HIV-positive men face multiple challenges when deciding whether to disclose their serostatus to sex partners. The purpose of this literature review (1996-2004) is to identify valid and reliable research results that identify factors influencing serostatus disclosure to sex partners by men who are HIV-positive. Articles included in the review were identified through an electronic search using pertinent terms related to disclosure to sex partners, followed by a search of references for additional articles. A compilation of research results for 17 articles is presented under the headings of background, contextual, and psychosocial factors influencing disclosure. An analysis of the data suggests that differences in disclosure rates vary based on sex partner factors including serostatus, relationship status, and number of sex partners. Rates of disclosure to primary sex partners ranged from 67% to 88%, suggesting that nearly one third of main sex partners were not disclosed to and were at risk of contracting HIV, whereas a pattern of lower disclosure among casual partners was evident. As the number of sex partners increased, the likelihood of disclosure to all sex partners decreased, ranging from one quarter (25%) to slightly over half (58%). In addition, perceived efficaciousness and positive outcome expectations were the most frequent theoretical constructs embedded in the research associated with disclosure, suggesting that these factors play an important role in the process of disclosure to sex partners. Interpersonal factors that positively influenced self-disclosure included spousal support, emotional investment, and communication about safe sex, including asking about a partner's serostatus. Self-disclosure was not consistently associated with safer sex. Recommendations for future research are presented, based on the results included in this review.
Abstract:Landslides mapped in 14 watershed analyses in Oregon and Washington provide a regional test of a model for shallow landsliding. A total of 3224 landslides were mapped in watersheds covering 2993 km 2 and underlain by a variety of lithologies, including Tertiary sedimentary rocks of the Coast Ranges, volcanic rocks of the Cascade Range and Quaternary glacial sediments in the Puget Lowlands. GIS (geographical information system) techniques were used to register each mapped landslide to critical rainfall values predicted from a theoretical model for the topographic control on shallow landsliding using 30 m DEMs (digital elevation models). A single set of parameter values appropriate for simulating slide hazards after forest clearing was used for all watersheds to assess the regional in¯uence of topographic controls on shallow landsliding. Model performance varied widely between watersheds, with the best performance generally in steep watersheds underlain by shallow bedrock and the worst performance in generally low gradient watersheds underlain by thick glacial deposits. Landslide frequency (slides/km 2 ) varied between physiographic provinces but yielded consistent patterns of higher slide frequency in areas with lower critical rainfall values. Simulations with variable eective cohesion predicted that high root strength eectively limits shallow landsliding to topographic hollows with deep soils and locations that experience excess pore pressures, but that low root strength leads to higher probabilities of failure across a greater proportion of the landscape. #
We studied the fusion of nuclear vesicles bound to chromatin in Xenopus egg extracts. Fusion was inhibited by 5 mM BAPTA, a Ca2+ buffer that suppresses cytosolic [Ca2+] gradients. The BAPTA-inhibited step in fusion was biochemically distinct from, and occurred later than, the GTP gamma S-sensitive step mediated by the monomeric GTPase, ADP-ribosylation factor. Exogenous inositol 1,4,5-trisphosphate (IP3), which triggers Ca2+ release from lumenal stores via IP3 receptors, stimulated fusion in the presence of BAPTA. This rescue was specific, because inositol 1,3,4-trisphosphate had no effect. Heparin, a potent antagonist of IP3 receptors, independently blocked fusion in an IP3-reversible manner. We suggest that phosphoinositide signaling may regulate nuclear vesicle fusion.
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