Introduction: Music therapy is a practice for helping and supporting people with intellectual and relational difficulties. This study illustrated the benefits of music therapy for young people living with intellectual...Introduction: Music therapy is a practice for helping and supporting people with intellectual and relational difficulties. This study illustrated the benefits of music therapy for young people living with intellectual disabilities (YLID) in an African context. Methodology: This study investigated six young individuals with intellectual disabilities who had undergone three years of music therapy. They were participants in the inclusive non-academic training program at the National School of Arts in Dakar from 2017 to 2019. Data collection utilized individual interviews with the youths, evaluation grids from teachers and psychiatrists. Guardians provided informed consent along with the assent of the young participants. Results: The six young were aged between 18 and 30 years old, with an average age of 24.6 years. Four of the YLID were male. Three young people with intellectual disabilities had delayed psychomotor development. Observations revealed the beneficial influence of music therapy on the health and well-being of young individuals. Music played a role in alleviating stress and anxiety among youth with intellectual disabilities (YLID), enhancing their mood and mental health. It assisted in navigating challenging situations and heightened alertness among YLID. Additionally, music therapy contributed to improvements in dyslexia, fine and gross motor skills, and memory development among intellectually disabled youth, ultimately facilitating their integration into society. Conclusion: In light of our results, music therapy makes a major contribution to the empowerment of YLID. Engaging in musical activities helps young people connect with others through instrumental expression and a sense of accomplishment. By facilitating music therapy, it becomes possible to combat discrimination and stigmatization, thus promoting the social inclusion of intellectually disabled youth. Therefore, it is important to promote music therapy in Senegal to meet the needs of YLID.展开更多
Introduction: Several studies have reported a high prevalence of dental caries among the people with intellectual disabilities. In order to identify the sociodemographic, clinical and behavioral factors associated wit...Introduction: Several studies have reported a high prevalence of dental caries among the people with intellectual disabilities. In order to identify the sociodemographic, clinical and behavioral factors associated with it, we conducted a study in specialized centers welcoming subjects with intellectual disabilities in Ouagadougou (Burkina Faso). Objectives: The objective of this study was to identify the factors associated with it among intellectually disabled in the specialized centers of Ouagadougou. Methods: The study was cross-sectional analytical. The survey took place between November 2020 and January 2021 among people with intellectual disabilities in reception centers receiving a grant from the Ministry of Women, National Solidarity, Family and Humanitarian Action. Data collection was done with a questionnaire adapted from the World Health Organization (WHO) and dental caries was recorded according to WHO criteria in decayed, missing or filled teeth generating a DMF index. Logistic regression was used to identify factors associated with the presence of dental caries. Results: A total of 193 participants were included in the study with an average age of 12.4 years ± 7.9. The overall prevalence of caries measured with the DMF index was 58.6% 95% CI [51.2 - 65.8]. It was significantly associated with female gender (OR = 4.2;95% CI [1.4 - 12.5], p = 0,01), the clinical form of mental illness (epilepsy OR = 3.8 95%;CI [1.2 - 12.7], p = 0,02, trisomy OR = 5.0;95% CI [1.1 - 22.9], p = 0,03, motor autonomy OR = 0.2 95%;CI [0.1 - 0.7], p = 0,01) and at use of toothpaste OR = 9.33;95% CI [1.05 - 82.7], p = 0,04. Conclusion: Dental caries remains a very present pathology in most people living with an intellectual disability. Also, it is necessary to put in place prevention strategies to reduce its prevalence and improve access to oral care for these people.展开更多
BACKGROUND Oral candidiasis(OC)is an oral health disease that could influence patients’oral health quality of life.AIM To estimate prevalence of OC among disabled and non-disabled individuals and its potential risk f...BACKGROUND Oral candidiasis(OC)is an oral health disease that could influence patients’oral health quality of life.AIM To estimate prevalence of OC among disabled and non-disabled individuals and its potential risk factors in the Al-Baha region,Saudi Arabia.METHODS An observational cross-sectional study was carried out among 148 disabled and non-disabled participants.The technique of concentrated oral rinse employing the Sabouraud Dextrose Agar medium accompanied with 0.05%chloramphenicol was conducted to assess and isolate candida.Oral examination using the World Health Organization guidelines was conducted to examine participants’oral hea-lth status.A pre-designed questionnaire was also used to evaluate sociodemo-graphic,medical history,and oral hygiene habits of the studied population.RESULTS Out of 148 participants(n=57,38%)had colonized candida.None of the studied population had visible Candida lesions.However,Candida was found in the oral rinses without the subject presenting any lesions or issues caused by Candida(asymptomatic colonization).The most common prevalent OC among participants were Candida albicans,Candida glabrata,Candida dubliniensis,Candida krusei,Candida tropicalis,and Candida parapsilosis(n=35,61%;n=8,14%;n=6,10%;n=5,9%;n=2,4%;and n=1,2%)respectively.Diabetes,smoking,poor plaque,and gingival status were key potential risk factors that significantly associated with candida’s density and presence(P=0.001,P=0.001,P=0.01,and P=0.01)respectively.Disability status had no statistically significant effect on presence and density of Candida.CONCLUSION The prevalence of OC is almost third of the studied population;thus,may provoke a need to develop preventive strategies to reduce the OC rate and establish solid treatment plans.展开更多
