Thesis (Ph. D.)--University of Washington, 1993. / Vita. Includes bibliographical references (leaves [144]-162).

Thesis (Ph. D.)--University of Washington, 2007. / Vita. Includes bibliographical references (leaves 102-113).

Source: Dissertation Abstracts International, Volume: 70-03, Section: B, page: 1931. Adviser: Steven H. Kelder. Includes bibliographical references.

Thesis (Ed.S..)--Western Kentucky University, 2008. / Includes bibliographical references (leaves 49-52).

The purposes of this study were to determine if there are differences between the responses of abusive and nonabusive adults to potentially anger-provoking child behaviors; if there are differences between abusive and nonabusive adults; if there are differences between the children of abusive and nonabusive adults; and if there are combinations of these characteristics of the adults and characteristics of children as well as the behaviors of children which relate to child abusiveness in adults. The basic problem was to determine factors that help identify potentially child abusive adults. Certain factors, such as the limited size of the sample and the initial use of a new instrument, served as limitations to broad generalizations. However, based on the analysis of the data of this study, the following conclusions seem tenable 1. Certain behaviors of children are more upsetting to abusive adults than to nonabusive adults. 2. Characteristics of adults are not necessarily related to child abusiveness in adults. 3. The age of the child and the number of children living in the home are significantly related to child abusiveness in adults. 4. The findings indicate that a predictive model may be developed in conjunction with the Child Behavior Inventory for use in predicting child abusiveness in adults.

Attention deficit-/hyperactivity disorder (ADHD) is a psychiatric condition that can affect both children and adults. It is characterised by behavioural and attention difficulties. Sleep deficits are a prominent characteristic of the disorder and some of the core symptoms of ADHD are known characteristics of sleep deprivation. The circadian clock is integral to determining the rhythm of the sleep/wake cycle. Furthermore the two main forms of pharmacological treatment for ADHD, namely the psychostimulant methylphenidate, and the non-stimulant atomoxetine, along with the targets of these drugs noradrenaline and dopamine, appear to both interact and be under the regulation of the circadian clock. This thesis aimed firstly to develop a non-invasive technique for the real time RT- PCR quantification of circadian clock gene expression in the human oral mucosa. Secondly to address how circadian clock functioning may be disturbed in adult ADHD via measurement of a number of molecular, endocrine and behavioural markers, for which real-time RT-PCR, ELISA and actigraphy techniques were employed. Thirdly to examine the effects of ADHD medication upon circadian clock protein expression in the rodent brain using immunohistochemistry methods. Here it is demonstrated that disturbances in the rhythmic secretion of endocrine factors that are key outputs and regulators of the master circadian pacemaker, the circadian clock gene expression of a peripheral oscillator and the actigraphic measures of circadian organization of gross behaviour are associated with adult ADHD. Furthermore, both atomoxetine and methylphenidate are shown to effect circadian clock protein expression. Collectively this data suggests a key role for the circadian clock not only in the pathophysiology of adult ADHD but also indicates a role for pharmacological treatments in the modulation of the circadian clock.

