The literature suggests that great importance has been placed on the outdoor and natural environment and how it provides rich opportunities for the growth and development of children. There has also been much written about the adults role and the type of environment that practitioners should provide. This has not been covered within this literature review but we need to take note that these play a significant role in the way children will access the outdoor learning environment. There has been some reference to social and geographical issues and how these could aid or hinder children's views of what the outdoors may provide for them. Significant research has also been placed on risks and safety and whether both parent's issues and beliefs and practitioner's beliefs have had an impact on the way that children within our society are accessing the outdoors. However gender issues have only touched upon the choices that children make when playing outdoors. This has led to me believing that there is a need to understand if there are differences in the way that girls and boys actually access the outdoors; do boys spend more time outside than girls? Are the children hindered by what is on offer?
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Comments such as "intriguing" or "totally unexpected" are often heard. One of the reasons that many rural people throughout Asia enjoy gua sha is due to the immediately felt benefits. They say they can get on with their work for the day.