Дисертації: "Clinal pattern"

1

Yan, Wing-fai. "Eye movement measurement for clinical applications using pattern recognition /." [Hong Kong : University of Hong Kong], 1988. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12434024.

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2

甄榮輝 and Wing-fai Yan. "Eye movement measurement for clinical applications using pattern recognition." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1988. http://hub.hku.hk/bib/B31209026.

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3

Coker, S. "Eating patterns in normal and clinical populations." Thesis, University of York, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.377282.

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4

Tao, Man-wai Angelina, and 堵敏慧. "Clinical and cognitive correlate of gaze pattern in early psychosis." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/192974.

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Lack of eye contact is one of the key clinical observations in schizophrenia. Sixteen schizophrenic patients and sixteen control subjects participated in our study of eye gazing. Frequencies of eye contact of both groups were measured in a role-play test which is closer to a natural environment. Autistic traits of both groups were measured using the Autism Quotient Questionnaire. We hypothesized that patients’ frequencies of eye contact were fewer than control subjects. We anticipated that patient group would score high in AQ. Furthermore, we examined the relationship between frequency of eye contact and cognitive functioning and symptomatology. Lastly, the study also examined the relationship between frequency of eye contact and autistic traits. Result showed that patients’ eye contact were significantly fewer than control group. Patients’ overall cognitive functioning was not as good as control group. In addition, schizophrenic patients scored significantly higher than control group in the Autism Quotient Questionnaire; autistic traits were found in schizophrenia patients. There was no relationship between frequency of eye contact and cognitive functioning. Nonetheless, negative correlation was found between frequency of eye contact and Digital symbol. More eye contact was associated with lower Digital symbol score. No relationship was found between frequency of eye contact and Autism quotient. Lastly, a trend correlation was found between frequency of eye contact and PANSS negative score; more eye contact was associated with higher PANSS negative score.
published_or_final_version
Psychological Medicine
Master
Master of Psychological Medicine

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5

Higgins, Katherine L. "Anxiety Sensitivity and Relationship Patterns." W&M ScholarWorks, 2003. https://scholarworks.wm.edu/etd/1539626421.

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6

Pansari, Abdul Latief. "Lifestyle and coronary prone behaviour pattern (Type A) in university administrators." Master's thesis, University of Cape Town, 1985. http://hdl.handle.net/11427/17020.

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Bibliography: pages 87-96.
The prevalence of Type A behaviour pattern and its relationship to specific lifestyle factors were investigated in 180 male university administrators aged 25 to 65. One hundred and twenty respondents were Afrikaans speaking; 60 were English speaking. All respondents were volunteers and were recruited from 16 different universities in South Africa. Information on lifestyles were obtained by questionnaires. Type A behaviour pattern was assessed using the Jenkins Activity survey. The Afrikaans group obtained significantly higher Type A scores than the English group. Factors involved were not clear. Other factors which were significantly related to Type A and/or other JAS scores were the number of people individuals were responsible for at work; the organizational rank and managerial achievement quotient of respondents; the number of promotions and the number of times respondents changed their line of work; the educational level of respondents; their Alcohol Consumption Index; feelings of loneliness; the number of hours they worked per week; their experience of subjective distress; whether they had a wife who worked outside the home or not; marital status of respondents, and their smoking behaviour. Results imply significant differences between culturally different groups leading different lifestyles but doing the same kind of work. Limitations of the study are looked at, and recommendations made for further research.

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7

Byrne, John. "An investigation of parallel computing techniques in clinical image processing, using transputers." Thesis, University of Aberdeen, 1992. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU045188.

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The objective of this work is to investigate the prospects for parallel computing in image processing applications in medicine. The tasks involved in filtered back projection reconstruction and retinal image registration are implemented on a hardware system based on the Inmos Transputer, using the OCCAM language. A number of task decomposition methods are used and their advantages and disadvantages discussed. An example which uses a pipeline illustrates the sensitivity of such an approach to uneven computational load over the network of processors. Farm networks and methods which use simple block division of data are investigated. The design of a system of interconnected processes for efficient, deadlock-free, communication within a grid network is proposed, designed and implemented. The difference in observed performance due both to task decomposition and to network communication are discussed. An image registration technique which uses the edges of image features to reduce the amount of data involved is proposed and implemented using the parallel network. The results of tests on the performance of the registration technique are presented. Registration using the edge-based technique is successful for a significant proportion of image pairs but, because of the high likelihood of registration being required for poor quality images, improvements are worthwhile. Where the registration technique failed, the human observer had equal difficulty in manually registering the same pair of images. A number of suggestions are made for further improvements of the technique. A strategy is proposed which uses task overlapping to improve the efficiency of a multi-stage parallel system of processes. The work highlights the most important factors in the application of parallel computing in image processing using a MIMD network and suggests a number of areas where further work is needed.

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8

Burrows, Andrea Maxine. "Volume and utilization patterns of nursing clinical placements." Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/43800.

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Healthcare restructuring and projected workforce shortages have resulted in the expansion of nursing programs and subsequent increase in student enrolment. Increased enrolment has led to competition for student practice education experiences adding pressures on academic institutions to find and coordinate practice education and resulting in pressures on healthcare agencies to provide these experiences. Placing student in the appropriate clinical setting at the appropriate time in their education is a complex and challenging process. In British Columbia, nursing schools and healthcare agencies have used a Web-based tool, Health Services Placement network (HSPnet), to communicate about and track nursing student placements since 2003. The purpose of this retrospective longitudinal study was to examine nursing student clinical placement hours over six academic years, 2005-2006 (2005/06) and 2010-2011 (2010/11) (from August 15, 2005 to August 14, 2011) within a large health authority in British Columbia. Data were examined for differences across years, between nursing programs (BSN, LPN, RPN, international RN), between types of placements (group or preceptorship), and between types of clinical settings. In conclusion, the health authority hosted a large number of student clinical practice hours with significant growth over time. Future research should explore methods to support student clinical placements in diverse practice settings, methods to enhance academic and practice partnerships, and methods to enhance learning environments that will be beneficial to both staff and students.

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9

Piao, Zhenhui. "INTERACTIVE CLINICAL EVENT PATTERN MINING AND VISUALIZATION USING INSURANCE CLAIMS DATA." UKnowledge, 2018. https://uknowledge.uky.edu/cs_etds/70.

