Interpersonal psychotherapy (IPT) and antidepressant medications are both first-line interventions for adult depression, but their relative efficacy in the long term and on outcome measures other than depressive symptomatology is unknown. Individual participant data (IPD) meta-analyses can provide more precise effect estimates than conventional meta-analyses. This IPD meta-analysis compared the efficacy of IPT and antidepressants on various outcomes at post-treatment and follow-up (PROSPERO: CRD42020219891). A systematic literature search conducted May 1st, 2023 identified randomized trials comparing IPT and antidepressants in acute-phase treatment of adults with depression. Anonymized IPD were requested and analyzed using mixed-effects models. The prespecified primary outcome was post-treatment depression symptom severity. Secondary outcomes were all post-treatment and follow-up measures assessed in at least two studies. IPD were obtained from 9 of 15 studies identified (N = 1536/1948, 78.9%). No significant comparative treatment effects were found on post-treatment measures of depression (d = 0.088, p = 0.103, N = 1530) and social functioning (d = 0.026, p = 0.624, N = 1213). In smaller samples, antidepressants performed slightly better than IPT on post-treatment measures of general psychopathology (d = 0.276, p = 0.023, N = 307) and dysfunctional attitudes (d = 0.249, p = 0.029, N = 231), but not on any other secondary outcomes, nor at follow-up. This IPD meta-analysis is the first to examine the acute and longer-term efficacy of IPT v. antidepressants on a broad range of outcomes. Depression treatment trials should routinely include multiple outcome measures and follow-up assessments.

In this retrospective cohort study of military trainees, symptomatic-only coronavirus disease 2019 (COVID-19) arrival antigen testing decreased isolation requirements without increasing secondary cases compared to universal antigen testing. Symptomatic-only arrival antigen testing is a feasible alternative for individuals entering a congregant setting with a high risk of COVID-19 transmission.

Rank-correlation coefficients are utilized to show relationships between physical and chemical properties of Georgia and English kaolins. Montmorillonite impurity in the Cretaceous kaolins shows high level correlations with magnesium, iron, silica-alumina ratio, CEC, water sorption, surface area, sediment volume, and Brookfield viscosity. Cation exchange capacity of these kaolins is believed to be related primarily to montmorillonite impurity. Low shear viscosity measurements show a strong correlation to properties indicative of montmorillonite. Correlations with viscosity are believed to be related primarily to surface area and particle packing. Packing volume exerts a dominant effect on high shear rheology. Differences in particle shape are not of sufficient magnitude to show a significant effect on rheology. A strong inverse relationship of vanadium with high shear viscosity indicates that the wetting effect of vanadium organic complexes or adsorption of (VO4)−3 tetrahedra at gibbsite edge faces may be mechanisms for viscosity reduction. Brightness and whiteness are related to titanium and iron-bearing impurities as well as the amount of particles having optimum diameters for light scattering. Well-crystallized kaolinites are believed to have been derived primarily from feldspar. Muscovite alteration may be retarded where well-crystallized kaolinites occur. To account for the inverse relation of vanadium with crystallinity, it is suggested that complex vanadium ions may act as growth poisons.

Two octyl-ammonium vermiculite complexes with different 001 periodicities have been studied by i.r. spectroscopy. In each case i.r. spectroscopy affords information on the orientation of the — NH3+ groups and the strength of the hydrogen bond between these groups and the silicate oxygen surfaces. Also a perturbation of the vibration of the OH groups of the silicate has been observed that seems to be related to the distance from the center of the layer at which the — NH3+ groups are situated.

The i.r. results are discussed in relation to the structural models deduced from X-ray analysis.

Gas-solid chromatographic measurements of interaction energies were made for the systems ethanol and acetone with K-, Na-, Ba-, and Ca-montmorillonites. The results revealed an increased interaction energy in the order

K-mont. < Na-mont. < Ba-mont. < Ca-mont.

Interaction energies ranged from about 14 kcal/mole for K-montmorillonite to about 30 kcal/mole for Ca-montmorillonite. A very good agreement was observed between experimental heats of adsorption values and theoretical values for the electrostatic attractive energy between the respective cations and polar molecules.

