Topics for Today Who am I What is Epidemiology? Research & Politics What is Leprosy? Leprosy...
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Transcript of Topics for Today Who am I What is Epidemiology? Research & Politics What is Leprosy? Leprosy...
![Page 1: Topics for Today Who am I What is Epidemiology? Research & Politics What is Leprosy? Leprosy Research Disability & Functioning Impact of Leprosy Surgery.](https://reader035.fdocuments.in/reader035/viewer/2022062421/56649cd65503460f9499d738/html5/thumbnails/1.jpg)
Topics for Today
• Who am I• What is Epidemiology?• Research & Politics• What is Leprosy?• Leprosy Research• Disability & Functioning• Impact of Leprosy Surgery
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Johan Velema
• Nutrition & Statistics / Anthropology• Bible & Mission• Epidemiological Methods• Heart Disease• Cancer Research• Primary Health Care• Tropical Diseases• International Health & Development• Leprosy, Disability, CBR• Theology
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God is International!
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Epidemiology is medicine at the population level
What is Epidemiology?
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The Politics of Health Research
How to set the priorities?Does an American die of it?
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The Politics of Pharma Research
Who will buy the product?
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Leprosy: The Disease
Mycobacterium LepraeTransmission: droplets ?Incubation: 3-25 years Virulence: 5%Affects skin and nerves
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Disabilities
peripheral sensory lossdamage (heat / sharp / pressure / friction)-> ulcer, inflammation, bone resorptionparalysis enhances these processes
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Prevention of Disabilities
Early detection!Teach patient how to prevent damageFootwearSelf CareTreat reactions / neuritis promptly
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Historical Overview
1874: Hansen discovers M Leprae1874: Exclusion, no Treatment1948: Lifelong Dapsone1982: Multi Drug Therapy (MDT)1991: Elimination Goal2001: Integration into General Services
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New case detection 1985-2012
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Pater Damiaan
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Stanley Brown
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Paul Brand
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Research in Leprosy
Occurrence / ControlTransmissionChemoprophylaxisDiagnostic TestsVaccine
Impact of Interventions
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Int’l Classification of Functioning
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ICF framework
Cond
ition
Participation
• Work/livelihoods• Relationships• Education
Environment factors
• Love and friendship• Culture / worldview• Legislation / rights• Perceived stigma (attitudes)• Enacted stigma (behaviour)
Personal factors
• Spiritual life• Self-esteem / self-efficacy• Anticipated stigma• Internalised stigma• Experienced stigma
Activities
• Mobility• Communication• Learning
Body functions and structure
• Vision• Hearing• Mental function
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Postoperative outcomes one year after tendon transfer surgery for ulnar nerve paralysis in leprosy patients
16-05-2007
Tendon transfer surgeryIntroduction (2)
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Postoperative outcomes one year after tendon transfer surgery for ulnar nerve paralysis in leprosy patients
16-05-2007
Postoperative Outcomes Methods (2)
Impairment correction Function
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SALSA
5 Continents5 Years3 Meetings20 QuestionsUniversal score
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SALSA scaleScreening of Activity Limitation & Safety AwarenessTick one box on each line in response to each question.
If Yes, how easy is it for you? If No, why not?
Easy
Little difficult
Very difficult
I don’t need to do this
I physically cannot
I avoid because of risk
1 Can you see (enough to carry out your daily activities)? 1 2 3 42 Do you sit or squat on the ground? 1 2 3 0 4 43 Do you walk barefoot? e.g. most of the time 1 2 3 0 4 44 Do you walk on uneven ground? 1 2 3 0 4 45 Do you walk longer distances? i.e. longer than 30 minutes 1 2 3 0 4 46 Do you wash your whole body? (using soap, sponge, jug; standing or sitting….)
1 2 3 0 4 4
7 Do you cut your finger or toenails? e.g. using scissors or clippers…1 2 3 0 4 4
8 Do you hold a cup or basin with hot contents? e.g. drinks, food … 1 2 3 0 4 49 Do you work with tools? i.e. tools which you hold in your hands to help you work …
1 2 3 0 4 4
10 Do you carry heavy objects or bags? e.g. shopping, food, water, wood …1 2 3 0 4 4
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11 Do you lift objects above your head? e.g. to place on a shelf, on your head, to hang clothes to dry …
1 2 3 0 4 4
12 Do you cook? i.e. prepare food both hot and cold
1 2 3 0 4 4
13 Do you pour hot liquids?
1 2 3 0 4 4
14 Do you open/close screw capped bottles? e.g. oil, water ..1 2 3 0 4 4
15 Do you open jars with screw-on lids? e.g. jam…1 2 3 0 4 4
16 Do you handle or manipulate small objects? e.g. coins, nails, small screws, grains and seeds …
1 2 3 0 4 4
17 Do you use buttons? e.g. buttons on clothing, bags…1 2 3 0 4 4
18 Do you thread needles? i.e. pass thread through the eye of a needle
1 2 3 0 4 4
19 Do you pick up pieces of paper, handle paper or put it in order? 1 2 3 0 4 4
20 Do you pick up things from the floor? 1 2 3 0 4 4
Sub total scores
SALSA score (add up all sub total scores)
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Pre-operative Post-operative
Non-Surgery 31 29
Surgery 32 22
2.5
7.5
12.5
17.5
22.5
27.5
32.5
Impact of Reconstructive Surgery (SALSA)
SALS
A