A Decision Support System Based on Leprosy Scales

Authors: Dennys Robson Girardi, Hugo Bulegon, Claudia Maria Moro Barra

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.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1083069

References:

[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. Saúde 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: .
[15] WHO - World Health Organization. International Classification of Functioning, Disability and Health (ICF) (2009, june 06). Avaliable: .
[16] P. Szolovits. "Uncertainty and Decisions in Medical Informatics," Methods inf med., vol. 34, no. 1-2, pp. 111-121, mar.1995.