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Factors Relating the Regularity of Treatnent, in

Leprosy Patiente by lhrltidrug TheraPy in

Ilbolratchatanee Province'

Vorasithi lailangMaster of Science (Ebidemiology).

Sornchai Supanvanich, M'D., M'P.I|' ' M.P.H.& T'H'

Teera Ranasoota, M.D', M'P'H' ' M'P'A' ' D'Sc.MeD.

(Eon)', Ph.D., Certified Board of Preventive

Medicine.

Vqiira Singbakqien, B.A. (Stat) ', LL.B., l{'A. (I}emg).

Feb l7' 198P.

v

Thesis Title

Nane

Deg;ree

Thesis Supervisory

Comittee

Date of Graduation

?

ABSTRACT

This stu4y ained at findlng the rate of regularity of

treatment in tepro{y patients by Multidrug therapy and the association

of factors related to economic' society' knowledg,e of Leprosy, theirsatisfaction in th$ public health service syBten and the regularity of

treatment bv lrfultidnrg therapy,

The seql\les size of the study were 258 Leprosy patients

registered for ftittidrug therapy treatrent in tlbolratchatanee

province during Oc$ober l, 1986. to September 30, 198?' It was found

that ?9.5 percent Ot ttrm had a regular treatment'

. Based o4 the factors in population, economic, society and

the regularity ofitreatment, it was fonnd that age, occupation, the

slmptons of Leprosy occuring during treatnent' curreDt synptons person

who notivated thefr to have nonthly treatnent and place of treatnent

were poeitively related with the regularity of treatnent.

?

? \l

According to knowledge of leprosx' the patients with higher

knowledge had higher rate of treatnent than those with lo+rer

lnowledg:e' fn a detailed study, it was indicated that tbose with the

knoiledge of . duration in treatnent by Multidrug therapy, the

d:isadvantages of irregularity of taking: nedicine , and the nethod of

treatnent had shqfed higher regularitv than those without such

knor*Iedge,

I{ith regand to the public health service systen'the patients

who were satisfied with it had a higher rate of treatrent than those

who were dissatisfied with the service, the knowledge and treatnent

skills of the officers in chargie were neither bored with the processes

of treatment nor vlith the coning to get treatnent and therefore had

greater regularityt of treatmt tlran those who were bored with such

factors.

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inrrtrarfatllrirlrsfisnildtiur{anionnrr{afiag tp"o"ibecl I lany Lepnosy) gasII

o i Dr d E J"lundrdrhg'lrnt?atfnutflamn (Multibacl llary Lepnosy) ( lrBrgr 1?r 18r 19)

nT rrirrJolnptrn r{a16rss1ildr ( lrult i dnug Therepv ) llrlru r nfllnefit

ld rdat{fnu, firJrstrn r{auf, olufirhufirturi uaullrirl, g r ri'rdfiarnrtr{r r?u ( Act tve )

ttqnuriromulnflofinnaotrnr{aldfluunrirtSfifrouilzuir fiousi r,r.tl.zszs rfiufiu$rqr

nrcfr$0fl tr.6.zgz7 naotrnr{aliol6rdltf,srrnilinrrtrnr{attlrmfiaod{lrlia

$f'mt1rn1il iaerSo munl$ArC rt'nnnunrioutlrlrntlmsutauaa:tus"nnrlunl?iflt'l

firJ'reueiastretfiSilnon'ir rfu ( 1er2o) d o wonr rrir r'ttl o r uiln nn'i rlfiluanfi nr r uJr

ru'rs ftflnaolrnr{atiolfus'lenrr'lds.a,norfitttfirfininurrirlrstrnr{aroantjnrr

{oriogir o ", ri, tlnrl, rnnodnnnrlxtndr?a dlraao,ofiu o. lu g{afifiJ:ctrfli

finflourjrcr'vL zs?A ununartrnr{alfiofiutsurcdqoil'rgnrtinrrltnr{oudrssrwalf

timunndouio$rrjrc rnrtnrehfl u.rt.ass4 ( 19)

Cruiuafifirirlrstrn r{ardmiunrdnrratiT .rnir r f,mm oiltu r nfllne rdafl

l!,tl,zsze {tr uu'i, firirherlriunrrdnuradroarirrdm lasay 7B,o (2, dtrnfifirirdtJo'

u?s rrn r rarnrlzilnl#ruradr rnrir rf,msa o{u{oaua:rgorfr iatns ze. o tnsfi?inheo , t C u 0 v r -3tagnu 24.o tTtlflunlf'ltiln'I15flrl ttdrl'l tdm

- O o o ae 6 Eo r o o u . da u s ltdoflu'lunrrflnniisnii-rTtrioflnrrfi rilcirlfrXnlilfl!ftrfsianruarh rnm

lm'ninurm wirlratro,{uudi*T drssrllnrtdorinailnnffi rfl ,fi td,druurnr oluD. dr r ' nr{ouriunrrinrrtinri, rnlalu{wioaln:rgorfi unu{ouindl 'rfl'll]lnlruf, 1ngnng tf n I 7otttf 'lTlrfl 1 T?flu't urHl I n$a 1111 nil?o r

t!'

Jt$a

I

t

do qu r fi uhn tstdltnrrdr rfiur r mT unrtrn r {ausia'til

+.

