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Dissertations / Theses on the topic 'Clinical problems'

Author: Grafiati

Published: 4 June 2021

Last updated: 25 July 2025

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1

Stadler, Sophia. "Child disruptive behaviour problems, problem perception and help-seeking behaviour." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/26942.

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Disruptive behaviour problems in early childhood are found to be associated with many negative long-term outcomes, such as antisocial behaviour, adolescent delinquency, and substance abuse (Kellam, Werthamer-Larsson & Dolan (1991), as cited in Butler, 2005:1). Even after adolescence this arises, for, as Vogel (2008:16) states the 'frequency of behavioural problems or challenging behaviour among the youth of today often predicts the size of our future prison population'. These findings clearly highlight the importance of early identification of behavioural problems, adequate preventative interv

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2

Warburg, Richard. "Assessment of memory problems by clinical neuropsychologists." Thesis, Bangor University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.390999.

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3

Farina, Dmytro. "Forward and inverse problems of electrocardiography clinical investigation." Karlsruhe : Univ.-Verl. Karlsruhe, 2008. http://d-nb.info/988009609/34.

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4

Fradet, Christiane. "Coping strategies in young men with and without drinking problems." Thesis, University of Ottawa (Canada), 1993. http://hdl.handle.net/10393/6845.

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Social learning theory (Abrams & Niaura, 1987) assumes that individuals who lack effective coping strategies are more likely to drink in response to stressful situations. A review of the literature suggests that coping strategies have not typically been studied in the context of a specific theory of alcohol abuse. Consequently, little progress has been made in the understanding of possible links between alcohol abuse and the use of coping strategies. The primary objective of the present study was to assess whether drinking problems are associated with specific coping strategies. Coping strateg

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5

Watkins, Simon. "Disclosure of voice hearing and mental health problems : experiences and effects." Thesis, University of Hull, 2018. http://hydra.hull.ac.uk/resources/hull:16483.

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Research suggests that people who experience mental health problems and people who hear voices are likely to experience stigmatising attitudes and discrimination. This portfolio considers the experiences and impact of disclosing these stigmatised experiences, both to immediate family, friends, and partners, and to people in wider society. The portfolio has three parts. Part one is a systematic literature review which considers the impact/effect of disclosing mental health problems by reviewing the literature base. Twelve articles which aimed to answer the research question were quality assesse

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6

Morrow, James. "The clinical, social and psychological problems of patients with epilepsy." Thesis, Queen's University Belfast, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.333780.

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7

Brackenbury, Tim, Marc Fey, Gregory Lof, Benjamin Munson, and A. Lynn Williams. "Practice in Child Phonological Disorders: Tackling some Common Clinical Problems." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/2071.

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8

Ries, Adrienne Sandra. "Psycho-social problems identified by adult bone marrow transplant survivors." Master's thesis, University of Cape Town, 1996. http://hdl.handle.net/11427/23344.

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Bone marrow transplantation (BMT) offers many patients who are diagnosed with leukaemia, lymphoma, myeloma and aplastic anaemia the opportunity of increased survival. Chemotherapy is one of the most common forms of treatment for cancer patients en-route to BMT, which is often a concomitant stressor in the patient's life. Due to the side effects of chemotherapy, patients are often required to remain in a protective isolation unit for several weeks at a time. In most cases, BMT constitutes the final phase of the treatment process. This procedure is not without its risks and may create significan

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9

Quetsch, Lauren Borduin. "Emotion Regulation in Families of Children with Behavior Problems versus Nonclinical Comparisons." Thesis, West Virginia University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1588121.

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<p>The following study explored the relationship between emotion regulation in children with and without externalizing behavior problems and their caregivers. The study examined emotion regulation in both clinical and comparison samples. The main research question for the study was determining if there was a link between parent and child emotion regulation in both clinical and comparison samples. Sixty families were collected from two rural populations in the United States. Families referred for parent training with children ages 2 through 8 were recruited for a clinical sample (n = 34) along

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10

Roper, Mona. "Supportive psychotherapy : an exploratory study of expressed views, feelings, practices and problems." Master's thesis, University of Cape Town, 1994. http://hdl.handle.net/11427/13499.