Introduction: Lumbar disc herniation (LDH) refers to the rupture of the fibrous annulus of the intervertebral discs. Lumbar curvature may lead to the occurrence of lumbar disc degeneration. Fear of movement may worsen...Introduction: Lumbar disc herniation (LDH) refers to the rupture of the fibrous annulus of the intervertebral discs. Lumbar curvature may lead to the occurrence of lumbar disc degeneration. Fear of movement may worsen their disc herniation and cause further pain and injury. LDH conditions impact the individuals’ quality of life, to explore the relationship between lumbar curve, muscle strength, fear of movement and functional disability among patients with LDH. Methods: An electronic search was conducted on PubMed, Medline, Science Direct, Springerlink, Google Scholar and a hand search from reference lists was reviewed. Publications were included in human studies, patients 25 - 85 years of age, original studies and published in English language journals from January 2002 to December 2023. Result: In total, 64 articles were researched through the online search engines, and 9 papers were found through manual searches of reference lists. As a result, a total of 11 articles were included for the purpose of this review. The comprehensive analysis revealed the presence of eight cross-sectional studies, two retrospective studies and one experimental study. A minimum of 25 participants and a maximum of 360 participants were included. Ten studies included both genders, only one studies included healthy adults and patients with LDH but these studies didn’t mention gender. Results showed that the factors influencing LDH can be categorized into non-modifiable factors, such as gender, age, height or others. Modifiable factors included increased BMI, DM, smoking, alcohol, employment status, lifestyle and health problems or psychology. Conclusion: Females with greater VASC may be at risk of LDH. The lumbar extensor muscles indicated a localized disc herniation or nerve root pathology in patients with LDH. The fear of movement may lead to psychological consequences and reduce functional disability among patients with LDH.展开更多
Objective:To analyze the value of extended care interventions for disabled elderly in preventing falls and optimizing quality of life.Methods:A sample of 60 cases of disabled elderly in a tertiary hospital from May 20...Objective:To analyze the value of extended care interventions for disabled elderly in preventing falls and optimizing quality of life.Methods:A sample of 60 cases of disabled elderly in a tertiary hospital from May 2022 to May 2023 was selected and grouped by the random number table method.The observation group received extended care,while the control group adopted routine care.The differences in complication rate,fall rate,36-Item Short Form Health Survey(SF-36)score,health knowledge awareness score,and nursing satisfaction were compared.Results:The complication rate and fall rate of the disabled elderly in the observation group were lower than those in the control group,P<0.05;the SF-36 score,health knowledge score,and nursing satisfaction of the observation group were higher than those of the control group,P<0.05.Conclusion:Extended care for the disabled elderly can reduce the risk of falls and complications related to disability,as well as optimize their cognition and improve their quality of life,which is efficient and feasible.展开更多
The human motion data collected using wearables like smartwatches can be used for activity recognition and emergency event detection.This is especially applicable in the case of elderly or disabled people who live sel...The human motion data collected using wearables like smartwatches can be used for activity recognition and emergency event detection.This is especially applicable in the case of elderly or disabled people who live self-reliantly in their homes.These sensors produce a huge volume of physical activity data that necessitates real-time recognition,especially during emergencies.Falling is one of the most important problems confronted by older people and people with movement disabilities.Numerous previous techniques were introduced and a few used webcam to monitor the activity of elderly or disabled people.But,the costs incurred upon installation and operation are high,whereas the technology is relevant only for indoor environments.Currently,commercial wearables use a wireless emergency transmitter that produces a number of false alarms and restricts a user’s movements.Against this background,the current study develops an Improved WhaleOptimizationwithDeep Learning-Enabled Fall Detection for Disabled People(IWODL-FDDP)model.The presented IWODL-FDDP model aims to identify the fall events to assist disabled people.The presented IWODLFDDP model applies an image filtering approach to pre-process the image.Besides,the EfficientNet-B0 model is utilized to generate valuable feature vector sets.Next,the Bidirectional Long Short Term Memory(BiLSTM)model is used for the recognition and classification of fall events.Finally,the IWO method is leveraged to fine-tune the hyperparameters related to the BiLSTM method,which shows the novelty of the work.The experimental analysis outcomes established the superior performance of the proposed IWODL-FDDP method with a maximum accuracy of 97.02%.展开更多
A cerebral vascular accident,known as common language stroke,is one of the main causes of mortality and remains the primary cause of acquired disabilities in adults.Those disabled people spend most of their time at ho...A cerebral vascular accident,known as common language stroke,is one of the main causes of mortality and remains the primary cause of acquired disabilities in adults.Those disabled people spend most of their time at home in their living rooms.In most cases,appliances of a living room(TV,light,cooler/heater,window blinds,etc.)are generally controlled by direct manipulation of a set of remote controls.Handling many remote controls can be disturbing and inappropriate for these people.In addition,in many cases these people could be alone at home and must open the door for visitors after their identification by either moving to the door or using an intercom system which requires in both cases a physical activity.Furthermore,these people need a continuous health monitoring especially blood pressure to avoid a recurrent stroke.Smart spaces and assisted technologies would be beneficial to assist person with disabilities to live indepen-dently,enhance their quality of life and empower their autonomy.A complete sys-tem which improves and facilitates the daily life and covers all aspects such as appliances automation,appropriate interaction mode and health monitoring of these people is still lacking.The aim of this work is to create a safe and high-quality living environment for persons with disabilities to enable them to live more independently by automating the operation of a living room appliances according to the current context without the need to use remote control devices,the use of a suitable interaction modality with appliances that require direct interaction and a remote health monitoring system which can alert relatives and caregivers in case of an emergency.展开更多