?

inqrtrsnodraonrriii

1, rdEfnrrfi odn:mrrmfirn, rinnarir oarh t nlam o{rlrelrn r{ordiilnrr

dnn d1ssr alnlln{utinauam go rfl

. z. rfiaflnrrfioflqdsdfrHnnzunue{anrmfunrdnurodroarir ralaunsld

afr rnlam{rhat:nr{nudiun tinurdrflmwnlll{otinqunrT mrfl lrdtrz,i ilrud'lnr rrtruXfiruauflonr

z.l* o1n'lt$da{tmtt:a l{au

z,g finuucdrtu?nrr

2.4 n'lrdr{aot:nr{ol

z, g nrrrfi omteltttcutru?fl 'ltxa {d$1ttu?nrrnrtlmflI

aufifrffiaonrriis p

r. {rltotrnr{aufrrfinuu"nroilruirnr rrtruXfrr dtnl sirsfi$ , miunrrI

fnurnnir r auaunngi'r.!ftlI t * t'finrrlfrdartrnr{aullrgfiunomfmrrfnrT nrirt.t$a!'tn2. ail?g t?nttaffi r rn'itfirhstto,{nudfrotrlrf tda otrn r{aulurtdudT

B' gil.ut oliorrdfinrrrfitt,ll.lurruou?nrtm$nuu?nrrdtslrud!

mfunrrlnrrafr r nmlrnn'irdrhslto,{nodldfr sualqtrrcun6nrr

sa{anrru?fl1r6t1s1ttrdt r

murnnmsnrti{s

nrrflrrrri{e1ln{o{ r fitn, r?lnurfi oflqdnijnfi anfircnueionmildrir r nlatmrz

dnnm o{rhelrn r{ord{nmfuffiraniltu{w{oqlatrtslfl litldud

t. ihpunroilrudlfir tRrugfieungdoal

.t?

t

*

2. a'lfnt$ao{tmotrnr{alt

3. finuuudrtu?nT t4. nT irtlirdatlrnr{atta.rfrhsrtt

5. nrrffioualqhtciluu?nlrm03lo1t16nrrll181?sdt

toefi rnrrflnrri{s'luhhatra t{ardimrritnrd?ffirarudnonu tfifliunrru-lqETnr,l I fln8 rrnrrattrln ? iouinauaf1lo1fi fiougiind I smn$ |c,d,ztze fioild

30 fillergll u.fl.9530

ailatldf'1fl

6u(ltg1ll9l1,lTl

$nuiunr:inrrdrssramilntrhlilLFn'lrdr t I h tm{win

1. nrtirnntrnr{ondremarll (}ttrlttdrug Thenepv) ( Ir9r 1?)

umsfi d nrrinntrn r{atnT lrhu&frraoardnrraurfislnn tosuliiftiuiirsaan t fir zta

flail nat

1. t niuirhstrnr{aldodntrqldmJr{anfatnrrdariag (Pauclba-

itfrrna{^nrm (Indetenrrlnete t I)

fr'lrua{firaaflti truberculold t TT)

- ua{roa{lnri ?nrua{Fnna# (Bonderllne

Tuberculoid I BT I dnnqldlruriolrnnr:ntnfir

firufirlfnrrinndr$rlrur,hffiu (Rirenpicin) trl1o 600 ltn. r6auau#o iertfiu

sl$ffJlfi (Dapsone) !tt1n 1oo m. irnun{o fiodafilut 6 tfiatt

|.2 nrfunirlrgtrnr{ordgrtrcult{amn (lnrltibeci tlenv' Leprosv I

- ua{roaClnrf ^rnrua{A?aa# (Borderltne Tnbenculoid I BT)

,l-*

t!

cllleny Lepnosy t PBL) lduri ndlfirhsfrrltt

*

tt

t'tsl) lfiuri nriilfirheifin

a

li*..*r, ioernnr :n?oidlfi rrfi r

-*6

- tra{rno{Inr{ tsonoerline r BB)

- ua{roa{lar{ ratilnnfia (Bondenllne Lepnorntous t BL)

ilfl' mcUnl|l6tl (Larprene)

tlt'lo 100 ltfl, $aumuj?ll

Dl e t vrurirjrelzn r iall*finr tinrrd'lesr

"t}

-?

MBL) lfiiunrrinr'tdrsera,niltinruol4. dntuunroil:sd1fl?

lnnrrin'u.*.*luHl'::, :::ffi ":-1,'::,

m'rn soo ufl' rfrannu#r drlfilunrJtltr (Dapsone)