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With exponential growth on a daily basis, there is potentially valuable information hidden in complex electronic medical records (EMR) systems. In this thesis, several efficient data mining algorithms were explored to discover hidden knowledge in insurance claims data. The first aim was to cluster three levels of information overload(IO) groups among chronic rheumatic disease (CRD) patient groups based on their clinical events extracted from insurance claims data. The second aim was to discover hidden patterns using three renowned pattern mining algorithms: Apriori, frequent pattern growth(FP-Growth), and sequential pattern discovery using equivalence classes(SPADE). The SPADE algorithm was found to be the most efficient method for the dataset used. Finally, a prototype system named myDietPHIL was developed to manage clinical events for CRD patients’ and visualize the relationships of frequent clinical events. The system has been tested and visualization of relationships could facilitate patient education.

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10

Munroe, Helena A. "Clinical reasoning in community occupational therapy : patterns and processes." Thesis, Heriot-Watt University, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.315181.

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11

Hobbs, Marissa. "Sorority Eating Patterns: A Longitudinal Investigation." TopSCHOLAR®, 2006. http://digitalcommons.wku.edu/theses/279.

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To date, most research in the area of college women and eating disorders has only been conducted to determine the prevalence of eating disorders among selected college subgroups. Although such research is limited, particularly for those women that choose to join social sororities, it generally indicates that sorority women represent a subgroup with high instances of eating disorders and often presents a conflicting view of these women's eating patterns and beliefs regarding weight loss and food. The present study was designed to continue the investigation of sorority women and their eating patterns by conducting a longitudinal study, consisting of five assessments over the course of one academic year, to assess whether the sorority women who are engaging in maladaptive eating behaviors and thought processes had these problems before joining a sorority or developed them later on as a member of the sorority. Specifically, this study was designed to answer the following research questions: First, do sorority women and nonsorority women differ in regards to weight, self-objectification, eating beliefs, or eating disorder symptoms at the start of or throughout the study? Additionally, do these initial reported weights, self-objectification scores, eating beliefs, or eating disorder symptoms vary over time for either group? Finally, is sorority membership a factor in any of these changes? Participants completed self-report measures of weight, eating beliefs (EBQ), eating disorder symptoms (EDDS), and self-objectification (TSOQ). The effects of time were analyzed for sorority members and non-sorority members using a 2 (sorority membership: sorority vs. non-sorority) x 5 (time: August vs. September vs. November vs. February vs. April) repeated measures analysis of variance (ANOVA) approach for the all of the dependent variables. Additionally, the interactions of sorority membership were analyzed. Results indicated there were no significant differences for self-objectification or the eating beliefs subscales of stereotypes, superstitions, or science. However, significant findings were shown for weight, the salves eating belief subscale, and reported eating disorder symptoms across time. Results are discussed in regards to the overall lack of significant differences between the two groups.

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12

Edman, Henrik. "Sequential Pattern Mining on Electronic Medical Records for Finding Optimal Clinical Pathways." Thesis, KTH, Programvaruteknik och datorsystem, SCS, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-230104.

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Electronic Medical Records (EMRs) are digital versions of paper charts, used to record the treatment of different patients in hospitals. Clinical pathways are used as guidelines for how to treat different diseases, determined by observing outcomes from previous treatments. Sequential pattern mining is a version of data mining where the data mined is organized in sequences. It is a common research topic in data mining with many new variations on existing algorithms being introduced frequently. In a previous report, the sequential pattern mining algorithm PrefixSpan was used to mine patterns in EMRs to verify or suggest new clinical pathways. It was found to only be able to verify pathways partially. One of the reasons stated for this was that PrefixSpan was too inefficient to be able to mine at a low enough support to consider some items. In this report CSpan is used instead, since it is supposed to outperform PrefixSpan by up to two orders of magnitude, in order to improve runtime and thereby address the problems mentioned in the previous work. The results show that CSpan did indeed improve the runtime and the algorithm was able to mine at a lower minimum support. However, the output was only barely improved.
Electronic Medical Records (EMRs) är digitala versioner av behandlingshistoriken för patienter på sjukhus. Clinical pathways används som riktlinjer för hur olika sjukdomar borde behandlas, vilka bestäms genom att observera utkomsten av tidigare behandlingar. Sequential pattern mining är en typ av data mining där datan som behandlas är strukturerad i sekvenser. Det är ett vanligt forskningsområde inom data mining där många nya variationer av existerande algoritmer introduceras frekvent. I en tidigare rapport användes sequential pattern mining algoritmen PrefixSpan på EMRs för att verifiera eller föreslå nya clinical pathways. Den kunde dock endast verifiera pathways delvis. En av anledningarna som nämndes för detta var att PrefixSpan var för ineffektiv för att kunna köras med en tillräckligt låg support för att kunna finna vissa åtgärder i en behandling. I den här rapporten används istället CSpan, eftersom den ska överprestera PrefixSpan med upp till två storleksordningar, för att förbättra körningstiden och därmed adressera problemen som nämns i den tidigare rapporten. Resultaten visar att CSpan förbättrade körningstiden och algoritmen kunde köras med lägre support. Däremot blev utdatan knappt förbättrad.

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13

Adams, F. G. "The value of common bone-scan patterns in clinical practice." Thesis, University of Aberdeen, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.592043.

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This study examined 1265 consecutive patients and uniquely based the scan diagnoses on prior operational definitions of different scan patterns: it also uniquely determined the reproducibility (reliability) of the operational definitions. Diagnoses based solely on scan patterns were reliable. The accuracy of scanning was comparable to other published series. However, with the exception of the pattern for multiple metastases and some of the rarer more complex patterns, the diagnostic accuracy was probably too low for clinical practice. The diagnostic accuracy of scanning improved when the scan was considered in conjunction with simple clinical parameters such as of pain of an history of malignancy; this increases the prevalence of disease in the study population and improves diagnostic accuracy. The variables age, sex, ingestion of steroids, and the ESR and alkaline phosphatase were of little value. When scan diagnoses were considered in conjunction with radiology, there was a small but significant improvement in diagnostic accuracy. The data were then analyzed using discriminant analysis; this technique eliminated the problems of cross correlation. The nature of pain was found to be useful discriminant. In malignancy and infection, scanning was the most discriminating variable. In arthritis, trauma and Paget's disease, radiology was the most discriminating variable. The final task was to perform a cost-effective analysis. The most cost- effective use of resources occurred when scanning and radiology were utilized in conjunction with discordance between of symptoms and the original imaging modality. Having identified potential savings, it was difficult to realize them because fixed costs comprised a large proportion of the total costs. It was then estimated that as the costs of investigation significantly outweigh the costs of standard surgical treatment efficient investigation would release more resources than the avoidance of inappropriate surgery.

