[featured_post limit="10"] Dengue is one disease that afflicts the rich and the famous also. Which means that the cause of the disease is not just maintaining cleanliness in our homes or stay in a plush area.
Then how can we prevent dengue?
Dengue is spread by the bite of the female Aedes aegypti mosquito. When the mosquito bites, the virus multiplies in the human being; and the disease can be transmitted to others also.
Remove clogged water
Dengue mosquitoes breed in water clogged areas. In the homes, there are a number of sources of water clogging areas. The water in the flower pots, cooler trays, refrigerator trays and used tyres can serve as breeding ground for the mosquitoes.
In addition to maintaining hygiene in our homes, we must ensure that water is not stored openly in any container in and around our homes.
Cover your body to prevent mosquito bites
The dengue vector bites in the two hours after sunrise and for few hours before sunset. So we must ensure that we are well covered. Children, when they go out of the house, should be made to cover their hand and legs properly.
Most of the dengue mosquito bites happen outside the house. So we need to take necessary precaution to prevent the bite of the mosquitoes.
Use effective mosquito repellants inside and outside the homes
Good knight Active+, liquid mosquito repellant, is a common household name when it comes to preventing mosquito bites. When dengue virus becomes widespread, especially during cool weather, people start using more of Good knight Mosquito repellants.
Mosquito repellants are used in the daytime also to keep away the dangerous vectors. Most people use one repellant each for every room in the house.
Every product of Good knight works has the property of repelling the mosquitoes from coming near the object which the repellent is applied on. So there are products of GoodKnight like the GoodKnight Fabric Roll-on, where four dots of the roll-on is applied on the fabric and not on the skin. And in this way, the mosquito is prevented from the person.
Dengue Fever symptoms and treatment
A person can be doubted to have dengue symptoms if there is high fever, combined with severe headache, pain behind the eyes, muscle pain, nausea and vomiting.
The same mosquitoes that spread the dengue also spread the Zika Virus. But Zika is less dangerous and usually, the virus is found in those who travel to different countries.
Dengue, a disease that was found only in a few countries has spread to over 120 countries. To repel the dangerous Aedes aegypti mosquito bites, secure your family, your body, home and surrounding by using mosquito repellant Good Knight products.
What is the behavioural approach used for treating ADHD?
The behavioural approach, for instance, is to increase the attention span of the child. In mild to moderate only behavioural management is needed. It could be in the form of a game, depending on the age of the child. Depending upon the developmental level of the child we give them tasks to improve their attention skill:
Games and Activities
For the classroom instruction, we sometimes give a letter to the teacher suggesting where he should be seated. The teacher should have proximity to the child. Seat given to the child should not be near the window side, door side or outskirts. The child should be given aisle seat so that he can have eye contact with the teacher. These will help him focus on activities in the classroom. The teacher should be monitoring the child so that his attention doesn’t wander. They should examine the notebooks frequently so that the books are complete. The child should be called his or her name. If he is called by his name, his attention span will persist.
Appreciation and Rewards
The parents and teachers are instructed to reward the child whenever he behaves well. Usually, his hyperactivity or impulsive behaviour is judged as indiscipline in the school. He is scolded and not much of positive comments are obtained by the child. Parents and teachers are asked to look out for even the smallest good behaviour. He must be praised and rewarded with gifts. He must be given small responsibilities in the class like carrying the books to the staff room so that he feels that he is worthy. In this way, his behaviour is likely to improve.
Parents are asked to give clear instruction to the boy to keep his shoes, bags and toys in its proper place. Thus his life will become more structured. Whenever he complies with the parents’ expectation of the kind of behaviour they expect from him he can be rewarded.
Nurturing their Abilities
When we assess the child we assess their potential. Some of them are good at sports. So encouraging them in sports is part of the behavioural therapy. Some may be good in arts or electronics, so channelizing their ability will help them.
‘Time Out’ Method
Parents are trained to deal with impulsive behaviour. Sometimes they have to set limits when the child is exceeding certain limits. In very severe situations parents may be asked to keep the child in a room so that anger comes down. It is not a punishment but a principle of ‘time out’. This principle has to be applied only sometimes.
What is ADHD (Attention Deficit Hyperactivity Disorder)?
