Leprosy is an infectious disease caused by
Mycobacterium Leprae, this disease, generally, compromises
the neural fibers, leading to the development of disability.
Disabilities are changes that limit daily activities or social life
of a normal individual. When comes to leprosy, the study of
disability considered the functional limitation (physical
disabilities), the limitation of activity and social participation,
which are measured respectively by the scales: EHF, SALSA
and PARTICIPATION SCALE. The objective of this work is
to propose an on-line monitoring of leprosy patients, which is
based on information scales EHF, SALSA and
PARTICIPATION SCALE. It is expected that the proposed
system is applied in monitoring the patient during treatment
and after healing therapy of the disease. The correlations that
the system is between the scales create a variety of
information, presented the state of the patient and full of
changes or reductions in disability. The system provides
reports with information from each of the scales and the
relationships that exist between them. This way, health
professionals, with access to patient information, can
intervene with techniques for the Prevention of Disability.
Through the automated scale, the system shows the level of
the patient and allows the patient, or the responsible, to take a
preventive measure. With an online system, it is possible take
the assessments and monitor patients from anywhere.
[1] A. L. P. Rodrigues, A. P. Almeida, B. F. Rodrigues, C. A. Pinheiro, D.
S. Borges, M. L. H Mendonça, V. E. F. Silva, and I. M. B. Goulart.
"Occurrence of late lepra reaction in leprosy pacients: subsidies for
implementation of a specific care program," Hansen Int., vol. 25, no. 1,
pp. 7-16, june. 2000.
[2] BRAZIL. Ministry of Health, Secretariat of Health Surveillance.
Department of Epidemiological Surveillance. Manual disability
prevention. "Terms of prevention and rehabilitation in leprosy," 3rd ed,
no.1, Brasilia: Ministry of Health, 2008.
[3] D. A. Minuzzo. "Men leprosy patient: social representation, family,
experience and body image". M. S. thesis, MA in Political Wellness in
perspective: evolving concepts and actors, University of Évora, Évora,
Portugal, 2008.
[4] J. C. Barbosa. "Post-treatment of Leprosy in Ceará: activity and
functional limitation, safety awareness and social participation," Rev
Bras Enf., vol. 61, no. special, pp. 727-733, dec. 2008.
[5] W. V. Brakel and J. W. Brandsma." WHO disability grading:
operational definitions," Lepr Rev., vol. 74, no. 4, pp. 366-373, dec.
2003.
[6] A. Gonçalves. "Disability in leprosy: a study of reality," Hansen Int,.
vol. 4, no. 1, pp. 26-35, June.1979.
[7] L. M. T. Amiralian, E. B. P. Pinto, M. I. G. Ghirardi, I. Lichtig, E. F. S.
Masini, and L. Pasqualin. "The concept of disability," Rev Sa├║de P├║bl,
vol. 34, no. 1, pp. 97-103, feb. 2000 fev.
[8] W.H. Van Brakel, A. M. Anderson, F. C. Wörpel, R. Saiju, H. B. B K,
S. Sherpa, S. K. Sunwar, J. Gurung, M. De Boer, E. Scholten. "A scale
to assess activities of daily living in persons affected by leprosy," Lepr
Ver., vol. 70, no.3, pp. 314-323, 1999.
[9] N. N. Stremel, D. R. Girardi, A. E. Tisserant, D. M. K. Santos, V. M.
Serra, and J. C. "Citizens granted asylum egress of the Sanitary
Dermatology Hospital of Paraná: functionally-wise how are they?,"
Cad. Sa├║de Colet., vol. 17, no. 1, pp. 25-38, jun. 2009.
[10] J. C. Barbosa. "Post-discharge in leprosy in Ceará: looks on policies,
network of health care, functional limitation, activities and social
participation of people affected," Ph. D. dissertation, School of Public
Health, University of São Paulo, São Paulo, Brasil, 2009.
[11] A. E.Castagnari. "Medicina basada en evidencia: usos y abusos," Acta
bioquím clín latinoam., vol. 32, no. 2, PP. 221-224, june. 2004.
[12] SALSA COLLABORATIVE STUDY GROUP. "The development of a
short questionnaire for screening of activity limitation and safety
awareness (SALSA) in clients affected by leprosy or diabetes," Disabil.
Rehabil., vol. 29, no. 9, pp 689-700, may. 2007.
[13] W. H. Van Brakel, A. M. Anderson, R. K. Mutatkar, Z. Bakirtzief, P. G.
Nicholls, M. S. Raju, and R. K. Das-Pattanayak. "The Participation
Scale: Measuring a key concept in public health," Disabil. Rehabil.,
vol. 28, no. 4, pp. 193-203, feb. 2006.
[14] PARTICIPATION SCALE - Users Manual. v.5.2. 2008. (2009, june
17). Avaliable: <http://www.ilep.org.uk/library-resources/infolepinformation-
services/subjectguides/participation-scale>.
[15] WHO - World Health Organization. International Classification of
Functioning, Disability and Health (ICF) (2009, june 06). Avaliable:
<http://www.who.int/classifications/icf/en/>.
[16] P. Szolovits. "Uncertainty and Decisions in Medical Informatics,"
Methods inf med., vol. 34, no. 1-2, pp. 111-121, mar.1995.
[1] A. L. P. Rodrigues, A. P. Almeida, B. F. Rodrigues, C. A. Pinheiro, D.