Assistive devices for disabled people with the help of Brain-Computer Interaction(BCI)technology are becoming vital bio-medical engineering.People with physical disabilities need some assistive devices to perform thei...Assistive devices for disabled people with the help of Brain-Computer Interaction(BCI)technology are becoming vital bio-medical engineering.People with physical disabilities need some assistive devices to perform their daily tasks.In these devices,higher latency factors need to be addressed appropriately.Therefore,the main goal of this research is to implement a real-time BCI architecture with minimum latency for command actuation.The proposed architecture is capable to communicate between different modules of the system by adopting an automotive,intelligent data processing and classification approach.Neuro-sky mind wave device has been used to transfer the data to our implemented server for command propulsion.Think-Net Convolutional Neural Network(TN-CNN)architecture has been proposed to recognize the brain signals and classify them into six primary mental states for data classification.Data collection and processing are the responsibility of the central integrated server for system load minimization.Testing of implemented architecture and deep learning model shows excellent results.The proposed system integrity level was the minimum data loss and the accurate commands processing mechanism.The training and testing results are 99%and 93%for custom model implementation based on TN-CNN.The proposed real-time architecture is capable of intelligent data processing unit with fewer errors,and it will benefit assistive devices working on the local server and cloud server.展开更多
Background: Disability is an underestimated issue in public health, with road crashes as leading cause. In Africa, motorcyclists disproportionately bear the burden of road crash injuries, including disability. To cont...Background: Disability is an underestimated issue in public health, with road crashes as leading cause. In Africa, motorcyclists disproportionately bear the burden of road crash injuries, including disability. To contribute to decision-making for disability prevention, this study aims to determine the prevalence and factors associated with disability at 12 months among motorcyclists involved in road crashes in Benin. Methods: This is a prospective, cross-sectional, analytical study based on 12-month follow-up data from a cohort of road crash victims set up in five hospitals in Benin. Data were collected from November 2020 to January 2021. Sample used for this analysis size was 297 motorcyclists. Disability was assessed using the Washington Group on Disabilities Statistics question set. Logistic regression analysis was used to identify risk factors for disability in victims 12 months after the crash. Results: The prevalence of disability was 12.5% 95% CI (9.2 - 16.7). Disability occurrence was associated with being over 45 years old (OR = 3.1;95% CI = 1.5 - 6.6), severity of initial injury (OR = 3.3;95% CI = 1.5 - 7.3) and hospitalisation of the victim (OR = 6.9;95% CI = 2.0 - 24). Conclusion: Age over 45 years, severity of initial injuries and hospitalisation of the victim were risk factors for the occurrence of disability among motorcyclists who were victims of road crashes in Benin. User awareness, law enforcement, holistic and early management of road crash victims could contribute to reducing the prevalence of disability among victims in Benin.展开更多
BACKGROUND There is little data on physical activity(PA),organized PA(OPA),and sedentary behaviors in autism spectrum disorders(ASD)and other neurodevelopmental disorders in developing countries.AIM To examine OPA,non...BACKGROUND There is little data on physical activity(PA),organized PA(OPA),and sedentary behaviors in autism spectrum disorders(ASD)and other neurodevelopmental disorders in developing countries.AIM To examine OPA,non-OPA,and sedentary behaviors and their associated factors in children and adolescents with ASD,cerebral palsy(CP),and intellectual disability(ID).METHODS A total of 1020 children and adolescents with ASD,CP,and ID were assessed regarding the child and family information as well as the Children’s Leisure Activities Study Survey.RESULTS The results showed that the OPA level was significantly lower than non-OPA in all groups.Furthermore,the OPA level was significantly lower in the CP group compared to ASD and ID groups(P<0.001).Also,moderate(P<0.001),vigorous(P<0.05),and total(P<0.001)physical activity levels were significantly different between all three groups,with the values being higher in the ASD group compared to the other two.The mean of the total sedentary behavior duration in the ASD group(1819.4 min/week,SD:1680)was significantly lower than in the CP group(2687 min/week,SD:2673)(P=0.007)but not ID group(2176 min/week,SD:2168.9)(P=0.525).CONCLUSION Our findings remark on the participation rate of PA,OPA,and sedentary behaviors of children and adolescents with ASD,CP,and ID in a developing country.In contrast,the need for developing standards of PA/OPA participation in neurodevelopmental disorders is discussed.展开更多
The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes...The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes mellitus and put forward a case for the moderating effects of physical activity(PA)in the management of diabetes.The limitations and impairments associated with diabetes include vascular,neurological,cardiac,and renal impairments.Moreover,individuals participate less in their daily lives and in their instrumental activities of daily living,which negatively impacts the quality of life of individuals with diabetes.This often leads to a loss of quality of life due to disabilities,resulting in an increased rate of disability-adjusted life years among people with type 2 diabetes mellitus.Moreover,there are psychosocial sequelae of diabetes mellitus.This necessitates looking for moderating factors that may reduce the burden of the disease.PA has been shown to be one of the factors that can mitigate these burdens.PA does this in several ways,including through the benefits it confers,such as a reduction of hemoglobin A1c,a reduction of excess fat in the liver and pancreas,and the reduction of cardiovascular risk factors,all of which favorably affect glycemic parameters.Specifically,PA regulates or moderates diabetes disability through two mechanisms:The regulation of glucolipid metabolism disorders and the optimization of body mass index and systemic conditions.Therefore,efforts should be directed at PA uptake through identified strategies.This will not only prevent diabetes or diabetes complications but will reduce its burden.展开更多
