After HIV testing: What\u27s Next?

Nurses and other health care providers involved in HIV testing are required to provide pre- and post-test counseling in accordance with guidelines from the Center for Disease Control (CDC, 1992). Clients who test positive are extensively counseled and educated on the nature of the virus, its modes of transmission, the need to practice safer sex, and the obligation to advise sexual (and needle) partners (Preston, 1989). Some individuals do not inform their partners and this presents an urgent dilemma: Is a nurse bound by a client\u27s right to privacy not to advise that client\u27s partner of his or her HIV infection? Or does the duty to warn, and thus prevent possible harm to others, supersede confidentiality in this case

Importance of large and small mammalian herbivores for the plant community structure in the forest tundra ecotone

Both theoretical arguments and empirical evidence suggests that herbivory in general and mammalian winter herbivory in particular is important in arctic-alpine ecosystems. Although knowledge of the effect of herbivores on specific plants and communities is quite extensive, little is known about the relative impact of large and small vertebrate herbivores and how it might vary among different habitats. To address this key issue, we established exclosures with two different mesh sizes in forest and nearby tundra at three different sites in four contrasting locations in the forest-tundra ecotone in northernmost Sweden and Norway. Plant community composition was recorded annually in three permanent plots within each exclosure and an unfenced control. Local densities of vertebrate herbivores were estimated in spring and autumn from 1998 to 2002.Reindeer (Rangifer tarandus) were the most abundant large vertebrate while Norwegian lemmings (Lemmus lemmus) and grey-sided voles (Clethrionomys rufocanus) were the most common small vertebrates. The study reveals that voles and lemmings have larger effects on the vegetation than reindeer in both habitats in all four locations, even though densities of reindeer differ between locations and only two locations experienced lemming peaks during the period of the experiment. The relative abundance of five of the fifteen most common species was significantly influenced by voles and lemmings whereas only a single species was significantly influenced by reindeer. Different analyses give contrasting results on the importance of herbivory in forest versus open heathlands. A principal component analyses revealed that herbivory influenced the vegetation more in open heathlands than in forests. However, an importance index of herbivores did not differ between forest and open heathlands. Moreover, none of the plant species responded differently in the two habitats, when herbivores were removed. Our results suggest that intense and localised selective foraging by small mammals may have a more marked effect on vegetation than transient feeding by reindeer

Ion beam induced modification of exchange interaction and spin-orbit coupling in the Co2_2FeSi Heusler compound

A Co$_2$FeSi (CFS) film with L2$_1$ structure was irradiated with different fluences of 30 keV Ga$^+$ ions. Structural modifications were subsequently studied using the longitudinal (LMOKE) and quadratic (QMOKE) magneto-optical Kerr effect. Both the coercivity and the LMOKE amplitude were found to show a similar behavior upon irradiation: they are nearly constant up to ion fluences of $\approx6\times10^{15}$ ion/cm$^2$, while they decrease with further increasing fluences and finally vanish at a fluence of $\approx9\times10^{16}$ ion/cm$^2$, when the sample becomes paramagnetic. However, contrary to this behavior, the QMOKE signal nearly vanishes even for the smallest applied fluence of $3\times10^{14}$ ion/cm$^2$. We attribute this reduction of the QMOKE signal to an irradiation-induced degeneration of second or higher order spin-orbit coupling, which already happens at small fluences of 30 keV Ga$^+$ ions. On the other hand, the reduction of coercivity and LMOKE signal with high ion fluences is probably caused by a reduction of the exchange interaction within the film material

Effects of mammalian herbivores on revegetation of disturbed areas in the forest-tundra ecotone in northern Fennoscandia

