Internet-based treatment for panic disorder : does frequency of therapist contact make a difference?

Internet-based interventions with therapist support have proven effective for treating a range of mental health conditions. This study examined whether frequency of therapist contact affected treatment outcomes. Fifty-seven people with panic disorder (including 32 with agoraphobia) were randomly allocated to an 8-week Internet-based cognitive behavioural treatment intervention (Panic Online) with either frequent (three e-mails per week) or infrequent (one e-mail per week) support from a psychologist. Posttreatment, intention-to-treat analyses revealed that both treatments were effective at improving panic disorder and agoraphobia severity ratings, panicrelated cognitions, negative affect, and psychological and physical quality of life domains, with no differences between conditions. High end-state functioning was achieved by 28.6% of the frequent and infrequent participants, respectively. Therapist alliance, treatment credibility, and satisfaction also did not differ between groups, despite significantly greater therapist time invested in the frequent contact condition. The results provide evidence that the effectiveness of Internet-based mental health interventions may be independent of the frequency of therapist support and may, therefore, be more cost-effective than previously reported.

A potential novel rapid screening NMR approach to boundary film formation at solid interfaces in contact with ionic liquids

The boundary films generated on a series of inorganic compounds, typical of native films on metal and ceramic surfaces, when exposed to various ionic liquids (ILs) based on the trihexyl(tetradecyl)phosphonium cation have been characterized using multinuclear solid-state NMR. The NMR results indicate that SiO₂ and Mg(OH)₂ interact strongly with the anion and cation of each IL through a mechanism of adsorption of the anion and subsequent close proximity of the cation in a surface double layer (as observed through ¹H−²⁹Si cross polarization experiments). In contrast, Al₂O₃, MgO, ZnO, and ZrO₂ appear less active, strongly suggesting the necessity of hydroxylated surface groups in order to enhance the generation of these interfacial films. Using solid-state NMR to characterize such interfaces not only has the potential to elucidate mechanisms of wear resistance and corrosion protection via ILs, but is also likely to allow their rapid screening for such durability applications.

Sliding distance, contact pressure and wear in sheet metal stamping

This paper directly examines the contact sliding distance experienced during a typical sheet metal stamping process-an area that has largely been neglected in the literature. A method to numerically quantify the sliding distance is proposed. The sliding distance predicted from this method, and the contact pressure obtained from numerical simulation, allow the recently identified time-dependent contact conditions on the die and blank surfaces to be completely characterized. Consequently, a new insight into the wear/galling that occurs at the die radius in sheet metal stamping is gained. The results show that the region close to zero degrees on the die radius is likely to experience the most wear, with the identified transient stage contributing to a large proportion of the total wear. Additionally, the region on the blank surface often observed to be heavily burnished - the die impact line - is estimated to experience the highest wear severity due to the transient contact conditions. The proposed method to numerically quantify the sliding contact conditions can be applied as a general approach to study any other two-body sliding contact situations.

Individual variation of in-air female ‘pup contact’ calls in Weddell seals, Leptonychotes weddellii

Vocal recognition may function as a critical factor in maintaining the phocid mother-pup bond during lactation. For vocal recognition to function, the caller must produce individually distinct calls that are recognised by their intended recipient. Mother-pup vocal recognition has been studied extensively in colonial otariids and appears to be characteristic of this family. Although less numerous, empirical studies of phocid species have revealed a range of recognition abilities. This study investigated whether Weddell seal (Leptonychotes weddellii) females produce individually distinct 'pup contact' calls that function during natural pair reunions. Fifteen calls from each of nine females recorded in the Vestfold Hills, Antarctica were analysed. One temporal, nine fundamental frequency and five spectral characteristics were measured. Results of the cross-validated Discriminant Function Analysis revealed that mothers produce individually distinct calls with 56% of calls assigned to the correct individual. The probability of achieving this level of discrimination on novel data by chance alone is highly improbable. Analysis of eight mother-pup reunions recorded near McMurdo Sound, Antarctica further demonstrated that these 'pup contact' calls function during natural pair reunions. Behavioural analysis also revealed that pups were chiefly responsible for establishing and maintaining close contact throughout the reunion process. Our study therefore demonstrates that Weddell seal females produce calls with sufficient stereotypy to allow pups to identify them during pair reunions, providing evidence of a functioning mother-pup vocal recognition system.

Measurement of the deformation and adhesion of solids in contact

Two curved surfaces of molecularly smooth mica are brought into contact under a controlled load, and their deformed shape is measured using optical interference fringes of equal chromatic order. This technique allows exceptionally accurate measurements of surface profiles at separations down to a molecular scale. Contact between the surfaces can be made either adhesive or nonadhesive by suitable choice of the medium between them. Results have been obtained in both cases and compared with the theories of Hertz (nonadhesive contact) and Johnson, Kendall, and Roberts (adhesive contact).