Made available in DSpace on 2014-06-11T19:27:46Z (GMT). No. of bitstreams: 0 Previous issue date: 2005-12-09Bitstream added on 2014-06-13T19:15:12Z : No. of bitstreams: 1 zaze_acsf_me_araca.pdf: 893073 bytes, checksum: 18863cd5d5bf59656423e20bc0a9c3df (MD5) / Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O propósito do presente estudo longitudinal foi avaliar a manifestação comportamental frente a estímulos odontológicos em crianças atendidas na Bebê Clínica da Disciplina de Odontopediatria da F.O.A.-UNESP considerando-se a idade da mãe no momento do parto, o número de irmãos que o bebê possui, os diferentes tipos de estímulos odontológicos realizados nos bebês e a faixa etária no momento do atendimento. Foram incluídos na amostra deste estudo os prontuários que preencheram os seguintes requisitos: ficha clínica preenchida integralmente, crianças que entraram no programa de prevenção precoce ainda no primeiro ano de vida e crianças que apresentavam no mínimo 36 meses de idade completos no momento da avaliação de seu prontuário. Dos 1.103 prontuários avaliados, apenas 169 preencheram os requisitos de seleção para o estudo, onde obteve-se informações como: data de nascimento, gênero, idade da mãe, número de irmãos, número de consultas odontológicas e suas respectivas datas, estímulos oferecidos à criança e o comportamento apresentado perante os mesmos. Os prontuários selecionados foram divididos em 5 grupos, de acordo com os estímulos oferecidos às crianças sendo eles: grupo controle, falta, verniz fluoretado, restauração e traumatismo dentário. As informações obtidas foram classificadas de acordo com a faixa etária na qual as crianças encontravam-se no momento do atendimento. Os dados foram analisados descritiva e inferencialmente, por meio da aplicação do teste Qui-Quadrado ao nível de 5% . Segundo os resultados encontrados, a idade da mãe e o número de irmãos que o bebê possui não influenciam sua resposta comportamental frente a estímulos odontológicos. Os diferentes tipos de estímulos odontológicos provocaram alterações na resposta comportamental dos pacientes em determinadas faixas etárias.... / The purpose of the present longitudinal study is to evaluate behavior manifestation in front of dental incentives in children assisted in Baby's Clinical of Pediatric Dentistry at Araçatuba Dentistry School - São Paulo State University being considered the mother's age in the moment of the childbirth, the number of baby's sibling, the different types of dental incentives accomplished in the babies and the age group in the moment of the service. It was included in the sample of this study handbooks that filled out the following requirements: clinic record filled out integrally, children that entered in the program of prevention still in the first year of life and children that presented at least 36 complete months of age in the moment of the evaluation of the handbook. Of the 1.103 appraised handbooks, only 169 filled out the selection requirements for the study, where it was obtained information as: date of birth, gender, mother's age, number of siblings, number of dental visits and their respective dates, incentives offered to the child and the behavior presented after the same ones. The selected handbooks were divided in 5 groups, in agreement with the incentives offered to the children as: group control, lacks, fluoride varnish, restoration and dental traumatism. The obtained information were classified in agreement with the age group in the which the children presented in the moment of the service. The data were analyzed descriptive through the application of the Qui-square test at the level of 5%. According to the findings, mother's age and the number of baby's siblings don't influence on behavior front to dental incentives. The different kinds of odontologic incentives provoked alterations in patients' behavior in certain age groups and this behavior presented during the appointments was influenced by the child's age in the moment of the service.

Orientador: Robson Frederico Cunha / Banca: Fabíola Lemos Melhado / Banca: Silvio Issáo Myaki / Resumo: O propósito do presente estudo longitudinal foi avaliar a manifestação comportamental frente a estímulos odontológicos em crianças atendidas na Bebê Clínica da Disciplina de Odontopediatria da F.O.A.-UNESP considerando-se a idade da mãe no momento do parto, o número de irmãos que o bebê possui, os diferentes tipos de estímulos odontológicos realizados nos bebês e a faixa etária no momento do atendimento. Foram incluídos na amostra deste estudo os prontuários que preencheram os seguintes requisitos: ficha clínica preenchida integralmente, crianças que entraram no programa de prevenção precoce ainda no primeiro ano de vida e crianças que apresentavam no mínimo 36 meses de idade completos no momento da avaliação de seu prontuário. Dos 1.103 prontuários avaliados, apenas 169 preencheram os requisitos de seleção para o estudo, onde obteve-se informações como: data de nascimento, gênero, idade da mãe, número de irmãos, número de consultas odontológicas e suas respectivas datas, estímulos oferecidos à criança e o comportamento apresentado perante os mesmos. Os prontuários selecionados foram divididos em 5 grupos, de acordo com os estímulos oferecidos às crianças sendo eles: grupo controle, falta, verniz fluoretado, restauração e traumatismo dentário. As informações obtidas foram classificadas de acordo com a faixa etária na qual as crianças encontravam-se no momento do atendimento. Os dados foram analisados descritiva e inferencialmente, por meio da aplicação do teste Qui-Quadrado ao nível de 5% . Segundo os resultados encontrados, a idade da mãe e o número de irmãos que o bebê possui não influenciam sua resposta comportamental frente a estímulos odontológicos. Os diferentes tipos de estímulos odontológicos provocaram alterações na resposta comportamental dos pacientes em determinadas faixas etárias ...(Resumo completo, clicar acesso eletrônico abaixo). / Abstract: The purpose of the present longitudinal study is to evaluate behavior manifestation in front of dental incentives in children assisted in Baby's Clinical of Pediatric Dentistry at Araçatuba Dentistry School - São Paulo State University being considered the mother's age in the moment of the childbirth, the number of baby's sibling, the different types of dental incentives accomplished in the babies and the age group in the moment of the service. It was included in the sample of this study handbooks that filled out the following requirements: clinic record filled out integrally, children that entered in the program of prevention still in the first year of life and children that presented at least 36 complete months of age in the moment of the evaluation of the handbook. Of the 1.103 appraised handbooks, only 169 filled out the selection requirements for the study, where it was obtained information as: date of birth, gender, mother's age, number of siblings, number of dental visits and their respective dates, incentives offered to the child and the behavior presented after the same ones. The selected handbooks were divided in 5 groups, in agreement with the incentives offered to the children as: group control, lacks, fluoride varnish, restoration and dental traumatism. The obtained information were classified in agreement with the age group in the which the children presented in the moment of the service. The data were analyzed descriptive through the application of the Qui-square test at the level of 5%. According to the findings, mother's age and the number of baby's siblings don't influence on behavior front to dental incentives. The different kinds of odontologic incentives provoked alterations in patients' behavior in certain age groups and this behavior presented during the appointments was influenced by the child's age in the moment of the service. / Mestre

