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There is a growing body of evidence demonstrating that sexual activity is important to the quality of life of older adults, and that it can be influenced by physical, psychological, and social factors. However, older adults’ experiences of sexual difficulties remain relatively unexplored. This article draws on qualitative data collected as part of the English Longitudinal Study of Ageing (ELSA). Participants answered a Sexual Relationships and Activities Questionnaire (SRA-Q), which included an open comment box for further details, 1,084 (1/7) of which were completed. These data were analyzed using Template Analysis, and findings on the experiences of sexual difficulties are presented in this article. Sexual difficulties were contextualized within the couple relationship and could be detrimental to the relationship, particularly if the partner would not seek professional help. Participants reported that sexual difficulties could also have a negative impact on psychological well-being, described mainly as frustration, depression, and sadness. For some participants the supportive nature of their relationship buffered these impacts. Few had sought professional help; those who had reported helpful and unhelpful experiences. These findings add to the limited evidence base and have implications for health care in the context of global aging and a growing recognition of older adults’ sexual rights.  相似文献   
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This article describes the Grillin’ with My Grandchild© multigenerational relationship education program which is designed to encourage the enhancement and maintenance of a meaningful grandfather-grandchild relationship. During this multi-session program, grandfather and grandchild participants engage in several activities which include creating an electronic memory book as well as grilling and eating food together. They learn through facilitated discussion and by sharing personal experiences what it means to be a grandfather and a grandchild. Facilitated discussion about nutritional grilling practices and safe food grilling are implemented at each session. Grandfather-grandchild dyads interact with other familial dyads in their group and experience a sense of community and familiarity. Future research into the relational and psychological benefits of the program are suggested.  相似文献   
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During a wave of protest in 2011, Morocco was home to its own uprisings, spurred on by the 20 February movement. Unlike its neighbors to the east, the Moroccan regime was never dismantled. So, what was the sociopolitical significance of the 20 February movement? This profile examines the landscape at the time of uprisings and presents brief interview data to make the case that these protests facilitated a political articulation and a new deliberative street politics.  相似文献   
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While the positive association between social interaction and access to green space is well accepted, little research has sought to understand the role of children??s playgrounds in facilitating social interaction within a community. Playgrounds are spaces designed to facilitate play and the interaction of children, but may also be important places of interaction between parents. In this paper we examine how access to playground spaces is related to social interaction between parents. We use two measures of accessibility (1) walking distance to the closest playground and (2) playground service area, a measure of the number of potential users of a playground based on population density. We use generalized estimating equations, an extension of generalized linear models, to control for the confounding effects of socio-economic status (income, education), neighbourhood dynamics (neighbourhood location, years in neighbourhood) and free time (daily outdoor activity, marital status, number of children) on the independent relationship between social interaction and access to playground spaces. Our results suggest that while accessibility to playgrounds is associated with social interaction among parents, the direction of the effect is opposite to existing literature on green space and social interaction; parents with low accessibility to playgrounds are more likely to interact socially with their neighbours than parents with high accessibility. Our results suggest a pattern of spatial behaviour in which the burden of poor access to some resources may actually encourage greater neighbourhood engagement. Future research studying the relationship between health and green space may benefit from studying the specific role of playground spaces.  相似文献   
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This study develops the concept of integrated leadership in the public sector. Integrated leadership is conceived as the combination of five leadership roles that are performed collectively by employees and managers at different levels of the hierarchy. The leadership roles are task-, relations-, change-, diversity-, and integrity-oriented leadership. Using data from the Federal Human Capital Survey and Program Assessment Rating Tool, we analyze the relationship between integrated leadership and federal program performance. The findings from the empirical analysis indicate that integrated leadership has a positive and sizeable effect on the performance of federal sub-agencies. The study concludes with a discussion of the implications of the findings and limitations of the study.  相似文献   
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Methods for a sequential test of a dose-response effect in pre-clinical studies are investigated. The objective of the test procedure is to compare several dose groups with a zero-dose control. The sequential testing is conducted within a closed family of one-sided tests. The procedures investigated are based on a monotonicity assumption. These closed procedures strongly control the familywise error rate while providing information about the shape of the dose-responce relationship. Performance of sequential testing procedures are compared via a Monte Carlo simulation study. We illustrae the procedures by application to a real data set.  相似文献   
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