scholarly journals Exploring Inequity in Childhood Neurodisability in a Disadvantaged Metropolitan Region in Australia

2021 ◽  
Author(s):  
PANKAJ GARG ◽  
Mithilesh Dronavalli ◽  
Katarina Ostojic ◽  
Bin Jalaluddin ◽  
Sinthu Vivekanandarajah ◽  
...  
Keyword(s):  
Autism Spectrum ◽  
The State ◽  
Data Sources ◽  
Metropolitan Region ◽  
Global Developmental Delay ◽  
Support Provision ◽  
Number Of Children ◽  
Relative Risks ◽  
Infant Screening ◽  
Education Support

Abstract BackgroundSouth Western Sydney (SWS) region, in the state of New South Wales (NSW) in Australia is a culturally and linguistically diverse area of marked social disadvantage. Using the best available data sources, we aimed to explore the prevalence of children with developmental disability and their access to disability and special education support services, to identify equity gaps. MethodsData on the potential number of children in SWS with neurodisability was identified from the district wide Child Developmental Assessment Service (CDAS) database of public-funded Community Paediatrics services, the NSW/Australian capital territory (ACT) Cerebral Palsy (CP) register, the State-wide Infant Screening-Hearing (SWISH) Program, the Royal Institute for Deaf and Blind Children and the Department of Education. The proportion of children with access to disability services for children up-to 18 years of age was explored from the datasets of the National Disability Insurance Scheme (NDIS). Relative risks were calculated to compare any differences in proportion of supports in SWS compared to NSW. ResultsIn 2018, 503 children (median age 4.3 years) were assessed by CDAS; 65% had autism spectrum disorder (ASD) either alone or in association with global developmental delays and 24% had global developmental delay. The prevalence of CP in SWS was 1.86/1000; with a higher proportion of severe functional and intellectual impairment in SWS compared to the state. The prevalence of sensori-neural hearing loss in SWS was 2.2/1000, and more children in SWS had severe visual impairment compared to the state (P=0.003). Students in support classes with special needs were overrepresented in SWS compared to the state (P<0.0001). There were slightly more children with intellectual disability in SWS supported by the NDIS, but proportions for other conditions were comparable to NSW. Conclusions While available data sources are incomplete, we identified greater proportions of children with neurodisability, experiencing more functional impairment in SWS, compared to NSW; with ASD being the most common neurodisability presenting to developmental clinics. We also identified potential equity gaps in disability service provision. A state-wide child disability register would aid planning and research, with concerted advocacy needed to improve equity in disability support provision in this region.

Spatiotemporal clustering, social inequities and the risk of leptospirosis in an endemic area of Brazil: a retrospective spatial modelling

2020 ◽  
Author(s):  
Katyucia O C de Souza ◽  
José Augusto P Góes ◽  
Matheus S Melo ◽  
Paula M G Leite ◽  
Lucas A Andrade ◽  
...  
Keyword(s):  
Urban Areas ◽  
Spatial Regression ◽  
Temporal Trends ◽  
Spatial Dynamics ◽  
Secondary Data ◽  
The State ◽  
Scan Statistics ◽  
Northeastern Brazil ◽  
Metropolitan Region ◽  
Social Inequities

Abstract Background Leptospirosis is an endemic disease in Brazil of social and economic relevance related to behavioural and socioenvironmental factors. This study aimed to analyse the spatiotemporal distribution of the incidence of leptospirosis and its association with social determinants in health in a state of northeastern Brazil. Methods An ecological study of temporal series with techniques of spatial analysis using secondary data of the cases of leptospirosis notified in the Information System of Notifiable Diseases of the state of Sergipe (2008–2017) was conducted. The analysis of temporal trends was performed using Poisson regression. Spatial analyses were performed using the Moran index, the local empirical Bayesian model, scan statistics and spatial regression. Results The incidence rate decreased from 3.66 to 1.44 cases per 100 000 inhabitants in 2008 and 2017, respectively. Leptospirosis was associated with social inequities, mostly affecting males aged 20–49 y living in urban areas. The space-time scan indicated the formation of a risk cluster in municipalities in the metropolitan region of the state. Conclusions The data indicated the persistence of leptospirosis transmission, maintaining a pattern of high endemicity in some municipalities associated with social inequities. The study showed the temporal and spatial dynamics of the disease to better target specific actions for prevention and control.