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Includes bibliographical references.<br>Supportive psychotherapy is documented as the psychological treatment of choice for patients with severe psychopathology. It follows that this psychotherapy is particularly relevant to psychiatric hospitals which predominantly treat this category of patient. This study takes place at such a hospital. Problems which have implications for the practice and development of supportive psychotherapy, both at the hospital concerned and in general, have been reported. With a view to addressing these problems at the hospital, this dissertation explores some of the

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11

Neal, Dan J. Carey Kate B. "The relationship between alcohol consumption and alcohol-related problems an event-level analysis /." Related electronic resource: Current Research at SU : database of SU dissertations, recent titles available full text, 2004. http://wwwlib.umi.com/cr/syr/main.

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12

Farina, Dmytro [Verfasser]. "Forward and inverse problems of electrocardiography : clinical investigation / von Dmytro Farina." Karlsruhe : Univ.-Verl. Karlsruhe, 2008. http://d-nb.info/988009609/34.

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13

Solomon, P. J. "Some problems in the statistical analysis of large scale clinical trials." Thesis, Imperial College London, 1985. http://hdl.handle.net/10044/1/37860.

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14

MacQueen, Ian James. "Progressive resistance exercise and its application to health and clinical problems." Thesis, Imperial College London, 2006. http://hdl.handle.net/10044/1/40049.

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The term "Progressive Resistance Exercise" means exercise performed against Resistance which is increased periodically as the exerciser gains strength. The American College of Sports Medicine defines it as - "the problems by which muscle forces or torques are increased to overcome the internal or external resistances imposed upon skeletal muscles". Progressive Resistance Exercise is based on the overload principle and usually refers to weight lifting exercise. To achieve gains in muscle strength and Itypertroplty, progressive resistance is essential to compensate for gains as the training prog

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15

Hudson, Kelsey Elizabeth. "Risk profiles for adolescent internalizing problems." ScholarWorks @ UVM, 2019. https://scholarworks.uvm.edu/graddis/1165.

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Objective: Internalizing problems are commonly diagnosed during adolescence, and are associated with distress, impairment, and negative mental health outcomes in adulthood. Thus, there is a critical need to characterize adolescents who are at the highest risk for escalating to clinical levels of internalizing problems while extending current literature and incorporating both biological and environmental predictors. This study aimed to characterized risk profiles for fourteen-year-old adolescents who developed clinical levels of internalizing (High Internalizing [HI]) problems by age nineteen,

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16

Mendez, Marcos. "An examination of the relationship between various mental health problems and the three sub factors of the Rutgers Alcohol Problem Index." Thesis, Manhattan, Kan. : Kansas State University, 2009. http://hdl.handle.net/2097/1406.

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17

Katz, Jonathan E. "Psychological stability, change and mental well-being in stress-related problems : the exploration of clinical and non-clinical populations." Thesis, Cranfield University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.284919.

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18

Mauldin, Jo A. Seaman John Weldon. "Bayesian approaches to problems in drug safety and adaptive clinical trial designs." Waco, Tex. : Baylor University, 2008. http://hdl.handle.net/2104/5177.

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19

Richardson, Kim. "The youth of Atlantis : can found youth be lost? : problems, needs and psychodynamics : an exploratory analysis." Master's thesis, University of Cape Town, 1994. http://hdl.handle.net/11427/13495.

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Bibliography: leaves 60-71.<br>Objective: There is an urgent need to conduct community based research into the issue of youth development in a post-apartheid South Africa. The aim of this study is to explore the problems, needs I and experiences of youth in Atlantis using an action research approach. Method: A purposive convenience sample of 15 youth between the ages of 12 and 21 were interviewed using semi-structured in-depth interviews (average length 70 minutes). In addition, two focus groups were held. The data were analysed using descriptive analysis and open coding. The descriptive resul

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20

Jordan, Caroline. "Maternal self-efficacy in mothers of children with and without clinical feeding problems." Thesis, Loughborough University, 2016. https://dspace.lboro.ac.uk/2134/25515.