(Lanprenel luroltso m,imrn{r fingiafillru aq rfior

z. nrllar0rrnmtmrrtnrr nmsfioI

arnlfieiiafinatir rnr0r rlararn rfiautffl

Lepnosy

r o{0,

z. \ firhstrn r?tatn{ldnmetiunr r{ar?auur{orias ( Peuctbac| I lary

I PBL) fia,rlfiiunrrinrrdrffirwarficriafiuadrrnrtrrnla u #t ( rfiaunuq,a

R',lStttfrgut?a'l I toall

r !EL) fiar'ldflnrrrinurfirssrwnl'nsiiaftndrrar0rrnla e n{o trfiamu

nlghrssurrnr rzr rfiau

Lepnosy

r n{ol

B. aT hrhinrhremlmrrfnrrr r,r 6 B C u r E a j

3. I n{qtl'uTrnt?atfinnchiurutiau?amrfladafl (Pauclbecl l-lany Leprosy r parl lfifunrrinrrdrssratdrtinru o n{o ntsturuaurrnr s

rfiau

z. e ftlrstrn r{ann{rdmr*rt,{an.n ( titult i bec i I I ery

g,P, ndlfirlrstto,{uudntaa*,6ou.n (lihrltlbeci ltany Leprosy I

g n{o nrehrusunar rz r6ar

toftIfie don! ilrsrfilq'lnflq{sgir'r "r drf,s rlv.4,r dnuEcfrrliln1oil?ud'Iffi

- a:lgt

- rlrfl

- dn'lur1tail?5|

- nrrflnrr

- arfru

I

t7

+

- :re'tdsianrauni'rsiaflrlD C I r d- ?1fltorongnanrnail

4.2 finuscarnrrmstrnr{att

- rfimartrnr{ar

- ilrgrnnraomrinrl

- a'rfl'rrtaottnrcu'ir oinyt

- a'rn'rlurtoomotrnhflrqfiut

- rufimtufinrrt

- anfl1?nnqrfla

- anrmaofiilrst

- nmrio rfisenfi?eia1rnr{auaoonm?nlunraunir umsfir

nrui.r rfirnuncnfirdalra r{aura sunnalueraunirm ratttrd

d?efiuRooaandafirl, flI

4.3 finuuuduu?nrr

- rcsun'r or"n'j T ofrinardsfiunnr ttu?nr rnrslru{r

- 7 yEtyr raldtftunr r r'ornr omlunrrinrrtO- nr riirslmrr rfimtmiunr:iffirusincn{o

- if;nrr rfimtruiunrrinrrr o Qo e u 6- ar$rult'l ttfltl?iln1tnt?a1flu1nf {utfl{l -9 - D c qD u q r r a rnl- a,uuutnflTcnlrnail tillt1tilg1 tltunaurnalt ilt|'lgfi{ Fnnagtltt

uwrirfin rfiatrirjT elfi m iufl r nruirilmfi n luu giau r fiarI

- nn.udfunrrinn- tA q A E rd d t es' n'r'llrliao rfntratt ilr1gn{ n?'llrrLTa{ trntrailla{urhel$drut|tI

- d'lrilnrartrnrialt

- nr:^nngiam,rtrnriau

-'t ytJvnardlf,tr,nrrinrrdrsslr^,61il-. I

- nra rflffi arnrruriunrrinnlriadr r ruo

- ifinr:inurtrnr{au

{l'

ll

-t

6. otlifi0ualqhrrulutm:modnru?nrtd'ls'lflqt umsfro

nmlifl maofirl, strn r{atdrtru rfruaruiflnaa om ta oriau?nrr'ritdiuqrndnruuinrr

a.o.tunldmiunr:inrtir rfil'lrhrmrrmrnniomtmtoon?ald lffiilrctftiern

- mrlaulr rarlelCgua{rhams r{rurlrd{iu^watau

- mui mudtlrrgrda'r1:nr{anaao r{rurird

t

8. dnnnrruriunrrinrradrsar0rtd$a (x)

{tr, ufiilredatn, tficrufi o$iln

?

t

- tc rfrsuunu{arlflfifu a odntuu?n1rdlff 1rr{ld{ilralr iunrr

inur

nr r r'nunr o m f unr tinrr m o fnlrs

nT rdlhtwmnrrinur

7. anrru?nrrflr1rtrd! ilmefio onrutfnrrrnsltrqnnaoild{rhatra

r{atlriunrrinrr

-*

a

tmd z

r on tlrmcarnr T uitd r'ngrfia o

i:,,iitto,{df, (Lepnosy | ( Bfi$ r$ulrafiuf,eunutrnnrtamr1rfil$rts

.l

(Sktn "ttu

l-,,ojbtogtcel Dt seese) dnudodsinrfutrnfrador{o{,r c&rrnontcri

:. lalnfectlous DtsealFe) drfinqrnr{a Acld Fest bacllll 6a lltnruunflr*gr rillrr,'I

(ldycobecderlun r.lpon""l dsdnuuteg o.Arnreuen Hansen tt n"n4" lufl

flnrnfiXru e mofia

{a$tsrAaio

rrii c A a iaarulill oqnraq{ups'lrR rTarrusc^nncia tnsflrfl 'lsle 1ot i..

I

l,

n.n.tou o 1ro,

{uoiiiplbtl1

t,

I

ill

drfrldssrasnadril?ofl

+

!

