A randomized controlled trial of cognitive behavioral therapy for adherence and depression (CBT-AD) in HIV-infected individuals.

Objective: To evaluate cognitive-behavioral therapy to enhance medication adherence and reduce depression (CBT-AD) in individuals with HIV. Design: A two arm, randomized, controlled, cross-over trial comparing CBT-AD to enhanced treatment as usual only (ETAU). ETAU, which both groups received, included a single-session intervention for adherence and a letter to the patient's provider documenting her or his continued depression. The intervention group also received 10 to 12 sessions of CBT-AD. Main Outcome Measures: Adherence to antiretroviral therapy as assessed by Medication Event Monitoring Systems (MEMs) and depression as assessed by blinded structured evaluation. Results: At the acute outcome assessment (3-months), those who received CBT-AD evidenced significantly greater improvements in medication adherence and depression relative to the comparison group. Those who were originally assigned to the comparison group who chose to cross over to CBT-AD showed similar improvements in both depression and adherence outcomes. Treatment gains for those in the intervention group were generally maintained at 6- and 12-month follow-up assessments. By the end of the follow-up period, those originally assigned CBT-AD demonstrated improvements in plasma HIV RNA concentrations, though these differences did not emerge before the cross-over, and hence there were not between-groups differences. Conclusions: CBT-AD is a potentially efficacious approach for individuals with HIV struggling with depression and adherence. Replication and extension in larger efficacy trials are needed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Modeling H NMR transverse magnetization decay in polysiloxane-silica composites

Nuclear magnetic resonance (NMR) spectroscopy has been used effectively in the analysis of elastomeric, soft materials and has been proven to be both sensitive to micro- and macroscopic changes associated with “aging” mechanisms. Traditional analyses, however, rely on empirical formulae containing a large number of (often arbitrary) independent variables. The resulting ambiguity can be circumvented largely by developing models of NMR observables that are based on basic polymer physics. We compare two such models, one previously published and one derived herein, along with two empirical expressions that describe the proton transverse magnetization decay associated with complex polymer networks. One particular extracted parameter, the proton-proton residual dipolar coupling (RDC), can be directly related to network topology, and a comparison of the extracted RDCs reveals high consistency among the models. An expression derived from the properties of a static Gaussian chain can minimize the number of parameters necessarily to describe the solid-like, networked proton population to a single independent parameter, the average RDC, D_avg. The distribution of RDCs derived via this methodology is qualitatively similar to those derived from previously published multiple quantum techniques, although quantitative differences between the derived RDCs persist, suggesting that further analysis is necessary.     

Synthesis and X-ray crystal structure of a bis-cyclometalated phosphorescent red-emitting iridium(III) complex

The synthesis of the bis-cyclometalated complex [{Ir(μ-Cl)(ccpz)₂}₂] (1, cppz = 1-chloro-4-(4-chlorophenyl)-phthalazine) from hydrated iridium(III) chloride and the ligand ccpz in refluxing ethoxyethanol is described. Compound 1 was characterized by spectroscopic means and the crystal structure was determined by X-ray crystallography. The absorption and emission spectra exhibit the new compound as a red-emitting phosphorescent complex.     

Participatory Modeling Workshops in a Water-Stressed Basin Result in Gains in Modeling Capacity but Reveal Disparity in Water Resources Management Priorities

Participatory modeling workshops were held in Sonora, México, with the goal of developing water resources management strategies in a water-stressed basin. A model of the water resources system, consisting of watershed hydrology, water resources infrastructure, and groundwater models, was developed deliberatively in the workshops, along with scenarios of future climate and development. Participants used the final version of the water resources systems model to select management strategies. The performance of the strategies was based on the reliability of meeting current and future demands at a daily time scale over a year’s period. Pre- and post-workshop surveys were developed and administered. The survey questions focused on evaluation of participants’ modeling capacity and the utility and accuracy of the models. The selected water resources strategies and the associated, expected reliability varied widely among participants. Most participants could be clustered into three groups with roughly equal numbers of participants that varied in terms of reliance on expanding infrastructure vs. demand modification; expectations of reliability; and perceptions of social, environmental, and economic impacts. The wide range of strategies chosen and associated reliabilities indicate that there is a substantial degree of uncertainty in how future water resources decisions could be made in the region. The pre- and post-survey results indicate that participants believed their modeling abilities increased and beliefs in the utility of models increased as a result of the workshops.     

Evaluation of the origin of nitrate influencing the Klju? groundwater source, Serbia

This paper describes the use of the dual isotope method involving δ(15)N and δ(18)O measurements of dissolved nitrates to assess the origin and fate of groundwater nitrate at the Klju? groundwater source, Serbia. A sampling campaign was conducted in September 2007 during flow conditions obtaining groundwater from observation wells and river water fed by a shallow aquifer hosted in alluvial (sandy-gravel) sediments. Nitrate isotope ratios ranged from +5.3 to +16.9‰ and δ(18)O(NO(3)) values varied from -2.3 to +5.0‰. Two major contamination sources were identified with isotopic compositions characteristic for nitrate derived from nitrification of soil organic nitrogen (+5.3 to +7.8‰ for δ(15)N) resulting in nitrate concentrations of 33.6 and 78.8 mg/L and nitrate derived from animal wastes or human sewage, e.g. via septic systems, yielding δ(15)N values of +9.9 to +11.9‰ and elevated nitrate concentrations of 31.2-245.8 mg/L. The occurrence of nitrification and denitrification was also revealed based on concentration and isotope data for dissolved nitrate.     

Different rule systems for counting behavior acquired in meaningful and rote contexts of learning.

In a series of 3 experiments, 68 undergraduates learned to a criterion of 2 errorless trials to recite the 1st 12 or 18 responses in a pattern based on Base 3. In Exp I, the pattern was presented as letters (w, d, r, dw, dd,?.?.?.) or as numerals (0, 1, 2, 10, 11,?.?.?.). In Exps II and III, the pattern was presented as letters, and Ss were given a letter-to-digit conversion list (w?=?0, d?=?1, r?=?2) either before or after learning. On a posttest, Ss who knew that the pattern related to numerals during learning performed better on transfer tasks such as addition or further counting in Base 3. Results suggest that different rule systems were acquired even though the same levels of performance on the behavioral objective were achieved. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)