RESUMO:Objetivou-se identificar características clínicas e epidemiológicas em pacientes com e sem comorbidades por hanseníase e reações hansênicas. Pesquisa quantitativa, descritiva e correlacional, realizada por 65 entrevistas em um centro de referência potiguar, com coleta de dados entre outubro de 2013 e março de 2014. Os homens representaram mais o grupo sem comorbidades, enquanto as mulheres e os idosos o grupo com comorbidades. Altas frequências nos dois grupos apontam para a forma Virchowiana como mais incidente e para algum grau de incapacidade. Houve correlação positiva entre quantidade de outros medicamentos versus outras comorbidades e negativa entre quantidade de pessoas que moram com o entrevistado versus número de comorbidades que este possui. Foram evidenciados diagnósticos tardios em virtude de altas frequências de incapacidades, bem como grupos de risco para reações hansênicas e comorbidades, composto por mulheres, idosos, pessoas com baixa escolaridade, que não trabalhavam e que utilizavam maior quantidade de medicamentos.
DESCRITORES:Hanseníase; Mycobacterium leprae; Doenças transmissíveis; Doenças negligenciadas.
PROFILE OF PERSONS WITH AND WITHOUT COMORBIDITIES, STRICKEN BY LEPROSY REACTIONSABSTRACT: This study aimed to identify clinical and epidemiological characteristics in patients with and without comorbidities from leprosy and leprosy reactions. It is quantitative, descriptive and correlational research, undertaken through 65 interviews in a specialized center in Rio Grande do Norte, Brazil, with data collected between October 2013 and March 2014. The men represented most of the group without comorbidities, while women and older adults represented the group with comorbidities. High frequencies in the two groups point to the Lepromatous form as the most common, and to some degree of disability. There was positive correlation between number of other drugs versus other comorbidities and negative correlation between number of people who live with the interviewee versus the number of comorbidities which the interviewee has. Late diagnosis was evidenced due to high frequencies of disabilities, as well as groups at risk for leprosy reactions and comorbidities, made up of women, older adults, people with low educational level, people who did not work and those who used a higher number of medications.
DESCRIPTORS:
PERFIL DE PERSONAS CON Y SIN COMORBILIDADES ACOMETIDAS POR REACCIONES DE LA ENFERMEDAD DE HANSEN RESUMEN:Estudio cuyo propósito fue identificar características clínicas y epidemiológicas en pacientes con y sin comorbilidades por enfermedad de Hansen y reacciones a esa enfermedad. Investigación cuantitativa, descriptiva y correlacional, realizada por 65 entrevistas en un centro de referencia. Los datos fueron obtenidos entre octubre de 2013 y marzo de 2014. Había más hombres en grupo sin comorbilidades, en cuanto las mujeres y los ancianos representaron más el grupo con comorbilidades. Altas frecuencias en los dos grupos apuntan para la forma Virchowiana como la con más incidencia y pa...
Purpose -The aspect-oriented (AO) paradigm is first proposed to deal with programing modularity issues, but different researchers have been exploring AO concepts in the designing and definition of software systems. The goal of this paper is to discuss and present a proposal that addresses the application of AO concepts to the design of business processes (BPs) in order to improve usability and understandability of process models. Design/methodology/approach -The paper departs from previous work on analyzing the application of AO for software design. The observations were backed by a case study, which was used to illustrate the issues by means of examples. Findings -The paper presents findings on important issues related to the integration of AO paradigm and BP modeling, such as crosscutting representation, crosscutting composition, quantification, and join point exposure. Originality/value -The paper explores a new frontier: the application of AO concepts to the design of BPs. As of now, few works have explored this new view on process modularity. The paper claims that application of AO concepts to the design of BPs is important in the consideration of usability and understandability. Its contributions are also backed by a prototype process editor, CrossOryx, a web-based editor for modeling process using AO concepts.
Medical Cyber-Physical Systems (MCPS) integrate the cyber space and physical world elements for promoting support for health assurance activities. MCPS are life-critical systems, demanding a strong engineering effort to guarantee safety, what directly impacts on testing process. Testing MCPS using real patients is very expensive and complex, since their lives are involved. Thus, the use of patient synthetic data becomes a promising approach. In this paper we propose a model for improving accuracy of patient synthetic data for testing MCPS based on regression models. We use an existing Patient Baseline Model to generate vital signs of patients, but improving the statistical analysis. Using our approach we increased in about 73.9% the quality of the regression models and, consequently, their accuracies.
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