Elderly or disabled people can be supported by a human activity recognition(HAR)system that monitors their activity intervenes and pat-terns in case of changes in their behaviors or critical events have occurred.An au...Elderly or disabled people can be supported by a human activity recognition(HAR)system that monitors their activity intervenes and pat-terns in case of changes in their behaviors or critical events have occurred.An automated HAR could assist these persons to have a more indepen-dent life.Providing appropriate and accurate data regarding the activity is the most crucial computation task in the activity recognition system.With the fast development of neural networks,computing,and machine learning algorithms,HAR system based on wearable sensors has gained popularity in several areas,such as medical services,smart homes,improving human communication with computers,security systems,healthcare for the elderly,mechanization in industry,robot monitoring system,monitoring athlete train-ing,and rehabilitation systems.In this view,this study develops an improved pelican optimization with deep transfer learning enabled HAR(IPODTL-HAR)system for disabled persons.The major goal of the IPODTL-HAR method was recognizing the human activities for disabled person and improve the quality of living.The presented IPODTL-HAR model follows data pre-processing for improvising the quality of the data.Besides,EfficientNet model is applied to derive a useful set of feature vectors and the hyperparameters are adjusted by the use of Nadam optimizer.Finally,the IPO with deep belief network(DBN)model is utilized for the recognition and classification of human activities.The utilization of Nadam optimizer and IPO algorithm helps in effectually tuning the hyperparameters related to the EfficientNet and DBN models respectively.The experimental validation of the IPODTL-HAR method is tested using benchmark dataset.Extensive comparison study highlighted the betterment of the IPODTL-HAR model over recent state of art HAR approaches interms of different measures.展开更多
Sign language recognition can be treated as one of the efficient solu-tions for disabled people to communicate with others.It helps them to convey the required data by the use of sign language with no issues.The lates...Sign language recognition can be treated as one of the efficient solu-tions for disabled people to communicate with others.It helps them to convey the required data by the use of sign language with no issues.The latest develop-ments in computer vision and image processing techniques can be accurately uti-lized for the sign recognition process by disabled people.American Sign Language(ASL)detection was challenging because of the enhancing intraclass similarity and higher complexity.This article develops a new Bayesian Optimiza-tion with Deep Learning-Driven Hand Gesture Recognition Based Sign Language Communication(BODL-HGRSLC)for Disabled People.The BODL-HGRSLC technique aims to recognize the hand gestures for disabled people’s communica-tion.The presented BODL-HGRSLC technique integrates the concepts of compu-ter vision(CV)and DL models.In the presented BODL-HGRSLC technique,a deep convolutional neural network-based residual network(ResNet)model is applied for feature extraction.Besides,the presented BODL-HGRSLC model uses Bayesian optimization for the hyperparameter tuning process.At last,a bidir-ectional gated recurrent unit(BiGRU)model is exploited for the HGR procedure.A wide range of experiments was conducted to demonstrate the enhanced perfor-mance of the presented BODL-HGRSLC model.The comprehensive comparison study reported the improvements of the BODL-HGRSLC model over other DL models with maximum accuracy of 99.75%.展开更多
Mobile communication and the Internet of Things(IoT)technologies have recently been established to collect data from human beings and the environment.The data collected can be leveraged to provide intelligent services...Mobile communication and the Internet of Things(IoT)technologies have recently been established to collect data from human beings and the environment.The data collected can be leveraged to provide intelligent services through different applications.It is an extreme challenge to monitor disabled people from remote locations.It is because day-to-day events like falls heavily result in accidents.For a person with disabilities,a fall event is an important cause of mortality and post-traumatic complications.Therefore,detecting the fall events of disabled persons in smart homes at early stages is essential to provide the necessary support and increase their survival rate.The current study introduces a Whale Optimization Algorithm Deep Transfer Learning-DrivenAutomated Fall Detection(WOADTL-AFD)technique to improve the Quality of Life for persons with disabilities.The primary aim of the presented WOADTL-AFD technique is to identify and classify the fall events to help disabled individuals.To attain this,the proposed WOADTL-AFDmodel initially uses amodified SqueezeNet feature extractor which proficiently extracts the feature vectors.In addition,the WOADTLAFD technique classifies the fall events using an extreme Gradient Boosting(XGBoost)classifier.In the presented WOADTL-AFD technique,the WOA approach is used to fine-tune the hyperparameters involved in the modified SqueezeNet model.The proposedWOADTL-AFD technique was experimentally validated using the benchmark datasets,and the results confirmed the superior performance of the proposedWOADTL-AFD method compared to other recent approaches.展开更多
Falls are the most common concern among older adults or disabled peo-ple who use scooters and wheelchairs.The early detection of disabled persons’falls is required to increase the living rate of an individual or prov...Falls are the most common concern among older adults or disabled peo-ple who use scooters and wheelchairs.The early detection of disabled persons’falls is required to increase the living rate of an individual or provide support to them whenever required.In recent times,the arrival of the Internet of Things(IoT),smartphones,Artificial Intelligence(AI),wearables and so on make it easy to design fall detection mechanisms for smart homecare.The current study devel-ops an Automated Disabled People Fall Detection using Cuckoo Search Optimi-zation with Mobile Networks(ADPFD-CSOMN)model.The proposed model’s major aim is to detect and distinguish fall events from non-fall events automati-cally.To attain this,the presented ADPFD-CSOMN technique incorporates the design of the MobileNet model for the feature extraction process.Next,the CSO-based hyperparameter tuning process is executed for the MobileNet model,which shows the paper’s novelty.Finally,the Radial Basis Function(RBF)clas-sification model recognises and classifies the instances as either fall or non-fall.In order to validate the betterment of the proposed ADPFD-CSOMN model,a com-prehensive experimental analysis was conducted.The results confirmed the enhanced fall classification outcomes of the ADPFD-CSOMN model over other approaches with an accuracy of 99.17%.展开更多