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14

Stanton, Andrew E. "Problem asthma clinic : cohort observational study of the upper airway and breathing pattern." Thesis, University of Glasgow, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.437960.

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15

Walsh, Susan A. "The Effects of Pattern Recognition Based Simulation Scenarios on Symptom Recognition of Myocardial Infarction, Critical Thinking, Clinical Decision-Making, and Clinical Judgment in Nursing Students." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/nursing_diss/18.

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In the United States nearly 1 million annual new and recurrent myocardial infarctions (MI) occur with 10% of patients hospitalized with MI having unrecognized ischemic symptoms. Inexperienced nurses are expected to accurately interpret cardiac symptom cues, possibly without ever having experienced care of patients with MI, yet have been shown to be less able to classify symptom cues and reach accurate conclusions than experienced nurses. The purpose of this study was to test an educational intervention using theories of pattern recognition to develop CT in MI and improve nursing students’ clinical decision-making and clinical judgment using high fidelity patient simulation. This study used a quasi-experimental three group pre-/post-test design and qualitative data to triangulate information on critical thinking, clinical decision-making, and clinical judgment in MI. A sample of junior baccalaureate in nursing students (N = 54) from a large metropolitan university were divided in pairs and randomized to one of two control groups. Data were collected with instruments which measured pattern recognition in MI, critical thinking in MI, and self-perception of clinical decision-making. In addition, diagnostic efficiency and accuracy were measured. Triangulation on clinical decision making with semi-structured interviews using ‘thinking aloud’ technique was conducted. Data were analyzed as qualitative data and compared among groups. Students who were given prototypes for MI using simulation significantly improved critical thinking as measured by pattern recognition in MI (t(3.153(2), p = .038) compared with the non-simulation control group. Qualitative findings showed that students receiving the experimental simulation with a non-MI scenario and feedback-based debriefing had greatest gains in clinical reasoning which included development of clinical decision-making using analytic hypothetico-deductive and Bayesian reasoning processes and learned avoidance of heuristics. Students receiving the experimental simulation learned to identify salient symptom cues, analyzed data more complexly, and reflected on their simulation experience in a way which students reported improved learning. Students who were given MI only simulation scenarios developed deleterious heuristics and showed fewer gains in clinical reasoning, though both simulation groups demonstrated greater critical thinking ability than the non-simulation control group. Findings support the use of simulation to improve clinical reasoning including pattern recognition and clinical decision-making, and emphasize the significance of simulation scenario construction and debriefing to achieving learning outcomes. The findings could be used to guide further research to improve critical thinking, clinical decision-making, and clinical judgment in nursing students using simulation. Funding for this study was provided by the American Association of Critical Care Nurses and Philips Medical Systems and a testing grant from Elsevier, Assessment.

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16

Hagman, Carina. "Dysfunctional breathing : Clinical characteristics and treatment." Doctoral thesis, Uppsala universitet, Fysioterapi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-295667.

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Background: Dysfunctional breathing (DB) is a respiratory disorder involving an upper chest breathing pattern and respiratory symptoms that cannot be attributed to a medical diagnosis. Aim: The overall aim of this thesis was to describe patients with DB and investigate clinical outcomes after physiotherapy treatment. Methods: Study I was descriptive and comparative, that included 25 patients with DB and 25 age- and sex-matched patients with asthma. Health-related quality of life (HRQoL), anxiety, depression, sense of coherence, influence on daily life due to breathing problems, respiratory symptoms, emergency room visits and asthma medication were investigated. Study II, a 5-year follow-up study based on the same sample as study I (22 patients with DB, 23 patients with asthma), studied treatment outcomes after information and breathing retraining. Study III was descriptive and correlational (20 healthy subjects), investigating whether the Respiratory Movement Measuring Instrument (RMMI) can discriminate between different breathing patterns in varying body positions. Study III also studied correlations between respiratory movements and breathing volumes (12 healthy subjects). Study IV was a single-subject AB design with follow-ups. Self-registered patient-specific respiratory symptoms and respiratory-related activity limitations and breathing pattern (measured with the RMMI) were evaluated after an intervention consisting of information and breathing retraining in five patients with DB. Results: Patients with DB had lower HRQoL (SF-36): vitality (mean 47 vs. 62), social functioning (70 vs. 94) and role emotional (64 vs. 94) (p<0.05) than patients with asthma. The DB group had a higher prevalence of anxiety (56% vs. 24%) and experienced more breathing problems than the asthma group. Patients with DB had made several emergency room visits and had been treated with asthma medication. At the 5-year follow-up, patients with DB showed improved HRQoL (SF-36): physical function 77 to 87 (p=0.04), decreased breathing problems and emergency room visits, and they were not treated with asthma medication. The RMMI can differentiate between different breathing patterns in different body positions. Strong correlations between respiratory movements and breathing volumes were observed (rs 0.86-1.00). The results in study IV indicate that patients with DB benefit from information and breathing retraining regarding decreased respiratory symptoms and activity limitations and improved breathing pattern.

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17

Jackson, Russell Neilend. "An In-Depth Exploration of Clinical Patterns Within Spiritually Integrated Therapy." BYU ScholarsArchive, 2020. https://scholarsarchive.byu.edu/etd/8605.

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The last 3 decades have seen a dramatic increase in the creation and effective use of spiritually integrated therapy (SIT) for a wide variety of client populations and clinical issues. The outcome research on SIT has increased and improved dramatically, yet process research on SIT has lagged somewhat. While valuable, prior process-oriented studies on SIT have used retrospective survey methods and asked about generalized usage rates of predetermined spiritual interventions. Rather than relying on retrospective reports of SIT with clients, there is great value and likely greater accuracy in examining session-by-session usage of SIT with clients and identifying correlational patterns between clinical issues and spiritual interventions. The current study used a descriptive, practice-based evidence approach and analyzed session-by-session process data from a private practice explicitly marketed as offering SIT. After every therapy session, eight therapists at this site completed an in-depth process measure, the Clinically Adaptive Therapist Session Checklist, and reported which clinical issues they discussed and which spiritual interventions they used in session. Findings revealed that therapists discussed self-esteem, anxiety, depression, and religious/spiritual concerns in over half of their sessions. Therapists also endorsed affirming clients' divine worth, encouraged trusting God, encouraged clients to listen to their heart, and encouraged accepting God's love in over half of their sessions. The strongest positive correlations between spiritual interventions and clinical issues were between challenging shame and challenging fear, and emotional orientation (r = 0.664 and 0.648, respectively). The clinical patterns found in this analysis illustrate one way of incorporating spirituality into clinical work. This study highlights the importance of routine outcome/process monitoring systems to help illuminate the process of SIT and contribute to deliberate practice efforts in the field. This study also stimulated discussion on the distinction between SIT and being a spiritually centered therapist.