Risk and coaggregation of major psychiatric disorders among first-degree relatives of patients with bipolar disorder: a nationwide population-based study

2018 ◽  
Vol 49 (14) ◽  
pp. 2397-2404 ◽  
Author(s):  
Mu-Hong Chen ◽  
Ju-Wei Hsu ◽  
Kei-Lin Huang ◽  
Tung-Ping Su ◽  
Cheng-Ta Li ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Psychiatric Disorders ◽  
Population Based ◽  
Autism Spectrum ◽  
The Public ◽  
First Degree Relatives ◽  
Relative Risks ◽  
Dependent Relationship ◽  
Increased Risk ◽  
Bipolar Patients

AbstractBackgroundBipolar disorder is a highly heritable mental illness that transmits intergeneratively. Previous studies supported that first-degree relatives (FDRs), such as parents, offspring, and siblings, of patients with bipolar disorder, had a higher risk of bipolar disorder. However, whether FDRs of bipolar patients have an increased risk of schizophrenia, major depressive disorder (MDD), autism spectrum disorder (ASD), and attention deficit hyperactivity disorder (ADHD) remains unclear.MethodsAmong the entire population in Taiwan, 87 639 patients with bipolar disorder and 188 290 FDRs of patients with bipolar disorder were identified in our study. The relative risks (RRs) of major psychiatric disorders were assessed among FDRs of patients with bipolar disorder.ResultsFDRs of patients with bipolar disorder were more likely to have a higher risk of major psychiatric disorders, including bipolar disorder (RR 6.12, 95% confidence interval (CI) 5.95–6.30), MDD (RR 2.89, 95% CI 2.82–2.96), schizophrenia (RR 2.64, 95% CI 2.55–2.73), ADHD (RR 2.21, 95% CI 2.13–2.30), and ASD (RR 2.10, 95% CI 1.92–2.29), than the total population did. These increased risks for major psychiatric disorders were consistent across different familial kinships, such as parents, offspring, siblings, and twins. A dose-dependent relationship was also found between risk of each major psychiatric disorder and numbers of bipolar patients.ConclusionsOur study was the first study to support the familial coaggregation of bipolar disorder with other major psychiatric disorders, including schizophrenia, MDD, ADHD, and ASD, in a Taiwanese (non-Caucasian) population. Given the elevated risks of major psychiatric disorders, the public health government should pay more attention to the mental health of FDRs of patients with bipolar disorder.

scholarly journals Socio-cultural rehabilitation of children with ASD in the State Darwin Museum. Program «Others»

2017 ◽  
Vol 15 (4) ◽  
pp. 57-60
Author(s):  
T.S. Kubasova
Keyword(s):  
Autism Spectrum Disorders ◽  
People With Disabilities ◽  
Autism Spectrum ◽  
The State ◽  
Children With Asd ◽  
Spectrum Disorders ◽  
The Many

The State Darwin Museum has been carrying out work on the socio-cultural rehabilitation of people with disabilities with museum facilities for the many years. The museum is actively developing the direction on the complex adaptation for visitors with autism spectrum disorders.

scholarly journals Risk factors associated with the severity of COVID-19 in a region of the Brazilian Amazon

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniele Melo Sardinha ◽  
Rosane do Socorro Pompeu de Loiola ◽  
Ana Lúcia da Silva Ferreira ◽  
Carmem Aliandra Freire de Sá ◽  
Yan Corrêa Rodrigues ◽  
...  
Keyword(s):  
Risk Factors ◽  
Brazilian Amazon ◽  
The State ◽  
Metropolitan Region ◽  
Epidemiological Surveillance ◽  
Cross Sectional ◽  
Factors Associated ◽  
Risk Of Death ◽  
Increased Risk ◽  
Brazilian Amazon Region