Contact electrification and adhesion between dissimilar materials

Simultaneous measurements of surface force and surface charge demonstrate strong attraction due to the spontaneous transfer of electrical charge from one smooth insulator (mica) to another (silica) as a result of simple, nonsliding contact in dry nitrogen. The measured surface charge densities are 5 to 20 millicoulombs per square meter after contact. The work required to separate the charged surfaces is typically 6 to 9 joules per square meter, comparable to the fracture energies of ionic-covalent materials. Observation of partial gas discharges when the surfaces are approximately 1 micrometer apart gives valuable insight into the charge separation processes underlying static electrical phenomena in general.

Contact electrification induced by monolayer modification of a surface and relation to acid-base interactions

Electrical charge separation following contact between two materials (contact electrification or the triboelectric effect) is well known to occur between different materials as a consequence of their different electronic structures. Here we show that the phenomenon occurs between two surfaces of the same material if one is coated with a single chemisorbed monolayer. We use the surface force apparatus to study contact electrification and adhesion between two silica surfaces, one coated with an amino-silane. The presence of this monolayer results in significantly enhanced adhesion between the surfaces, owing to electrostatic attraction following contact electrification, in accord with Derjaguin's electrostatic theory of adhesion. At the same time, the observed increase in adhesion is consistent with Fowkes' acid-base model (in which acid-base interactions between surface groups are considered to be the predominant factor determining adhesion), as the monolayer converts the originally acidic silica surface to a basic (amine-terminated) one. These observations demonstrate a link between acid- base interactions and contact electrification.

Electrical charge separation following contact between two materials (contact electrification or the triboelectric effect) is well known to occur between different materials as a consequence of their different electronic structures. Here we show that the phenomenon occurs between two surfaces of the same material if one is coated with a single chemisorbed monolayer. We use the surface force apparatus to study contact electrification and adhesion between two silica surfaces, one coated with an amino-silane. The presence of this monolayer results in significantly enhanced adhesion between the surfaces, owing to electrostatic attraction following contact electrification, in accord with Derjaguin's electrostatic theory of adhesion. At the same time, the observed increase in adhesion is consistent with Fowkes' acid-base model (in which acid-base interactions between surface groups are considered to be the predominant factor determining adhesion), as the monolayer converts the originally acidic silica surface to a basic (amine-terminated) one. These observations demonstrate a link between acid-base interactions and contact electrification.

Data-driven computation of contact dynamics during two-point manipulation of deformable objects

This study represents a preliminary step towards data-driven computation of contact dynamics during manipulation of deformable objects at two points of contact. A modeling approach is proposed that characterizes the individual interaction at both points and the mutual effects of the two interactions on each other via a set of parameters. Both global as well as local coordinate systems are tested for encoding the contact mechanics. Artificial neural networks are trained on simulated data to capture the object behavior. A comparison of test data with the output of the trained system reveals a mean squared error percentage between 1% and 3% for simple interactions.

Life expectancy of rigid gas permeable and high water content contact lenses

Purpose: The purpose of this study was to evaluate the life expectancy of various rigid gas permeable (RGP) lens materials used on a daily wear basis and to compare these results with the life expectancy of a matched group of soft lens wearers.

Methods: We retrospectively analyzed the records of 600 contact lens wearing patients (300 soft contact lens users and 300 RGP lens users) fit between September 1987 and September 1994. None of the subjects wore lenses on a planned replacement system. For the purposes of the study, RGP lenses were divided into three groups: <40 Dk were considered low-Dk; 41-89 Dk were considered mid-Dk; and >90 Dk were considered high-Dk. All soft lenses were high water content lenses (>60% water content). Lenses were included if they were replaced due to loss, breakage, deposition, or poor wettability but not if replaced because of changes in fit or prescription.

Results; The mean (+SD) life-spans of each lens type in months were 19.9 +/- 17 for low-Dk RGP lenses, 15.9 +/-13.3 for mid-Dk RGP lenses, 9.0+8.2 for high-Dk RGP lenses, and 6.4 +/-5.2 for high water content soft lenses. Statistical analysis using a one-way ANOVA on ranks indicated that these results were statistically significant (P< 0.0001).

Conclusions: Patients should be informed that high-Dk lenses (RGP and soft) provide substantial clinical benefits and that they should expect to replace high-Dk RGP lenses after approximately 6 months. This lends further credence to the use of high-Dk lenses on a planned replacement basis.