Effects of exercise on health-related quality of life and fear of falling in home-dwelling older women

This randomized, controlled trial evaluated the effects of exercise on health-related quality of life (HRQoL) and fear of falling (FoF) among 149 home-dwelling older women. The 12-mo exercise program was intended to reduce the risk of falls and fractures. HRQoL was assessed by the RAND-36 Survey, and FoF, with a visual analog scale, at baseline, 12 mo, and 24 mo. On all RAND-36 scales, the scores indicated better health and well-being. The exercise had hardly any effect on HRQoL; only the general health score improved slightly compared with controls at 12 mo (p = .019), but this gain was lost at 24 mo. FoF decreased in both groups during the intervention with no between-groups difference at 12 or 24 mo. In conclusion, despite beneficial physiological changes, the exercise intervention showed rather limited effects on HRQoL and FoF among relatively high-functioning older women. This modest result may be partly because of insufficient responsiveness of the assessment instruments used.     

Buzzing on top: Linking wild bee diversity,abundance and traits with green roof qualities

Green roofs are potentially valuable habitats for plants and animals in urban areas. Wild bees are important pollinators for crops and wild plants and may be enhanced by anthropogenic structures, but little is known about wild bees on green roofs in cities. This study investigates the effects of green roof qualities (floral resources, substrate character and depth, roof height and age) on wild bee diversity, abundance and traits (nesting type, sociality, pollen specialisation, body size) on green roofs in Vienna. Nine green roofs were sampled monthly between March and September 2014 by a semi quantitative approach. Wild bees were collected in pre-defined sub-areas for the same amount of time and floral resources were recorded. Over all green roofs, 992 individuals belonging to 90 wild bee species were observed. Wild bee diversity and abundance was strongly positively affected by increasing forage availability and fine substrates. Wild bees on roofs were characteristically solitary, polylectic and 8.3–11.2 mm. Regarding nesting type, the percentage of above-ground nesting bees was higher compared to the common species composition in Middle Europe. Ground-nesting wild bees were mainly eusocial, smaller (6.4–9.6 mm) and positively affected by roofs with fine substrates. During June, when forage availability by wildflowers on roofs was “low” (5–15% flower coverage), flowering Sedum species were an important forage resource. We conclude that wild bee diversity and abundance on green roofs are enhanced by floral resources. Furthermore, the installations of areas with finer and deeper substrates benefit ground nesting and eusocial wild bees.     

From Drama Text to Stage Text: Transitions of Text Understanding in a Student Theatre Production

Exploring how text understanding evolves through interaction in a drama-text-based student theatre production, the present study takes its theoretical point of departure in sociocultural and dialogical approaches to meaning making and creativity. Video data from a Swedish upper secondary school allowed us to follow transitions of text understanding in the artistic shaping of characters from drama text to stage text. We analyze a special kind of communicative side project: short, recurrent student-initiated role-plays, embedded in teacher-led activities. The joint text understanding that was established in these side projects proved productive in the emergent shaping of the stage text.     

On the educational edges of a learning society: the Finnish hinterland as a framework of educational choices for young people

In this article, we examine the school-going and educational choices of youth living in sparsely populated regions of Finland that are located far away from educational institutions. We ask the following question: What kind of concrete impact does the geographic narrowing of educational possibilities have on the lives of youth in remote villages? Thirty-five interviewees (15 boys and 20 girls) between the ages of 14 and 18 were selected for this analysis. According to the results, gender and families’ symbolic resources are still strong predictors of youth’s educational choices; however, in the Finnish hinterland, families’ economic resources become a significant reflection of young people’s realistic educational possibilities. The youth in our analysis can be seen as ‘others’ of the contemporary educational and regional policies – that is, members of a learning society who are living in an educational vacuum and are forced to create their educational paths by making numerous compromises and forgetting many of their personal dreams. Their situation is not unique, as Finland’s wide-ranging neoliberal centralisation policies tend to create educational vacuums in certain regions on the edges of society.     

