scholarly journals Screening children at risk for developmental disabilities based on face landmark from video data of mobile-based application: Preliminary Cross-Sectional Study (Preprint)

10.2196/29908 ◽  
2021 ◽  
Author(s):  
Yu Rang Park ◽  
Sang Ho Hwang ◽  
Yeonsoo Yu ◽  
Jichul Kim ◽  
Taeyeop Lee ◽  
...  
Keyword(s):  
At Risk ◽  
Developmental Disabilities ◽  
Cross Sectional Study ◽  
Video Data ◽  
Sectional Study ◽  
Children At Risk ◽  
Cross Sectional

scholarly journals Inattention and hyperactivity in children at risk of obesity: a community cross-sectional study

BMJ Open ◽  
2013 ◽  
Vol 3 (5) ◽  
pp. e002871 ◽  
Author(s):  
Lorna McWilliams ◽  
Kapil Sayal ◽  
Cris Glazebrook
Keyword(s):  
At Risk ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Children At Risk ◽  
Cross Sectional ◽  
Inattention And Hyperactivity

scholarly journals Pediatric neurodevelopment by prenatal Zika virus exposure: A cross-sectional study of the Microcephaly Epidemic Research Group Cohort

2020 ◽  
Author(s):  
paula sobral Silva ◽  
Sophie Helena Eickmann ◽  
Ricardo Arraes de Alencar Ximenes ◽  
Ulisses Ramos Montarroyos ◽  
Marília de Carvalho Lima ◽  
...  
Keyword(s):  
At Risk ◽  
Zika Virus ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Early Assessment ◽  
Cross Sectional ◽  
Group 4 ◽  
Neurological Abnormalities ◽  
Development Delay ◽  
And Behavior

Abstract Background: The implications of congenital Zika Virus (ZIKV) infections for pediatric neurodevelopment and behavior remain inadequately studied. The aim of this study is to investigate patterns of neurodevelopment and behavior in children with different levels of ZIKV-related microcephaly or with prenatal ZIKV exposure in the absence of microcephaly. Methods: We conducted a cross-sectional study, nested in a cohort, of 274 children (aged 10-45 months) who were born during the peak and decline of the microcephaly epidemic in Northeast Brazil. Participants were evaluated between February 2017 and August 2019 at two tertiary care hospitals in Recife, Brazil. We analyzed the children in four groups assigned based on clinical and laboratory criteria: Group 1 had severe microcephaly; Group 2 had moderate microcephaly; Group 3 had prenatal ZIKVxposure confirmed by maternal RT-PCR testing and no microcephaly; and Group 4 was a neurotypical control group. Groups were evaluated clinically for neurological abnormalities and compared using the Survey of Wellbeing of Young Children (SWYC), a neurodevelopment and behavior screening instrument, and a SWYC adapted form to compare severe cases. Results: Based on the SWYC screening, we observed differences between the groups for developmental milestones but not behavior. Among children with severe microcephaly of whom 98.2% presented with neurological abnormalities, 99.1% were at risk of development delay, and presented similar performance whether evaluated under or over 24 months of age. Among children with moderate microcephaly of whom 60% presented with neurological abnormalities, 65% were at risk of development delay. For children without microcephaly, the percentages found to be at risk of developmental delays were markedly lower and did not differ by prenatal ZIKV exposure status: Groups 3, 13.8%; Group 4, 21.7%. Conclusions: Among groups of children with prenatal ZIKV exposure, we found a gradient of risk of development delay. Children with severe microcephaly were at highest risk, while normocephalic ZIKV-exposed children had similar risks to unexposed control children. We propose that ZIKV-exposed children should undergo first-line screening for neurodevelopment and behavior using the SWYC. Early assessment and follow-up will enable at-risk children to be referred to a more comprehensive developmental evaluation and to multidisciplinary care management.

