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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.  相似文献   
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Urban Ecosystems - Urbanisation is causing rapid land-use change worldwide. Populations of freshwater turtles are vulnerable to impacts of urbanisation such as habitat loss, fragmentation and...  相似文献   
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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.  相似文献   
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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.  相似文献   
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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.  相似文献   
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From 1991 through 1998, during the turmoil of independence and transition to a democracy and free-market economy, the authors established the first social work education programme in Lithuania and assisted Lithuanian professionals to assume responsibility for the programme. This article supplies an initial general and conceptual narrative and analyses some of the factors that influenced the development of the programme and a practice model to address conditions in Lithuania.  相似文献   
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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.  相似文献   
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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.  相似文献   
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