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"I don't yet know how systemic this is, are there a lot of other facilities cooking the books or is this just an episodic problem," said Obama.
Viewed as more of an acute or episodic problem, or a longer term coping strategy than a chronic medical issue, most GP's interviewed perceived self-harm as being on a 'spectrum of risk' for suicide.
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She complained of progressive bilateral hearing loss and episodic problems with her vision and speech.
For minor or episodic problems, or where the problem was perceived as very urgent, then any GP was likely to be appropriate.
7 Haraldstad et al 3 found episodic problems with pain in 60% of children and adolescents aged 8 18 years, with 21% reporting duration of pain of more than 3 months.
Equally though, long waiting times for appointments are a major source of patient dissatisfaction [ 18, 19], and many patients prioritise access over personal continuity for urgent or more episodic problems [ 14, 15, 20].
A third dummy variable classifies an individual as cognitive impaired if he/she has either an episodic memory problem or a verbal fluency problem, as defined above.
Traditionally, health systems have been built around responding to acute needs and episodic health problems rather than chronic conditions.
In Norway, episodic pain problems have been reported by 60% of children and adolescents aged 8 18 years, with 21% reporting duration of pain of more than 3 months.
In the typical Alzheimer's disease group, 15 patients reported episodic memory problems as their first symptom, one patient had word-finding difficulties followed by episodic memory and one patient had difficulties in navigation closely followed by episodic memory.
Because the caudate surfaces as a common node in the regulatory systems involved in the most consistently reported abnormalities in insomnia, i.e. hyper-arousal, sleep problems and deficits in working memory, episodic memory and problem solving, it could be of particular interest to evaluate its functioning in insomnia.
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