l-.rda1t$n140 ttnrtar

I l

,10

l. a1n'l?n'ldiltud1n (Neurologtical Lesion) ufiT ugirduilTcdlnC?$

tomt tduilrunrndilrlnT g ( Peniplunal Nerves)oqE0fln'la1g

fl. tdnhcafniUafT ffiflnnnfifnfe (Sensony Nerve InvolvenerrU)fl

fiornrrir tiiflniol rdu f,lrin r6uuncuflnruT finrfilnrilila1gflounuilnrrfirt ) A o ---S. tdUtJfuRfntfrflOndf$t-UaOnfilAfg (lrloton Nerve Involrrmerrt) I

al

fiarnrrmrndrilrtuelsnlfia rfir trmrlr rdrqrnaafiirfiordaadr.irg ndriltfiafludr$lfloa d ! ue ta + rVr a !, - b E Dcna ililraura ua$ila$nualrfiaquuurnuuaulixnr sialilqcrfiadurnratnduriio nailoern

uacdlurilra 'rtilil'fi 1adufi ru?afi rdaodr o

oil tdtilruAfn Antonomic nifa Sympathetic Nenve 0nfhnlg

iorn, rru'datiaan firuflrufrunelri?rr rdtrfraotiT fiu fiarntfiatfi1ur$uautfiuuwn

il'ls{'l rdurfiaouorfir fiarnrmlorfiaotlrdg.r rirtfr=nrnfirnrujnrsfra ilarsrfirdrr

u{ounrr$r,ur.,ariilafl1g (Tnophic ulcenl rdu il'luJ1rfiT rdndu

0i rdrilruarntsndrld rdarsurjrunrnnnfrnrgtrrmrrdntfiunls

rdrqufi rtiofirfiem$nud rf,rlfirdurhcnrnfiluroluqh'rnil lgrndrld,aql ,id3c a'lfl1lnAil'l0t0ltil'lgtefl?ltlJll tgaillflqsll$nilt

o 5l Dun'l tflnaern

r d a 0 o ebo c o . t O d - o OrrB vr D tt Ifl0il'lQc tTIiluHa tllelfln'l lilutnaonl to'lill$t'1illla0aan$1elt tsnnan'l nfn{tQrn$t te $1 ul

tnrrarrnnn'ril1ilfi{niia{ rfls! frlfrnriao rflsodnrnu urslqd'lurnunc rtferurutld

brnma{trnr{au$ginsdo udrrfilrflolnj I ldfio'f,

t. irrfitna{fruil ( tndetenninete r I I rfltrnr{attduutnrrsordil

fiarnrr mrfilrooi'ioflt'rr 1-s ?0 muqrrld{orel fi'trf,sufi.rr6nriow?arjnfi fiarnrz

G

+

rflanrufflnula!1 1fis0 r6nrias nrrffirqfiflbiurr{a CT ulrnfirpfirfirmtrXomrfaflac

6o-so finmourslrJtaruiti-tdinrr

dodldalil

usiri'lnfidunrurdrfierri, r?unnrs r$utra r{or

z, fitrua{firaasd rr,rb"rculoid I rr) dordltrnr{au'totiflsr?t

finnnc'trluru,{o o.n.riusuutffirur$ueoriroifsmmudoreuulfauahruuorunrflJrs$u?r

t

-31t

+

agguof't,,?$fluu{rxore$ almlfnflilruurtr 1-s ro finfiarn1ra'rsfifimtsnnrttoriauunsrlu?t?s

ltlrltfi??08-l rdnrhunrnfintnniirlfi il1oi1sa'ler,n o'ln'lrn10ilrud'lnach0r6s?1ffi1d

ao$ila'Ifl 'rf 111 da,?ilu $ I ng

g. la{lna{lart firrua{firaasri tsonaenline Tubenculoid t

finrsuarnrtndrsfir r ua{Arna# usifiirmtur nf;uunufineunrurllsdaoirrmttl$fl'rtt

tneralcrun'lltrnr m firou?auaiuunrrfiofltudromru?auaiuur16r tneurirlrrumqu

fifluoo rdruau rfirdr,a,.n{u ornr:mrilicatlnuurlnfi*uonuumntirritfinugia'loao frr

fintiufio n.tntlon{u*,{nurnri. ",

ttilil Buuurnalcuutfiuudtutllltrmsflalouacnlof,0 (Punched out Leslon)

fiuuonfinuuunroadtri reit{on?adnmrmu rduuairtuturunrn:tnar lrh rfilr

r fiuriltuu'nrd.rmudrttuunudrurontt r rhio r euuacfinuuurilutrd rfio

turi (Satellite Lesion) uncrotir,ltrrtfiuronnlfiauauuahuruoot6wa

5.

Lesion ila'lstflo rdt tocirt uaiuulrunsdurnlfiufii'llnmt'lfllt1sflTsq'lsdao{romr

irrnls tnadrrul, nduuufilndllururture,6n ffinnn1oln lau[u[n1on$uncfiruflr

lriuas{ounuld r6ufu rdar arnrrsrfi r6nfias rdlrlrunrnfintn

6. rntrjrlrfin (Lepnonratous I LL) aT nrtdnnrfotuurnfirnosfiro

m,oironrs f;otu$uurrunrtfluor {lr6n {rtud uaiuuuuur irurumusnrnqlg$,r

dronrs tun luu'flruuldorqur$uurhfl.r#tn rduhunT nintnfionao'firr frarrhins'r

uau'rnrufinr:mrfia rfiT niatuudrdrrfirs n.rn ..l{nrruur{atz,l{u*.*.o

oEatsnlxllxa{n?1ililnlt

a t dnrmurfietnnlfiCr umnufiunr ufinrrm rrirhetrn r faman r 6r s rufiu

(24, torflfudnhnn:{o 6a

4. ua{rna{'[ad tgoroenrine I BB) drur,nfinrurfirudumlr z

tngmu

msrnfl

ua roa{larl rnlrhlrfid ceoraenltne l"onooJ.o,r. 3 BL) fimru

*

t

rufiu r r$ufirteedfiarnrrdluilcfr rdnrla,rfildugrr.ad.rrfiotmrrnn

ft61u a

rcfiu s

rfu$hodsasnrtnrrfrnn rfuttooRnlrilfi rfinn, trfin.rflpurof;i

rft nirh#umrrnrrinm#nhuf i6n.unn{r,,fr rfi ,nuil

uriold g rcfiu tzar drfi

rpdu r F fian gnf,amupdanrrdreteg A - c o t 4 Ylr, .r i ilyafi z fra &ll|uantrloiltta0 [tatefln|ln11g?|1nfllguont[a0q1no1n1?

