Autistic DisordersAutistic DisordersHani Hamed DessokiHani Hamed DessokiAssist. Prof. of PsychiatryAssist. Prof. of PsychiatryActing Head, Psychiatry DepartmentActing Head, Psychiatry Department,,Beni-Suef UniversityBeni-Suef UniversitySupervisor of Psychiatry DepartmentSupervisor of Psychiatry Department,,El-Fayoum UniversityEl-Fayoum UniversityMember of American Psychiatric AssociationMember of American Psychiatric Association
AUTISMAUTISMAutism is a brain disorder that impairsAutism is a brain disorder that impairsa person’s ability to communicate, forma person’s ability to communicate, formrelationships, socially interact, andrelationships, socially interact, andrespond appropriately within a givenrespond appropriately within a givenenvironmentenvironment..
CHARACTERISTICSCHARACTERISTICS May avoid eye contactMay avoid eye contact May appear or respond as if deafMay appear or respond as if deaf May lack awareness of the existence feelings ofMay lack awareness of the existence feelings ofothersothers Can be physically aggressive or have outburstsCan be physically aggressive or have outburstswhen familiar environment or routine is changedwhen familiar environment or routine is changed Can remain fixated on single activity or objectCan remain fixated on single activity or object May engage in strange actions such as handMay engage in strange actions such as handflapping, or rocking.flapping, or rocking.
IncidenceIncidence 10 years ago Autism and PDD occurred in approximately 510 years ago Autism and PDD occurred in approximately 5to 15 per 10,000 births.to 15 per 10,000 births. These disorders were four times more common in boysThese disorders were four times more common in boysthan girls.than girls.
Why rising rate of autismWhy rising rate of autism?? Partly due to betterawareness/diagnosis. So, primary reason is most likelyincreased exposure toenvironmental factors (mercury,antibiotics, MMR, pesticides,iodine deficiency)
What is autismWhat is autism??Criteria for diagnosis of autism?1. qualitative impairment in social interaction• impairment in the use of nonverbal behaviors such as eye-to-eye gaze,facial expression, body postures, and gestures to regulate socialinteraction• failure to develop peer relationships appropriate to developmental level• a lack of spontaneous seeking to share enjoyment, interests, orachievements with other people (e.g., by lack of showing, brining, orpointing out objects of interest)• lack of social or emotional reciprocity2. qualitative impairment in communication• delay in, or total lack of, the development of spoken language (withouttrying to compensate through alternative modes of communication suchas gesture or mime)
What is autismWhat is autism??• in individual with adequate speech, marked impairment in the ability to initiate orsustain a conversation with others• lack of varied, spontaneous make-believe play or social imitative play appropriate todevelopmental level• stereotyped and repetitive use of language or idiosyncratic language3. restricted repetitive and stereotyped patterns of behavior, interests, andactivities• encompassing preoccupation with one or more stereotyped and restricted patterns ofinterest that is abnormal in intensity or focus• apparently inflexible adherence to specific, non-functional routines or rituals• stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping ortwisting, or complex whole-body movements)• persistent preoccupation with parts of objects(American Psychiatric Association (2000), Diagnostic and Statistical Manual ofMental Disorders, 4thEdition, Text Revision)
How is Autism DiagnosedHow is Autism Diagnosed?? No definitive medical testNo definitive medical test Team uses interviews, observation, and specificTeam uses interviews, observation, and specificchecklists developed for this purpose.checklists developed for this purpose. Team might include neurologist, psychologist,Team might include neurologist, psychologist,developmental pediatrician, speech/language therapist,developmental pediatrician, speech/language therapist,learning consultant, etc.learning consultant, etc. Must rule out MR, hearing impairment, behaviorMust rule out MR, hearing impairment, behaviordisorders, or eccentric habitsdisorders, or eccentric habits
PrognosisPrognosis Autism is a very challenging disability to solve becauseAutism is a very challenging disability to solve becauseof many unknown factors.of many unknown factors. Since there is no cure for autism, proper proceduresSince there is no cure for autism, proper proceduressuch as therapy must be taken to help these individualssuch as therapy must be taken to help these individualshandle their problems.handle their problems. Autistic children with IQ scores of 70 and above,Autistic children with IQ scores of 70 and above,normally can live and work more productivenormally can live and work more productiveindependent lifestyles within societyindependent lifestyles within society
Mædica - a Journal of Clinical MedicineORIGINAL PAPERSMaedica A Journal of Clinical Medicine, Volume 7 No.1 2012Toxic Metals and Essential Elements in Hairand Severity of Symptoms among Childrenwith AutismEleonor BLAUCOK-BUSCHa; Omnia R. AMINb; Hani H. DESSOKIc; ThanaaRABAHda Lecturer, researcher and advisor, International Board of Clinical MetalToxicology & German Medical Association of Clinical Metal Toxicology,Hersbruck, Germanyb Associate Prof. of Psychiatry, Cairo University, Egyptc Associate Prof. of Psychiatry- Beni-Suef University, Egyptd Researcher of Public Health and Biostatistics, National Research Center,Egypt
The potentially toxic elements chromium, copper,mercury, nickel, and lead are more prevalent in thehair of children with autism. Nutritive elements, including calcium, iron, iodine,magnesium, manganese, zinc, and selenium aremore deficient among autistic children.ConclusionConclusion
How to contactHow to contactHani Hamed Dessoki, MD PsychiatryHani Hamed Dessoki, MD Psychiatry Mob: +201001430171Mob: +201001430171+201008833248+201008833248Telephone, clinic: 02 – 37603192Telephone, clinic: 02 – 37603192Clinic :Clinic : Cairo Medical Center. Clinic 79. 6 Oct. CityCairo Medical Center. Clinic 79. 6 Oct. City Website: www.hanipsych.comWebsite: www.hanipsych.comEmail:Email: firstname.lastname@example.org@yahoo.com