Attention Deficit Hyperactivity Disorder is a neurodevelopmental disorder. Some say that there is no such disorder, which is incorrect. It is a worldwide accepted condition. It is a brain development disorder occurring in about 5 to 7 percent children.
It is a brain development disorder occurring in about 5 % to 7% children.
In certain brain development disorders, the physical features are visible. In Cerebral Palsy and Down Syndrome, for instance, the physical features are evident and hence these are accepted as real disorders. But, when you look at a child with ADHD they may not have any visible physical anomaly. And therefore it is not recognized as a medical condition. The behavioural manifestation of ADHD could be passed on as a naughty behaviour of a normal childhood, or even smartness. In these children there are no physical abnormalities, they have behavioural problems.
What are the mental functions that are affected in ADHD?
The ability to focus attention is the function of the brain. As far as a school child is concerned he should have approximately 30-40 minutes of attention span. There should be a coordination of eyes, hands and mind. Brain should be able to focus these functions. That varies from person to person, but with children with ADHD, attention holding function is very grossly impaired.
What happens is that the child will not be able to persist with the task. In the classroom, he will not be able to pay attention for a long time, and this will affect his academic performance.
Generally, a five or six-year child is able to sit quietly and keep calm when they are engaged with some serious activities. But children with ADHD will not be able to control their action. They will be very fidgety, restless, squirming on the seat and moving around. In addition to the distractibility, if the student is restless he can disrupt the whole class. The energy might be considered as the smartness of the child; however, it is an illness. It is “Disruptive” overactivity. Normally school going children are active and exuberant. That is not hyperactivity. Disruptive overactivity is called hyperactivity.
In addition to the distractibility, if the student is restless he can disrupt the whole class. The energy might be considered as the smartness of the child; however, it is an illness. It is “Disruptive” overactivity. Normally school going children are active and exuberant. That is not hyperactivity. Disruptive overactivity is called hyperactivity.
Impulsivity means they are unable to hold their responses. Whenever they are angry they may use bad words. They may be talkative in class and they may find it difficult to wait for their turn in group activities. They may blurt out answers even before questions are finished. They are unable to hold their emotions. Impulsivity can land them in trouble.
When attention deficit, hyperactivity and impulsivity combine that produces this syndrome called ADHD.
What can be the reason for ADHD?
The exact reason cannot be pointed out. The genetic factor could be a reason for ADHD. Many parents say that the father also was hyperactive in his childhood, but in those days, no one realized that it was ADHD. Nobody is sure why it happens in some children.
Nobody is sure why it happens in some children. Basically, there could be some genetic influences.
Basically, there could be some genetic influences. It could be some infection or toxins that the mother carried when she was pregnant. Many a time we are unable to pinpoint that this is the cause, but these are the possibility. Scientific research has shown that the circuits in the brain that control the motor activity – brain circuits which control the impulsive reactions – these circuits are dysfunctional.
Do you know ADHD occurs in about 5% to 7% children? If a child behaves a little different from others, then teachers recommend them to be taken to the psychiatric counsellors. The counsellor might diagonise the disorder as ADHD (Attention Deficit Hyperactivity Disorder).
There are many concerns among parents: Whether we should take the child for a counselling section? If the counsellor says that the child has to take medicine, then do we really have to follow the advice? Is Medication for ADHD (Attention Deficit Hyperactivity Disorder) child necessary? Will there be any side-effects of the medication? Will the child be branded as mentally unfit, if he goes for the counselling sections?
I had a discussion with Dr. Varghese Punnoose, an MD in Psychiarty regarding ADHD (Attention Deficit Hyperactivity Disorder) and its medication. He discussed every aspect of the disorder from the symptoms to the medication and the misunderstandings. Dr. Punnoose is specilaised in Child Psychiatry. He is currently Professor and Head of Department at Government Medical College, Kottayam, Kerala.
Read on to know more about Medication for children with ADHD………..
When do you prescribe medicine for children with ADHD?
In moderate to severe ADHD, we give the option of medication to the parents. Medications are not prescribed on the first day that the child comes to us. The medication is suggested only after two or three sitting. After a complete assessment, if the child needs medication, the parents have to take the decision. The child is a minor by legal terms and they cannot take a decision on their own. And we do not force our decision. We give a recommendation of medication as an evidence-based scientific option. Medications available in India are mainly two types – Methylphenidate, a stimulant group of medication and Atomoxetine.