As the main window for the public to understand the outside world,mass media has an undeniable influence on economic and social development.The way in which the media reports on issues related to people with disabilit...As the main window for the public to understand the outside world,mass media has an undeniable influence on economic and social development.The way in which the media reports on issues related to people with disabilities not only affects the voice of the disabled community,which determines the public image of the“disappearing”disabled community,but also affects the public awareness and recognition of the disability cause.To further explore the current status of mainstream media’s coverage of the disability cause,this article combines relevant concepts from media function theory and analyzes reports related to the integrated development of the disability cause in the Guangdong-Hong Kong-Macao Greater Bay Area by using the examples of the Zhuhai Special Zone Daily,Southern Metropolis Daily,and Shenzhen Special Zone Daily since the release of the Development Plan Outline for the Guangdong-Hong Kong-Macao Greater Bay Area in 2019.The results show that the“Integrated Development of the Disability Cause in the Bay Area”presented in the reports has the characteristics of service-oriented and cooperation-based,which is in line with the overall trend of the development of China’s disability cause.However,due to factors such as a small overall quantity of related reports,a relatively single style of reporting and information sources,and a strong promotional tone,there still exists a certain difference between the“media reality”and objective reality constructed by these reports.Therefore,this article suggests that institutional media should fully strengthen their coverage of relevant topics,while enhancing the timeliness and readability of reports by enriching various reporting elements.By further enhancing the effectiveness of reporting and communication,the integrated development of the disability cause in the Bay Area can be effectively promoted.展开更多
文摘Introduction: Music therapy is a practice for helping and supporting people with intellectual and relational difficulties. This study illustrated the benefits of music therapy for young people living with intellectual disabilities (YLID) in an African context. Methodology: This study investigated six young individuals with intellectual disabilities who had undergone three years of music therapy. They were participants in the inclusive non-academic training program at the National School of Arts in Dakar from 2017 to 2019. Data collection utilized individual interviews with the youths, evaluation grids from teachers and psychiatrists. Guardians provided informed consent along with the assent of the young participants. Results: The six young were aged between 18 and 30 years old, with an average age of 24.6 years. Four of the YLID were male. Three young people with intellectual disabilities had delayed psychomotor development. Observations revealed the beneficial influence of music therapy on the health and well-being of young individuals. Music played a role in alleviating stress and anxiety among youth with intellectual disabilities (YLID), enhancing their mood and mental health. It assisted in navigating challenging situations and heightened alertness among YLID. Additionally, music therapy contributed to improvements in dyslexia, fine and gross motor skills, and memory development among intellectually disabled youth, ultimately facilitating their integration into society. Conclusion: In light of our results, music therapy makes a major contribution to the empowerment of YLID. Engaging in musical activities helps young people connect with others through instrumental expression and a sense of accomplishment. By facilitating music therapy, it becomes possible to combat discrimination and stigmatization, thus promoting the social inclusion of intellectually disabled youth. Therefore, it is important to promote music therapy in Senegal to meet the needs of YLID.
文摘Introduction: Several studies have reported a high prevalence of dental caries among the people with intellectual disabilities. In order to identify the sociodemographic, clinical and behavioral factors associated with it, we conducted a study in specialized centers welcoming subjects with intellectual disabilities in Ouagadougou (Burkina Faso). Objectives: The objective of this study was to identify the factors associated with it among intellectually disabled in the specialized centers of Ouagadougou. Methods: The study was cross-sectional analytical. The survey took place between November 2020 and January 2021 among people with intellectual disabilities in reception centers receiving a grant from the Ministry of Women, National Solidarity, Family and Humanitarian Action. Data collection was done with a questionnaire adapted from the World Health Organization (WHO) and dental caries was recorded according to WHO criteria in decayed, missing or filled teeth generating a DMF index. Logistic regression was used to identify factors associated with the presence of dental caries. Results: A total of 193 participants were included in the study with an average age of 12.4 years ± 7.9. The overall prevalence of caries measured with the DMF index was 58.6% 95% CI [51.2 - 65.8]. It was significantly associated with female gender (OR = 4.2;95% CI [1.4 - 12.5], p = 0,01), the clinical form of mental illness (epilepsy OR = 3.8 95%;CI [1.2 - 12.7], p = 0,02, trisomy OR = 5.0;95% CI [1.1 - 22.9], p = 0,03, motor autonomy OR = 0.2 95%;CI [0.1 - 0.7], p = 0,01) and at use of toothpaste OR = 9.33;95% CI [1.05 - 82.7], p = 0,04. Conclusion: Dental caries remains a very present pathology in most people living with an intellectual disability. Also, it is necessary to put in place prevention strategies to reduce its prevalence and improve access to oral care for these people.
基金the King Salman Center for Disability Research,No.KSRG-2023-169.
文摘BACKGROUND Oral candidiasis(OC)is an oral health disease that could influence patients’oral health quality of life.AIM To estimate prevalence of OC among disabled and non-disabled individuals and its potential risk factors in the Al-Baha region,Saudi Arabia.METHODS An observational cross-sectional study was carried out among 148 disabled and non-disabled participants.The technique of concentrated oral rinse employing the Sabouraud Dextrose Agar medium accompanied with 0.05%chloramphenicol was conducted to assess and isolate candida.Oral examination using the World Health Organization guidelines was conducted to examine participants’oral hea-lth status.A pre-designed questionnaire was also used to evaluate sociodemo-graphic,medical history,and oral hygiene habits of the studied population.RESULTS Out of 148 participants(n=57,38%)had colonized candida.None of the studied population had visible Candida lesions.However,Candida was found in the oral rinses without the subject presenting any lesions or issues caused by Candida(asymptomatic colonization).The most common prevalent OC among participants were Candida albicans,Candida glabrata,Candida dubliniensis,Candida krusei,Candida tropicalis,and Candida parapsilosis(n=35,61%;n=8,14%;n=6,10%;n=5,9%;n=2,4%;and n=1,2%)respectively.Diabetes,smoking,poor plaque,and gingival status were key potential risk factors that significantly associated with candida’s density and presence(P=0.001,P=0.001,P=0.01,and P=0.01)respectively.Disability status had no statistically significant effect on presence and density of Candida.CONCLUSION The prevalence of OC is almost third of the studied population;thus,may provoke a need to develop preventive strategies to reduce the OC rate and establish solid treatment plans.
