Subject(s)
Congenital Abnormalities/rehabilitation , Disabled Persons/rehabilitation , Leprosy/rehabilitation , Activities of Daily Living , Adolescent , Adult , Congenital Abnormalities/surgery , Female , Humans , India , Male , Middle Aged , Quality of Life , Rehabilitation Centers , Socioeconomic FactorsSubject(s)
Congenital Abnormalities/rehabilitation , Disabled Persons/rehabilitation , Leprostatic Agents/therapeutic use , Leprosy/rehabilitation , Activities of Daily Living/psychology , Congenital Abnormalities/psychology , Disabled Persons/psychology , Humans , Leprosy/drug therapy , Leprosy/psychology , Organizations , Quality of Life/psychologySubject(s)
Community Health Services/methods , Congenital Abnormalities/rehabilitation , Disabled Persons/rehabilitation , Leprosy/rehabilitation , Patient Education as Topic/methods , China , Community Health Services/trends , Disabled Persons/education , Female , Humans , Leprosy/psychology , Male , Quality of Life/psychology , Rehabilitation CentersABSTRACT
Despite some positive experiences, surgical rehabilitation, presently, is minimally available in endemic countries and the contingent of patients in need of this modality of treatment is enlarging constantly. With the reduction of prevalence of leprosy and the progressive integration of care of leprosy-affected persons into the general health services, surgical rehabilitation should be made available in these centres. Training health personnel of general health services in leprosy surgery is mandatory and urgent. There is a need for the settlement of a multi-organizational task-force (WHO-ILEP-ILA) to deal with this problem. The aim of this task-force should be the definition of strategies to organize such training and to increase awareness among medical societies and schools regarding this issue. This group should also remember that the referral centres in Africa, Asia, North and South America should act as reservoir of this knowledge and, as such, should be fully supported and enhanced, since they have an important and unique role to play in the training of general health services personnel.
Subject(s)
Congenital Abnormalities , Leprosy , Allied Health Personnel/education , Congenital Abnormalities/etiology , Congenital Abnormalities/rehabilitation , Congenital Abnormalities/surgery , Disabled Persons/rehabilitation , Global Health , Humans , Leprosy/complications , Leprosy/rehabilitation , Leprosy/surgery , Referral and Consultation , Rehabilitation CentersABSTRACT
A lepra e uma doenca secular, transmissivel, que atinge pele, nervos e olhos, endemica em paises subdesenvolvidos e tem alto poder incapacitante e estigmatizante, sendo a avaliacao de incapacidades um indicador e instrumento importante para o controle da hanseniase, reducao do problema medico-social e estigma da doenca. Esse trabalho levantou a ocorrencia de incapacidades e deformidades fisicas em 656 pacientes portadores de hanseniase, em todas as faixas etarias, atendidos no Distrito Federal e que tiveram alta por cura em 1995. Correlacionou as incapacidades com idade, tempo de tratamento e formas clinicas da doenca. partindo da classificacao das taxas de evolucao dos graus de incapacidades fisicas, os pacientes foram classificados nos seguintes grupos: manutencao, reducao e piora das incapacidades, sendo estes grupos tambem correlacionados com o tempo de tratamento e forma clinica. A faixa etaria mais acometida por incapacidade foi a maior de 45 anos com percentual de 29,7 por cento. Houve predominio do sexo masculino. Verificou-se uma correlacao entre a forma clinica e a taxa de incapacidade fisica encontrada. O grupo multibacilar e o mais incapacitante e o que teve o tempo de tratamento maior que 36 meses foi o que apresentou o elevado percentual de nao avaliados (61,9 por cento). Para o controle desta endemia, os bons programas devem manter suas acoes voltadas na descoberta de casos precoce, na adocao de uma terapeutica eficaz e na aplicacao de tecnicas disponiveis de tratamento e acompanhamento das incapacidades (Au);
Subject(s)
Humans , Child , Adolescent , Adult , Middle Aged , Congenital Abnormalities , Congenital Abnormalities/classification , Congenital Abnormalities/diagnosis , Congenital Abnormalities/etiology , Congenital Abnormalities/rehabilitation , Congenital Abnormalities/therapy , Disabled Persons , Disability Evaluation , Leprosy/complications , Leprosy/diagnosis , Leprosy/rehabilitation , Leprosy/therapy , Leprosy/epidemiology , Health ServicesSubject(s)
Congenital Abnormalities/classification , Congenital Abnormalities/diagnosis , Congenital Abnormalities/epidemiology , Congenital Abnormalities/etiology , Congenital Abnormalities/prevention & control , Congenital Abnormalities/rehabilitation , Congenital Abnormalities/therapy , Disability Evaluation , Leprosy/complications , Leprosy/diagnosis , Leprosy/epidemiology , Leprosy/rehabilitation , Leprosy/therapy , Disabled Persons , Health ServicesABSTRACT
Foi realizado um estudo retrospectivo de seis (06) anos dos pacientes portadores de hanseníase matriculados no Centro de Reabilitaçao Física Dr. Demétrio Medrado, dando ênfase as lesoes nervosas e consequentes deformidades provocadas pelo bacilo de Hansen, possíveis de correçao cirúrgica. O referido levantamento demonstra a grande importância da reabilitaçao cirúrgica dessas lesoes, nao deixando dúvidas quanto a recuperaçao das deformidades com respectiva funçao, tornando possível a reitegraçao à sociedade de pacientes que até pouco tempo nao possuiam um programa que lhes possibilitasse perspectivas tao favoráveis