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پاورپوینت کامل CLINICAL STUDY ON THE ROLE OF AN AYURVEDIC COMPOUND (MANAS NIYAMAK YOGA) AND SHIRODHARA IN THE MANAGEMENT OF ADHD IN CHILDREN 45 اسلاید در PowerPoint

اسلاید ۴:

اسلاید ۵: PREVALENCEAccording to the 2000 edition of DSM-IV- TR, ADHD affects 3-7% of all children in the U.S. (APA, 2000)The prevalence of ADHD in the general population of school age children is about 3-5% in the west. (Anderson JC, et al., 1987;Swanson JM et al., 1998)

اسلاید ۶: Male To Female Ratio ADHD is 4-6 times more common in boys than in girls. (Bhatis MS et. al., 1991) Ratio varies between 2:1 and 4:1. (Wolraich ML et. al., 1989)Male to female ratio ranges from 4:1 to 9:1 (DSM – IV; Szatmari P et. al., 1989)Male to female ratio was 6.4:1. (Maya Mukhopadhyaya et al.,2003)

اسلاید ۷: AIM & OBJECTS OF THE STUDYTo enhance mental performance. To get answer of the problem without any side effects. To provide relief in symptoms of ADHD. To improve school performance and to improve overall health status of child.

اسلاید ۸: MATERIAL AND METHODS A randomized double blind placebo control study was conducted in children with ADHD. SELECTION OF CASESSource – Children for the present study were screened out from OPD of National Institute of Ayurveda, Jaipur and from various schools, situated in Jaipur by survey method. Age group – Children between 6 to 15 years were considered for study. Numbers of cases- 48 children were registered out of which 8 children discontinued the treatment.

اسلاید ۹: GROUPING OF PATIENTSSelected children were randomly divided into four groups keeping in mind that all the four groups had children from various grades (classes), schools & socio economic strata.Group A – This group of 10 children were given the Ayurvedic compound Manas Niyamak Yoga (MN1 granules).Group B – This group of 10 children were given the Ayurvedic compound (MN1 granules) + shirodhara(ksheerdhara)Group C – This group of 10 children were given only placebo. Group D – This group of 10 children were given placebo (MN2 granules) + shirodhara.

اسلاید ۱۰: DIAGNOSTIC CRITERIAPre-assessment screening of ADHD children was done according to ADHD pre-assessment criteria based on DSM – IV criteria. Inclusion Criteria Subjects aged 6-15 yrs of either sex satisfying DSM- IV criteria. Children with average / normal IQ level.

اسلاید ۱۱: Exclusion CriteriaChildren with physical disability. Children with psychiatric illness.Children with gross brain damage causing mental retardation. Children with any genetic disorder Unreliable history.

اسلاید ۱۲: Discontinuation criteriaAny acute or severe illness. Parents not willing to continue the treatment

اسلاید ۱۳: Assessment criteriaDSM – IVCoefficient of Division of AttentionReaction TimeFinger Dexterity TestIQ assessment

اسلاید ۱۴: Side effect evaluation criteria To rule out possible side effects of the study drugs, clinical criteria were adopted. It included the documentation of information related to change in appetite, sleep, abdominal features, drowsiness, irritability etc.

اسلاید ۱۵: Material For diagnosis of ADHD A pre-assessment questionnaire was made on the basis of DSM- IV criteria having 18 questions, which were filled up, by the schoolteachers and parents of the patients. DSM – IV -TR Criteria Division of Attention Board (Electrical) -for Attention SpanVernier Chronoscope (electronic)-for assessment of Reaction Time.Finger De