I'ti ^ I .-- - l .- | r rll r

trll

mnn'iT{arlnrsfi? li lil{..iihm$nrlfdrfir il

ruftr r fia nrrffirflsfiiuffindrfirfiom,t:trlrifinr6urlrnniianrri

rC

grf;zfrata ir*tu,n6*o$ {miadrfinrrrcrdanlrr#u?ariadrs6 fir$arnnn8ilr6nriagrlltiitirfirni.rihrrndrfr

iit,tcdu g fio ia'rnmr iauforad'alln, rffienfir1d16 firfianndrr re8l

Itli

lttceu

dTndrdo li

*r-ll-

rfiroa rfirnn firrfirrnlhtlrtdu'ldlrnnir r lu s moahrfi'riltoll -tzuou s Ra lrr*rffirrfisotioan fiern 6T rrhnodt ne8tmrrrir rllrtl

AI5 laiilfylo0f1r

Ir

r*anT mrdnrfir munsiail

dlmn udunrthonifaafln

n1ilaCI

., ii - d uDu D r : .?

rsaiu a,, Aa uanr"laoetnldfirdmngdro ? ilfln1silofiil?afiuanrfradr o C

nlsnan ril'r rorurfrnnrsdorfrrilrcnlnCrularsfur rfirQnrlrarserrasamdFdn dr!ilt

I

I

ii

tl

ana

anaaea

rt nrd't

nrfnr?arirmrdnrdu

t

t1g

nrfst:ntdAmolzotiau (Reection in Lepnosy) (ZStZ4tZSr

+

n,trurdorfilam'rrrnrn{artufirJrstrnr{al drfinr rilnmqlfinrrujder

urlaomot$n?srn'lo i tm,,rnotogv lriron, amt{rhasiar{atrnr{uu .w"obactertun

Lepnae) fiararflrtf rfraalnlrflrurdrlnnnnrldlinls$?liltosror,nufiruf,ouau rfir

il:snrndruila1fl (Portphenal Nerve Tnunks)

rJT sldiildunnsfi onilslfi

ur orlsJa'l qfi almiluurtmn rlrtifi

nr:iruunffiorarnrrstrnrdadrfrotutrnr{ar urisrfiu a do6a

1. Revensel Reection fiat$lntrr*oilnr1Altn?rlrstrnr{alnnrflo

ugidrnr'tdrias ldud firhodagllu Bondenline Gnoup druiurirhfl t"ono*ioo"

uulddrs$ra:iasac $ Crlfirhe rubencutoid m161ufirh?dl,iiunrrinrru?afir

C'rrrlur$udrntu rdafuof, rfrolufrhsnrsildr qrnldiunrrinurilrsmn!

ornrrmrafitnh R".r""=at Reaction c"fiarnrzdrhrnnnronfiflnuncal

nT rdntT qlilldf,onrrtdrilrunrn nrtfi'ufltuncoln'rrn1{r Systenric $rlrt a'rfl'rl

nrtiltudrn rlnnn'itarnrtdurdunar rfirilruarnluqiCtnlara arrfiarnrrltturfrbgqr

fiwuuromn dufimrnrrdrciun'irnrofirufio euilrnnarnrruulnrao rftrilruarndn

tdu qufinrdror6umn dtnrlArias fia dil?rrstaflandur,an dfarfirdrunfu Medicel

Melleolus aT nT Jrjradrdurlrcernrnrir{a, rfifiasu?amnfiId lnnfldfinrdrnr6u

ulfluautil$to tfitttJrcnrnnnfirnrettoezror{r (Repidly pnognesstve nerve

darrage) finuulu{rrlretrnr{ailxto Borderline dorfiunmnrfletfffiunrsnfifrn fiar

ntzrat{afia rfir,dln.ndu dnluuriraT efirhnrfier (Lowen Factal panelysis)

-uaVr-ail5ail|ldnltruiln tildIn ( Lagtoptrbha lnos )

arnrrnlsfiruf,o arefrgilltruordfrrufi sdrJnnnraetrnodudruaunrscrs

a#r r l fiuur ondnrqfiTastrnlnd rfisrfiu rilr rfiruoncrn{'nfio r ft uaclililrirarcfiar

V rt,t,o ullt toTiln11fntr1

t6-12 rnA$

1

o

*t4

n1fl?ltun0ilt

d'lnmca?ilfid

fiultfiaT nrrdilnngtudrrnrs*r ",'[d finqsrfronruqifiuarnrrnlrilre

arqtufil{ rjro r iias'td*rdtnrsdo r filr^rarfirt'fifirlrmrotnrm{ !ffi .r g

,u,{adfr.ofi 01fu T nn'irii r dnilrca'rn

tourcu? trutatragtrfl ( Les ions )

