Supervised machine learning algorithms for classifications of gender-based violence in Somalia: a comparison of oversampling techniques.

Cerebral palsy is a common cause of neurodisability in childhood, with a higher prevalence in lower income countries. Dyskinetic cerebral palsy is classified into two major movement disorder patterns, dystonia and choreoathetosis, and is one of the most disabling forms of cerebral palsy. Dystonic cerebral palsy is the most common presentation of dystonia in children, with leading aetiology due to hypoxic-ischemic injury during the prenatal, perinatal, or infantile period. Dystonia in childhood may be under-recognised by paediatricians and allied health professionals, particularly in cerebral palsy, as it may coexist with spasticity. Although dystonia is essentially a clinical diagnosis, reliable measurement is crucial for the characterisation of clinical patterns and evaluation of the effects of targeted management. Previous studies of children with cerebral palsy have shown an increased severity of dystonia across gross motor, manual ability and communication functional levels. Treatment for most children with dystonia is primarily symptomatic, with aims to improve daily activity and quality of life by improving movement and posture and relieving any associated disability, pain, and discomfort. Management must be tailored to the individual child based on motor and functional goals. Understanding the clinical characteristics, comorbidities, functional profiles and caregivers’ priorities is imperative in providing optimal, family-centred care to meet the needs and expectations of children with dystonic cerebral palsy and their families.