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The understanding of maternal factors associated with child feeding problems is limited due to a lack of research which has examined a comprehensive range of maternal factors and the existing literature focussing on a narrow range of ideas about the wider familial context in which feeding problems occur. The broad aim of this thesis is to investigate maternal parenting of children with and without clinical feeding problems to provide insights into the wider context in which feeding problems occur. In study 1, thematic analysis of interviews with 10 mothers of children with, and 10 mothers of c

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21

Feder, Caryn Ann. "Impact of perceived responsibility for problems and their solutions on perceptions of clients." Diss., The University of Arizona, 1992. http://hdl.handle.net/10150/185912.

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This study investigated the effects of being perceived as responsible or not for a psychological problem, being responsible or not for solving that problem, as well as type of disorder (substance abuse or depression), on perceptions of clients. It was predicted that clients perceived as more responsible for causing their problem and/or solving it would elicit greater negative reactions than clients perceived as not responsible for their problem and/or its solution. It was also predicted that substance abusers would be derogated more than depressed clients. These hypotheses were tested by havin

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22

Sullivan, Daniel P. "Psychological Mechanisms, Interventions, and Clinical Outcomes in Sleep-Related Headaches." Thesis, Griffith University, 2022. http://hdl.handle.net/10072/417223.

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Sleep problems are one of the most frequent triggers of primary headaches such as migraine and tension-type headache, second only to stress. Whilst the relationship between various sleep disorders, and poor sleep in general has been well established, to date there has been a paucity of research examining psychological mechanisms of sleep-related headaches. This thesis sought to examine the following research questions about sleep-related headaches, in the context of the discipline of Clinical Psychology: Study One (Chapter Two) – What is causing the problem? What are the psychological mechanis

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23

Mason, Erin. "The role of world view changes in longitudinal associations between depression and PTSD symptoms and later sexual problems." Thesis, Wayne State University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1543711.

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<p> Childhood sexual abuse (CSA) is a risk factor for the development of depression and posttraumatic stress disorder (PTSD) symptoms, as well as sexual problems. Additionally, previous research supports a relationship between symptoms of depression and PTSD and sexual problems in both sexually abused and non-abused samples. There has been little attempt, however, to explain the mechanisms responsible for this relationship. The current study proposed that abuse-related changes in world views might be one such mechanism and examined whether world view changes mediate longitudinal associations b

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24

Wycherley, Darren. "The application of capillary electrophoresis and mass spectrometry to clinical and environmental problems." Thesis, Open University, 1996. http://oro.open.ac.uk/19806/.

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Using capillary electrophoresis (CE) as a separation technique has allowed analytes, previously difficult to separate by standard methods because they did not conform to requirements for GC or HPLC, to be separated with speed and great efficiency. The only requirements for CE analysis are that the sample is soluble in a liquid matrix and that analytes are present as positive or negative ions whilst in this matrix. This technique has been used here to analyse both clinical and environmental samples, some as cations and others boron-containing complexes as anions. Samples were analysed using a c

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25

Davison, Elizabeth. "The wounded healer : clinical and counselling psychologists with experience of mental health problems." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12535/.

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This study aimed to explore how the experience of previous mental-health problems affects clinical and counselling psychologists’ approach to practice. Semi-structured interviews were conducted with six clinical and four counselling psychologists who had experienced mental-health difficulties. Data was analysed using Interpretative Phenomenological Analysis. Analysis of the interviews highlighted five master themes: Use of the personal-self of psychologist; Ambivalence; Identity as a psychologist; Psychologists as agent of change; and Finding meaning in suffering. The results of this research

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26

Al-Taani, Ghaith Mohammed Yousef. "Challenges in the provision of clinical pharmacy services to overcome medication-related problems." Thesis, Queen's University Belfast, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.669539.