*

nnutda tflaitimrutrtcsc e tfiaru:ntarnrrinrruaramrdu ? il'lg e adrlre$ru z

fl ddtffio lunedfrarn'nrnur{uln arqfrnrr rildsuuilno rfitlrnr{arrlfrndfrer,rortu

fiof,,iiatqrntirl'rsfiafrfirm1uanfioeno trniori, r?ufirun"rildsurdurflodilsnr€ an

no dfl 'l?nodau r nrjtrlt'lruirfiara r fiunuu?au?nfiasar

-+

z. Enythena nodosum Leprosurn rfiunrruniadr^notutlrhgtrnr{ott

{fro Lepromtous finlurfrnnrwfioq'tnd&lrsl6iunrrinurdrgg'l Dapsone uaua.lq

rfiolur!ilrud'tdiunrtinrrdT se'lfirn irrudr era1fl'lr?aotrnnou nrrurriafiare rfinfittft' t d utormtofl?fu

arnrmronfifln riiaoqrn&lrstznr{autflo Lepnonarous rfilrflodnne

arnrrdu rnu ununrrdlroxoo r{ur,dodfi'ruf,.r tog

io-a$rnunufiarnrtd rdudo drfifinssu rou.ls$ag

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uilnt Pustutes unu$nflaanrfiuuanfin flaqifiuarrilfluiomdrtfifr?ardrfrntt uasb

Secondary infect,ion" tu:rgdfratntrruu?0l,lflegularnftdntdUta,rdafrrl.f tUfia.t

fia rfirmlu$u?aorqfiarntrdn r drufiraierrnrslufi

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tj'todiaenrrir{nre rer s1 irrigr oiiulf ariftr arnrzrudrfinqsrfiofim{,rndo 'r

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t

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Bondenline (BB) r Bondenline Lepnonatous (BL) t]nc Lepnorntous (LL).

lfinrrinudre

- Rrferbrctn 600 m. iufiu Lanpnene goo rfl. rfiaunsn{.t

- LarnprtFrre SO llfl. d'lfrfiU Dapsone 1OO In. iffnrn{O

15

(Cerdlnal

fmdnllnnri'nqfls a adroqrnruafllrnr?1d1{fl1s[nc0,nfl'lror?em{?iad6tEA

illllnn'lrna

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arilitdurjruarn'td'ln (Thickening of Nenves)

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nrrlffirltflqdfl toef,ofu tfianr?qn'htl,tgr6tnsr ( H i st opatho l og l ca I

Dld$nosis)

(1rBr9r t7t1.9&O)

m1sfio nlrinrllnnr{aunui'rrrruf1lasa${nrmurflgtan tosfiufin rrurdfiril

t. trdr{aurhurnnnr?elriumr{a u?atrur{arias

(Pauctbaci Ilery llFpnosy t PBL) ldud rirlT girau{auffio Indeterninatei

(l) , Tu,berculoid. (TT) $Ac Borderline Tuberculoid (BT) dnffq-tdwf{a

lfrnrrinrrdrs

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+

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nrrdafluodtgttat r{atrn l{a$ trycobectentuur Lepnae rfilnr runrirtri

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dasruoilttu

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i*r r

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uaufi otuirn.tfiuu. uoilltuuuur{lnfi qc r fiolfitu{rJrelm,

riarunrmntfioI

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Dapsone Reslstance)

2. nlrfiogruorlkruuurlsilnfi tpnirrby Dapsone Resistence) rfino e r,6n1tiltflo

(Pnlnary

rfrurri tnrrtrniuri teot ldrflrnrrflnrT fiofleisdfnrrildilfilCgianrruiu

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1.

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+ 17

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I

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sl'lr1{d s Bdtt$i1ltlu$nsfasncrarilrstrnrfiradroiiflnrr iruunnuflnuusdruu?mr

ilrutrnzfiflnyrUDAanuuuo'u$Jtfllf

o1',lullt

,ttaflnB

il

iruT ufiradr oiitfftunrrf,nrr

(snl6-10 flll.

10-15 nil,

)15 fltl'

?.58

2;o6

az

4

16

LOO.O

79.9

12,4

1.6

6,2

58r5

37.6

3.9

65.9

2'6,7

7r4

41. 1

27.g

t2'O

19.O

r?a1d1{liln1rtarnN

1lf .

{lf ,

trll.

151

97

10

<1

L-2

>z

L70

69

r9

t

if,nrr rfimtmflnlrinyra

tRllU

tnlflTE',llt

rnilarno{l{ri

106

72

31

49

I

drl{irgtunrrrfiumr

ldrfleri'rldirn

1-10 l!'ln

>t0uu

lnflrd

i}

Idf

n'lT1nn 3 (no)

30

il:strnrfrflnrrOlraanrsu6lltllt?fl'lt'

o1'llt?ll D

TAgRU

au.udinrr

a aacEnal|n Hnttalr

dnrfraurftr

adrfu'lnilra{

t'aorllattu'lllrrirdfiEladr rnro 1 rsf, riliaa1 ffi dfiat

trornruramur

lfsdn

tt

38

13

207

6

r47

57

9

14.7

5.O

80.3

10.5

4.7

2.3

57.0

22.O

3.5

16.7

1.9

0.4

96.g

49.4

0'8

27

tz

t

molrudnilrci'ludfirrt sd

ta'lillt'Infl1ff

ilrdrsmraorat r.'

ar lilrut'llt

adg1gnfla0

rdoufitr

fidaritnro 1rsnril?aa'ld1f,ftir!t

d1ff1?$dnilrc,irildfiru

r{rurirda,ol rrd!