文摘Introduction: Lumbar disc herniation (LDH) refers to the rupture of the fibrous annulus of the intervertebral discs. Lumbar curvature may lead to the occurrence of lumbar disc degeneration. Fear of movement may worsen their disc herniation and cause further pain and injury. LDH conditions impact the individuals’ quality of life, to explore the relationship between lumbar curve, muscle strength, fear of movement and functional disability among patients with LDH. Methods: An electronic search was conducted on PubMed, Medline, Science Direct, Springerlink, Google Scholar and a hand search from reference lists was reviewed. Publications were included in human studies, patients 25 - 85 years of age, original studies and published in English language journals from January 2002 to December 2023. Result: In total, 64 articles were researched through the online search engines, and 9 papers were found through manual searches of reference lists. As a result, a total of 11 articles were included for the purpose of this review. The comprehensive analysis revealed the presence of eight cross-sectional studies, two retrospective studies and one experimental study. A minimum of 25 participants and a maximum of 360 participants were included. Ten studies included both genders, only one studies included healthy adults and patients with LDH but these studies didn’t mention gender. Results showed that the factors influencing LDH can be categorized into non-modifiable factors, such as gender, age, height or others. Modifiable factors included increased BMI, DM, smoking, alcohol, employment status, lifestyle and health problems or psychology. Conclusion: Females with greater VASC may be at risk of LDH. The lumbar extensor muscles indicated a localized disc herniation or nerve root pathology in patients with LDH. The fear of movement may lead to psychological consequences and reduce functional disability among patients with LDH.
文摘Objective:To analyze the value of extended care interventions for disabled elderly in preventing falls and optimizing quality of life.Methods:A sample of 60 cases of disabled elderly in a tertiary hospital from May 2022 to May 2023 was selected and grouped by the random number table method.The observation group received extended care,while the control group adopted routine care.The differences in complication rate,fall rate,36-Item Short Form Health Survey(SF-36)score,health knowledge awareness score,and nursing satisfaction were compared.Results:The complication rate and fall rate of the disabled elderly in the observation group were lower than those in the control group,P<0.05;the SF-36 score,health knowledge score,and nursing satisfaction of the observation group were higher than those of the control group,P<0.05.Conclusion:Extended care for the disabled elderly can reduce the risk of falls and complications related to disability,as well as optimize their cognition and improve their quality of life,which is efficient and feasible.
基金The authors extend their appreciation to the Deanship of Scientific Research at King Khalid University for funding this work through Large Groups Project under grant number(158/43)Princess Nourah bint Abdulrahman University Researchers Supporting Project number(PNURSP2022R77)+1 种基金Princess Nourah bint Abdulrahman University,Riyadh,Saudi ArabiaThe authors would like to thank the Deanship of Scientific Research at Umm Al-Qura University for supporting this work by Grant Code:(22UQU4310373DSR52).
文摘The human motion data collected using wearables like smartwatches can be used for activity recognition and emergency event detection.This is especially applicable in the case of elderly or disabled people who live self-reliantly in their homes.These sensors produce a huge volume of physical activity data that necessitates real-time recognition,especially during emergencies.Falling is one of the most important problems confronted by older people and people with movement disabilities.Numerous previous techniques were introduced and a few used webcam to monitor the activity of elderly or disabled people.But,the costs incurred upon installation and operation are high,whereas the technology is relevant only for indoor environments.Currently,commercial wearables use a wireless emergency transmitter that produces a number of false alarms and restricts a user’s movements.Against this background,the current study develops an Improved WhaleOptimizationwithDeep Learning-Enabled Fall Detection for Disabled People(IWODL-FDDP)model.The presented IWODL-FDDP model aims to identify the fall events to assist disabled people.The presented IWODLFDDP model applies an image filtering approach to pre-process the image.Besides,the EfficientNet-B0 model is utilized to generate valuable feature vector sets.Next,the Bidirectional Long Short Term Memory(BiLSTM)model is used for the recognition and classification of fall events.Finally,the IWO method is leveraged to fine-tune the hyperparameters related to the BiLSTM method,which shows the novelty of the work.The experimental analysis outcomes established the superior performance of the proposed IWODL-FDDP method with a maximum accuracy of 97.02%.
文摘A cerebral vascular accident,known as common language stroke,is one of the main causes of mortality and remains the primary cause of acquired disabilities in adults.Those disabled people spend most of their time at home in their living rooms.In most cases,appliances of a living room(TV,light,cooler/heater,window blinds,etc.)are generally controlled by direct manipulation of a set of remote controls.Handling many remote controls can be disturbing and inappropriate for these people.In addition,in many cases these people could be alone at home and must open the door for visitors after their identification by either moving to the door or using an intercom system which requires in both cases a physical activity.Furthermore,these people need a continuous health monitoring especially blood pressure to avoid a recurrent stroke.Smart spaces and assisted technologies would be beneficial to assist person with disabilities to live indepen-dently,enhance their quality of life and empower their autonomy.A complete sys-tem which improves and facilitates the daily life and covers all aspects such as appliances automation,appropriate interaction mode and health monitoring of these people is still lacking.The aim of this work is to create a safe and high-quality living environment for persons with disabilities to enable them to live more independently by automating the operation of a living room appliances according to the current context without the need to use remote control devices,the use of a suitable interaction modality with appliances that require direct interaction and a remote health monitoring system which can alert relatives and caregivers in case of an emergency.
基金Authors would like to acknowledge the support of the Deputy for Research and Innovation-Ministry of Education,Kingdom of Saudi Arabia for funding this research through a project(NU/IFC/ENT/01/014)under the institutional funding committee at Najran University,Kingdom of Saudi Arabia.