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Pharmaceutical care and medicines management are terms which are often used interchangeably to describe the patient-centred services provided by pharmacists. The programme of research presented within this thesis evaluated a range of topics within this area of endeavour. The extent of pharmaceutical care provision within the community pharmacy setting was examined in a cross-sectional survey in N. Ireland and across 15 European countries. The findings indicated that community pharmacists' provision of comprehensive pharmaceutical care can be deemed as limited in Northern Ireland (mean score 41

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27

Foote, Barbaradee. "Predictors of Gambling-Related Problems in Adult Internet Gamblers." Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10841287.

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<p> The use of the Internet to gamble has become increasingly prevalent in recent years. Although researchers have suggested that adult Internet gamblers are at high risk for developing a gambling disorder, few studies, overall, have been conducted on the effects of Internet gambling. Furthermore, conflicting research exists regarding what moderates gambling-related problems. The purpose of this quantitative study was to determine if age, gender, and emotions prior to the gambling experience are related predictors of Internet problem gambling severity. A retrospective design was used. The path

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28

Gustafsson, Carina. "Intellectual Disability and Mental Health Problems : Evaluation of Two Clinical Assessment Instruments, Occurrence of Mental Health Problems and Psychiatric Care Utilisation." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3531.

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29

Betz, Gregory. "When the Heroes Become Less Super: Coping with Problems of Professional Competence." Antioch University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1421329013.

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30

Lukens, Colleen Taylor. "Development and validation of an inventory to assess eating and mealtime behavior problems in children with autism." Connect to resource, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1127133704.

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Thesis (Ph. D.)--Ohio State University, 2005.<br>Title from first page of PDF file. Document formatted into pages; contains vii, 101 p. Includes bibliographical references (p. 72-78). Available online via OhioLINK's ETD Center

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31

Juster, Robert Paul. "A clinical allostatic load index detects stress-related problems in older adults and workers." Thesis, McGill University, 2010. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=92369.

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Allostatic load (AL) refers to biological wear and tear caused by chronic psychosocial stress. The AL model proposes that by measuring the multi-systemic interactions among sub-clinically relevant biomarkers, biomedical advances can be made in the detection of individuals at high risk of developing stress-related diseases. By incorporating an AL index encompassing neuroendocrine, immune, metabolic, and cardiovascular biomarkers, a growing body of literature has demonstrated augmented prediction of numerous deleterious outcomes. As it stands, however, the AL index is a research tool that has no

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32

Myers, Helen Lucy. "Hand problems and hand function : a clinical epidemiological study in community-dwelling older adults." Thesis, Keele University, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.545751.

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33

Duguid, Anne E. "Managed clinical and care networks (MCNs) and work : an ethnographic study for non-prioritised clinical conditions in NHS Scotland." Thesis, University of St Andrews, 2012. http://hdl.handle.net/10023/3197.

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Managed clinical and care networks (MCNs) have emerged in Scotland as a collaborative form of organising within health and between health and social services. Bringing together disparate disciplines and professions their aim has been to allow work across service and sector boundaries to improve care for patients. Whilst MCN prevalence has increased and policy has moved to centralise this method of organising, many research questions remain. These include: how can we understand the form, function and impact of MCNs, and further, what are the underlying motivations for practitioners and managers

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34

Wilhoit, Sarah. "Destined for Trouble?: A Prospective Analysis of the Effects of Temperament and Parenting on Conduct Problems." University of Dayton / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=dayton1462489452.

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35

Cooper, Danielle Marissa. "Clarifying the Longitudinal Relations Between Social Anxiety and Depression: Interpersonal Difficulties as an Explanatory Mediator." Ohio University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1557350417344734.

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36

Haider, Agha Waqar. "Continuous electrocardiographic recording in the assessment of ischaemic heart disease : technical problems and clinical role." Thesis, Imperial College London, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.243945.

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37

Muharam, Firman Alamsyah. "Overcoming problems with limiting DNA samples in forensics and clinical diagnostics using multiple displacement amplification." Thesis, Queensland University of Technology, 2006. https://eprints.qut.edu.au/16207/1/Firman_Muharam_Thesis.pdf.

