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11.
Housing adaptation aims to enable clients to live independently in their own homes. Studies focusing on participation in everyday life following a housing adaptation are lacking and needed. This study aimed to explore housing adaptation clients' experiences of participation in everyday life before and after a housing adaptation, through the lens of a housing adaptation, using a qualitative follow-up design, with 11 participants. It was found that when the housing adaptation met the participants' needs, performance of activities improved and the housing adaptation opened doors to engagement and participation in everyday life. Thus, focus on performance and engagement in everyday life at the onset of the housing adaptation process, combined with regular follow-ups, may enhance participation.  相似文献   
12.
The environmental factors affecting the spatial dynamics of bird communities in urban parks are well understood, but much less attention has been paid to the seasonal dynamics of bird communities. Since migrant and resident human commensal birds might have contrasting responses to environmental factors of urban parks, we expected different seasonal dynamics among parks. On the other hand, because bird species can have different habitat relationships throughout the year, we also expected different responses of bird richness to environmental variables between breeding and non-breeding seasons. Bird surveys were conducted in 14 small urban parks (1–4 Ha) of Mar del Plata city (Argentina) for one full annual cycle. Bird richness changed between seasons, but bird abundance remained constant. Bird community composition did not vary between seasons, but urban parks near the urban center, with the highest pedestrian traffic and isolation to other green areas had the least seasonal change of composition. During the breeding season, bird richness was negatively affected by the percentage cover of high buildings surrounding the immediate limits of parks, whereas during the non-breeding season bird richness was not related with any environmental variable. Bird composition variation among parks was affected by the distance to the urban center during both seasons. Results showed that urbanization promotes a seasonal homogenization of bird communities in urban parks, probably by affecting the presence of migrant species and promoting the temporal stability of human commensal species.  相似文献   
13.
Social Indicators Research - Monitoring progress towards the Sustainable Development Goals by 2030 requires the global community to disaggregate targets along socio-economic lines, but little has...  相似文献   
14.
Urban Ecosystems - Green cover and air quality are important components of life quality and human ecology in arid lands. In the Sonoran Desert of Mexico, Hermosillo is the largest city with a...  相似文献   
15.

Aim

To assess the relationship between the duration of the second stage of labour and postpartum anaemia during vaginal birth.

Methods

An observational, analytical retrospective cohort study was performed at the “Mancha-Centro Hospital” (Spain) during the 2013–2016 period. Data were collected from 3437 women who had a vaginal birth. Postpartum anaemia was defined as a haemoglobin level below 11 g/dL at 24 h postpartum. A univariate analysis was used for potential risk factors and a multivariate analysis with binary logistic regression to control for possible confounding factors.

Findings

The incidence of postpartum anaemia was 42.0%. The risk of postpartum anaemia did not increase in nulliparous women whose duration of the second stage of labour exceeded 4 h. Compared with multiparous women who delivered between 0 and 3 h, multiparous women with a duration of the second stage of labour beyond 3 h were at higher risk of postpartum anaemia (OR = 2.43 [1.30–4.52]).

Conclusion

The duration of the second stage of labour beyond 4 h is safe for postpartum anaemia in nulliparous women. However in multiparous women, monitoring should increase if the second stage of labour exceeds 3 h given the increased risk of postpartum anaemia.  相似文献   
16.
ABSTRACT