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18

Son, Seong Jun. "Clinical Predictors of Movement Patterns in Patients with Chronic Ankle Instability." BYU ScholarsArchive, 2017. https://scholarsarchive.byu.edu/etd/6618.

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BACKGROUND: Chronic ankle instability (CAI) patients have varying levels of mechanical and sensorimotor impairments that may lead to disparate functional movement patterns. Current literature on landing biomechanics in a CAI population, however, considers all patients as a homogeneous group. In our prior work, we identified 6 subgroups of movement patterns using lower extremity kinematics during a landing/cutting task and that showed promise in furthering understanding of movement patterns in a laboratory-based environment. To increase the utility of this methodology in clinical settings, there is a need to find easily administered clinical tests that can help identify multiple subgroups of movement patterns in a CAI population. The purpose of the present study was to identify clinical tests that would help identify frontal and sagittal kinematic movement pattern subgroups during a landing/cutting task. We hypothesized that clinical tests would help predict group assignment; which CAI patient is assigned to frontal and sagittal kinematic movement pattern subgroups, respectively. METHODS: We recruited 100 CAI patients from a university population. We used three-dimensional instrumented motion analysis to capture ankle, knee and hip kinematics as subjects performed a single-leg maximal jump landing/cutting task. We used sagittal and frontal joint angle waveforms to group CAI patients. We then used 12 demographic and clinical measures to predict these subgroups of CAI. These consisted of gender, Star Excursion Balance Test-Anterior (SEBT-ANT), Biodex static balance, figure 8 hop, triple crossover hop, dorsiflexion range of motion (DFROM), number of failed trials, body mass index, a score of Foot and Ankle Ability Measure-Activities of Daily Living (FAAM-ADL), a score of FAAM-Sports, number of "yes" responses on Modified Ankle Instability Index, and number of previous ankle sprains. First, we used functional principal component analysis to create representative curves for each CAI patient and plane from the 3 lower extremity joint angles. We then used these curves as inputs to a predictor-dependent product partition model to cluster each CAI patient to unique subgroups. Finally, we used a multinomial prediction model to examine the accuracy of predicting group membership from demographic and clinical metrics. RESULTS: The predictor-dependent product partition model identified 4 frontal and 5 sagittal movement pattern subgroups. Six predictors (e.g., gender, SEBT-ANT, figure 8 hop, triple crossover hop, DFROM, and FAAM-ADL) predicted group membership with 55.7% accuracy for frontal subgroups. Ten predictors (minus Biodex static balance and number of previous ankle sprains) predicted group membership with 59% accuracy for sagittal subgroups. CONCLUSION: Novel statistical analyses allowed us to predict group membership for multiple frontal and sagittal kinematic movement patterns during landing/cutting using a series of clinical predictors. However, due to relatively lower accuracy (56–59% accuracy), the clinical utility of the current prediction model may be limited. Future work should consider including other clinical predictors to maximize prediction accuracy for identifying multiple kinematic movement patterns during a landing/cutting task.

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19

Hussain, Manir. "Therapeutic management of the elderly in nursing and residential homes." Thesis, Cardiff University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297902.

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20

Harte, Brittany Marie-Bach. "Patterns and Prevalence of Metabolic Syndrome among Persons Receiving Treatment with Antipsychotic Medications." W&M ScholarWorks, 2007. https://scholarworks.wm.edu/etd/1539626543.

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21

Yiu, Kar-lok. "Clinical research and drug prescription patterns among private practitioners in Hong Kong /." View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B31494857.

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22

Yiu, Kar-lok, and 姚嘉諾. "Clinical research and drug prescription patterns among private practitioners in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45010547.

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23

Muehlhauser, Carlyn. "Perceived Criticism, Self-Criticism, and Disordered Eating Patterns in College Students." Thesis, Southern Illinois University at Edwardsville, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10268085.

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Previous research has shown that individuals with disordered eating patterns who come from a family that is high in Expressed Emotion tend to have more disordered eating behaviors and over a longer period of time. There is less research on how a person’s perception of their family’s expressed emotion, specifically the criticism directed at them by a parental figure, affects their disordered eating patterns. The purpose of this research was to examine whether there is a relationship between perceived criticism and disordered eating patterns, as well as whether this relationship is influenced by self-criticism. One hundred and five undergraduate college students participated in an online survey that measured perceived criticism, their self-criticism, and their disordered eating behaviors and thoughts. The results suggest that levels of perceived criticism and disordered eating behaviors and thoughts were not related to each other. However, an individual’s perception of parental self-criticism was related to their level of self-criticism. Their level of self-criticism in turn was related to their disordered eating behaviors and thoughts, demonstrating an indirect relationship between perceived criticism and disordered eating patterns. These findings offer some potential areas of consideration for clinicians treating clients with disordered eating behaviors.

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24

Landrau, Kimberly Ann. "Exploring Patterns of Resilience in Individuals Who Identify as Native American." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4002.

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Native Americans experience a higher rate of homicide, suicide, and injury, on average, than do others in the United States. There has been little research, however, on turning point and epiphany experiences as factors that contribute to resilience in Native Americans. The purpose of this study was to add to this body of knowledge, and promote social change such as greater engagement and dialogue within Native American communities. The theory that informed the study was resilience theory. Two questions were answered: (a) the ways in which turning point life experiences have correlated with resilience in Native American individuals, and (b) the manner in which characteristics (e.g., gender, age, socioeconomic status, spirituality, disability, and sexual orientation) are influential with respect to the turning point experiences that Native Americans report relative to resilience. Inclusionary criteria were purposefully broad in order to encourage participation in the process. Narratives were invited that detailed life histories, for a psychological study. Snowball methodology was also employed in an area where census records indicated that Native Americans resided, resulting in a sample of 4 adult individuals (2 men and 2 women) of Native American descent. Data from the autobiographical narratives were analyzed for themes. These participants experienced a pivotal experience or group of experiences that led them to engage in behavior that produced beneficial results impacting career prospects and producing subjective life satisfaction. Findings support the theory that certain turning point experiences (specifically, interactions with supportive family and community members) enhance resilience in Native American individuals.

