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DOAST- NPK- Chennai- INDIA 1
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DOAST Integrated TherapySuccessful in-vivo techniquein synergy with Global research.Treatment Guided research
which
Follows the LEADS and focuses onsafe and effective interventions
DOAST- NPK- Chennai- INDIA 2
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DOAST- NPK- Chennai- INDIA 3
Dr.Bernaud Rimland
Authored the Neurobiological
approach.
The First
POSITIVE TURN IN
AUTISM RESEARCH
Four decades of Global Research.
Are we able to deliver peace at home?
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Autism research exhibits analytical
threads, but patterns remain
fragmented lacking a unified concept.
As on date we lack a coherent view on
brain function within the framework of
other organ systems.
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POSITIVE APPROACH of DOASTInstead of studying it through a
symptom by symptom approach,
autistic behavior should beunderstood better by studying the
underlying intermediary biological
processes
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Emerging qualitative changes inclinical status including loss of
diagnosis suggest that a more
appropriate description for ASD couldbe a chronic dynamic reversible
encephalopathy rather than static
encephalopathy as considered so far.
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Cognitive, emotional and synaptic
functions of the brain basically rely onthe macromolecular computing system
ofRNA protein- and protein to protein
interactions which appear to be theresult of fine grained information,
encoded and accumulated over
evolutionary time.DOAST- NPK- Chennai- INDIA 7
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Neuro-Endo-Immune-GI Tract Network,
Autonomic Balance,
&Neurotransmitters.
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Bio feed back &
Autonomic Balance
CNS-ENDO-IMMUNE-GI
Tract- Network
Homeostasis
Normal
Performance
Social&Cognitive,Activities
Genes,
Molecular order,
Protein expression,
Nerurotransmitters
Neuronal connectivity.
Behavior&Cognitive
dysfunction.
Altered
network
Homeostasis
SusceptibleGenetic
landscape
Downstream
Systemic
Inflammation
Upstream
molecular
unrest
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AUTISM
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Decreased connectivity is at the heart ofautism.Fairly close regions of the brains involved in
motor tasks have difficulty coordinating
activity.It makes sense that social and communication
skills are greatly impaired, as they involve
more complex synchronous coordinationbetween more distant areas of the brain.
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Consequences of inflammatory factors
Breaking boundaries between the bodyand brain,
Destabilization and loss of synapticconnections.
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Upstream
molecular
unrestDown streaminflammationDietary or environmentaltriggers,Gut micro biomesystemic inflammatorycytokines on a chronic basis
Our Concept..
Synaptic
connectivity
affected in insusceptible
individuals.
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Bio feed back &
Autonomic Balance
CNS-ENDO-IMMUNE-GI
Tract- Network
Homeostasis
Normal
Performance
Social&Cognitive,
Activities
Genes,
Molecular order,
Protein expression,
Nerurotransmitters
Neuronal connectivity.
ImprovedBehavior&
Cognition
Restore
NetworkHomeostasis
Cellular
Stressors
DownstreamMolecular
order
Upstreammolecular
order
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INTEGRATED
THERAPY
Integrated Therapy Hypothesis
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Deviate from the Hard wired concept and
untreatable stigma.
Effectively treating the downstream inflammatory
pathology could initiate reestablishment ofupstream
molecular order . Molecular order restored could
activate the dormant neuronal pools, improveconnectivity and restore functional integration.
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DOAST Integrated therapy
Pioneering concept of therapeutic integration orfusion, where scientifically chosen traditional
Indian treatment methods are applied with modern
medical understanding to treat specific chronicailments, and autism in particular.
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The Components of Integrated Therapy.
The Science of Yoga, Ayurveda &Siddha &
Modern medical expertise.
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Reducing Cellular stress
Toxin elimination
Rejuvenation and
Regeneration.
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No reliable bio-marker.
Observed improvements in behavior
and cognition domains are the onlyreliable non-invasive indicators of
restoration of molecular order and
integration of the upstream neuronalpools.
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Prognostic Evaluation
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Patient selection.
DSM-IV guidelines, (CARS) and M-CHAT arethe standard assessment tools used.
Patient pool represents a spectrum of severity
observed in autistic patients in general.
Their racial origin is Asian. Age 3- 16 years.
Cohort of 30 individuals on different follow upperiod on this therapy since 2004.
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Therapeutic protocol
The prescribed diet SathvikDiet practiced by
the science Yoga.
Herbal medications, certified by the Ayurvedic
[including Siddha] pharmacopia of India areadministered.
Yoga technique is a combinatorial approach.
Oleation therapies with medicated oils.
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Ethical & safety guidelines followed
A well informed consent, The therapy techniques and medicines are chosen
by evidence based risk benefit ratio, proven over
centuries in their clinical application,
One to one & Group basis application along with
the parent,
Documentation on paper and video,
Pretreatment EEG and periodic monitoring ofbiochemical parameters to assess renal, hepatic
and hematological functions.
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Assessment of Clinical benefits
Eye contact,
Play,
Communication,
Empathy & Generalization
are the behavior domains
chosen to assess and
quantify behavior andcognitive improvement.
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GI Tract,
Respiratory,
Sleep,
Morbidity,
Emotions,
Behavior,Cognition.
C
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Controls We follow each patient, from the time of admission and
through their recovery (or lack of it). Thus each participant
in the study will serve as his/her own control.
Improvement is influenced by the age of induction into
therapy, duration of follow-up and compliance to the details.
Parental compliance to be proportional to the trust on
therapy.
Willful or accidental default in medicine or dietary regime
'influenced by the above listed variables', resulted intemporary return of symptoms. Such events helped us
understand the therapeutic role played by components of
therapy in a better way.
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VALIDITY
Consistent replication lends validity,
Supports the hypothesis that chronicinflammation could indeed be the common
denominator.
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Future research
We contemplate generating carefully characterized full
genome expression profiling data to validate our
biomedical approach and to study the involvement ofthe intestinal flora in the inflammation related etiology
of autism.
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The core of our study will be a repeated
measures examination of the interplay
between the biology of inflammatory and
oxidative stress markers on the one hand
and processing, connectivity and reactivity
abnormalities on the other which may
conceivably converge on to the autism
profile.
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Proposed StudyExamine the gastrointestinal
metagenomic analysis of intestinal
flora,Non-coding RNA (ncRNA) expression
profiles on lymphoblasts in a series of
before and after comparison basedmolecular studies.
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Outcome of the proposal
Generate direct evidence in favor of a causal
relationship between systemic inflammation and
autism,
Generate diagnostic determinants for definitionof this variant of autism,
Define a link between diagnostics and treatment
by this and any future treatment technique.
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In the least invasive manner, using thisDOAST treatment modality as a
physiological probe, we study the linear,
causal relationship between cellular-levelchanges and behavioural problems within
the high performance environment of the
human nervous system.
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The identification of relationships between
the multiple levels, all of which can be
expected to shift based on both huge
amounts of clinical experience and a
growing wealth of published scientific
data, will be a contribution to identifying
treatment targets that simultaneously
address multiple features of autism at theirroot.
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While there are risks associated with any dogma
challenging proposal, the most compelling gains
of this project is that success in any of the
multiple facets of this investigation will lead to
important new knowledge about epigenetic and
molecular denominator based integratedtherapeutic approaches for a heterogeneous
neural disorder that has so far not responded
significantly to mono therapy.
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