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31.
This article reports on factors influencing condom use among out-of-school adolescents in rural southwest Uganda. Despite an abundance of negative discourses and myths about condoms in the community, these adolescents believe condoms protect them from sexually transmitted infections, HIV, and premarital pregnancies. Girls want partners to use condoms, but most lack the confidence to insist. Girls aged 13 to 14 reported the least difficulty asking for condoms; older girls attributed this to coming-of-age in the era of AIDS when condom use is the norm. Boys under 16 years want to use condoms, but lack confidence in application skills. Boys over 17 years always use condoms with casual partners, but only occasionally for pregnancy prevention with steady partners. Girls need skills training to improve confidence in negotiating condom use. Younger boys require training to improve confidence in skills with condom application. These findings are compared with studies conducted with in-school adolescents in the same study area. Health promotions that provide this skills training and focus on the need to think of the health of future family would be most effective for out-of-school adolescents. This study shows that it is self-confidence, rather than years of schooling, that has the greatest impact on condom use in this cohort.  相似文献   
32.
The declining capacities in older people often lead to limitations in activities of daily living and a simultaneous rising demand for care services. Many of these limitations in daily activities are to a varying degree caused, enhanced or facilitated by disadvantageous housing and environmental conditions. Home modifications have been credited as an important part of the solution, allowing for an extended and safer use of the home. In order to examine this issue in more detail, this paper provides empirical evidence on the type and extent of risks associated with accidents around the home. It reports on findings from a European case study on the difficulties using the home and risks of accidents which may lead to injury. It is argued that healthy housing conditions for older persons are important to maximize the supportive capacity of one's home, to stimulate an active and healthy lifestyle, and to avoid unnecessary institutionalization.  相似文献   
33.
养禽产业集聚的交易成本分析   总被引:1,自引:1,他引:0  
集聚模式是养禽产业发展的有效途径,其主要原因之一是集聚可以获得规模经济效益、降低交易成本。从养禽产业集聚的成本构成入手,采用博弈论方法,通过数学建模手段,深入分析了不同状态下养禽产业集聚的交易成本,得出:在追求交易成本降低时,必然引起资本空间分布的不平衡,这种不平衡直接影响集聚体的形成。  相似文献   
34.
ADOPTION:     
In this article, we focus on how understandings of the past influence the process of integrating older special needs children into family life. We present the stories of two families who adopted older special needs children as they reconstructed the past, experinced the present, and projected the future. We draw upon social, pragmatic, and postmodern theories of the past to guide our interpretations and understandings of these families' adoption experiences. The dominant ideology of family influenced their story construction, and it was against this conception that their stories were evaluated. We followed the Litners and the Becks as they used the past to create stories that enabled and disabled their family life in the present and in the future. From the Litners' and the Becks' stories, we learned that when families are too limited by a cultural conception of an ideal adoptive family, their ability to use the past to create stories to help them live in the present and to project a shared future becomes restricted.
Our adoption failed because we understimated the past and overstimated our ability to create stories with happy endings. (Mrs. Beck)  相似文献   
35.
中国企业的市场化是中国经济体制改革的关键。从市场化概念的界定及其实现出发,提出了加速中国企业市场化进程的三点建议:大力发展非国有企业;加大国有企业市场化改革力度;强化和完善法制建设。  相似文献   
36.
37.
This study examines the reliability and validity of a measure to evaluate student field performance. Results demonstrated a consistent factor structure with excellent internal consistency, however, there was inadequate consistency between ratings of individual students in their first and second field education experiences. The measure had some predictive validity in that it could differentiate between students identified as having difficulty in Year 1 of the program, but not in Year 2. Scores were significantly associated with academic grades. Implications for future instrument development and the process of evaluation are considered.  相似文献   
38.
This review aims to identify the optimal exercise intervention characteristics for falls prevention among community-dwelling adults aged 60 years and over. Articles for inclusion were sourced by searching the Academic Search Premier, AMED, Biomedical Reference Collection: Expanded, CINAHL Plus, MEDLINE and SPORTDiscus databases with the key words ‘falls’, ‘prevention’, ‘exercise’ and ‘community’ and via reference lists of relevant articles. Only articles of level 1 or level 2 evidence (Howick et al. 2011) were included. Other inclusion criteria included recording falls incidence as an outcome measure, examining a community-dwelling population aged 60 years or over and implementing exercise as a single intervention in at least one group. Exercise programme characteristics from 31 articles were examined according to their frequency, intensity, time and type and their effects on falls incidence were reviewed. Exercising for a minimum of 1 h/week for at least 40 h over the course of an intervention is required to successfully reduce falls incidence. The optimal exercise frequency is three times per week, but the optimal duration per bout remains unclear. Specific balance training of sufficiently challenging intensity is a vital programme component, and strength training is most effective when combined with balance training. Flexibility and endurance training may also be included as part of a comprehensive programme. A combination of group and individual home exercise may be most effective for preventing falls and promoting exercise adherence.  相似文献   
39.
Using an interpretive ethnographic framework, we investigate how being in a caring community benefits foster children and their families during a time of crisis. Through (re)telling the stories of the untimely death of Carl Connor, a parent of four foster children, we examine the community of Hope Meadows as the site where the activities of caring occurred. Care as a set of relational and moral practices is presented, and we describe how care is facilitated by the purpose as well as the physical and social dimensions of Hope Meadows. The stories of Carl Connor's death provide a foundation for a gendered theory of moral community.  相似文献   
40.
This article discusses the principal application areas of models in the financial planning field together with the main reasons for adopting this approach. The various techniques available are compared with special emphasis on the now widespread ‘financial modelling systems’. Finally, an indication is given as to future developments.  相似文献   
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