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25

Bhatt, Meeta. "Prescriptive pattern and clinical decision making in complicated endodontic cases using cone-beam computed tomography." Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/63265.

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Purpose: Cone Beam Computed Tomography (CBCT) is an advanced but new imaging technique used in dentistry. Although it already has acquired a substantial literature, that literature does not include evidence-based evidence both for its indications-for-use and for its efficacy in comparison to the conventional approach to diagnosis and treatment planning. Aims: To determine the pattern of prescription of CBCT by all UBC dental programs with particular regard to the field-of-view (FOV). To determine whether the CBCT prescriptions by the Graduate Endodontics Program were compliant with the joint American-Academy-of-Oral-and-Maxillofacial-Radiology and American-Academy-of-Endodontics (AAOMR/AAE) position statement (viz guidelines). To determine by reference to the EPR whether CBCT changed the original diagnosis and/or treatment plans based on the initial clinical examination and the conventional radiographic. Methods: Ethics approval certificates H14-02191 and H15-03507 were granted for this retrospective study. All CBCT prescriptions were audited. The audit revealed that CBCT prescriptions by the Graduate Endodontics program were for a wide range of clinical reasons and worthy of further study. The pattern of prescription of CBCT was reviewed, by reference to electronic patient record (EPR), to determine whether it was compliant with the AAOMR/AAE guidelines. The statistical test, Chi-square was used. Results: All but one CBCT in the audit were for small and medium-sized FOVS. All 128 CBCT prescriptions (in 110 consecutive patients) were AAOMR/AAE-guidelines compliant. CBCT identified significantly more features than conventional radiography (p<0.001), particularly with regards to the identification of periapical lesions (p = 0.002), missed canals (p < 0.001), vertical root fractures (p = 0.004) and complex anatomy (p = 0.008). The significant results were seen with respect to change in diagnosis (p<0.001), change in treatment plan (p< 0.005). The AAOMR/AAE recommendations were found to be incomplete. Conclusion: CBCT permitted the identification of more numbers of periapical lesions, missed canal, complex anatomy and vertical root fracture than initially observable on conventional radiography. This study is perhaps the first to ‘road-test’ the AAOMR/AAE guidelines in an authentic clinical environment. It identified an important hiatus in these guidelines; they did not consider missed/extra canals in teeth which required endodontic re-treatment.
Dentistry, Faculty of
Graduate

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26

Chernyak, Ann. "TREATMENT MODALITIES AND ANTIBIOTIC PRESCRIPTION PATTERN OF AGGRESSIVE PERIODONTITIS IN A TEACHING DENTAL CLINIC SETTING." Master's thesis, Temple University Libraries, 2012. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/160673.

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Biology
M.S.
Periodontal infection can manifest itself in many different clinical presentations. The aggressive form of this disease is frequently seen in the younger patient population referred for treatment to the Temple University Kornberg School of Dentistry (TUKSD). This study was done to assess the demographics of aggressive periodontitis cases and the types of periodontal treatment methods provided to these patients, antibiotic prescription patterns and compliance with treatment. A chart review was conducted to identify cases of aggressive periodontitis in patients <30 years of age referred for treatment at the Graduate Periodontology and Oral Implantology Clinic, TUKSD. The diagnosis of aggressive periodontitis was validated by presence of characteristic radiographic bone loss at permanent incisors and molars. Exclusion criteria were deficient radiographs, and a medical history of systemic diseases that compromise the immune response. Twenty-two aggressive periodontitis cases were identified among 300 charts surveyed. All patients were 12-26 years old. The patient sample was comprised mainly of African American race-ethnicity, with no predominance of a sex group. Initial treatment with scaling and root planing, was done in 64% of cases with 36% dropout before treatment. Microbial plaque testing was done in 46% of cases, and 59% received systemic antibiotics. A combination antibiotic therapy regimen was often used in combination with nonsurgical periodontal therapy. Most patients did not present for treatment beyond the non-surgical phase, and some even before the treatment started. Because periodontal non-surgical treatment of aggressive periodontitis cases in the pre-doctoral clinic takes relatively long time, it is recommended that the treatment of these cases be expedited by referring the patients to the graduate clinic for all periodontal treatment including the initial phase.
Temple University--Theses

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27

Colborn, Ann. "Investigation into the relationship between disturbed eating patterns and pressure to achieve in female students." Master's thesis, University of Cape Town, 1994. http://hdl.handle.net/11427/13468.

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Includes bibliographical references.
The aetiology of eating disorders has been described by experts as being multidetermined. Of particular interest has been the apparent increase in incidence of these disorders over the past decade. It has been hypothesised that the sociocultural pressure on women living in Western cultural environments to maintain a low body weight had contributed to this increase. This study explored the hypothesis that young females under pressure to be thin because of professional expectations would display a high prevalence of abnormal eating attitudes. Further, that young women, who are under pressure to achieve and be successful would possibly also constitute a vulnerable population. In order to examine these aetiological variables, three independent groups of students were studied. Social Science Students (n=42); Medical Students (n=40) and Dance Students (n=34) were chosen as they represented respectively: a group who were not under specific pressure to be thin or maintain a high standard of achievement; a group who are under constant stress to excel; and finally a group who are under pressure to be very thin because of professional requirements.

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28

Hemrich, Ashley. "The Effects of Facebook on Users' Body Image, Eating Patterns, & Self-Esteem." Thesis, Southern Illinois University at Edwardsville, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1558881.

