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41.
In a study conducted in 1978, using Spanier's (1976) Dyadic Adjustment Scale (DAS), couples in a sexually open marriage and couples in a sexually exclusive marriage were compared on dyadic adjustment. One hundred and thirty sexually open respondents were matched with 130 sexually exclusive respondents. It was found that there was no difference in response patterns between people in a sexually open marriage and those in a sexually exclusive marriage who were still living together with their spouses. On the other hand, persons who were no longer living together with their spouses, regardless of whether they were open or exclusive sexually, scored significantly lower on dyadic adjustment.The author gratefully acknowledges James R. Adams, Ph.D., for his part in the conduct of this research.  相似文献   
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Although the potential benefits are significant, few programs emphasize the vocational rehabilitation of the severely disturbed adolescent-young adult. The philosophical constructs as well as the major operational components of one such program are presented. The complex problems that impede this population's ability to work successfully in the community are explored. Emotionally disturbed adolescents-young adults are accustomed to failure and their behavior is frequently self-defeating. Community resistance and professional conservatism may limit their work options. The program's experience has demonstrated that if disturbed youths are provided the opportunity to work in a natural community setting, they will frequently surpass formal diagnostic evaluations of their capacities. The therapeutic gains realized by the disturbed individual who works successfully in his or her community are considered.  相似文献   
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Abstract

“Single-Dose Therapy for Cystitis in Women: A Comparison of Trimethoprim-Sulfamethoxazole, Amoxicillin, and Cyclacillin,” Thomas M. Hooton et al. We evaluated single-dose regimens of trimethoprim-sulfamethoxazole, amoxicillin, and cyclacillin as treatment for acute cystitis in 38 women. The trial was prematurely stopped because of frequent treatment failures. At two days after treatment, all 13 patients given trimethoprim-sulfamethoxazole were cured, while four (31%) of the 13 given amoxicillin and four (33%) of 12 given cyclacillin had persistent bacteriuria. At two weeks, 11 (85%) of 13 patients given trimethoprim-sulfamethoxazole, six (50%) of 12 given amoxicillin, and three (30%) of ten given cyclacillin were cured. One patient with positive results of antibody-coated bacteria testing who was treated with cyclacillin had signs and symptoms of acute pyelonephritis three days after treatment, and two patients treated with amoxicillin and one treated with trimethoprim-sulfamethoxazole converted antibody-coated bacteria test results from negative to positive after therapy. We conclude that single-dose treatment of cystitis in unselected women with cyclacillin and amoxicillin may result in low cure rates and that progression to acute pyelonephritis may occur following ineffective single-dose therapy. (Journal of the American Medical Association 1985;253:387-390.)  相似文献   
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ABSTRACT

Self-neglect among older adults results in increased morbidity and mortality rates. Depression is strongly linked to self-neglect and when untreated, severely complicates management of health and functional outcomes. The study aims to identify factors correlated with depression to inform approaches to service recruitment and retention that improve long-term outcomes. The sample included urban community-dwelling older adults (n = 96) 65 years of age and older with Adult Protective Services-substantiated self-neglect. All participants completed a range of validated cognitive, functional, and self-report demographic and clinical measures around health and mental health functioning. A secondary data analysis using multivariable logistic regression revealed that a positive screen for alcohol abuse, low self-rated health, and higher self-reported pain were associated with significantly higher odds of self-reported depression. Further research is needed to understand the temporality between these correlates and depression and to inform prevention and intervention practices for self-neglecting older adults.  相似文献   
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Community currency systems attempt to empower the economically marginalized and build social capital. This research explores the role of the elderly in a local voluntary organization. The elderly are potentially very important contributors, yet we know little about their participation in these local exchange networks. Eighty-seven months' worth of transaction data from a “time bank,” which has had a total of 950 members, was examined in social network analyses. Measures of quantitative engagement in the system were constructed. The elderly were found to be as active as other members. Qualitative characteristics of the network were also explored. The organization is rather homogeneous, yet exchanges within it tend to connect diverse actors. Male and female seniors undertransact with themselves and with one another, generating bridging social capital. The evidence presented suggests that the participation of the elderly in local currencies is mutually beneficial.  相似文献   
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The current study assessed the subjective well-being of a broad spectrum of homeless people. One-hundred-and-eighty-six homeless people from the streets of Calcutta (India), California, and a tent camp in Portland (Oregon) were interviewed, and responded to measures of subjective well-being. They answered questions about life satisfaction, satisfaction with various life domains, and their experience of positive and negative emotions. The mean rating of life satisfaction was slightly negative for both American samples but positive for the pavement dwellers in Calcutta. Satisfaction with self-related domains was positive, whereas satisfaction with material related domains was generally negative. Satisfaction with social domains appears to be the area of largest variation among the groups. We discuss the importance of social factors and basic material needs as they relate to overall subjective well-being of the homeless.  相似文献   
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