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Eye Tracking Young Children with Autism
Published on: March 27, 2012
An agenda for 21st century neurodevelopmental medicine: lessons from autism
1Children's Healthcare of Atlanta and Emory University School of Medicine. Atlanta, Georgia, EE.UU.
Insights
Child neurology can lead public health initiatives to optimize neurodevelopmental outcomes. Advancements in neuroscience and technology enable early diagnosis and effective treatments for children facing developmental challenges.
Area of Science:
- Neurodevelopmental Medicine
- Public Health
- Developmental Social Neuroscience
Background:
- Children face diverse genetic, prenatal, and environmental risks impacting early brain development and leading to lifelong disabilities.
- Neurodevelopmental disorders like autism are increasingly understood through advancements in developmental social neuroscience.
- Implementation science provides frameworks for integrating new interventions into healthcare systems.
Purpose of the Study:
- To outline a future vision for neurodevelopmental medicine integrated with public health efforts.
- To explore how advancements can optimize neurodevelopmental outcomes in at-risk children.
- To highlight the potential of new technologies for diagnosis and treatment delivery.
Main Methods:
- Leveraging advances in developmental social neuroscience and implementation science.
- Capitalizing on early neuroplasticity and quantifying social-communicative development trajectories.
- Developing high-throughput, cost-effective diagnostic technologies and community-viable treatments.
Main Results:
- Emerging technologies facilitate early, accessible diagnosis and treatment for neurodevelopmental disorders.
- Integrated healthcare delivery systems can seamlessly incorporate these new solutions.
- Potential exists to extend these approaches to other at-risk populations, including premature infants and those with congenital heart disease.
Conclusions:
- A public health approach focusing on optimal early brain development is essential.
- This mirrors successful public health campaigns for prenatal care, nutrition, and vaccination.
- Child neurology is poised to lead this paradigm shift in optimizing child neurodevelopment.
Abstract:
The future of neurodevelopmental medicine has the potential of situating child neurology at the forefront of a broad-based public health effort to optimize neurodevelopmental outcomes of children born with high-prevalence and diverse genetic, pre- and peri-natal, and environmental burdens compromising early brain development and leading to lifetime disabilities. Building on advancements in developmental social neuroscience and in implementation science, this shift is already occurring in the case of emblematic neurodevelopmental disorders such as autism. Capitalizing on early neuroplasticity and on quantification of trajectories of social-communicative development, new technologies are emerging for high-throughput and cost-effective diagnosis and for community-viable delivery of powerful treatments, in seamless integration across previously fragmented systems of healthcare delivery. These solutions could be deployed in the case of other groups of children at greater risk for autism and communication delays, such as those born extremely premature or with congenital heart disease. The galvanizing concept in this aspirational future is a public health focus on promoting optimal conditions for early brain development, not unlike current campaigns promoting pre-natal care, nutrition or vaccination.
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