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The availability of DNA samples that are of adequate quality and quantity is essential for any genetic analysis. The fields of forensic biology and clinical diagnostic pathology testing often suffer from limited samples that yield insufficient DNA material to allow extensive analysis. This study examined the utility of a recently introduced whole genome amplification method termed Multiple Displacement Amplification (MDA) for amplifying a variety of limited sample types that are commonly encountered in the fields of forensic biology and clinical diagnostics. The MDA reaction, which employs the

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38

Muharam, Firman Alamsyah. "Overcoming problems with limiting DNA samples in forensics and clinical diagnostics using multiple displacement amplification." Queensland University of Technology, 2006. http://eprints.qut.edu.au/16207/.

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The availability of DNA samples that are of adequate quality and quantity is essential for any genetic analysis. The fields of forensic biology and clinical diagnostic pathology testing often suffer from limited samples that yield insufficient DNA material to allow extensive analysis. This study examined the utility of a recently introduced whole genome amplification method termed Multiple Displacement Amplification (MDA) for amplifying a variety of limited sample types that are commonly encountered in the fields of forensic biology and clinical diagnostics. The MDA reaction, which employs the

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39

Leite, Celina Luís Ferreira da Costa. "Comunicação com o doente em farmácia clínica." Master's thesis, [s.n.], 2014. http://hdl.handle.net/10284/4871.

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Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Ciências Farmacêuticas<br>O papel do Farmacêutico evoluiu de modo considerável ao longo das últimas décadas, passando de uma prática focada no medicamento para a de uma relação com o doente que abrange, entre outros aspetos, a monitorização da medicação. É sabido que a maioria dos doentes, particularmente, os crónicos, idosos, deficientes e polimedicados, apresentam baixos níveis de adesão ou de cumprimento do tratamento. A profissão farmacêutica ace

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40

Woodruff, James Graham. "Sex-Role Stereotyping in Marital Counseling Sex- Role Style and Type of Problem Effects on Clinical Judgments." Thesis, North Texas State University, 1985. https://digital.library.unt.edu/ark:/67531/metadc332056/.

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The analogue study was designed to extend previous research on clinical sex-role stereotyping of individual clients into the realm of marital counseling. The effects of clinician and couple sex-role style and type of marital problem on clinical judgements of couples was examined through ratings of four audiotaped couples constructed from two scripts depicting either couple financial or sexual problems. Each script produced both a stereotypical and counterstereotypical sex-role styled couple through reversal of spouse verbalizations. A sample of 40 (32 male, 8 female) practicing doctorate-level

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41

Fahey, Jeanette Chandlee Williams J. Michael. "Developmental changes in attention performance and their relationship to behavior and school problems /." Philadelphia, Pa. : Drexel University, 2006. http://dspace.library.drexel.edu/handle/1860/740.

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42

Lora-Tamayo, Morillo-Velarde Jaime. "Antimicrobial therapy in prosthetic joint infection: an approach to the most relevant and current clinical problems." Doctoral thesis, Universitat de Barcelona, 2014. http://hdl.handle.net/10803/145440.

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Prosthetic joint infections (PJI) are defined as difficult-to-treat, mainly due to the presence of bacterial biofilm and other bacterial adaptive forms. An aggressive treatment including surgery and long antimicrobial therapy must be provided, the economical burden of this complication being very important. Thus, PJI constitute a first-order health care problem, and it is expected that the number of infected devices will increase in the future. Our knowledge on the efficacy of antimicrobial therapy in the setting of PJI mainly derives from experimental models. Clinical studies are very diff

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43

Pathy, Kala. "Bioavailability problems in clinical neuropharmacology with special reference to (1) generic phenytoin and (2) madopar HBS." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1994. http://hub.hku.hk/bib/B31214551.

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44

Birch, Stephen John. "An exploration with proposed solutions of the problems and issues in conducting clinical research in acupuncture." Thesis, University of Exeter, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.284782.