What are the concerns parents have regarding the medications?
Many a times parents are apprehensive about the medicines that the doctor prescribes for hyperactivity. They are doubtful that the medicines are sedatives which will damage the child’s brain or make him dull and sleepy. Or the child may develop some addiction or dependence on medication.
These are much-distorted facts which are being propagated partly from ignorance and partly from some vested interest.
These are much-distorted facts which are being propagated partly from ignorance and partly from some vested interest. These medicines are specifically developed by scientific authorities with evidence for their efficacy as well as safety. They are used all over the world. Methylphenidate is available in the last thirty/forty years. Atomoxetine is available for the past 10-15 years.
Is there any benefit of the medication?
They will not cure ADHD, but they will correct some of the symptoms of ADHD. 70% of the children will improve attention span. The child will be able to hold attention for a long time. They can bring down hyperactivity not by sedating but by bringing down the extra overactivity. The brain gets a better control of motor activity.
Most of the side effects are not serious, that is why these medicines are approved for paediatric treatment.
There is no sedation or tranquillizing. The brain gets more ability to control the impulses. So the attention span improves that translates to improvement in academic functions. Hyperactivity and impulsivity in reduced. That translates to improvement in behaviour. 60%-70% children get benefitted from medication.
Will the medications cause any side effects?
Of course, they produce side-effects. But no major side effects like brain damage or addiction. Most of the side effects are not serious, that is why they are approved for paediatric treatment.
Government is very strict about approving medicines for paediatric cases. These two molecules have passed all the tests, and they are time-tested.
Loss of sleep
The possible adverse effects that we come across are if we give methylphenidate as a night time dose. The medicine will interfere with sleep. Usually, they are given as daytime dose – one in the morning or one in the afternoon.
Loss of appetite
The second problem is that they may produce loss of appetite and weight loss. In some children, it may produce anorexia, loss of appetite. But again it is for a limited period. After a few weeks, they will get out of it.
There were apprehensions that use of Methylphenidate could result in growth retardation. But long-term follow-up studies have not demonstrated any significant growth retardation in children on Methylphenidate. However, height monitoring is recommended.
What is the consequence if the medication is withdrawn?
If at all the parents are worried, then there is no problem in withdrawing the medicines or discontinuing the treatment. Very rarely some children may develop liver dysfunction or some other issues for which the children are carefully monitored. But practically we do not come across such issues.
How long to continue medication?
There is no clear-cut answer because we cannot prescribe the medicines are not like a course of antibiotics for the infection. This is a system dysfunction which varies from child to child.
Initially, the children are monitored weekly, then monthly, then once in three months, once in six months. And if the attention span in improving and ADHD score is coming down and the child is able to manage without medication, then the child may not require medication.
If you discontinue, the only thing is that some advantage that you would get from the medication.
In most of the cases, children are diagnosed with ADHD when they are in fourth standard, fifth standard or sixth standard. And they may continue medication up to ninth, tenth or eleventh also. That varies from person to person. There is no worsening.
Sometimes parents are apprehensive that if they stop the medication then thinks will become worse. Nothing like that happens. Only thing is that some advantage that you would get from the medication will not be there if you discontinue.
Why there are some apprehensions regarding the medications?
There are apprehensions about methylphenidate, the stimulant group of medications. Methylphenidate can be abused by adults that is why there is a lot of restriction on prescription. Only a qualified psychiatrist can prescribe this medication. Because of the restriction, parents are worried that this is a very dangerous component. The abuse potential in the paediatric case is nil. This has been used for the past three or four decades.
Atomoxetine does not have such restriction for the prescription. Deciding which medication to give for the child is a clinical decision. There are conditions where we prefer methylphenidate and there are conditions where we prefer atomoxetine.
Is it compulsory to take Medication for ADHD (Attention Deficit Hyperactivity Disorder) child?
We always tell the parents that medication is not the only thing; it is part of the whole package. The main emphasis is on educating the parents and teachers and encouraging the child. All are involved to improve the behaviour of the child. In moderate to severe cases medications are used so as to take away the biochemical block. If the medication is taken then the behavioural therapy becomes more effective. But if the parents are unwilling then they are not forced to take medications.
What about suicidal behaviour due to Medication?
