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131.
The study proposed to identify balance strategies used by younger and older adults during gait under proprioceptive, visual, and simultaneous proprioceptive-visual challenges. Participants ambulated under 4 conditions: consistent, noncompliant surface; inconsistent, compliant surface (C); consistent, noncompliant surface with vision obscured (NCVO); and inconsistent, compliant surface with vision obscured (CVO). Balance adaptations were measured as changes in gait velocity, cadence, and gait-stability ratio (GSR). Participants were 5 younger (mean age = 27.2) and 5 older (mean age = 68) healthy adults. Significant age differences were found for GSR (p = .03) on all surfaces. Older adults adopted a more stable gait pattern than younger adults regardless of the challenge presented by surface. Significant condition differences were found for velocity (p < .001) and cadence (p = .001). All participants exhibited significantly decreased velocity and increased cadence on surfaces C and CVO. Gait speed and cadence did not significantly change in NCVO. Younger and older adults exhibited similar adaptive balance strategies, slowing and increasing steps/s, under proprioceptive and proprioceptive-visual challenges to dynamic balance.  相似文献   
132.
In order to estimate the demographic impact of IUD, there is a need for estimating IUD retention rates beyond the period of actual observation. This article describes a mixed exponential function for this purpose. With this function of IUD retention, it is possible to estimate the “life expectancy” and “half-life” of an IUD. Another important concept is the “cut-off date”, introduced in estimating the “life expectancy” because in practice no IUD will be worn by a woman forever.  相似文献   
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Climate change and environmental issues have been increasingly in the forefront of the media and government agendas. However, despite much discussion and fanfare, little has been done in the way of serious commitment and clear course of actions since the adoption of the UN Framework Convention on Climate Change in 1992 to bring carbon emissions to sustainable levels. To tackle the immensity of the climate change challenge, a paradigm shift in understanding is necessary to balance the course of global human development with energy demand and consumption patterns. Accounting for over 40% of global energy demand and more than 30% of greenhouse gas emissions, the building sector offers the greatest mitigation potential for reducing carbon emissions in both the short and long term, with positive implications for a range of associated sectors and industries. Promoting behavioral change among end-users for reduced energy consumption as well as encouraging the building industry to embrace sustainable design, low-carbon construction practices and materials, and renewable technologies, is fundamental to mitigating the impact of the built environment on planetary biospheres and preserving quality of life for generations to come. This paper starts by drawing attention to the building sector and related EU policy, outlining the challenges and opportunities for reducing energy consumption and carbon emission levels. Such policy provides the essential framework to engage stakeholders and allow supporting factors to foster progress in the sector. The paper contends that information on climate change has not led to significant improvements in meeting global targets and that what is needed is behavioral change among individuals and society as a whole. On the basis of research project experiences and literature review, it puts forth and explores five key elements contributing to behavioral change for reduced energy consumption and lower carbon emissions in the building sector, focused on: information and education; financial incentives and energy services; modern technologies and sustainable design; social and community norms; and biophilia (contact with the natural environment). The paper suggests opportunities for further research and concludes with recommendations for policy-makers and related stakeholders.  相似文献   
135.
Social and Emotional Functioning of Older Asian American Adolescents   总被引:1,自引:0,他引:1  
This study identified a constellation of psychosocial problems reported by older Asian American adolescents that was different from their Caucasian peers. When compared to 386 Caucasian American adolescents from the same community, Asian American students performed better academically and reported fewer delinquent behaviors. However, these Asian American youth reported higher levels of depressive symptomatology, withdrawn behavior, and social problems. They also perceived themselves more poorly and were more dissatisfied with their social support. These differences highlight the unique mental health needs of older Asian American youth. Practice recommendations are made that consider traditional Asian values and the role that family members can play in the development of effective treatment plans.  相似文献   
136.
Team play: Heedful interrelating as the boundary for innovation   总被引:1,自引:0,他引:1  
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137.
Black HK 《Omega》2004,49(4):299-320
Our study focused on the cultural construction of dying and death in long-term care facilities. This article centers on direct care workers' perspective of residents' deaths. The data on which this article is based were gathered in a multi-year, multi-site study through formal ethnographic interviews, informal conversations, and on-site observations of residents and staff members. During fieldwork, we noticed an aptitude of direct care workers to deal with residents' deaths, which we named "moral imagination." The term is borrowed from other disciplines to describe a "way of seeing" residents. The case studies presented--that of three direct care workers: a dietary aide, a nurse aide, and an assistant activities director--are suggestive of workers in each category. Our study offers implications for future research concerning direct care workers' value to residents' quality of life. We also propose questions for long-term care facilities about standards of formal caregiving at the end of life.  相似文献   
138.
The diversity of priorities and differing awareness of sustainable practices among stakeholders in the architecture, engineering and construction industry is critically shaping the adoption of green technology, and the rate at which the industry is shifting towards more sustainable practices. In this paper, we develop an integrated framework that allows reorganization and integration of existing sustainability research in the architecture, engineering, and construction (AEC) industry, emphasizing the perspective of decision-makers and stakeholders. Further, an agent-based model is introduced that allows study of the decision-maker with the decision context, thus making them an integral part of the decision-making process rather than independent of it. The coupled system is adaptive and dynamically organizes itself to reflect complex bottom-up interactions between individual stakeholders, their contexts and the constraints driving their decisions even as they implement or respond to top-down decisions pertaining to the adoption of sustainable practices. The contention of this research is that an integrative systems approach to top-down decision-making and an understanding of bottom-up influences in stakeholder decisions is critical to the understanding sustainable practices and decisions that lead to their adoption in the AEC industry.  相似文献   
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140.
In order to study the relationships between work satisfaction and mental health in a group known to be at risk for psychological distress, university students who were somewhat older than usual (n=568, average age 24 years) provided infomiation by questionnaire about their satisfactions from study and paid work, and their level of psychological distress. The measure of study satisfaction was a modified form of Warr et al.'s (1979) Job Satisfaction Scale, and had good reliability. Study satisfaction waslower for undergraduate than for postgraduate students, due to lack of clearly defined identity, less supportive relations with fellow-students and teaching staff, and financial hardship. For all subjects the availability of teacher support predicted study satisfaction, and study satisfaction had a major influence on the students' psychologcal well-being.  相似文献   
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