradiation, with an average increase in yield strength of 35.7% and a significant enhancement in deformability. Enhanced deformability upon irradiation is apparent from the nanolattices' accommodation of larger strains before any kind of failure, as well as the presence of smaller strain bursts and stress drops throughout the stress–strain response. The irradiated nanolattices are largely intact after compression, with in situ SEM videos demonstrating a layer-by-layer like collapse in the irradiated nanolattices in contrast to the catastrophic failure with complete destruction of the failed layers observed in equivalent as-fabricated samples. This work points to nano-architected metallic glasses being a promising candidate for creating ultra-lightweight, radiation tolerant materials, and irradiation as a promising technique for improving the mechanical response of metallic glass nanolattices with stiffness on the order of 250 MPa

Patterning High Surface Area Silica with Lysozyme: Adsorption Kinetics, Fluorescence Quenching, and Protein Readsorption Studies To Evaluate the Templated Surface

A method was developed for using an inexpensive and widely available protein, hen egg white lysozyme, as a patterning agent for commercial high surface area silicas. The basic patterning methodology involved spontaneous adsorption of the protein from aqueous solution, alkylation of the uncovered surface with an alkylsiloxane, and protein desorption in a slightly alkaline solution of morpholine. Adsorption kinetic studies using Bradford assays assisted in determining protein deposition conditions. These studies were generally consistent with results on more planar silica surfaces and indicated that the protein quickly and strongly adsorbs along its long axis at low surface coverages. A modified fluorescence resonance energy transfer (FRET) technique was developed and employed to evaluate protein spacing. This technique showed that the proteins are well dispersed at low coverages. Readsorption experiments show that the templated regions are robust, retaining the size and shape of the original protein templates

Modelling the cost-effectiveness of pulse oximetry in primary care management of acute respiratory infection in rural northern Thailand

Objectives We aimed to determine the cost-effectiveness of supplementing standard care with pulse oximetry among children <5 years with acute respiratory infection (ARI) presenting to 32 primary care units in a rural district (total population 241,436) of Chiang Rai province, Thailand, and to assess the economic effects of extending pulse oximetry to older patients with ARI in this setting. Methods We performed a model-based cost-effectiveness analysis from a health systems perspective. Decision trees were constructed for three patient categories (children <5 years, children 5–14 years, and adults), with a 1-year time horizon. Model parameters were based on data from 49,958 patients included in a review of acute infection management in the 32 primary care units, published studies, and procurement price lists. Parameters were varied in deterministic sensitivity analyses. Costs were expressed in 2021 US dollars with a willingness-to-pay threshold per DALY averted of 8624 US dollars. Results The annual direct cost of pulse oximetry, associated staff, training, and monitoring was 24,243 US dollars. It reduced deaths from severe lower respiratory tract infections in children <5 years by 0.19 per 100,000 patients annually. In our population of 14,075 children <5 years, this was equivalent to 2.0 DALYs averted per year. When downstream costs such as those related to hospitalisation and inappropriate antibiotic prescription were considered, pulse oximetry dominated standard care, saving 12,757 US dollars annually. This intervention yielded smaller mortality gains in older patients but resulted in further cost savings, primarily by reducing inappropriate antibiotic prescriptions in these age groups. The dominance of the intervention was also demonstrated in all sensitivity analyses. Conclusions Pulse oximetry is a life-saving, cost-effective adjunct in ARI primary care management in rural northern Thailand. This finding is likely to be generalisable to neighbouring countries with similar disease epidemiology and health systems

The social role of C-reactive protein point-of-care testing to guide antibiotic prescription in Northern Thailand

New and affordable point-of-care testing (POCT) solutions are hoped to guide antibiotic prescription and to help limit antimicrobial resistance (AMR)—especially in low- and middle-income countries where resource constraints often prevent extensive diagnostic testing. Anthropological and sociological research has illuminated the role and impact of rapid point-of-care malaria testing. This paper expands our knowledge about the social implications of non-malarial POCT, using the case study of a C-reactive-protein point-of-care testing (CRP POCT) clinical trial with febrile patients at primary-care-level health centres in Chiang Rai province, northern Thailand. We investigate the social role of CRP POCT through its interactions with (a) the healthcare workers who use it, (b) the patients whose routine care is affected by the test, and (c) the existing patient-health system linkages that might resonate or interfere with CRP POCT. We conduct a thematic analysis of data from 58 purposively sampled pre- and post-intervention patients and healthcare workers in August 2016 and May 2017. We find widespread positive attitudes towards the test among patients and healthcare workers. Patients’ views are influenced by an understanding of CRP POCT as a comprehensive blood test that provides specific diagnosis and that corresponds to notions of good care. Healthcare workers use the test to support their negotiations with patients but also to legitimise ethical decisions in an increasingly restrictive antibiotic policy environment. We hypothesise that CRP POCT could entail greater patient adherence to recommended antibiotic treatment, but it could also encourage riskier health behaviour and entail potentially adverse equity implications for patients across generations and socioeconomic strata. Our empirical findings inform the clinical literature on increasingly propagated point-of-care biomarker tests to guide antibiotic prescriptions, and we contribute to the anthropological and sociological literature through a novel conceptualisation of the patient-health system interface as an activity space into which biomarker testing is introduced