Impact of physical activity on activity of daily living in moderate to severe dementia: a critical review

The objectives of this study were to describe the different modalities of physical activity programs designed for moderate to severe dementia and to identify their impact on functional independence in activities of daily living (ADL). A critical review of randomized controlled trials related to the impact of physical activity programs in moderately to severely demented persons on ADL performance and meta-analysis of the identified studies were performed. Among the 303 identified articles, five responded to the selection criteria. Four out of the five studies demonstrated limited methodological quality. In one high-quality study, physical activity programs significantly delayed deterioration of ADL performance. The program components and ADL assessment tools vary widely across studies. Although the proposed treatments have not proven their efficiency in improving the ADL status of the patients, they were able to limit the decline in ADL functioning. Future research is warranted in order to identify clinically relevant modalities for physical activity programs for people with moderate to severe dementia.     

When the Norwegian child-welfare services get involved: parents making sense of referrals

There is limited research exploring parents' views and understanding of referrals to the child-welfare services (CWS). This study explores parents' understanding of the circumstances leading to a child-welfare referral, and their understanding of the reporter's objectives in making the referral. Qualitative content analysis and frequency analysis was performed on open-ended survey responses from a sample of 683 Norwegian parents in contact with the CWS. The results showed that the majority (60.2%) of the parents perceived the referral to be initiated solely because of parental difficulties and multiple family life stressors. Some of the parents (22.8%) believed the referrals were initiated exclusively because of their children's problems, whereas a few (13.3%) perceived it to be a combination of parental/familial difficulties and children's problems. The findings reveal that close to half of the parents (46.4%) felt the objective of the person making the referral was to help the child, their parents and the family. Some (36.5%) saw it as a routine or mandated action by public or official services, while others (18.7%) reported that they did not know why referrals had been made, or gave no answer to the question. A small group of parents (6%) viewed the referral as an act of harassment. The main implications of these findings are discussed.     

Toward a Feminist Political Economics

Feminist critiques of globalization have received insufficient attention in public discourse.Spike Peterson's RVP framework integrates feminist scholarship in a way that adds punch to such critiques. Its main contribution consists in bringing into view women's labor in the 'reproductive' economy. A shortcoming is that it retains the opposition between production and reproduction. The RVP framework is built on a constructivist ontology that allows for the integration of discursive and institutionalist approaches and provides grounds for further theoretical elaboration.     

Hedging Against Heritage: Jewish Identity Reconsidered: Commentary on Bahar's “Coming Out as Queen”

In this paper, I first survey the ways in which bisexuality was understood by late 19th-century sexologists, by Freud and his followers, by Alfred Kinsey, and by contemporary social scientists and political activists. Then the three domains distinguished by Freud in which bisexuality is currently being examined are surveyed: biological bisexuality, psychological bisexuality (in terms of gender), and kinds of object choice. Particular areas of research that indicate how questions about bisexuality are currently being considered are mapped, for example, transsexualism. The final part of the paper is an inquiry into the ways in which objects are bisexual, a domain that has been neglected in the complex history of work on bisexuality.     

Processes of Sexual Orientation Questioning among Heterosexual Women

Because very little is known about heterosexual identity development, this study assesses and describes sexual orientation questioning processes of heterosexual-identified women and offers a comparison of these processes with those employed by their sexual-minority counterparts. Participants included 333 female college students (ages 18–23; M = 19.2): 228 participants primarily identified as “exclusively straight/heterosexual,” and 105 participants indicated a sexual-minority identity. Sixty-seven percent of exclusively heterosexual respondents (n = 154) indicated having thought about or questioned their sexual orientation. The processes by which heterosexual participants described questioning their sexual orientation were coded for the presence of five emergent categories using an inductive thematic coding methodology. These five categories included unelaborated questioning (19%), other-sex experiences (16%), exposure to sexual minorities (26%), assessment of same-sex attraction (48%), and evaluations of same-sex behavior (26%). Several unifying and differentiating themes emerged between sexual orientation groups. Results from this study suggest that contemporary young women's heterosexuality is not necessarily an unexamined identity; indeed, the large majority of young women in this sample were deliberately identifying as heterosexual after contemplating alternative possibilities.     

Individual Counseling for Sexually Abused Children: A Role for Animals and Storytelling

This article addresses the use of animal assisted therapy in individual counseling for sexually abused children. It focuses on how the animal can help the sexually abused child disclose abuse and express feelings. Storytelling forms a part of the treatment process. The author's clinical experience at Project Against Sexual Abuse of Appalachian Children in Knoxville, Tennessee, forms the basis for the article.     

The Uniqueness of the Child–Father Attachment Relationship: Fathers' Sensitive and Challenging Play as a Pivotal Variable in a 16-year Longitudinal Study

This longitudinal study of forty‐four families explored fathers’ as compared to mothers’ specific contribution to their children's attachment representation at ages 6, 10, and 16 years. In toddlerhood, fathers’ and mothers’ play sensitivity was evaluated with a new assessment, the sensitive and challenging interactive play scale (SCIP). Fathers’ SCIP scores were predicted by fathers’ caregiving quality during the first year, were highly consistent across 4 years, and were closely linked to the fathers’ own internal working model of attachment. Qualities of attachment as assessed in the Strange Situation to both parents were antecedents for children's attachment security in the Separation Anxiety Test at age 6. Fathers’ play sensitivity and infant–mother quality of attachment predicted children's internal working model of attachment at age 10, but not vice versa. Dimensions of adolescents’ attachment representations were predicted by fathers’ play sensitivity only. The results confirmed our main assumption that fathers’ play sensitivity is a better predictor of the child's long‐term attachment representation than the early infant–father security of attachment. The ecological validity of measuring fathers’ sensitive and challenging interactive play behavior as compared to infant proximity seeking in times of distress is highlighted. Findings are discussed with respect to a wider view on attachment in that both parents shape their children's psychological security but each in his or her unique way.     

On the Limitations of Redundancies in the Improvement of System Reliability

Some program managers share a common belief that adding a redundant component to a system reduces the probability of failure by half. This is true only if the failures of the redundant components are independent events, which is rarely the case. For example, the redundant components may be subjected to the same external loads. There is, however, in general a decrease in the failure probability of the system. Nonetheless, the redundant element comes at a cost, even if it is less than that of developing the first one when both are based on the same design. Identical parts save the most in terms of design costs, but are subjected to common failure modes from possible design errors that limit the effectiveness of the redundancy. In the development of critical systems, managers thus need to decide if the costs of a parallel system are justified by the increase in the system's reliability. NASA, for example, has used redundant spacecraft to increase the chances of mission success, which worked well in the cases of the Viking and Voyager missions. These two successes, however, do not guarantee future ones. We present here a risk analysis framework accounting for dependencies to support the decision to launch at the same time a twin mission of identical spacecraft, given incremental costs and risk-reduction benefits of the second one. We illustrate this analytical approach with the case of the Mars Exploration Rovers launched by NASA in 2003, for which we had performed this assessment in 2001.     

Global risk management

Industries that deal with hazardous systems are faced with the task of managing a spectrum of risks within resource contraints. They have essentially two options that can be combined in a global risk-management strategy: insurance (loss sharing) and risk mitigation through technical and organizational measures. In this article, global risk-management strategies based on probabilistic risk analysis and its extension to include management factors are described. Some issues and solutions are illustrated through practical examples, drawn mostly from the recent research of the Industrial Engineering Risk Research Group at Stanford (the tiles of the U.S. Space Shuttle, offshore platforms, marine pipelines, and anesthesia in modern hospitals).