Suicidal behaviour is not related to ADHD. Impulsive behaviour may lead on to impulsive self-injurious behaviour. However, there are no such reports in India. Whenever there is such reporting it will be put to stringent examination by authorities like The Food and Drug Administration (FDA), of the United States of America. And if at all there is the slightest suspicion of such kind of a problem they will immediately order to suspend/ban the product.
If at all there is the slightest suspicion of such kind of a problem authorities like FDI will immediately order to suspend/ban the product.
The first common cause of death in adolescence is accidents, the second is suicide. For an adolescent to commit suicide there can be a large number of factors. If the child was on a medication when he committed suicide then that has to put for scientific scrutiny. None of the studies so far have shown such results, if in case there were any issues stringent measures would be taken. So far no instructions have come. In India, approval is there only for atomoxetine and Methylphenidate.
How long will the medicine remain the system after the medication is withdrawn?
It will be there in the blood for maximum two days. It is not going to be permanently deposited in the system.
Should medication continue in adulthood?
Almost 60 percent of the symptoms may continue. Whether medication is to be continued in adulthood is a very controversial topic. In our centre, we do not generally encourage medication for the adult. We leave it as an option for children and adolescents.
Why controversies regarding ADHD?
Controversies happen because of overdiagnosis of ADHD. From certain reviews, I find that overdiagnosis is done in certain provinces in the United States. From there the movement has come that children are being medicated unnecessarily. The overdiagnosis issue is not an issue in India. Here the issue in underdiagnosis.
Why there are advocacies against medications for ADHD?
There should be some advocacy to protect the right of the citizen. Children need protection. Advocacy is good because there will be checks and balances. The opposite result happens when deserving children, who should get the advantage of medication, are denied medication because of the stir.
After food shortage in India was resolved by the green revolution, nutrition experts in India found that the Indian diet was inadequate in the intake of good quality protein. According to experts, the diet should be balanced including carbohydrates, proteins and fats. Protein is an essential component for every stage of life.
During pregnancy, the vegetarian mother should take milk for high-quality protein. After birth, the requirement of protein is very high in 0-2 age group and Adolescence. In the old age, people consume less food and proportionately the consumption of protein is also reduced. During the old age, the amount of protein should not be lowered.
There is a misconception in India that protein is for body building only. Protein is required in every stage of human life. On the other hand, if you have a protein only diet and do not exercise then the protein will go out of the body with urine. You must have a balanced diet of high-quality protein, carbohydrates and fats.
For instance, you can have idli with sambar, rice with rajma and a glass of milk. All the three meals in a day and the two snack must include a high-quality protein food. Milk, poultry and meat are sources of high-quality protein which is digestible. Vegetables are less digestible compared to the nonvegetarian sources.
Nutrition experts say that cereals are a good source of protein, and the ideal ratio of consumption of cereals and proteins is 60:40. Too much or too little protein is not good for health. During the healing process of some diseases, protein is essential.
In order to increase the awareness of protein among the Indians and to clarify the misconceptions, Indian DIetetic Association (IDA), Delhi Chapter on 18th July declared 24th-30th July 2017 as ‘The Protein Week’. Dr B Sesikeran, renowned nutritional pathologist said, “In India, there are many myths around the sources of protein, people are confused about their dietary protein intake and often assume that it is for body builders only, however, protein is a fundamental nutrient across life stages that helps in maintaining good health and active ageing.”
The initiative is supported by Protein Foods Nutrition Development Association of India (PFNDAI). Protein intake impacts every life stage. “Our vegetarian diets are already deficient in protein both in quantity and quality, so we need to supplement with protein which not only fills up the gap but is high quality enough to ensure our cereal and pulse-based protein quality would be elevated,” said Dr J S Pai, Executive Director, PFNDAI.
Speaking at first such initiative in the country, to spread awareness and discuss myths and realities of protein, Ms Anuj Agarwala, Nutritionist, Department of Pediatrics, AIIMS and Former President, IDA Delhi Chapter, said “It is important to begin early and focus on a protein rich diet right from the start, which should be continued through all the life stages of development and growth. Children particularly have high protein demand to propel their growth during growing years, as they grow in spurts. Demands for protein among children is particularly high during preteen and teen phases of growth spurts.”
During The Protein Week, IDA with PFNDAI, will hold educational seminars across the country to spread awareness and discuss myths and realities of protein.