Quality of life (QoL) in relation to disease severity in Brazilian Parkinson's patients as measured using the WHOQOL-BREF.
ABSTRACT This study aimed at evaluating and describing the QoL and its association with the severity of disease among Brazilian Parkinson's disease (PD) patients. In this cross-sectional study 68 PD patients were interviewed using the World Health Organization Quality of Life Instrument Short Form (WHOQOL-BREF) and the Hoehn-Yahr (HY) scale. Analysis of variance, chi(2), Kruskal-Wallis and Mann-Whitney U-tests, Spearman and Cronbach reliability coefficients were used to analyze the data. The results indicate: (1) physical capacity was the domain that showed the most deterioration; (2) severity of PD is associated with QoL measured by WHOQOL-BREF; (3) overall QoL, working capacity, activities of daily living (ADL) and self-esteem are affected in both transitional periods in the progression of PD (mild to moderate and moderate to advanced). Satisfaction with general health, pain, energy, positive feelings, personal relationship and satisfaction with home are affected in the first period of transition while mobility, body image, sexual activity and access to information are affected in the second. This study mainly shows specific facets that are affected depending on the specific periods of PD progression, which can help to understand the impact of the disease, the effectiveness of care, and the demand for health care resources.
SourceAvailable from: Fabio BarbieriParkinsonism & Related Disorders 12/2009; 15. DOI:10.1016/S1353-8020(09)70034-3 · 4.13 Impact Factor
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ABSTRACT: This paper presents an algorithm for efficiently designing, fabricating, and constructing the mechanical, electrical, and plumbing (MEP) systems for buildings. MEP facility construction presents numerous challenges related to its complexity, space limitations, and interference with other trades working in confined areas. Besides, schedule delays can easily be caused by the uncontrolled delivery schedule of the components. This research provides a rational planning algorithm which packages large and complex MEP systems into several smaller fabricated components using spatial planning algorithms to increase the efficiency of the installation process, create a safer work environment, improve construction quality and productivity, reduce construction cycle time, and minimize cost. Furthermore, the technique is verified and validated by three experts and a case study is presented to demonstrate the effectiveness of this algorithm.Automation in Construction 11/2011; 20(7):837-863. DOI:10.1016/j.autcon.2011.03.002 · 1.82 Impact Factor
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