Screening children at risk for developmental disabilities based on face landmark from video data of mobile-based application: Cross-Sectional Study (Preprint)

2021 ◽  
Author(s):  
Yu Rang Park ◽  
Sang Ho Hwang ◽  
Yeonsoo Yu ◽  
Jichul Kim ◽  
Taeyeop Lee ◽  
...  
Keyword(s):  
Deep Learning ◽  
Developmental Disabilities ◽  
Early Detection ◽  
Short Term Memory ◽  
Preliminary Evidence ◽  
Cross Sectional Study ◽  
Important Variable ◽  
Video Data ◽  
Classification Model ◽  
Cross Sectional

BACKGROUND Early detection and intervention of developmental disabilities (DDs) are critical for improving the long-term outcomes of the afflicted children. Mobile-based applications are easily accessible and may thus help the early identification of DDs. OBJECTIVE We aimed to identify facial expression and head pose based on face landmark data extracted from face recording videos and to differentiate the characteristics between children with DDs and those without. METHODS Eighty-nine children (DD, n=33; typically developing, n=56) were included in the analysis. Using the mobile-based application, we extracted facial landmarks and head poses from the recorded videos and performed Long Short-Term Memory(LSTM)-based DD classification. RESULTS Stratified k-fold cross-validation showed that the average values of accuracy, precision, recall, and f1-score of the LSTM based deep learning model of DD children were 88%, 91%,72%, and 80%, respectively. Through the interpretation of prediction results using SHapley Additive exPlanations (SHAP), we confirmed that the nodding head angle variable was the most important variable. All of the top 10 variables of importance had significant differences in the distribution between children with DDs and those without (p<0.05). CONCLUSIONS Our results provide preliminary evidence that the deep-learning classification model using mobile-based children’s video data could be used for the early detection of children with DDs.

Hawaii's Healthy Start Program of Home Visiting for At-Risk Families: Evaluation of Family Identification, Family Engagement, and Service Delivery

PEDIATRICS ◽  
2000 ◽  
Vol 105 (Supplement_2) ◽  
pp. 250-259 ◽  
Author(s):  
Anne Duggan ◽  
Amy Windham ◽  
Elizabeth McFarlane ◽  
Loretta Fuddy ◽  
LCSW, MPH ◽  
...  
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Early Identification ◽  
Home Visiting ◽  
Family Engagement ◽  
Cross Sectional Study ◽  
Family Characteristics ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthy Start Program

Objective. To describe family identification, family engagement, and service delivery in a statewide home visiting program for at-risk families of newborns. Setting. Six target communities of Hawaii's Healthy Start Program (HSP), which incorporates 1) early identification of at-risk families of newborns via population-based screening and assessment, and 2) paraprofessionalhome visiting to improve family functioning, promote child health and development, and prevent child maltreatment. Design. Cross-sectional study: describes early identification process and family characteristics associated with initial enrollment. Longitudinal study: describes home visiting process and characteristics associated with continued participation. Subjects. Cross-sectional study: civilian births in 6 communities (n = 6553). Longitudinal study: at-risk families in the intervention group of a randomized trial of the HSP (n = 373). Measures. Process: completeness and timeliness of early identification and home visiting activities; family characteristics: sociodemographics, child abuse risk factors, infant biologic risk. Results. Early identification staff determined risk status for 84% of target families. Families with higher risk scores, young mothers with limited schooling, and families with infants at biologic risk were more likely to enroll in home visiting. Half of those who enrolled were active at 1 year with an average of 22 visits. Families where the father had multiple risk factors and where the mother was substance abusing were more likely to have ≥12 visits; mothers who were unilaterally violent toward the father were less likely. Most families were linked with a medical home; linkage rates for other community resources varied widely by type of service. Half of families overall, but ≥80% of those active at 1 year, received core home visiting services. Performance varied by program site. Conclusions. It is challenging to engage and retain at-risk families in home visiting. Service monitoring must be an integral part of operations.

scholarly journals Are patients with a nasally placed feeding tube at risk of potential drug-drug interactions? A multicentre cross-sectional study

PLoS ONE ◽  
2019 ◽  
Vol 14 (7) ◽  
pp. e0220248
Author(s):  
Fernanda Raphael Escobar Gimenes ◽  
Melissa Baysari ◽  
Scott Walter ◽  
Leticia Alves Moreira ◽  
Rhanna Emanuela Fontenele Lima de Carvalho ◽  
...  
Keyword(s):  
At Risk ◽  
Drug Interactions ◽  
Feeding Tube ◽  
Cross Sectional Study ◽  
Potential Drug ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Alcohol consumption and sport: a cross-sectional study of alcohol management practices associated with at-risk alcohol consumption at community football clubs