AbstractThe Brazilian Northern region registered a high incidence of COVID-19 cases, particularly in the state of Pará. The present study investigated the risk factors associated with the severity of COVID-19 in a Brazilian Amazon region of 100,819 cases. An epidemiological, cross-sectional, analytical and demographic study, analyzing data on confirmed cases for COVID-19 available at the Brazilian Ministry of Health's surveillance platform, was conducted. Variables such as, municipalities of residence, age, gender, signs and symptoms, comorbidities were included and associated with COVID-19 cases and outcomes. The spatial distribution was performed using the ArcGIS program. A total of 100,819 cases were evaluated. Overall, patients had the mean age of 42.3 years, were female (51.2%) and with lethality reaching 4.79% of cases. Main symptoms included fever (66.5%), cough (61.9%) and sore throat (39.8%). Regarding comorbidities, most of the patients presented cardiovascular disease (5.1%) and diabetes (4.2%). Neurological disease increased risk of death by nearly 15 times, followed by obesity (5.16 times) and immunodeficiency (5.09 time). The municipalities with the highest incidence rate were Parauapebas, Canaã dos Carajás and Jacareacanga. Similarity between the Lower Amazon, Marajó and Southwest mesoregions of Pará state were observed concerning the highest morbidity rates. The obtained data demonstrated that the majority of cases occurred among young adults, females, with the classic influenza symptoms and chronic diseases. Finally, data suggest that the highest incidences were no longer in the metropolitan region of the state. The higher lethality rate than in Brazil may be associated with the greater impacts of the disease in this Amazonian population, or factors associated with fragile epidemiological surveillance in the notification of cases of cure.

scholarly journals Hukum terhadap Konsumen dan Pelaku Usaha Lainnya melalui Intervensi Negara

2017 ◽  
Vol 1 (1) ◽  
pp. 81
Author(s):  
Muhammad Erwin Munthe
Keyword(s):  
National Economy ◽  
Legal Protection ◽  
Secondary Data ◽  
State Intervention ◽  
The State ◽  
Data Sources ◽  
Price Determination ◽  
Secondary Data Sources ◽  
Evaluative Research

Abstract Constitution mandates that the national economy should be run by promoting people's welfare. This study intends to analyze the mechanisms and criteria for state intervention in order to provide legal protection to consumers and other businesseman in creating healthy business competition. This study uses doctrinal method research in the form of evaluative research. The approach which is used is the approach of legislation with secondary data sources in the form of primary, secondary and tertiary legal materials. From the discussion and showed that the mechanism of state intervention is likethe delimitation of the price tolerance 10 % for rice, granting subsidies (BLT), market operations, tariff Arrangement of Impor Tax, Price Determination of Government Purchase (HPP), Restrictions of food exports. While the criteria for state intervention is the production branches which are important for the country and dominate the life of many people, the production branches are arranged legislation, organized by the state or body or institution established or designated by the government.AbstrakUndang-Undang Dasar 1945 mengamanatkan bahwa perekonomian nasional harus dijalankan dengan mengedepankan kesejahteraan rakyat. Penelitian ini bertujuan untuk menganalisis mekanisme dan kriteria intervensi negaradalam rangka memberikan perlindungan hukum kepada konsumen dan pelaku usaha lainnya dalam mewujudkan persaingan usaha sehat. Penelitian ini menggunakan metode penelitian doktrinal dalam bentuk penelitian evaluatif. Pendekatan yang digunakan adalah pendekatan perundang-undangan dengan sumber data sekunder berupa bahan hukum primer, sekunder dan tersier. Dari hasil pembahasan dan penelitian diperoleh bahwa mekanisme inrevensi harga adalahseperti penetapan batas toleransi harga 10% untuk beras, Pemberian Subsidi (Harga/BLT), Operasi Pasar, Pengaturan Tarif Bea Masuk Impor, Penetapan Harga Pembelian Pemerintah (HPP), Pembatasan Ekspor Pangan. Sedangkan kriteria intervensi negara yaitu pada cabang-cabang produksi yang penting bagi negara dan menguasai hajat hidup orang banyak, cabang-cabang produksi tersebut diatur undang-undang, diselenggarakan oleh BUMN atau badan atau lembaga yang dibentuk atau ditunjuk oleh pemerintah.

scholarly journals EEG changes and their relationship with intellectual disability in children with autism spectrum disorders in a tertiary care hospital

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Jannatara Shefa ◽  
Muzharul Mannan ◽  
Shaheen Akhter
Keyword(s):  
Intellectual Disability ◽  
Tertiary Care ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Care Hospital ◽  
Number Of Children ◽  
Eeg Abnormalities ◽  
Eeg Recordings ◽  
Study Participants ◽  
Medical University