Herbivores influence the structure of plant communities in arctic-alpine ecosystems. However, little is known of the effect of herbivores on plant colonisation following disturbance, and on its variability depending on the identity of herbivores and the characteristics of the habitats. To quantify the role of large and small vertebrate herbivores, we established exclosures of two different mesh sizes around disturbed subplots in forest and nearby tundra habitats in four contrasting locations in the forest-tundra ecotone in northernmost Sweden and Norway. The study revealed that herbivores influenced the abundance but not the species composition of regenerating vegetation. Gaps were colonised by the dominant species in the surrounding vegetation. The only exception to this expectation was Empetrum nigrum, which failed to colonise gaps even though it dominated undisturbed vegetation. Significant effects of herbivory were only detected when both small and large herbivores were excluded. Herbivores decreased the abundance of three of the most common species Vaccinium myrtillus, Vaccinium vitis idaea, and Deschampsia flexuosa. The effect of herbivory on the abundance of these three species did not differ between habitats and locations. However, the composition of the regenerating vegetation differed between habitats and locations. The disturbance treatment increased the species richness on the scale of plots, habitats, and sites. However, on the scale of whole locations, all species found in disturbed areas were also found in undisturbed areas, suggesting that the natural disturbance regime in arctic landscapes is high enough to sustain colonising species

Impacto del microcrédito sobre la pobreza rural en los municipios de Tunja y Samacá, Colombia

El objetivo de este artículo es evaluar el efecto de los microcréditos rurales sobre la pobreza, a través de cambios en la dimensión económica: ingresos, activos fijos y activos productivos. Se usa el método de emparejamiento (Propensity Score Matching) entre beneficiarios y no beneficiarios de los microcréditos del Banco Agrario en los municipios de Tunja y Samacá (Boyacá, Colombia). Los resultados dan cuenta de impactos positivos que sugieren que el microcrédito ha contribuido a la acumulación de capital, lo que podría contribuir a que, en el mediano o largo plazo, se mejoren las condiciones de vida y se reduzcan los niveles de pobreza del grupo de beneficiarios de los microcréditos

M-learning in the middle east: The case of Bahrain

The introduction of e-learning in higher education has brought radical changes in the way undergraduate and postgraduate programmes are designed and delivered. University students now have access to their courses anytime, anywhere, which makes e-learning and m-learning popular and fashionable among university students globally. Nevertheless, instructors are now challenged, as they have to adopt new pedagogies in learning and teaching. This chapter explores the adoption of m-learning at universities in the Kingdom of Bahrain, as well as the relevant current developments and challenges related to the major stakeholders (educators and students) in higher education. It mainly investigates the educators' views and perceptions of m-learning, as well as its future potential in higher education. Most of the educators use m-learning tools to some limited extent, and there is still opportunity to reach full integration with curriculum and the blended learning approach. Further, it is proposed that professional development should be provided to instructors to enable them to use the available new technologies in an appropriate and effective way

Participatory analysis for adaptation to climate change in Mediterranean agricultural systems: possible choices in process design (versão Pre Print)

There is an increasing call for local measures to adapt to climate change, based on foresight analyses in collaboration with actors. However, such analyses involve many challenges, particularly because the actors concerned may not consider climate change to be an urgent concern. This paper examines the methodological choices made by three research teams in the design and implementation of participatory foresight analyses to explore agricultural and water management options for adaptation to climate change. Case studies were conducted in coastal areas of France, Morocco, and Portugal where the groundwater is intensively used for irrigation, the aquifers are at risk or are currently overexploited, and a serious agricultural crisis is underway. When designing the participatory processes, the researchers had to address four main issues: whether to avoid or prepare dialogue between actors whose relations may be limited or tense; how to select participants and get them involved; how to facilitate discussion of issues that the actors may not initially consider to be of great concern; and finally, how to design and use scenarios. In each case, most of the invited actors responded and met to discuss and evaluate a series of scenarios. Strategies were discussed at different levels, from farming practices to aquifer management. It was shown that such participatory analyses can be implemented in situations which may initially appear to be unfavourable. This was made possible by the flexibility in the methodological choices, in particular the possibility of framing the climate change issue in a broader agenda for discussion with the actors