These results confirm our earlier suggestions that complex formation takes place through cation-dipole interactions and that the polar molecules solvate the exchange cations in a manner similar to the hydration of cations in aqueous solutions.

Although the specific outcrop from which the original kaolin at Kauling (Gaoling) Mine, China, was collected cannot now be relocated, samples were collected and studied from the mine tunnel, country rock, and pegmatite which constitute the sources of kaolin in this region. The kaolin is a residual product of weathering. Where the parent rock was a granite the clay is a mixture of platy and elongate kaolin-group minerals, whereas from the pegmatite portion of the parent rock it is halloysite(10Â) with elongate morphology. These mineral identifications are based on X-ray powder diffractograms, scanning electron micrographs, differential thermograms, and an infrared spectrum hitherto not documented for material from this area.

Although the Kauling locality is the region for which kaolin is named, the mineral kaolinite is a defined species without a specific type locality. The 11th century Chinese locality was not mentioned in the two classic research papers defining kaolinite. The data on the Chinese kaolin, therefore, cannot be used directly to provide criteria for sharply differentiating the otherwise vague boundary between the minerals kaolinite and halloysite(7Å). Pertinent questions on these kaolin-group mineral relationships are brought into clearer focus.

Medical researchers are increasingly prioritizing the inclusion of underserved communities in clinical studies. However, mere inclusion is not enough. People from underserved communities frequently experience chronic stress that may lead to accelerated biological aging and early morbidity and mortality. It is our hope and intent that the medical community come together to engineer improved health outcomes for vulnerable populations. Here, we introduce Health Equity Engineering (HEE), a comprehensive scientific framework to guide research on the development of tools to identify individuals at risk of poor health outcomes due to chronic stress, the integration of these tools within existing healthcare system infrastructures, and a robust assessment of their effectiveness and sustainability. HEE is anchored in the premise that strategic intervention at the individual level, tailored to the needs of the most at-risk people, can pave the way for achieving equitable health standards at a broader population level. HEE provides a scientific framework guiding health equity research to equip the medical community with a robust set of tools to enhance health equity for current and future generations.

The dehydration and migration of the interlayer cation of the synthetic beidellite Na0.7Al4.7Si7.3O20-(OH)4·nH2O, were studied with solid-state 23Na and 27Al MAS-NMR, heating stage XRD, and thermogravimetric analyses (TGA, DTA). The 23Na MAS-NMR of Na-beidellite at 25°C displays a chemical shift of 0.2 ppm, which indicates a configuration comparable with that of Na+ in solution. Total dehydration proceeds reversibly in two temperature ranges. Four water molecules per Na+ are gradually removed from 25° to 85°C. As a result, the basal spacing decreases from 12.54 Å to 9.98 Å and the Na+ surrounded by the two remaining water molecules is relocated in the hexagonal cavities of the tetrahedral sheet. The chemical shift of 1.5 ppm exhibited after the first dehydration stage illustrates the increased influence of the tetrahedral sheet. The high local symmetry is maintained throughout the entire first dehydration stage. During the second dehydration, which proceeds in a narrow temperature range around 400°C, the remaining two water molecules are removed reversibly without any change of the basal spacing.

In the chemical system Na2O-Al2O3-SiO2-H2O, the stability field of Na-beidellite is presented as a function of pressure, temperature, and Na- and Si-activity. Na0.7-beidellite was hydrothermally synthesized using a stoichiometric gel composition in the temperature range from 275° to 475°C and at pressures from 0.2 to 5 kbar. Below 275°C kaolinite was the only crystalline phase, and above about 500°C paragonite and quartz developed instead of beidellite. An optimum yield of 95% of the Na0.7- beidellite was obtained at 400°C and 1 kbar after 20 days. Gels with a Na-content equivalent to a layer charge lower than 0.3 per O20(OH)4 did not produce beidellite. They yielded kaolinite below 325°C and pyrophyllite above 325°C. With gels of a Na-content equivalent to a layer charge of 1.5, the Na-beidellite field shifted to a minimum between temperatures of 275° and 200°C. This procedure offers the potential to synthesize beidellite at low temperatures. Beidellite synthesized from Na1.0-gel approach a Na1.35 composition and those from Na1.5- and Na2.0-gels a Na1.8 composition.