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Many controlled clinical trials of acupuncture have been conducted since the mid 1970s, however, there is almost universal agreement that the quality of these trials has been poor. Previous reviews have exposed many problems in the quality of the clinical trials. While some recent trials have addressed these concerns, these improved methodologies have still not addressed other key problems. This study systematically exposes other problems in published clinical trials of acupuncture, proposes solutions to those problems, and then tests the solutions in a controlled clinical trial of acupuncture

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45

Thomas, P. H. "Studies on the pharmaceutical and clinical problems associated with the storage and administration of intravenous solutions." Thesis, Cardiff University, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.372586.

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Shawler, Paul. "Does early intervention reduce the risk of future emotional and behavioral problems in children with autism spectrum disorder." Thesis, Oklahoma State University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10190272.

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<p> <b>Objective:</b> Early Intensive Behavioral Intervention (EIBI) is the leading recommended treatment for children with Autism Spectrum Disorder (ASD). Children with ASD are at a substantially higher risk for developing symptoms associated with additional psychopathology compared to typically developing children. Currently, little is known about the utility of EIBI on symptoms of additional psychopathology. This study aimed to assess if EIBI would serve as a preventative treatment for the development of symptoms associated with additional psychopathology in a sample of young children with

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47

Peterman, Jeremy Scott. "The Effects of Cognitive-Behavioral Therapy for Youth Anxiety on Sleep Problems." Diss., Temple University Libraries, 2016. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/401478.

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Psychology<br>Ph.D.<br>Research supports shared neurological, cognitive, and environmental features among youth with sleep-related problems (SRPs) and anxiety. Despite overlap in interventions for SRPs and anxiety, little is known about the secondary benefit on SRPs following anxiety-focused treatment. The present study examined whether SRPs improved following cognitive-behavioral therapy (CBT) for youth with anxiety disorders. It also examined whether variables that may link anxiety and sleep problems (e.g. pre-sleep arousal, family accommodation, sleep hygiene) changed across treatment, and

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48

Nardini, C. "STATISTICS IN CLINICAL TRIALS: OUT OF CONDITION. SOME PROBLEMS OF UNCONDITIONAL INFERENCEAT THE CROSSROADS OF METHODOLOGY AND ETHICS." Doctoral thesis, Università degli Studi di Milano, 2013. http://hdl.handle.net/2434/218889.

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Randomized controlled trials are experiments for the evaluation of a new treatment option, currently representing the "gold standard" in health care assessment. Clinical trials fulfill a double role of evidence production and of regulatory oversight in sanctioning new drugs' approval into the drug market. For this reason trials are large and tightly regulated enterprises that have to comply with ethical requirements while at the same time maintaining high epistemic standards, in a balance that becomes increasingly difficult to strike as research questions become more and more sophisticated.

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Gunther, Steven. "Preschools, Pencils, Promise| Cognitive Functioning, Academic Achievement, and Behavior Problems as Correlates of Inhibitory Control Among Head Start Participants." Thesis, Alliant International University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10281603.

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<p> The Pencil-tapping Task is an assessment of key neuropsychological components such as cognitive inhibitory control (Smith-Donald, Raver, Hayes, & Richardson, 2007), attention, and working memory (Xue, Atkins-Burnett, Caronongan, & Moiduddin, 2011). These constructs are parts of executive function, which governs the brain’s ability to analyze and respond to its own processes. Given that executive function has been linked to number knowledge, expressive and receptive vocabulary, and classroom engagement (Fitzpatrick & Pagani, 2012), we may expect tests of executive function

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50

Hennessy, Kym. "Pre-clinical development of a podiatry-led complex intervention for foot problems in people with rheumatoid arthritis." Thesis, Glasgow Caledonian University, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.636481.

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Foot and ankle involvement in rheumatoid arthritis (RA) is common, and frequently impacts negatively on quality of life. Systemic interventions reduce overall disease activity. However, foot problems may continue even after reaching clinical remission. Therefore, non-pharmacological interventions are commonly utilised concurrently. These interventions have generally been investigated singularly, which does not reflect clinical practice. Thus, a complex intervention study investigating foot and ankle care in RA is needed. Prior to complex intervention study development, theoretical and evidence

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