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The purpose of this study was to determine whether viewing the Facebook profiles of women differing in levels of attractiveness and thinness would influence the viewer's self-esteem, eating patterns, and body image. Specifically, it was hypothesized that viewing the profile of an attractive, thin woman would result in the reduction of self-esteem and body image with an increase in eating disorder-related thoughts and behaviors, while viewing the Facebook profile of a heavier and less attractive woman would bolster self-esteem and body image while reducing disordered eating thoughts and behaviors in a college-aged, female population. Contrary to the hypotheses, none of the analyses revealed a significant interaction. However, there was a significant main effect for time on eating attitudes and behaviors, suggesting that participants' attitudes toward eating became significantly worse over time. This study is unique in that it is the first to experimentally test whether the attractiveness level of the viewed Facebook profile would affect body image, self-esteem, and/or eating attitudes.

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29

Pontefract, Amanda. "Differentiating coping patterns for illness-related and other types of stressors in adolescents with chronic illness." Thesis, University of Ottawa (Canada), 2003. http://hdl.handle.net/10393/29063.

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The aim of this study was to investigate the personal stressors and patterns of coping in adolescents living with a chronic illness. Primary objectives were to: (1) identify salient stressors and to determine the relation between cognitive appraisals and the degree to which a stressor is perceived as illness-related or typical of adolescence; (2) assess differences in coping strategies used for illness-related and other types of stressors; (3) investigate if gender or age influences the frequency, cognitive appraisals or types of stressors reported, or the nature and the overall number of coping strategies reported. A secondary objective was to assess the extent to which health-related quality of life is related to stressors, coping strategies and coping in general. In the current study, 193 chronically ill adolescents listed up to 20 personal stressors and rated the frequency, control over the cause, perceived impact, control over the outcome, and the extent to which each stressor was related to the chronic illness, and typical of adolescence. Adolescents reported coping strategies (Kidcope) for one self-identified illness related and one non-illness related stressor and for two stressors standardized for the entire sample. Participants also completed a global measure of adolescent coping (A-COPE) and a health-related quality of life measure (Rand 36-item Health Survey). Results showed that the most frequently identified stressors were similar to those reported for healthy adolescents. Moreover, stressors were rated as more typical of adolescence than they were illness-related. Although perceived control over the cause was negatively related to stressor impact for self-identified stressors, neither controllability ratings nor impact were significantly correlated with illness or typical ratings. Considerable consistency in coping was found across self-identified stressors only. Females employed more social support and emotional regulation than did males. Although the number of stressors and the perceived impact of stressors increased with age, consistent age differences in coping were not obtained. Poorer general health perception was associated with greater impact for illness stressors. Perceived controllability over the outcome was associated with increased approach coping for both self-generated and standard stressors. Study limitations, suggestions for future research, and clinical implications are discussed.

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Clark, Sarah W. "LONGITUDINAL PATTERNS OF DEPRESSION SYMPTOMS AMONG EMERGING ADULTS." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5945.

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Research has suggested that depression symptoms generally decrease after late adolescence; however, there is increasing attention paid to depression symptoms among college students given the stressors unique to this time period and negative outcomes associated with depression. This study examined latent trajectories of depression symptom severity among college students. Participants were 9,889 college students who participated in the Spit for Science project (Dick et al., 2011). Growth Mixture Modeling was used to identify the presence of four subgroups of individuals with similar patterns of initial level and change in depression severity over four years of college, including Low/Minimal (55.9%), Decreasing (2.8%), Increasing (11.6%), and Chronically Elevated (29.7%) groups. Risk factors of belonging to a depressed mood trajectory include female gender; lesbian, gay, or bisexual orientation; and experiencing a greater number of stressful life events. Higher social support and self-reported resilience were associated with decreased likelihood of belonging to any of the depressed mood trajectories. Overall, it appears that most college students in this sample experience only mild depression symptoms; however, it is important to recognize and intervene early with individuals who report elevated depression symptoms as some are at risk for persistent and increasing depression across college.

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31

Korchynska, T., and S. I. Tarnavska. "The clinical features bronchial asthma in children depending on the inflammatory blood patterns." Thesis, XVI International Congress of Medical Sciences, 2017. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/13094.

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32

Staehlin, Tara Marie Staehlin. "Identifying Therapeutic Alliance Patterns Among a Feasible Clinical Measure to Improve Treatment Outcome." Antioch University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=antioch14739887142858.

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33

Riska, Kristal M., Faith W. Akin, and Owen D. Murnane. "Patterns of Vestibular Findings Among Veterans Presenting with Dizziness to the Vestibular Clinic." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/1875.

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The purpose of this session is to present data on the patterns of clinical findings in Veterans referred for vestibular assessment. Specifically, we will examine the proportion of abnormalities of the horizontal semi-circular canal and the otolith organ pathways.

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34

Feldman, Clyde Myles. "The role of conflict-based communication patterns in male physical aggression toward female partners." Diss., The University of Arizona, 1998. http://hdl.handle.net/10150/282790.

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The primary purpose of this study was to investigate the association between twenty conflict-based, communication patterns and the level of occurrence (categorical variable) and frequency (continuous variable) of male physical aggression towards female partners. Participants were 280 male volunteers drawn from a community preventative health clinic (n = 236) and from a domestic violence monitoring program for misdemeanor domestic violence offenses (n = 44). Males reported on nine verbally aggressive, five avoidance/withdraw, and six problem-solving/cooperation communication patterns for both self and partner. The communication patterns included mutual verbal aggression, unilateral verbal aggression, threaten/back down, blame/defend, pressure/resist, mutual avoidance, unilateral avoidance, demand/withdraw, mutual problem-solving, unilateral problem-solving, and net constructive communication (i.e., mutual problem-solving minus mutual verbal aggression). Four groups were formed based upon the occurrence of physically aggressive acts during the last twelve months: (a) completely nonviolent, (b) nonviolent toward partner but violent toward others, (c) 1-5 instances of violence toward partner, and (d) 6 or more instances of violence toward partner. Relationship distress was also examined as a moderator and as distress-nonviolence contrasted with violence. Primary findings were that 19 of 20 communication patterns were significantly associated with low and/or high frequency of physical aggression in comparison to nonviolence. Verbally aggressive patterns contributed most (33%), problem-solving/cooperation patterns contributed the second most (27%), and avoidance/withdraw patterns contributing the least (13%) to explaining differences in the level of occurrence of physical aggression. The seven strongest communication patterns indicated that physically aggressive relationships had more mutual verbal aggression, more male and female unilateral aggression, more male threaten/partner back down, less net constructive communication, less mutual problem-solving, and more male demand/partner withdraw than their nonviolent counterparts. Relationship distress was not found to moderate the relationships between any of the twenty communication patterns and physical aggression. Furthermore, only five patterns were found to be more characteristic of physically aggressive relationships than distressed, nonviolent relationships (the above seven patterns excluding problem-solving and demand/withdraw); the other fifteen were equally characteristic of either physical aggression or distress-nonviolence.