Orientador: Antonio Bento Alves de Moraes / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-07-27T00:05:05Z (GMT). No. of bitstreams: 1 Possobon_RosanadeFatima_M.pdf: 11282367 bytes, checksum: 9e8d961a42ca6c275bc1ffaa1c5a15da (MD5) Previous issue date: 2000 / Resumo: Este trabalho teve como objetivo avaliar a eficácia do emprego do diazepam associado a estratégias psicológicas de manejo do comportamento no controle de crianças não - colaboradoras frente ao tratamento odontológico. Para isso, foram selecionados 6 participantes com idade média de 4 anos e 6 meses, que receberam tratamento odontológico durante 9 sessões, nas quais empregou-se o placebo ou o diazepam (0,3 mg/Kg de peso) de maneira duplo - cega, além das estratégias psicológicas de manejo do comportamento (distração, explicação, reforçamento e estabelecimento de regras). As sessões foram filmadas em vídeo - tape, com marcas sonoras a cada 15 segundos, indicativas dos momentos em que os comportamentos emitidos pelos participantes (choro, movimentos de corpo e/ou cabeça, fuga e esquiva) e as estratégias de manejo do comportamento utilizadas pela dentista foram registrados. Os resultados mostraram que o medicamento na dose utilizada foi eficaz para controlar os comportamentos apenas de 1 participante, sendo que os demais necessitaram da utilização da estratégia de restrição fisica (realizada pela mãe e pela auxiliar da dentista) para a realização dos procedimentos. Entretanto, após o uso desta estratégia, houve uma melhora gradual nos comportamentos de colaboração e na interação dentista - criança e o tratamento foi plenamente realizado. Isto pode significar que, para algumas crianças, o enfrentamento obrigatório da experiência odontológica pode ser uma estratégia necessária em casos de forte resistência e rebeldia, nas circunstâncias em que sua saúde bucal apresenta-se muito comprometida. As estratégias comportamentais de preparação para o tratamento odontológico devem ser planejadas, a fim de auxiliar a exposição da criança às condições reais do tratamento, principalmente nas sessões iniciais, evitando reforçar comportamentos inadequados / Abstract: The present research intends to investigate the use of diazepam in conjunction with behavioral strategies to manage uncooperative behavior of child dental patients. A participants (P), 6 children (mean age 4 years and 6 months), received formal dental treatment during 9 sessions for each child. Using a double-blind design children received, in each session placebo or diazepam (0,3 mg/weight) and at the same time were submitted to behavior management produces (distraction, explanation, reinforcement and set role and limits). AlI sessions were recorded in video-tapes. The tapes were biped in 15 seconds intervals, in which pre-trained observers recorded child's (crying, body and/or head movements, escape and avoidance) and dentist's behavior. The analysis of the results indicate that diazepam, considering the used dose, was only effective with one subject (P-I). The behavior of the other 5 participants (II, III, IV, V e VI) demanded physical restriction (PR) used by the mother and the dental assistant. However, after using PR, it was observed a gradual improvement in children's behavior and also a better interaction dentist - child. Dental treatment procedures were fully completed. This kind of behavior may mean that for some children, forced coping of dental treatment situation may be a necessary strategy in those cases of high uncooperative behavior and also under circumstances of poor oral health. The behavioral preparation strategies for dental treatment should have a more precise planning in order to help the child to face the real dental treatment conditions manly in the first sessions avoiding not to reinforce inappropriate behaviors / Mestrado / Farmacologia, Anestesiologia e Terapeutica / Mestre em Odontologia

This study examined the utility of a pilot "call-in service" coordinated with two rural pediatric primary care clinics. This service provided practical, empirically supported recommendations to parents with concerns about their children's development, behavior, or emotional well-being. Over 70 weeks, 81 calls were received. Five specific concerns including daytime wetting, conduct problems, anxiety, sleep, and repetitive behavior comprised 75% of all calls. In addition to describing the service overall, the current article examined the top concerns in terms of their process and outcomes in this brief intervention format. Overall, calls averaged 21 min, and parents reported high satisfaction and positive outcomes at follow-up. This format appeared to be most useful for calls regarding daytime wetting and repetitive behaviors/habits. The utility of a call-in service has not been recently explored. Moreover, specific pediatric problems amenable to brief intervention in primary care have rarely been researched. This study provides direction for the future use of call-in services or brief interventions in primary care.