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Record W2725910016

Diagnosing Fetal Alcohol Syndrome: Economic and Policy Implications

2003· dissertation· en· W2725910016 on OpenAlexaboutno aff
Jocelynn L. Cook

Bibliographic record

VenueUniversity Library - University of Saskatchewan (University of Saskatchewan) · 2003
Typedissertation
Languageen
FieldMedicine
TopicPrenatal Substance Exposure Effects
Canadian institutionsnot available
Fundersnot available
KeywordsFetal alcohol syndromeMedicinePolitical scienceEconomicsPregnancyBiologyGenetics
DOInot available

Abstract

fetched live from OpenAlex

Fetal Alcohol Syndrome (FAS) is a range of physical and neurobehavioral disabilities that is the result of maternal alcohol consumption during pregnancy.FAS and its related disabilities are significant socio-economic concerns to Canadians and is thought to be prevalent in Saskatchewan.Often, diagnosis is necessary for access to services that will improve outcome of affected individuals and their families.This thesis was designed to determine an estimate of some economic costs associated with Fetal Alcohol Syndrome and its related disabilities to Saskatchewan and to determine why (and if) FAS is underdiagnosed in Saskatchewan.Economic costs to social services, justice, education, and health were estimated using provincial budgets and estimated prevalence rates of Fetal Alcohol Syndrome and its related disabilities.A case-based method was also used.The economic estimates suggested that prenatal alcohol exposure is costing the province of Saskatchewan $41.1 million per year.More specifically, costs to social services, justice, education, and health were estimated to be $5.9 million, $17.6 million, $0.26 million, and $20.3 million, respectively.Based upon population estimates, the total costs ofFAS and its related disabilities to Saskatchewan may reach $XX million by the year 2021.Physicians, especially general practitioners, are often the first line of contact for FAS affected individuals and their families.Previous data suggest that physicians may not feel comfortable caring for affected individuals and their families, nor do they have the knowledge necessary to make effective and reliable FAS-related diagnoses or referrals for diagnosis.Study 2 was designed to determine the knowledge and attitudes of Saskatchewan general practitioners with respect to FAS and its related disabilities.Survey questions were based upon a survey performed in 1992.Data suggest that FAS is underdiagnosed in Saskatchewan and that general practitioners do not feel comfortable caring for affected individuals or their families.Data also suggest that Saskatchewan general practitioners do not have adequate knowledge to make effective FAS diagnoses or referrals, although some report that they have diagnosed FAS.There were no significant effects of place of practice, university appointment, or graduation year on knowledge about FAS.Finally, data suggest that, in a ten-year period, knowledge levels with respect to FAS have not increased but the number of physicians making referrals for diagnosis has increased.Together these data suggest that FAS costs Saskatchewan a significant number of dollars and that effective intervention programs may mitigate some of these costs.However, services are based upon need, and need is defined through comprehensive diagnostic assessments, but physicians need more education and training with respect to the diagnosis ofFAS and its related disabilities.2.1.2FASIFAEand the Education System 2.1.3FASIFAEand Health Systems and Services 32 2.1.4FASIFAEand Social Services 2.1.S0ther Costs 2.2 Study Objectives 34 2.3 Methods 35 2.4 Results , 36 2.4.1Justice36 2.4.2SocialServices 39 2.4.3Education40 v 2.4.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.152
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0020.001
Science and technology studies0.0010.001
Scholarly communication0.0000.002
Open science0.0010.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.007
GPT teacher head0.198
Teacher spread0.191 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2003
Admission routes1
Has abstractyes

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