Hypertension and depression are increasingly common noncommunicable diseases in Ghana and worldwide, yet both are poorly controlled. We sought to understand how healthcare workers in rural Ghana conceptualize the interaction between hypertension and depression, and how care for these two conditions might best be integrated. We conducted a qualitative descriptive study involving in-depth interviews with 34 healthcare workers in the Kassena-Nankana districts of the Upper East Region of Ghana. We used conventional content analysis to systematically review interview transcripts, code the data content and analyze codes for salient themes. Respondents detailed three discrete conceptual models. Most emphasized depression as causing hypertension: through both emotional distress and unhealthy behavior. Others posited a bidirectional relationship, where cardiovascular morbidity worsened mood, or described a single set of underlying causes for both conditions. Nearly all proposed health interventions targeted their favored root cause of these disorders. In this representative rural Ghanaian community, healthcare workers widely agreed that cardiovascular disease and mental illness are physiologically linked and warrant an integrated care response, but held diverse views regarding precisely how and why. There was widespread support for a single primary care intervention to treat both conditions through counseling and medication.

Stars with about 45 to 80% the mass of the Sun, so-called K dwarf stars, have previously been proposed as optimal host stars in the search for habitable extrasolar worlds. These stars are abundant, have stable luminosities over billions of years longer than Sun-like stars, and offer favourable space environmental conditions. So far, the theoretical and experimental focus on exoplanet habitability has been on even less massive, though potentially less hospitable red dwarf stars. Here we present the first experimental data on the responses of photosynthetic organisms to a simulated K dwarf spectrum. We find that garden cress Lepidium sativum under K-dwarf radiation exhibits comparable growth and photosynthetic efficiency as under Solar illumination on Earth. The cyanobacterium Chroococcidiopsis sp. CCMEE 029 exhibits significantly higher photosynthetic efficiency and culture growth under K dwarf radiation compared to Solar conditions. Our findings of the affirmative responses of these two photosynthetic organisms to K dwarf radiation suggest that exoplanets in the habitable zones around such stars deserve high priority in the search for extrasolar life.

Sorption of aniline and its derivatives by montmorillonite substituted by cations of widely different acidity depends upon the polarizing power of the interlayer cations. Infra-red spectra indicate that the anilines are mostly bound to the interlayer cations through water molecules, except in Cs montmorillonite, where bonding to the oxygen surfaces of the alumino-silicate sheets seems to predominate. Anilines are weak bases, which compete with the oxygen surfaces for protons of acidic interlayer water. Consequently, the tendency of anilines to act as proton donors in the clay interlayers increases with the polarizing power of the exchangeable cation. The concept of ‘basic’ water is introduced to account for some of the features of the spectra of Cs montmorillonite treated with the organic ligands.

Mössbauer spectroscopy of dioctahedral phyllosilicates showed that on dehydroxylation iron which originally occupied M(2) and M(l) sites became, respectively, 5- and 6-coordinated. The 6-coordinated sites are very distorted. No migration of cations occurs in the course of heating the specimens for 1–3 hr at 600°–700°C.

By using a combination of several physicochemical methods, different successive stages of the dehydroxylation process could be distinguished: (1) migration of protons; (2) localized dehydroxylation of individual associations without significant change in the overall configuration of the octahedral sheets; and (3) loss of most of the hydroxyl groups with concomitant changes in the cell dimensions. Penetration of Li into the octahedral sheets does not affect the course of the reaction, but reduces the dehydroxylation temperature and the stability of the products.

Dehydroxylation was preceded by or associated with the oxidation of any divalent iron present. Fe3+ derived from Fe2+ was indistinguishable by Mössbauer spectroscopy from iron initially present in the trivalent form. High concentrations of Fe lower the dehydroxylation temperature and reduce the stability of the dehydroxylate to the extent that partial disintegration may precede complete dehydroxylation.

The reaction products obtained when montmorillonites react with potassium halide at elevated temperatures, which were described in a previous publication, are further characterized. On the basis of their X-ray powder diffraction patterns, i.r. spectra, CEC and chemical composition they could be regarded as montmorillonite-illite interstratifications. Changes in morphology of various montmorillonites heated with and without K halide are related to the size, charge and position of interlayer cations. Scanning electron-micrographs of samples heated with KBr resemble those of well-crystallized illite. It is speculated that reactions of clay minerals with halides or other proton acceptors may account for some diagenetic processes in nature, e.g. the conversion of montmorillonite to illite on deep burial.

Fe3+ ions in palygorskite occupy sites at the edges and in the interior of the alumino-silicate chains. The Mössbauer parameters of the doublets associated with Fe3+ ions in edge sites indicate that the sites have a regular 6 coordination. Fe3+ ions in the interior of the chains occupy M(1) sites in three of the samples examined and M(2) sites in the fourth. Fe3+ ions in edge positions of palygorskite become 5-coordinated when water is lost on heating. They maintain this coordination on dehydroxylation, probably by cross-linking of the chains. The temperatures at which changes occur in the X-ray powder diffraction patterns and the Mössbauer and infrared (IR) spectra differ from sample to sample. The intermediate stages observed also vary, either due to different reaction paths or to different stabilities of the intermediate phases. The deduced distribution of cations in the octahedral sheets is in good qualitative agreement with the observed IR hydroxyl absorptions.