S. Borges, M. L. H Mendonça, V. E. F. Silva, and I. M. B. Goulart.
"Occurrence of late lepra reaction in leprosy pacients: subsidies for
implementation of a specific care program," Hansen Int., vol. 25, no. 1,
pp. 7-16, june. 2000.
[2] BRAZIL. Ministry of Health, Secretariat of Health Surveillance.
Department of Epidemiological Surveillance. Manual disability
prevention. "Terms of prevention and rehabilitation in leprosy," 3rd ed,
no.1, Brasilia: Ministry of Health, 2008.
[3] D. A. Minuzzo. "Men leprosy patient: social representation, family,
experience and body image". M. S. thesis, MA in Political Wellness in
perspective: evolving concepts and actors, University of Évora, Évora,
Portugal, 2008.
[4] J. C. Barbosa. "Post-treatment of Leprosy in Ceará: activity and
functional limitation, safety awareness and social participation," Rev
Bras Enf., vol. 61, no. special, pp. 727-733, dec. 2008.
[5] W. V. Brakel and J. W. Brandsma." WHO disability grading:
operational definitions," Lepr Rev., vol. 74, no. 4, pp. 366-373, dec.
2003.
[6] A. Gonçalves. "Disability in leprosy: a study of reality," Hansen Int,.
vol. 4, no. 1, pp. 26-35, June.1979.
[7] L. M. T. Amiralian, E. B. P. Pinto, M. I. G. Ghirardi, I. Lichtig, E. F. S.
Masini, and L. Pasqualin. "The concept of disability," Rev Sa├║de P├║bl,
vol. 34, no. 1, pp. 97-103, feb. 2000 fev.
[8] W.H. Van Brakel, A. M. Anderson, F. C. Wörpel, R. Saiju, H. B. B K,
S. Sherpa, S. K. Sunwar, J. Gurung, M. De Boer, E. Scholten. "A scale
to assess activities of daily living in persons affected by leprosy," Lepr
Ver., vol. 70, no.3, pp. 314-323, 1999.
[9] N. N. Stremel, D. R. Girardi, A. E. Tisserant, D. M. K. Santos, V. M.
Serra, and J. C. "Citizens granted asylum egress of the Sanitary
Dermatology Hospital of Paraná: functionally-wise how are they?,"
Cad. Sa├║de Colet., vol. 17, no. 1, pp. 25-38, jun. 2009.
[10] J. C. Barbosa. "Post-discharge in leprosy in Ceará: looks on policies,
network of health care, functional limitation, activities and social
participation of people affected," Ph. D. dissertation, School of Public
Health, University of São Paulo, São Paulo, Brasil, 2009.
[11] A. E.Castagnari. "Medicina basada en evidencia: usos y abusos," Acta
bioquím clín latinoam., vol. 32, no. 2, PP. 221-224, june. 2004.
[12] SALSA COLLABORATIVE STUDY GROUP. "The development of a
short questionnaire for screening of activity limitation and safety
awareness (SALSA) in clients affected by leprosy or diabetes," Disabil.
Rehabil., vol. 29, no. 9, pp 689-700, may. 2007.
[13] W. H. Van Brakel, A. M. Anderson, R. K. Mutatkar, Z. Bakirtzief, P. G.
Nicholls, M. S. Raju, and R. K. Das-Pattanayak. "The Participation
Scale: Measuring a key concept in public health," Disabil. Rehabil.,
vol. 28, no. 4, pp. 193-203, feb. 2006.
[14] PARTICIPATION SCALE - Users Manual. v.5.2. 2008. (2009, june
17). Avaliable: <http://www.ilep.org.uk/library-resources/infolepinformation-
services/subjectguides/participation-scale>.
[15] WHO - World Health Organization. International Classification of
Functioning, Disability and Health (ICF) (2009, june 06). Avaliable:
<http://www.who.int/classifications/icf/en/>.
[16] P. Szolovits. "Uncertainty and Decisions in Medical Informatics,"
Methods inf med., vol. 34, no. 1-2, pp. 111-121, mar.1995.
@article{"International Journal of Medical, Medicine and Health Sciences:63487", author = "Dennys Robson Girardi and Hugo Bulegon and Claudia Maria Moro Barra", title = "A Decision Support System Based on Leprosy Scales", abstract = "Leprosy is an infectious disease caused by
Mycobacterium Leprae, this disease, generally, compromises
the neural fibers, leading to the development of disability.
Disabilities are changes that limit daily activities or social life
of a normal individual. When comes to leprosy, the study of
disability considered the functional limitation (physical
disabilities), the limitation of activity and social participation,
which are measured respectively by the scales: EHF, SALSA
and PARTICIPATION SCALE. The objective of this work is
to propose an on-line monitoring of leprosy patients, which is
based on information scales EHF, SALSA and
PARTICIPATION SCALE. It is expected that the proposed
system is applied in monitoring the patient during treatment
and after healing therapy of the disease. The correlations that
the system is between the scales create a variety of
information, presented the state of the patient and full of
changes or reductions in disability. The system provides
reports with information from each of the scales and the
relationships that exist between them. This way, health
professionals, with access to patient information, can
intervene with techniques for the Prevention of Disability.
Through the automated scale, the system shows the level of
the patient and allows the patient, or the responsible, to take a
preventive measure. With an online system, it is possible take
the assessments and monitor patients from anywhere.", keywords = "Leprosy, Medical Informatics, Decision SupportSystem, Disability.", volume = "4", number = "3", pages = "105-5", }