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Henriksson, Svante. "The treatment of depression in clinical practice : a public health perspective /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-966-8/.

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36

Ryan, Kelsea M. "Intentional weight loss among healthy women| Behavior patterns and psychological concerns." Thesis, San Jose State University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1583511.

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Although there is an extensive literature on women who are overweight, obese, or suffer from eating disorders, less is known about women who are at a healthy weight yet who are attempting to lose weight. To learn more about the psychological characteristics and behavioral patterns of such women, this study analyzed data from the American College Health Association's National College Health Assessment (ACHA-NCHA-II). We compared these women with two groups of women: (a) those who are at a healthy weight but who are not attempting to lose weight and (b) overweight women who are attempting to lose weight. We employed numerous variables including BMI, depression, anxiety, academic performance, exercise, and diet strategies in these comparisons. In terms of psychological health and weight-related behavior, healthy women attempting weight loss are more similar to overweight women who are attempting weight loss than they are to healthy women who are not attempting to lose weight. We found comparatively high rates of depression, anxiety, and academic difficulty among our target population. Based on our findings and the relevant literature, we recommend that university health officials provide weight-related educational information to female students in an effort to promote psychological well-being and healthy weight practices.

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37

Khairat, Saif. "Clinical content tracking system an efficient request tracking via a graphical user interface /." Diss., Columbia, Mo. : University of Missouri-Columbia, 2007. http://hdl.handle.net/10355/4892.

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Thesis (M.S.)--University of Missouri-Columbia, 2007.
The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on March 28, 2008) Vita Includes bibliographical references.

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38

Iida, Yuko. "Branch Retinal Vein Occlusion: Treatment Outcomes According to the Retinal Nonperfusion Area, Clinical Subtype, and Crossing Pattern." Kyoto University, 2019. http://hdl.handle.net/2433/245314.

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39

Church, Gregory Warren. "Macrohabitat factors affecting distribution patterns of freshwater mussels in the Clinch River (Virginia, Tennessee)." Connect to this title online, 1997. http://scholar.lib.vt.edu/theses/available/etd-10262005-143548/.

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40

Smith, Anabela Da Silva. "Youth Self-Report : profile patterns of adjudicated adolescents and diagnostic efficiency of clinical scales /." View online ; access limited to URI, 2005. http://0-wwwlib.umi.com.helin.uri.edu/dissertations/dlnow/3206247.

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41

Vinh, Ha. "The changing epidemiology, clinical syndrome and antibiotic resistance patterns of shigellosis in Vietnamese children." Thesis, Open University, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.539416.

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42

Green, Martin Jeremy. "Clinical mastitis in dairy cows : studies of bacterial ecology and somatic cell count patterns." Thesis, University of Warwick, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.404860.

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43

Church, Gregory W. "Macrohabitat factors affecting distribution patterns of freshwater mussels in the Clinch River (Virginia, Tennessee)." Diss., Virginia Tech, 1997. http://hdl.handle.net/10919/40246.

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44

Entrican, J. H. "The changing pattern of inflammatory bowel disease : A study of the epidemiology and clinical pattern of inflammatory bowel disease in the Lothian Region of Scotland over a defined period." Thesis, University of Aberdeen, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.374621.

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45

Carvour, Martha Lydia. "Patterns and predictors of survival following an HIV/AIDS-related neurologic diagnosis." Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/2454.

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Infection with human immunodeficiency virus (HIV) and progression to acquired immune deficiency syndrome (AIDS) often result in neurologic and neuropsychiatric changes, although the prognostic information available for patients affected by HIV/AIDS-related neurologic diagnoses has been limited. The objective of the present study was to characterize the patterns and predictors of survival, including the impacts of antiretroviral therapy (ART) use and potential factors in healthcare access and disparity, among patients with one or more of the following conditions: cryptococcosis, toxoplasmosis, primary central nervous system lymphoma, progressive multifocal leukoencephalopathy, and HIV-associated dementia. To accomplish this, a cohort was drawn from the Iowa HIV/AIDS reporting system, and a non-independent, university-based cohort was then used to validate the analyses conducted for the statewide sample. Patterns of ART use were identified in each cohort using logistic regression, and survival analyses were conducted using Kaplan-Meier analysis, Cox regression, and accelerated failure time modeling. Survival was poor in both cohorts, although the university-based setting (University of Iowa Hospitals and Clinics) was associated with better overall survival. Of 230 persons in the statewide cohort, 77.0% were deceased by the end of the study period (1982-2008), and the median survival was 1.13 years (95% CI: 0.90 to 1.86 years, n=225). By contrast, 56.4% of the university-based cohort was deceased by the end of the study period (1984-2009), and the median survival in this group was 3.04 years (95% CI: 1.79 to 11.62 years, n=172). Both cohorts were predominantly male, non-Hispanic white, and residents of a small metropolitan area at the time of the AIDS diagnosis. ART use had a strong protective effect on survival in both cohorts. Use of ART among patients diagnosed during the era of highly active antiretroviral therapies (HAART) was associated with an 80% reduction in the rate of death (HR=0.20, 95% CI: 0.08 to 0.46) compared to the non-users diagnosed during the pre-HAART era (that is, prior to 1996), after adjustment for age, race, birth sex, healthcare facility type, opportunistic infection count, HIV transmission risk category, neurologic condition, years since AIDS diagnosis, and timing of neuro-AIDS in a Cox regression model. In the UIHC cohort, the adjusted expected survival time among ART/HAART users was 37.71 (95% CI: 14.44 to 99.48) times that among non-users. Women had significantly poorer outcomes than men in the statewide cohort (adjusted HR=2.31, 95% CI: 1.22 to 4.35), and a similar, non-significant trend was observed among university-based cases. Secondary analyses suggested that this difference persisted over the course of the epidemic and was not attributable to differential ART response among men and women. Evidence for a role of disease severity, psychosocial support, and/or psychiatric comorbidity in the differential survival of men and women was identified. This study provides useful prognostic data for patients and providers and may guide future research efforts aimed toward improved survival for neuro-AIDS patients. The survival disadvantage of women compared to men should be confirmed and the mechanisms underlying this disparity elucidated. Meanwhile, clinical and public health efforts might be directed towards screening, treatment, and support for women affected by neuro-AIDS, including potential assessment of comorbid psychiatric disorders.

