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71.
An increasing number of studies refer to sexual wellbeing and/or seek to measure it, and the term appears across various policy documents, including sexual health frameworks in the UK. We conducted a rapid review to determine how sexual wellbeing has been defined, qualitatively explored and quantitatively measured. Eligible studies selected for inclusion from OVID Medline, PsychInfo, PubMed, Embase, CINAHL were: in English language, published after 2007, were peer-reviewed full articles, focused on sexual wellbeing (or proxies for, e.g. satisfaction, function), and quantitatively or qualitatively assessed sexual wellbeing. We included studies with participants aged 16–65. Given study heterogeneity, our synthesis and findings are reported using a narrative approach. We identified 162 papers, of which 10 offered a definition of sexual wellbeing. Drawing upon a socio-ecological model, we categorised the 59 dimensions we identified from studies under three main domains: cognitive-affect (31 dimensions); inter-personal (22 dimensions); and socio-cultural (6 dimensions). Only 11 papers were categorised under the socio-cultural domain, commonly focusing on gender inequalities or stigma. We discuss the importance of conceptualising sexual wellbeing as individually experienced but socially and structurally influenced, including assessing sexual wellbeing freedom: a person’s freedom to achieve sexual wellbeing, or their real opportunities and liberties.  相似文献   
72.
This paper chronicles the journey of a long term, suicidally depressed patient’s struggle of growth and survival, only to be struck down by a form of Dementia: Lewy Body Disorder. Focus of the paper highlights the myriad complications and struggles that developed in the countertransference as therapist, patient, family, and medical caregivers, try to ascertain: What is psychological and regressive? What is neuro-degenerative? How can the therapist cope with this confusion while maintaining the frame? The paper highlights how the frame as we know it, is altered to meet the medical and psychological crisis presented and how that alteration impacts the treatment and the therapist’s changing perception of what the work is about.  相似文献   
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74.
This paper reports on a small study financed by CCETSW's Welsh Committee and commissioned by its Anti-Racism Sub-Committee. It concerns an attempt to help practice teachers in a sample of all-white or predominantly white placements to assess students' awareness of anti-racist practice in accordance with DipSW requirements through the use of assignments provided by the programme. The study evaluates this process through the responses of students and practice teachers and concludes that, with appropriate support, this approach can make a useful contribution to learning, assessment and consciousness raising.  相似文献   
75.
There are significant human impacts associated with climate change. This paper introduces a model for identifying small area risks associated with children’s vulnerability to climate change-related hazard exposures, which is transferable to other regions and adaptable to varied population and exposure scenarios. The cross-national El Paso-Ciudad Juárez (US-Mexico) metropolis serves as the study area for model implementation, which involves mapping social vulnerability, hazard exposure, and cumulative climate change-related risks. This study addresses two limitations of extant fine-scale climate change vulnerability mapping studies. First, rather than focusing on one exposure variable, it assesses the combined risks of multiple exposures (extreme heat, peak ozone, and floods) and, thus, offers a model for mapping neighborhood-level cumulative climate change exposure risks. Second, it provides a model for small area spatial analyses of climate change vulnerability within low-/middle-income countries and in contexts where climate change risks (and appropriate responses) are cross-national in scope.  相似文献   
76.
Urinary incontinence (UI) is a common and stigmatizing problem faced by long-term care (LTC) residents. It is typically addressed by medical professionals, with social work rarely involved. The purpose of this article is to illustrate how social workers can address the psychosocial implications of UI while working with residents and their family members as part of an interdisciplinary team. Using a case example and the NASW objectives for LTC, recommendations on how the role of the LTC social workers can be expanded to better address both the needs of residents, families, and the larger LTC system are provided.  相似文献   
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This paper studies the inference of interaction effects in discrete simultaneous games with incomplete information. We propose a test for the signs of state‐dependent interaction effects that does not require parametric specifications of players' payoffs, the distributions of their private signals, or the equilibrium selection mechanism. The test relies on the commonly invoked assumption that players' private signals are independent conditional on observed states. The procedure is valid in (but does not rely on) the presence of multiple equilibria in the data‐generating process (DGP). As a by‐product, we propose a formal test for multiple equilibria in the DGP. We also implement the test using data on radio programming of commercial breaks in the United States, and infer stations' incentives to synchronize their commercial breaks. Our results support the earlier finding by Sweeting (2009) that stations have stronger incentives to coordinate and air commercials at the same time during rush hours and in smaller markets.  相似文献   
79.
Decisions on family size and fertility regulation are made within the household, and yet little research has focused on the effects of power relationships within families on demographic decisions. To clarify the situation, the paper presents an original framework, linking bases of power between husbands and wives, resulting communication processes, and decision-making outcomes. The framework is applied to decision-making regarding contraceptive use or abortion, which can be a passive decision, a unilateral decision made openly or surreptitiously by one partner, or a joint decision between husband and wife, depending upon the particular power relationship pre-dominating in the family: coercive, reward, legitimate, referent, expert, or informational power. To illustrate the utility and viability of this framework, available data from fertility surveys and anthropological studies conducted in Latin America are reviewed and analyzed, as well as policy implications for the design of family planning delivery programs.The author wishes to thank Kurt W. Back, Mead T. Cain, Michele G. Shedlin, Joanne Spicehandler, and J. Mayone Stycos for their comments on an earlier version of this paper, and Luis de la Macorra for his permission to cite data collected by PROFAM-PIACT de México. Requests for reprints should be directed to Paula E. Hollerbach, The Population Council, Center for Policy Studies, One Dag Hammarskjold Plaza, New York, New York 10017.  相似文献   
80.
An anonymous audio computer-assisted self-interview (A-CASI) designed to increase awareness of abuse was completed by 305 women with diverse disabilities. Data were also collected about lifetime and past year abuse; perpetrator risk characteristics; facilitators and barriers to disclosing abuse; abuse disclosure to a health provider, case manager, or police officer; and whether a health provider had ever discussed abuse or personal safety. A total of 276 (90%) women reported abuse, 208 (68%) reported abuse within the past year. Women who reported the most abuse experiences in the past year and the most dangerous perpetrators endorsed fewer facilitators and more barriers, but were also more likely to have ever disclosed abuse. Only 15% reported that a health provider had ever discussed abuse and personal safety.  相似文献   
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