Two different types of interstratified illite-smectite are found in a section of Paleozoic sediments in the Negev, Israel. One of these is detectable only by a decrease in peak width and a concomitant increase in symmetry of the 10 Å peak on glycolation. This material is regarded as illite, randomly interstratified with about 20 per cent expanding layers.

Mössbauer spectra of 15 smectites were investigated. In these samples, ferric iron occupies both M(1) and M(2) octahedral sites, the distribution being partly determined by the relative covalency of the bonds formed.

The quadrupole splittings are linearly related to b−3. They show that Fe3+ octahedra are much more distorted in montmorillonite and beidellite than in nontronite and volkonskoite and that M(1) sites are more prone to change than M(2). Ferrous iron occurs in relatively undistorted octahedra in some otherwise distorted octahedral sheets and vice versa.

Hydrazine and dithionite, both of which are strong reducing agents, react differently with various dioctahedral smectites. Both the nature of the reducing agent and the structure of the clay affect the course of the reaction. Hydrazine reduces octahedral Fe3+ efficiently if the mineral has a low tetrahedral charge. The reducing action of dithionite does not depend upon the charge.

The results obtained by different physical methods of investigation suggest that reduction of iron is associated with protonation of an adjacent OH group. The Fe2+ formed is readily re-oxidised but the structural changes occurring on reduction are reversible only when Al-OH-Fe, but not when Fe-OH-Fe associations are involved. Reaction mechanisms are proposed and changes in the distribution of iron in the octahedral sites are discussed.

Structural Fe2+ in montmorillonite is readily oxidized by contact with water, salt solutions or on mild heating. This is shown clearly by the Mössbauer spectra and is associated with a sharpening of the infrared absorption near 880 cm−1. It was inferred that this band comprises the Fe2+—OH—Al and Fe3+—OH—Al deformations. The rate at which oxidation occurs depends on the exchangeable cations. High acidity of the interlayers is conducive to oxidation, as is contact with Cu2+-containing solutions or concentrated H2O2 solutions.

The results show clearly that any chemical treatment of montmorillonite causes changes in the oxidation state of structural iron.

Reaction with Na2S solutions at high pH led to almost complete, reversible reduction of iron in montmorillonite, whereas the structural iron of nontronite persisted in the ferric form. Concentrated Na2S solutions caused severe corrosion of nontronite and extracted appreciable amounts of iron, which was precipitated as sulphides. In contrast the morphology of montmorillonite was preserved and only very minor amounts of iron were extracted. These differences were attributed to the high concentration of Fe-OH-Fe groups in nontronite, which are unstable on reduction. The difference between Na2S and other reducing agents is discussed.

The sorption of commercial K-Cu chlorophyllin by a sample of montmorillonite saturated with different exchange ions was studied. The organic anions are sorbed on external surfaces while K displaces most of the exchangeable cations. The samples sorb the constituents of chlorophyllin selectively and in different amounts, depending on the exchangeable cations of the clay. These also affect the amount of material peptized and the relative orientation and aggregation of the particles.

Possible assignments are suggested for some of the absorption bands in the 1150–400 cm−1 region of the i.r. spectra of serpentines. Polarized light was used to identify the out-of-plane vibrations in antigorites and platy lizardites and the vibrations parallel to the fibre axis in chrysotiles and fibrous lizardites. An attempt is made to correlate some known structural characteristics and the chemical composition of the serpentines with some features of the i.r. spectra.

A clinical decision support system, EvalMpox, was developed to apply person under investigation (PUI) criteria for patients presenting with rash and to recommend testing for PUIs. Of 668 patients evaluated, an EvalMpox recommendation for testing had a positive predictive value of 35% and a negative predictive value of 99% for a positive mpox test.

Volatiles formed on heating clay minerals contain a variety of cations and anions and are highly reactive. Gas chromatograph-mass spectrometer analysis of long-chain n-alkanes exposed to such volatiles showed that some decomposition occurred even <250°C. Reactions with anions donated by the volatiles led to compounds containing atoms other than C and H, e.g., Cl. The products obtained from n-alkanes heated in a stream of clay volatiles to 500°C resembled those produced by corresponding alkane-clay mixtures heated to 250°C. At higher temperatures contact between the alkanes and montmorillonite or halloysite led to changes in the assemblages formed, whereas kaolinite or sepiolite had no effect. Thus, the first reactions that occurred when clays were heated with n-alkanes were apparently induced by the volatiles; at higher temperatures catalysis due to direct contact came into play with some of the clay minerals.