文摘Assistive devices for disabled people with the help of Brain-Computer Interaction(BCI)technology are becoming vital bio-medical engineering.People with physical disabilities need some assistive devices to perform their daily tasks.In these devices,higher latency factors need to be addressed appropriately.Therefore,the main goal of this research is to implement a real-time BCI architecture with minimum latency for command actuation.The proposed architecture is capable to communicate between different modules of the system by adopting an automotive,intelligent data processing and classification approach.Neuro-sky mind wave device has been used to transfer the data to our implemented server for command propulsion.Think-Net Convolutional Neural Network(TN-CNN)architecture has been proposed to recognize the brain signals and classify them into six primary mental states for data classification.Data collection and processing are the responsibility of the central integrated server for system load minimization.Testing of implemented architecture and deep learning model shows excellent results.The proposed system integrity level was the minimum data loss and the accurate commands processing mechanism.The training and testing results are 99%and 93%for custom model implementation based on TN-CNN.The proposed real-time architecture is capable of intelligent data processing unit with fewer errors,and it will benefit assistive devices working on the local server and cloud server.
文摘Background: Disability is an underestimated issue in public health, with road crashes as leading cause. In Africa, motorcyclists disproportionately bear the burden of road crash injuries, including disability. To contribute to decision-making for disability prevention, this study aims to determine the prevalence and factors associated with disability at 12 months among motorcyclists involved in road crashes in Benin. Methods: This is a prospective, cross-sectional, analytical study based on 12-month follow-up data from a cohort of road crash victims set up in five hospitals in Benin. Data were collected from November 2020 to January 2021. Sample used for this analysis size was 297 motorcyclists. Disability was assessed using the Washington Group on Disabilities Statistics question set. Logistic regression analysis was used to identify risk factors for disability in victims 12 months after the crash. Results: The prevalence of disability was 12.5% 95% CI (9.2 - 16.7). Disability occurrence was associated with being over 45 years old (OR = 3.1;95% CI = 1.5 - 6.6), severity of initial injury (OR = 3.3;95% CI = 1.5 - 7.3) and hospitalisation of the victim (OR = 6.9;95% CI = 2.0 - 24). Conclusion: Age over 45 years, severity of initial injuries and hospitalisation of the victim were risk factors for the occurrence of disability among motorcyclists who were victims of road crashes in Benin. User awareness, law enforcement, holistic and early management of road crash victims could contribute to reducing the prevalence of disability among victims in Benin.
基金Supported by the Sports Medicine Research Center,No.57842.
文摘BACKGROUND There is little data on physical activity(PA),organized PA(OPA),and sedentary behaviors in autism spectrum disorders(ASD)and other neurodevelopmental disorders in developing countries.AIM To examine OPA,non-OPA,and sedentary behaviors and their associated factors in children and adolescents with ASD,cerebral palsy(CP),and intellectual disability(ID).METHODS A total of 1020 children and adolescents with ASD,CP,and ID were assessed regarding the child and family information as well as the Children’s Leisure Activities Study Survey.RESULTS The results showed that the OPA level was significantly lower than non-OPA in all groups.Furthermore,the OPA level was significantly lower in the CP group compared to ASD and ID groups(P<0.001).Also,moderate(P<0.001),vigorous(P<0.05),and total(P<0.001)physical activity levels were significantly different between all three groups,with the values being higher in the ASD group compared to the other two.The mean of the total sedentary behavior duration in the ASD group(1819.4 min/week,SD:1680)was significantly lower than in the CP group(2687 min/week,SD:2673)(P=0.007)but not ID group(2176 min/week,SD:2168.9)(P=0.525).CONCLUSION Our findings remark on the participation rate of PA,OPA,and sedentary behaviors of children and adolescents with ASD,CP,and ID in a developing country.In contrast,the need for developing standards of PA/OPA participation in neurodevelopmental disorders is discussed.
文摘The growing diabetic epidemic has created a substantial burden,not only on the people with diabetes but also on society at large.This mini-review discussed the limitations and patterns of disability in type 2 diabetes mellitus and put forward a case for the moderating effects of physical activity(PA)in the management of diabetes.The limitations and impairments associated with diabetes include vascular,neurological,cardiac,and renal impairments.Moreover,individuals participate less in their daily lives and in their instrumental activities of daily living,which negatively impacts the quality of life of individuals with diabetes.This often leads to a loss of quality of life due to disabilities,resulting in an increased rate of disability-adjusted life years among people with type 2 diabetes mellitus.Moreover,there are psychosocial sequelae of diabetes mellitus.This necessitates looking for moderating factors that may reduce the burden of the disease.PA has been shown to be one of the factors that can mitigate these burdens.PA does this in several ways,including through the benefits it confers,such as a reduction of hemoglobin A1c,a reduction of excess fat in the liver and pancreas,and the reduction of cardiovascular risk factors,all of which favorably affect glycemic parameters.Specifically,PA regulates or moderates diabetes disability through two mechanisms:The regulation of glucolipid metabolism disorders and the optimization of body mass index and systemic conditions.Therefore,efforts should be directed at PA uptake through identified strategies.This will not only prevent diabetes or diabetes complications but will reduce its burden.
文摘Elderly or disabled people can be supported by a human activity recognition(HAR)system that monitors their activity intervenes and pat-terns in case of changes in their behaviors or critical events have occurred.An automated HAR could assist these persons to have a more indepen-dent life.Providing appropriate and accurate data regarding the activity is the most crucial computation task in the activity recognition system.With the fast development of neural networks,computing,and machine learning algorithms,HAR system based on wearable sensors has gained popularity in several areas,such as medical services,smart homes,improving human communication with computers,security systems,healthcare for the elderly,mechanization in industry,robot monitoring system,monitoring athlete train-ing,and rehabilitation systems.In this view,this study develops an improved pelican optimization with deep transfer learning enabled HAR(IPODTL-HAR)system for disabled persons.The major goal of the IPODTL-HAR method was recognizing the human activities for disabled person and improve the quality of living.The presented IPODTL-HAR model follows data pre-processing for improvising the quality of the data.Besides,EfficientNet model is applied to derive a useful set of feature vectors and the hyperparameters are adjusted by the use of Nadam optimizer.Finally,the IPO with deep belief network(DBN)model is utilized for the recognition and classification of human activities.The utilization of Nadam optimizer and IPO algorithm helps in effectually tuning the hyperparameters related to the EfficientNet and DBN models respectively.The experimental validation of the IPODTL-HAR method is tested using benchmark dataset.Extensive comparison study highlighted the betterment of the IPODTL-HAR model over recent state of art HAR approaches interms of different measures.
