2.General spontaneous movements assessment.
Chinese Journal of Pediatrics 2005;43(4):272-274
Brain
;
physiology
;
Child
;
Child Behavior
;
physiology
;
Child Development
;
physiology
;
Humans
;
Infant
;
Motor Activity
;
physiology
;
Motor Skills Disorders
;
diagnosis
4.The assessment of general movements: a reliable tool for predicting the neurodevelopment of preterm infants in an very early phase.
Ning LI ; Fei-Yong JIA ; Lin DU
Chinese Journal of Contemporary Pediatrics 2013;15(4):317-320
Cerebral palsy (CP) is a permanent disorder in the development of movement and posture in the developing infant brain and is one of the major disabilities that result from extremely preterm birth. Early identification of possible neurodevelopmental injury offers the opportunity to deliver intervention at a very early age and thus prevent severe disability. The assessment of general movements (GMs), has emerged as a reliable and valid predictor of severe neurologic deficits in infants. This method is based on a visual Gestalt perception of the quality of GMs in the preterm and term periods, and postterm up to 5 months. The quality of "fidgety movements" is the most valuable marker for predicting neurologic outcomes.
Brain
;
physiology
;
Child Development
;
Humans
;
Infant, Newborn
;
Infant, Premature
;
growth & development
;
Movement
5.Application of movement recognition technology in assessing spontaneous general movements in preterm infants.
Hong-Hua LI ; Ling SHAN ; Bing WANG ; Fei-Yong JIA
Chinese Journal of Contemporary Pediatrics 2017;19(12):1306-1310
Preterm birth is a major factor which induces neurological and motor impairments, particularly cerebral palsy, in high-risk infants. Early identification of potential neurodevelopmental impairments provides the opportunity to improve neurodevelopmental outcomes in preterm infants through early rehabilitation interventions. Clinically, the general movement assessment is a pivotal tool to predict neurodevelopmental outcomes, especially motor developmental outcomes, in high-risk infants. Movement recognition can continuously capture relevant limb movements and perform objective and quantitative assessment using computerized approaches. Various methods of recording and analyzing spontaneous general movements for infants at a risk of cerebral palsy have been extensively explored. This article summarizes the general movement assessment method and reviews the translational research on using movement recognition technology for the assessment of spontaneous general movements of preterm infants.
Brain
;
growth & development
;
Child Development
;
Humans
;
Infant, Newborn
;
Infant, Premature
;
physiology
;
Movement
7.Research advances in immunological dysfunction in children with autism spectrum disorders.
Tian-Tian WANG ; Lin DU ; Ling SHAN ; Fei-Yong JIA
Chinese Journal of Contemporary Pediatrics 2014;16(12):1289-1293
Autism spectrum disorders (ASD) are a group of neuro-developmental disorders in early childhood which are defined by social difficulties, communication deficits and repetitive or restrictive interests and behaviours. The etiology of ASD remains poorly understood. Much research has shown that children with ASD suffer from immunological dysfunction. This article reviews the current research progress on immunological dysfunction in children with ASD, including abnormalities in immune cells, antibodies, complements, cytokines, major histocompatibility complex and their potential association with ASD, and explores the impacts of maternal immunological activation on the immune dysfunction of children with ASD.
Autoantibodies
;
blood
;
Child
;
Child Development Disorders, Pervasive
;
etiology
;
immunology
;
Cytokines
;
physiology
;
Humans
;
Immunoglobulins
;
blood
;
Lymphocytes
;
immunology
8.Growth Assessment and Monitoring during Childhood.
Fabian YAP ; Yung Seng LEE ; Marion Margaret Hy AW
Annals of the Academy of Medicine, Singapore 2018;47(4):149-155
Growth is an indicator of the health and nutritional status of infants and children. Health organisations and professionals worldwide advocate monitoring the growth of children with the primary aim of identifying and preventing malnutrition and/or obesity. Growth monitoring should be part of every health care consultation for children. However, physicians during health care consultations are often so busy addressing acute health issues, that they miss the opportunity to monitor the child's growth and provide anticipatory guidance. Appropriate growth monitoring would enable health care providers to detect abnormal growth in a timely manner, as well as to reassure parents if their concerns are unfounded. To perform this effectively, physicians need to be familiar with measurement methods, use of appropriate growth charts and interpretation of results. As weight, height and growth rates may vary among children, physicians also need to understand what constitutes normal growth. This paper aims to clarify the purpose of growth monitoring and provide recommendations for physicians to assess, monitor and manage growth in infants and children in a primary care setting.
Body Mass Index
;
Child Development
;
physiology
;
Child, Preschool
;
Growth Charts
;
Humans
;
Primary Health Care
9.Automated assessment of developmental levels of epiphysis by support vector machine.
Ya-hui WANG ; Zi-shen WANG ; Hua WEI ; Lei WAN ; Chong-liang YING ; Guang-you ZHU
Journal of Forensic Medicine 2014;30(6):422-426
OBJECTIVE:
To realize the automated assessment of the levels of epiphysis of distal radius and ulna by support vector machine (SVM).
METHODS:
The X-ray films of the left wrist joints were taken from 140 teenagers aged from 11 to 19 years old as training samples. The levels of epiphysis of distal radius and ulna were divided into five developmental levels. Each level contained 28 samples. Another 35 cases were selected as independent verifying samples. SVM classification models of the five developmental levels of epiphysis of distal radius and ulna were established. The internal cross validation was made by leave one out cross validation (LOOCV), while the external validation was made by histogram of oriented gradient (HOG), and then the accuracy (PA) of testing results was calculated, respectively.
RESULTS:
The PA of SVM, LOOCV and HOG of distal radius epiphyseal level were 100%, 78.6%, and 82.8%, respectively; whereas the PA of SVM, LOOCV and HOG of distal ulna epiphyseal level were 100.0%, 80.0% and 88.6%, respectively.
CONCLUSION
The SVM-based automatic models of the growth stage of distal ra- dius and ulna appear to have certain feasibility, and may provide a foundation for software development of bone age assessment by forensic medicine.
Adolescent
;
Bone Development/physiology*
;
Child
;
Epiphyses/growth & development*
;
Female
;
Humans
;
Image Processing, Computer-Assisted/methods*
;
Male
;
Radius/growth & development*
;
Support Vector Machine
;
Ulna/growth & development*
;
Wrist/growth & development*
;
Wrist Joint/growth & development*
;
Young Adult
10.Relationship between vitamin D and autism spectrum disorder.
Xiao-Yan DUAN ; Fei-Yong JIA ; Hui-Yi JIANG
Chinese Journal of Contemporary Pediatrics 2013;15(8):698-702
Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder, with multiple genetic and environmental risk factors. The interplay between genetic and environmental factors has become the subject of intensified research in the last several years. Vitamin D deficiency has recently been proposed as a possible environmental risk factor for ASD. Vitamin D has a unique role in brain homeostasis, embryogenesis and neurodevelopment, immunological modulation (including the brain's immune system), antioxidation, antiapoptosis, neural differentiation and gene regulation. Children with ASD had significantly lower serum levels of 25-hydroxy vitamin D than healthy children.Therefore vitamin D deficiency during pregnancy and early childhood may be an environmental trigger for ASD.
Child Development Disorders, Pervasive
;
etiology
;
genetics
;
Embryonic Development
;
Homeostasis
;
Humans
;
Vitamin D
;
physiology
;
Vitamin D Deficiency
;
complications