This article analyses the impact of ‘recognition’ of cultural and ethnic diversity in Peru. It proposes that the rise of a new global ‘ethnonormativity’ – a regime to define and administrate cultural and identity differences, to establish boundaries between those who ‘are’ ethnic and those who are not, and to set rights and duties derived from identities – has had meagre effects in Peru. While the past decades have witnessed the emergence of Latin American political actors who regard indigenousness as their basic political identity, there has been no ‘emergence of indigenous movements’ in Peru. The discourses that highlight the importance of diversity have gained terrain – unsettling, to a certain extent, the narratives of assimilation through ‘development’ and mestizaje – and the Peruvian state has officially embraced ‘recognition’, including it in its official rhetoric and creating institutions to design policies to guarantee the rights of the indigenous and Afroperuvian ‘peoples’ (itself a label part of the language of multiculturalism). The state has also crafted a definition of ‘indigenous peoples’ and introduced ethnic variables in censuses and official statistics, thus being active in the production and regulation of subjects. Some civil society actors have also incorporated ethnic labels into their rhetoric to adapt to the global turn to identity politics. Peru remains, however, a fertile terrain for neoliberal policies and discourses of a different kind. A discourse that exalts ‘emprendedurismo’ (entrepreneurship) and states that success depends entirely on personal effort has become a new common sense, obscuring the structural inequality that has historically affected indigenous and Afroperuvian people. Extractivism continues to damage the environment and the rights of indigenous people, while the expansion of agribusiness in the coastal valleys of Peru keeps people – regardless of their ‘ethnic’ self-identification – in poverty and without basic labour and social rights. The article suggests that the ambiguities of the ethnonormative regime in Peru may serve as a diversion from structural issues in a context of neoliberalism and may re-elaborate racial hierarchies, racism and the narratives of mestizaje it allegedly opposes.  相似文献   
17.
The aim of this paper is to obtain new sharp inequalities for a large family of topological indices, including the second variable Zagreb index \(M_2^{\alpha }\), and to characterize the set of extremal graphs with respect to them. Our main results provide lower bounds on this family of topological indices involving just the minimum and the maximum degree of the graph. These inequalities are new even for the Randi?, the second Zagreb and the modified Zagreb indices.  相似文献   
18.
There is a gap in the Marriage and Family Therapy literature regarding clients', therapists', and family judges' theories of change in relational therapy for family violence. We conducted in-depth interviews with eleven court-referred families, their therapists, and two family judges in Bogota, Colombia. Interviews focused on their expectations of therapy outcomes, their understanding of change, and their evaluation of individual and relational therapy outcomes. We followed a grounded theory approach to data analysis. Analyses showed that therapists, family judges, and clients hold different expectations and theories regarding therapeutic change. Findings are discussed based on existing research on clients' and therapists' ideas about change. Implications for future research and practice are presented.  相似文献   
19.
The authors examine whether the surge in housing refinance and equity withdrawal generated by the housing boom disproportionately affected older households in terms of decisions on whether to refinance, whether to withdraw equity, and how much to withdraw, and how in turn these decisions affected their household wealth. Using the Federal Reserve's Survey of Consumer Finances, the authors found the highest rates of refinancing and cashing out equity among older (although not necessarily the oldest) households. The authors also found that appreciation in house value, being a baby boomer, and having higher household income were the factors that most increased the probability of refinancing and withdrawing equity. Amounts cashed out were higher among older than among younger households. Ordinary least squares (OLS) estimates showed that amounts withdrawn were increased by price appreciation, financial assets, and income, along with being a "pre-boomer" or "early boomer." Older cohorts displayed larger wealth effects than younger ones, but their withdrawn equity was a smaller percentage of total net worth. A relatively small percentage of respondents' dollars was used for consumption, and most dollars were used for home improvement, other investment, or debt repayment. However, massive equity withdrawal and the subsequent collapse of housing prices have caused housing leverage to soar, putting some homeowners "underwater" and jeopardizing others' retirement preparedness. The ensuing housing finance crisis raises numerous policy issues, from reform of mortgage underwriting, securitization, servicing, and foreclosure procedures, to potential limitations on borrowing against unrealized housing equity gains, to enhanced government transfers for distressed older homeowners, to local and state revenue policy changes.  相似文献   
20.
The fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is scheduled for publication in 2013. It will include several changes to the diagnosis of pathological gambling: the name of the disorder will be altered, the threshold for diagnosis will decrease, and one criterion will be removed. This paper reviews the rationale for these changes and addresses how they may impact diagnosis and treatment of the disorder, as well as potential for future research in the field.  相似文献   
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