基金The authors extend their appreciation to the King Salman centre for Disability Research for funding this work through Research Group no KSRG-2022-017.
文摘Sign language recognition can be treated as one of the efficient solu-tions for disabled people to communicate with others.It helps them to convey the required data by the use of sign language with no issues.The latest develop-ments in computer vision and image processing techniques can be accurately uti-lized for the sign recognition process by disabled people.American Sign Language(ASL)detection was challenging because of the enhancing intraclass similarity and higher complexity.This article develops a new Bayesian Optimiza-tion with Deep Learning-Driven Hand Gesture Recognition Based Sign Language Communication(BODL-HGRSLC)for Disabled People.The BODL-HGRSLC technique aims to recognize the hand gestures for disabled people’s communica-tion.The presented BODL-HGRSLC technique integrates the concepts of compu-ter vision(CV)and DL models.In the presented BODL-HGRSLC technique,a deep convolutional neural network-based residual network(ResNet)model is applied for feature extraction.Besides,the presented BODL-HGRSLC model uses Bayesian optimization for the hyperparameter tuning process.At last,a bidir-ectional gated recurrent unit(BiGRU)model is exploited for the HGR procedure.A wide range of experiments was conducted to demonstrate the enhanced perfor-mance of the presented BODL-HGRSLC model.The comprehensive comparison study reported the improvements of the BODL-HGRSLC model over other DL models with maximum accuracy of 99.75%.
基金The authors extend their appreciation to the King Salman Center for Disability Research for funding this work through Research Group no KSRG-2022-030.
文摘Mobile communication and the Internet of Things(IoT)technologies have recently been established to collect data from human beings and the environment.The data collected can be leveraged to provide intelligent services through different applications.It is an extreme challenge to monitor disabled people from remote locations.It is because day-to-day events like falls heavily result in accidents.For a person with disabilities,a fall event is an important cause of mortality and post-traumatic complications.Therefore,detecting the fall events of disabled persons in smart homes at early stages is essential to provide the necessary support and increase their survival rate.The current study introduces a Whale Optimization Algorithm Deep Transfer Learning-DrivenAutomated Fall Detection(WOADTL-AFD)technique to improve the Quality of Life for persons with disabilities.The primary aim of the presented WOADTL-AFD technique is to identify and classify the fall events to help disabled individuals.To attain this,the proposed WOADTL-AFDmodel initially uses amodified SqueezeNet feature extractor which proficiently extracts the feature vectors.In addition,the WOADTLAFD technique classifies the fall events using an extreme Gradient Boosting(XGBoost)classifier.In the presented WOADTL-AFD technique,the WOA approach is used to fine-tune the hyperparameters involved in the modified SqueezeNet model.The proposedWOADTL-AFD technique was experimentally validated using the benchmark datasets,and the results confirmed the superior performance of the proposedWOADTL-AFD method compared to other recent approaches.
文摘Falls are the most common concern among older adults or disabled peo-ple who use scooters and wheelchairs.The early detection of disabled persons’falls is required to increase the living rate of an individual or provide support to them whenever required.In recent times,the arrival of the Internet of Things(IoT),smartphones,Artificial Intelligence(AI),wearables and so on make it easy to design fall detection mechanisms for smart homecare.The current study devel-ops an Automated Disabled People Fall Detection using Cuckoo Search Optimi-zation with Mobile Networks(ADPFD-CSOMN)model.The proposed model’s major aim is to detect and distinguish fall events from non-fall events automati-cally.To attain this,the presented ADPFD-CSOMN technique incorporates the design of the MobileNet model for the feature extraction process.Next,the CSO-based hyperparameter tuning process is executed for the MobileNet model,which shows the paper’s novelty.Finally,the Radial Basis Function(RBF)clas-sification model recognises and classifies the instances as either fall or non-fall.In order to validate the betterment of the proposed ADPFD-CSOMN model,a com-prehensive experimental analysis was conducted.The results confirmed the enhanced fall classification outcomes of the ADPFD-CSOMN model over other approaches with an accuracy of 99.17%.
文摘As the main window for the public to understand the outside world,mass media has an undeniable influence on economic and social development.The way in which the media reports on issues related to people with disabilities not only affects the voice of the disabled community,which determines the public image of the“disappearing”disabled community,but also affects the public awareness and recognition of the disability cause.To further explore the current status of mainstream media’s coverage of the disability cause,this article combines relevant concepts from media function theory and analyzes reports related to the integrated development of the disability cause in the Guangdong-Hong Kong-Macao Greater Bay Area by using the examples of the Zhuhai Special Zone Daily,Southern Metropolis Daily,and Shenzhen Special Zone Daily since the release of the Development Plan Outline for the Guangdong-Hong Kong-Macao Greater Bay Area in 2019.The results show that the“Integrated Development of the Disability Cause in the Bay Area”presented in the reports has the characteristics of service-oriented and cooperation-based,which is in line with the overall trend of the development of China’s disability cause.However,due to factors such as a small overall quantity of related reports,a relatively single style of reporting and information sources,and a strong promotional tone,there still exists a certain difference between the“media reality”and objective reality constructed by these reports.Therefore,this article suggests that institutional media should fully strengthen their coverage of relevant topics,while enhancing the timeliness and readability of reports by enriching various reporting elements.By further enhancing the effectiveness of reporting and communication,the integrated development of the disability cause in the Bay Area can be effectively promoted.