Background: Autism in children is frequently associated with Intellectual disability (ID) and epilepsy. It is known that lower IQinfluences epilepsy rates; however, electroencephalographic (EEG) findings in different grades of intellectual functioning are less well studied. Objectives: This study aimed to evaluate the EEG findings and their association with the degrees of ID in children with autism. Methods: Fifty-two children, diagnosed with autism according to the DSM-IV-TR criteria, aged between 2 to 12 years, were included in the study. Participants were recruited from outpatient clinic in the Institute for Paediatric Neurodisorder and Autism (IPNA) in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. All of them were subjected to physical and neurological examination. Intelligence quotients (IQ) were measured in all the participants. Psychometric tests Bayley Scales of Infant and Toddler Development, Third edition (BSID III) or Weschler Intelligence Scale for Patients-Revised (WISC-R) were used for evaluating IQ. EEG recordings were done in all the participants. Results: The frequency of EEG abnormalities were observed in 51.9% participants. Among these abnormalities, 36.5% were epileptiform and 15.4% were non-epileptiform. Majority of the focal discharges, in this study were from temporal and frontal ((50% and 40% of focal discharge). Among generalized abnormalities, 89% were symmetrical spike-wave complexes. EEG abnormalities were associated with epilepsy in 66.7% of participants. ID was present in 84.6% and of them, 77% had moderate to severe ID. Mild, moderate or severe ID did not show significant association with EEG abnormalities (p>0.05). However, patients with moderate to severe ID (IQ <50) had a higher rate of EEG abnormalities compared to those without ID or mild ID (81.5% versus 18.5%) (P=0.03). Conclusion: Relatively large number of children with autism and ID had EEG abnormalities and there was a significant association with moderate to severe ID (IQ <50) and EEG abnormalities.

Pediatric Consultation in a Public Mental Hospital

PEDIATRICS ◽  
1967 ◽  
Vol 39 (6) ◽  
pp. 929-931
Author(s):  
HAROLD BOVERMAN ◽  
ROBERT S. MENDELSOHN
Keyword(s):  
Staff Training ◽  
Mental Hospital ◽  
Program Design ◽  
The State ◽  
State Mental Hospital ◽  
Number Of Children ◽  
Training And Supervision ◽  
Pediatric Consultation ◽  
State Mental ◽  
Public Mental Hospital

The number of children in state mental institutions is inevitably increasing. At the same time it is increasingly difficult to generate enough staff adequate for caretaking, training, and supervision. There are no instant solutions to this problem; no hidden panaceas that might make it right soon. Hoping for some partial help, it makes sense to review the place of the pediatrician in the state mental hospital and the hospital's traditional sources for program design as well as staff training and supervision. Such hospitals were designed for adults. In addition, they both benefit and suffer from a massive tradition and inertia.

Speech Abilities in a Heterogeneous Group of Children With Autism

2021 ◽  
pp. 1-15
Author(s):  
Kate Broome ◽  
Patricia McCabe ◽  
Kimberley Docking ◽  
Maree Doble ◽  
Bronwyn Carrigg
Keyword(s):  
Expressive Language ◽  
Children With Autism ◽  
Spontaneous Speech ◽  
Receptive Language ◽  
Autism Spectrum ◽  
Speech Development ◽  
Limited Information ◽  
Number Of Children ◽  
Children With Asd ◽  
Speech Data

Purpose This study aimed to provide detailed descriptive information about the speech of a heterogeneous cohort of children with autism spectrum disorder (ASD) and to explore whether subgroups exist based on this detailed speech data. High rates of delayed and disordered speech in both low-verbal and high-functioning children with ASD have been reported. There is limited information regarding the speech abilities of young children across a range of functional levels. Method Participants were 23 children aged 2;0–6;11 (years;months) with a diagnosis of ASD. Comprehensive speech and language assessments were administered. Independent and relational speech analyses were conducted from single-word naming tasks and spontaneous speech samples. Hierarchical clustering based on language, nonverbal communication, and spontaneous speech descriptive data was completed. Results Independent and relational speech analyses are reported. These variables are used in the cluster analyses, which identified three distinct subgroups: (a) children with high language and high speech ability ( n = 10), (b) children with low expressive language and low speech ability but higher receptive language and use of gestures ( n = 3), and (c) children with low language and low speech development ( n = 10). Conclusions This is the first study to provide detailed descriptive speech data of a heterogeneous cohort of children with ASD and use this information to statistically explore potential subgroups. Clustering suggests a small number of children present with low levels of speech and expressive language in the presence of better receptive language and gestures. This communication profile warrants further exploration. Replicating these findings with a larger cohort of children is needed. Supplemental Material https://doi.org/10.23641/asha.16906978

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