4g

5

1

95

rtz

2

t

bx'ro'lfjnlltanDO rDaf lilnilllriu

3 31

*

1

b,. arpgl$dmdaq urirnrrrlnartrnr?aru$hodnrlunltfnrr{

rdaon.rrnqtuot .,iiiuo 6nr6rrlarnc es.g n'nfinoiamtlrnr{alCrnlnr$hrr,1rfrCoo

n.r*tunuhfr.,{r]]rqt$a0 ss.s nrrMomtttnrilorCrulnllsnT rlf,daodrrfooia- r) . -tr-a i O rd

mrtrnr*arqnfias'nnr$liamu 6o.e r*",ra.dlf,tunrrinurdrmT onrCrrlnrS

mrlf rdoor*r,.uidt{t*lfnrT qrfrao fu r$l|amc 5a.z oot8mounraqhtrnr

mlrthrnrn rnrin $hdnt.utiCuo*,Arr*nT rfiffiildndT rnlatnr"fi4$ (nail

gnrfiu " dl, fiarflnfoun, as.z uncl6nrtinrrtrnr{ol{rhsCziln$hr{ft6nrr

irroT trnqnfuo ?n'rfiuioffiE e!1.4_ , , -..r,n.rflnr.uh'ir $hatrar{auflnrr{rdartrar{aullrudqr <164*uurum

ffirfasns r zol ha,fiufosru EB,S alflncuttutfu rr nu$ttl tmln rinttrs#

(Uean, il g.gg i]*frfldgnfggTftlplt (Starderd llEvlEtton , S'D.) i 2.Tl

doaqitrrmririau{rodrll

'*nrrl!rdaotrnr{al

{ruurnrl*llffdao

rtrutrr#finrr

tob.oli

,l

'il

il

ii

t'|-,?iill

gb.S'lii

g8

no

25,8{'rlrs*radr odlf tt+h,rtanur

*

aolrnr

mru

$rxtlttli

tgz

nl?l{fi 4 tsial

rlrutrn:fiFlnur

nmlf r?aotrnriar

{rru tasnc

anlrfiogianallrn r{ar

tf;t1u

ldnmu

tgr rra'ld1{1mrri'ffir

ili111

tinrTl

L57

101

141

rt7

118

140

24t

L7

151

ta7

+ z,zr oruur,6r rr flEurr

60.9

39.1

54.7

45.3

!

ila rftmaon'ltfiuelinurlrnldaf.l rnila

nrufnrIlo

a?'utTsl'l

ifinrrfnrrlrnrfon

'IT1Ulrin:ru

umnrufrSas}arialmryino

Iirl

n?'riltn']It

orouu,odu (x, =, 5.88

45,7

54i3

93.4

6.6

58.5

41.5

t

a 33

a,

3. nrirfior,ratq'luruuu6nrrtaonnru?nrrn'lorE!

uri{rfiadtrturifinmrfi$ntqluu?nlrnant{rurird fror$tiasns Bs.4

ntrlfiouatrltnmlfnT trdrlrrgrdaotrar{auta.r r{rurirdfiiuântau drlffinrufiun1q'nnrfliasn y g3,4 murdaudrgda{tnaltuntrimn ul{rhatifim.o,da

nriTria{mailmrrfnur fiorfiulasas g6. t o'l.t,riiardTetionrttdunromfunrrirnn

dellur$'trifinrurdaurireeianrrrfiun, o finrdlfasa! s?.5 un"rnrl$llqtu,anrrinrr

dreerdnlftheCrttl1flfrnmro1ul.lualnnrdnur finr$uiaeng e5'? unu'lunr:nt

nrir {rlraCrltunifiCrrrffiouatqluruuuu?nrr tldnuutunllrnn'iriasac Bo} fiorfit

iagnc gg.g toefiruuutlodu (Mean) = !4.22 Crlrdgltilurnn?X1ll (s.D.t 1.59

elfrnunttttr6doum : 15 outttut

nrnod s {tnu$nutasn$mfllrutrnrf,radrodAnrr {ruunnrmrrrfi{ualqluruuu

u?nrrto odnl$il?nrrnru.tuqnditrnr:inur

ilrurrnrdflnur

n'rrrfrouotffisililJ3firr

&mu3Tagau

+

iT ttrfiradlodlftun, rflnrr

fiotntq-trifitlntq

firmte

tifior.ratq

?,58 100.o

?2s

30

241

17

98.4

11.6

99.4

6.e

t

I

e

1 7662ltPbbv.o5

I g4

nlrloii s tsiol

rlrusrnrdflnur

nmrfioualqtsuuil?nrro1',lI1ll

DTOgAc

i riiaurire

tiriiaurir

tl

rliauriTs

10

?,48

e2

226

247

11

?.46

tz

3.9

96' 1

LZ.4

87.6

i

tiriiauiiTe

$utqvtJoHl|lr ]e

mtq'tfuatq

95.7

4.?