Activation,medicalisation and inter-organisational cooperation in health insurance – implications for frontline social work in Sweden

This paper focuses on tensions between activation principles and medicalisation in the Swedish sickness insurance and its implications for frontline caseworkers in Social Security Agencies and Public Employment Services. The right to sickness cash benefits has become stricter and more conditioned upon the person’s work ability and employability. The paper describes recent policy changes towards activation and stricter entitlement criteria for sickness benefits policy and explores the consequences of such new activation policies in terms of changed work modes for caseworkers dealing with long-term sick people’s return-to-work process. It is concluded that on the one hand frontline work contains a significant portion of discretion and professional assessment of work abilities, and on the other hand rule-bound administrative work. Furthermore, frontline workers need to apply organisational professionalism as inter-organisational cooperation is required in order to support long-term sick people to return-to-work. Medicalisation of ill-health, manifested in the right to sickness benefits has not been substantially circumscribed by new activation policies in the sickness insurance.     

Household income and other socio-economic determinants of long-term institutional care among older adults in Finland

An analysis of longitudinal data on Finnish older adults shows that the probability of admission to long-term institutional care is inversely associated with household income: women in the lowest income quintile are 35 per cent more likely, and men in the lowest quintile 59 per cent more likely to be admitted than those in the highest quintile, independently of age, first language, and area characteristics. Controlling for other socio-demographic characteristics and medical conditions reduces these differences by 59 and 78 per cent, respectively. Being a renter and living in poorly equipped housing increases the probability of admission to institutional care, while the possession of a car and living in a detached house decreases it, independently of other factors. These results imply that the future need for institutional care will depend not only on the increasing numbers of older people but also on socio-economic factors and housing conditions.     

“Such Trivial Matters:” How staff account for restrictions of residents' influence in nursing homes

National policies emphasize older people's right to autonomy, yet nursing home residents often have restricted opportunities to make decisions about everyday matters. We use qualitative interview data to analyze staff members' explanations of actions that conflict with both social norms and national policies. Two types of problematic actions are discussed: restrictions of elderly residents' influence in decision making and neglect of residents' complaints. While staff members describe residents' influence as desirable, they simultaneously formulate accounts that justify their inability to live up to this ideal. Further, we demonstrate how certain complaints are “made trivial” when they are described and treated in specific ways by the staff. We argue that the accounts offered by staff members draw on an implicit folk logic, a logic in which residents are allowed to exercise influence only as long as it does not conflict with the efficient running of the institution as a whole.     

Imagining ‘Burma’: a historical overview

Burma faced independence in 1948 as a deeply divided country. The British had ruled the area, which now was declared the ‘Union of Burma’ under two entirely different administrative systems. ‘Burma Proper’ was basically populated by the ethnic Burmans, Arakanese, Mons and Delta Karens, whereas the ‘Frontier Areas’ were populated by the Shan people, Salween Karens, Kachins, Karennis, Chins and various subgroups of the aforementioned. The same year, as independence was granted, the Union of Burma plunged into a civil war, which still continues. This article discusses the ethnic categories created by the colonial authorities and looks into how these ethnic categories have been – and continue to be – imagined, invented, manipulated and politicised. The article looks into how the Burmese authorities dealt with the ethnic diversity in the first constitution of 1947 by dividing the country into ethnically based ‘states’ and ‘divisions’ and how the international community of today continues supporting these colonial categories.     

Allometric and mass relationships of Betula populifolia in a naturally assembled urban brownfield: implications for carbon modeling

Aboveground forest carbon sequestration is known to be a function of allometric relationships, stand history, and edaphic conditions. We investigate how the heterogeneous edaphic conditions of a naturally assembled urban brownfield influence the allometric relationships of the dominant species Betula populifolia Marsh. We measured diameter at breast height (DBH), height, mass and age on four sites that exhibited considerable edaphic differences. Site conditions did not appear to impact total tree mass to diameter relationships. However, mean DBH at the various sites ranged from 6.7 to 9.8 cm and the mean height from 637.4 to 911.8 cm. In addition, above ground woody biomass ranged from 40017 to 71935 kg ha^?1. Apparently resource allocation between growth and maintenance within the heterogeneous edaphic conditions of the urban context clearly results in considerably different growth rates and stocking densities. These results help to establish accurate metrics for the development of inventory-based forest carbon allocation models within the difficult environs of the urban context.