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Melanie Kingsland ◽  
Luke Wolfenden ◽  
Bosco C Rowland ◽  
Karen E Gillham ◽  
Vanessa J Kennedy ◽  
...  
Keyword(s):  
At Risk ◽  
Alcohol Consumption ◽  
Management Practices ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Football Clubs

scholarly journals Prevalence of at-risk genotypes for genotoxic effects decreases with age in a randomly selected population in Flanders: a cross sectional study

2011 ◽  
Vol 10 (1) ◽  
Author(s):  
Hans B Ketelslegers ◽  
Roger WL Godschalk ◽  
Ralph WH Gottschalk ◽  
Ad M Knaapen ◽  
Gudrun Koppen ◽  
...  
Keyword(s):  
At Risk ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Genotoxic Effects ◽  
Cross Sectional

scholarly journals Who is at risk of occupational Q fever: new insights from a multi-profession cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e030088 ◽  
Author(s):  
Tanja Groten ◽  
Karola Kuenzer ◽  
Udo Moog ◽  
Beate Hermann ◽  
Katrin Maier ◽  
...  
Keyword(s):  
At Risk ◽  
Primary Outcome ◽  
Outcome Measure ◽  
Q Fever ◽  
Cross Sectional Study ◽  
Primary Outcome Measure ◽  
Sectional Study ◽  
Cross Sectional ◽  
Seroprevalence Data ◽  
Regular Contact

ObjectivesQ fever is a zoonosis caused by the bacteriumCoxiella burnetii. It is recognised as an occupational hazard for individuals who are in regular contact with animal birth products. Data from the literature are not comparable because different serological assays perform very differently in detecting past infections. It is therefore essential to choose the right assay for obtaining reliable data of seroprevalence. Obstetricians are another profession potentially at risk of Q fever. They can be infected from birth products of women with Q fever during pregnancy. There is little data, however, for Q fever in this occupational group. Our study therefore had two purposes. The first was to obtain reliable seroprevalence data for occupational groups in regular contact with animal birth products by using an assay with proven excellent sensitivity and specificity for detecting past infections. The second purpose was to obtain primary data for obstetricians.DesignWe carried out a cross-sectional study.SettingThe study included shepherds, cattle farmers, veterinarians and obstetricians from Thuringia.Participants77 shepherds, 74 veterinarians, 14 cattle farmers, 17 office employees and 68 obstetricians participated. The control group consisted of 92 blood donors.Primary outcome measureThe primary outcome measure wasC. burnetiiphase II specific IgG. The assay used was evaluated for this purpose in a previous study.ResultsOf the 250 blood samples we analysed, the very highest seroprevalences (64%–77%) occurred in individuals with frequent animal contact. There were no significant differences between shepherds, cattle farmers and veterinarians. The seroprevalence in people working in administration was lower but still significantly greater than the control. No obstetricians or midwives tested positive.ConclusionsShepherds, cattle farmers and veterinarians have a high risk ofC. burnetiiinfection. However, our study clearly proves that there was no increased risk for people working in an obstetric department.

scholarly journals Identifying State Resources and Support Programs on E-Government Websites for Persons with Intellectual and Developmental Disabilities

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Kathleen M. Fisher ◽  
Justin D. Peterson ◽  
Jon D. Albert
Keyword(s):  
Developmental Disabilities ◽  
Support Services ◽  
District Of Columbia ◽  
Cross Sectional Study ◽  
Intellectual And Developmental Disabilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Government Websites ◽  
Ease Of Access ◽  
Available Information

This descriptive cross-sectional study identified resources and programs that are available nationwide on the Internet to support individuals and families with intellectual and developmental disabilities (I/DD), with a focus on intellectual disability. This evaluation included easily identifiable information on specific resources and highlighted unique programs found in individual states that were linked from e-government websites. Researchers documented the ease of access and available information for all 50 states and the District of Columbia. A number of disparities and areas for improvement were recorded for states and I/DD websites. The researchers conclude that a number of additional health and support services will be needed to address the growing needs of this vulnerable population.

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