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46

Cregg, David Robert. "Positive Emotion Regulation: Patterns and Associations with Psychological Health." The Ohio State University, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=osu1510769755167982.

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47

Mpasa, Ferestas. "Strategies for the implementation of clinical practice guidelines in the intensive care : a systematic review." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1020046.

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Implementation strategies for the use of clinical practice guidelines are an integral component in bridging the gap between the best research evidence and clinical practice. However, despite some remarkable investments in health research regarding clinical practice guidelines implementation strategies, it is not yet known which of these are the most effective for intensive care units. The purpose of this research study was to systematically identify and /or search, appraise, extract and synthesize the best available evidence for clinical practice guidelines implementation strategies in intensive care units, in order to develop a draft guideline for clinical practice guidelines implementation strategies in the intensive care units. A systematic review design was used to systematically identify and /or search, appraise, extract and synthesize the best available evidence from the eligible included Level 2 studies (randomized controlled trials and quasi-experimental studies). Level 2 studies were applicable because they present robust evidence in the research results regarding effectiveness of clinical practice guideline implementation strategies. Furthermore, although other systematic reviews conducted in this area before, they included studies of In addition, no systematic review was identified that reviewed Level 2 studies and developed a guideline for clinical practice guideline implementation strategies in the intensive care units. Hence, including only Level 2 studies was distinctive to this research study. Databases searched included: CINAHL with full text, Google Scholar, Academic search complete, Cochrane Register for Randomized Controlled Trials Issue 8 of 12, August 2013, and MEDLINE via PUBMED. Hand search in bound journals was also done. The search strategy identified 315 potentially relevant studies. After the process of critical appraisal, thirteen Level 2 studies were identified as relevant for the review. Of the 13 relevant studies, 10 were randomized controlled trials and three were quasi experimental studies. After the critical appraisal ten RCTs were included in the systematic review. Three studies (quasi-experimental) were excluded on the basis of methodological quality after the critical appraisal and agreement by the two independent reviewers. The Joanna Briggs Institute Critical Appraisal MASTARI Instrument for Randomized Controlled trials/ Experimental studies, and The Joanna Briggs Institute data extraction tools were used to critically appraise, and extract data from the ten included randomized controlled trials. The two reviewers who performed the critical appraisal were qualified critical care professional nurses and experts in research methodology. These reviewers conducted the critical appraisal independently to ensure the objectivity of the process. Appropriate ethical considerations were maintained throughout the process of the research study. The results indicated that 80 percent of the included studies were conducted in adult intensive care units while 20 percent were conducted in the neonatal intensive care units. Furthermore, 60 percent of the studies were conducted in the United States of America, 10 percent in France, a further 10 percent in Taiwan, another 10 percent in England and yet another 10 percfent was conducted in Australia and Newzealand. The included studies utilized more than one (multifaceted) implementation strategies to implement clinical practice guidelines in the intensive care units. The first most utilized were: printed educational materials; Information/ educational sessions/meetings; audit and feedback and champion/local opinion leaders; seconded by educational outreach visits; and computer or internet usage. Third most used were active/passive reminders; systems support; academic detailing/ one-on-one sessions teleconferences/videoconferences and workshops/in services. Fourth most used were ollaboration/interdisciplinary teams; slide shows, teleconferences/videoconferences and discussions. Fifth most used were practical training; monitoring visits and grand rounds. However all the strategies were of equal importance. Conclusively, the included studies utilized multifaceted implementation strategies. However, no study indicated the use of a guideline for the implementation strategies in the process of clinical practice guidelines implementation. The systematic review developed a draft guideline for clinical practice guideline implementation strategies in the intensive care units. The guideline will enhance effective implementation of clinical practice guidelines in such a complex environment.

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48

Lao, Chan Fong. "Healthy sleep pattern of Macao's college students : application of the theory of planned behavior." Thesis, University of Macau, 2012. http://umaclib3.umac.mo/record=b2589441.

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49

Hopps, Joshua Altmaier Elizabeth M. Tranel Daniel Thomas. "Pattern and content of neuropsychological referral questions across 25 years of outpatient visits in a hospital-based clinic." Iowa City : University of Iowa, 2009. http://ir.uiowa.edu/etd/379.

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50

Hopps, Joshua. "Pattern and content of neuropsychological referral questions across 25 years of outpatient visits in a hospital-based clinic." Diss., University of Iowa, 2009. https://ir.uiowa.edu/etd/379.

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Much of the practice is clinical neuropsychology is performed in the role of consultant and although the neuropsychologist is dependent upon referrals made from outside sources, relatively little attention has been devoted to the investigation of the referral process. Surveys of clinicians and referral sources have reported breakdowns of referral sources by discipline and general topics of referral questions based on recollection, but direct analysis of referral patterns across the same period has not been undertaken. The purpose of the study is to document the advancement of neuropsychology from providing psychological testing to establishing itself as a multifaceted discipline with a significant diagnostic purview that is regularly relied upon to contribute to important decisions in the lives of patients. By examining the referral questions rather than neuropsychologists' or referral sources' recollection of referrals, this study expands what is known about referral content and patterns. In an effort to explain question content without relying upon recollection, a coding rubric was designed to capture the breadth of presenting problems and requests seen in the original referral questions. Two-thousand-six-hundred referral questions were selected from the odd year over the 25 year period from 1983 to 2007, yielding a total of 2600 referral questions. Cochran's Kappa was used to conduct interrater reliability analyses in three stages across the entire rating process. Content analysis showed that 79.1% of all questions had at more than minimal content. The most common request was for assistance with diagnostic considerations, which was present in 66.4% of all cases. Assistance with differential diagnoses was requested in 27.4% of all cases with the majority of these composed of requests for assistance in differentiating between psychiatric and neurological or other medical considerations. There was evidence for a trend over time in the gradual decline of requests for assistance with psychiatric differential diagnosis and requests for the MMPI from 1993 to the present. Memory problems and dementia are the most common presenting problems, although there is evidence of a slight decline in these evaluations beginning in 1997. Requests for specific recommendations, particularly those related to making recommendations regarding treatment planning were found to steadily increase across the sampling period. Limitations and implications for practice were discussed.

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