The purpose of this study was to characterize more fully the surface charge characteristics of the end-member smectite in illite-smectite (I-S) mixed-layer phases found previously in pelitic sediments of the Molasse Basin in Austria. The smectite end member was shown to have an unusually high interlayer charge (0.58). Based on earlier work on pure smectites, it was hypothesized that this high charge represents the mean of a mixture of a higher- and lower-charged smectite component intermixed with illite. To test this hypothesis, the magnitude of the interlayer charge of the smectites was evaluated using 2 different methods: alkylammonium ion orientation and K-fixation by wetting and drying.

Using 2 I-S samples of different I-S ratios, saturated with alkyammonium ions of chain lengths nc = 5–18, X-ray diffraction patterns (XRD) could be interpreted as representing a 3-component system, consisting of randomly interlayered high- and low-charged smectite and illite.

K-fixation, carried out by K-treatment and followed by 100 wetting and drying (WD) cycles, confirmed the presence of a high-charged smectite component admixed with low-charged smectite, both interlayered with illite. The wetting and drying of the K-treated samples led to interlayer collapse of the high-charged smectite component and to the production of illite layers stable against exchange with 0.1 N SrCl2. The 2 smectites occur in the ratio of about 1:1 and consist of 1 phase with an interlayer charge of about 0.76 and another phase with a normal charge of about 0.40. During diagenesis, the 2 kinds of smectite are altering simultaneously to the same end-member illite along 2 different reaction paths.

The presence, percentage, origins, and rate of formation of clay minerals have been important components in studies involving the geochemical and structural composition of waste-rock piles. The objective of the present study was to investigate the use of tritium as an indicator of the origin of clay minerals within such piles. Tritium values in pore water, interlayer water, and structural hydroxyl sites of clay minerals were examined to evaluate the origins of clay minerals within waste-rock piles located near Questa, New Mexico. Five clay minerals were identified: kaolinite, chlorite, illite, smectite, and mixedlayer illite-smectite, along with the hydrous sulfate minerals gypsum and jarosite. Analysis of waters derived from clay minerals was achieved by thermal reaction of dry-sieved bulk material obtained from the Questa site. In all Questa samples, the low-temperature water derived from pore-water and interlayer sites, as well as the intermediate-temperature water derived from interlayer cation sites occupied by hydronium and structural hydroxyl ions, show tritium values at or near modern levels for precipitation. Pore water and interlayer water ranged from 5.31 to 12.19 tritium units (TU) and interlayer hydronium and structurally derived water ranged from 3.92 to 7.93 TU. Tritium levels for local precipitation ranged from ~4 to 8 TU. One tritium unit (TU) represents one molecule of 3H1HO in 1018 molecules of 1H1HO. The elevated levels of tritium in structural sites can be accounted for by thermal incorporation of significant amounts of hydronium ions in interlayer cation sites for illite and mixed-layer clays, both common at the Questa site. In low-pH environments, such as those found within Questa waste-rock piles (typically pH ~3), the hydronium ion is an abundant species in the rock-pile pore-water system.

Bromide-containing impurities were found to decrease the thermal stability of quaternary alkyl ammonium-modified layered silicates. Improved purification procedures completely removed bromide and led to a 20°C to >100°C increase in organic modified layered silicate thermal stability. Using mass spectrometry and thermal and electrochemical analysis, N,N-dimethyl-N,N-dioctadecyl quaternary ammonium-modified montmorillonite and fluorinated synthetic mica were found to degrade primarily through elimination and nucleophilic attack by these anions. The nature of residual bromides was identified and quantified, and the efficiency of removing these anions was found to be solvent dependent; sequential extraction, first ethanol then tetrahydrofuran, gave the best results. This exhaustive extraction method represents a viable alternative to the use of expensive, more thermally stable oniumion treatments for layered silicates.