95.3

4.7

ng$tttl,tfldg (x) = !4,22 s.D, t 1.s9 nu$tttt6$ 15 nEulltl

a

I

4,

isuioqunrT rnrfl rilnnr:ftnurtl#0firu'ir{rhattn r{aldinrrdrffilaru fidntT nrrn

nriT rnmtlnrrtnnfi]ihernu ?e.5 un,rdafirnrfi tnnrdmllunrtsilonr'rafifi tr.Esu

25?;9

o.274

rfisufiudffi 'lm'l Mrh rnmlunr:inrrmsilru r nfll?ntunum o{oilinQilffi 1tslflhfl il. rl'

u1'ir fidnr'',naannthtd$41$n'ltinrrliunngirofiu rz = o.6o , p-value =

Unu Z = 1.3S r p-value = O.O82)

J e t -6- - -q-.---!r---------r,-t^--.i--.E-^-da D

nl?'r{n 6 clrrunuiasactrato?lmr8T rnlatrnliiffi'lrar{rhatrnr{oudintrdre-O0u

s'latdn'ludouSaaunrld$lflt

t

n,l1ryliufllrinuro11tt?ll

Dtagnu

nfrrnra

tinr$Tram

205

53

79.5

2O.5

258 100.o

!

nrt {urr zss rls urriras

afrrara ss m flufinrrunt

elflmrflflrrllfirhgtrn r {aldiunrrinrlfilssr af

firhstrnr{alduniunT rinrrndrtnm zos m uncldI

aodo{tI

a

+36

a. ruqd{ti.etrn rr8ardinrrfilssrarnrmimrrinmnfr rnm

nr runduiunrrtnurnrir rnla||

oe1[?1t

btagns

a

fiaonrflrslq, ntrnr{aluCud

flnlouolt I euTdtnfl.l

nfirqurfionrufrnrturl o a !

nn? tToQunl tTilmnn

205

109

104

100

76

100.o

511.2

50.7

48.8

.37.1ndrlrnqcficrgialildndil r lmraw#r

nrt.oii a n.,un"rfirj.elrnrfardinrroireerahil miunrrinurlrinrirrnlatT

or rundunflunrrfnrrlrinr0, rala oe'llt2[ 3

fogaE

*

a5l .asr6rotu tlln1fll'uflaila'lTldt

rfrT tqdrtrnurefiudrdru

Lilau[1gn'lt5flD'l

ontu?nrrad'tnnfi rn r fiu'trlrdl8t'lgilag

r {ruri'rdunorn'lrrio rfiseld rdrlq

frarnrilfis'l

nrr rfrunroldnuorn

r {rufi rdfin'r T li n'lr ldtnrg r ?a.r trn r {oltifir,roT

27

22

19

13

10

10

9

7

7

5

50.94

41.51

35.85

24,5?

18.87

18.87

16.98

trg.2t

t3,21

9.49

I

ornr:mrtrnar r6r1dfi{t

ta7

mrloii e (sia)

nT runiimiunT rinurtinrfi.,em oe1I?|l D

TAgAE

*

finttfinrr rfimwlrinuornuudJlrufl'l1tflu'l ttflallaEl

T

armmarl:nrir rtumn{u

ldfiriuri,urntu

5 g.4g

5 9.49

g 5.66

3 5.66

2, 3.77tjilnrrinurita'r

+

6 . nmdlrfiuCtuu'ir.:nrrrnr0r t nla'lmrrfnrrm rfirlrstrn r+aldfnurdT sert,lnlh

dw{nauantnr

6. 1 fint$snr.!ilruilnr LFttDIfie fl.rnl

6.r.1 finuu"frrlrjnroilrctrrnr

olg {riT trlrnrfatdflnu'rfiorffiuil'irr ls-so fl lnunrir{il.raararuu.irr

fl fidnrrazl$f,ril rdralmrrfinrrr, ndnn frnr$uiasns B?.o

fi dsrnnmilfl0r r nmlmr rfnrrriosiinnfi o r fi uiatrng 64 . Z

aT efinlnflilfiiCoeir.rfifirdrft;nrmfrfifiunllar[r Iamtunrriflrr (p-vetue =

o.o48) urrtsRlrir drJrfldfiargdrrfiruT iuntrinrrnrir rniloustngirofiu losfirirflililrs

flndnoufittqud co*lnsfency coefficient (c) = o.t9

$a uudr ruRtrefinmilnrirrdmlmrrinur iaanc zz.s ruui{rmuf,rfr

35-44

6sfluryir

IunB0'lglt'Iflfl?'l

II

tfrannnaun"l,ldfiA

t

n?'lildri'ltnila iasng BB.r usitdanodoumrnfifilriuuallfllfil#cu'irorr,rtfiunnlndr

j

ll

i

t38

ldl|atsn'l?intt tp-.ralue = 0,287)

unneirrfir

J a o r do , 'lttlnailu2snilalsnl dfirmiunrrinrtnfr r nmti!l

dn 1Ut1udilrd 1'lflnllanrm{{Eild}rua21ild|lf,ilCruil'j'l {dnlmluflrrdftl

C v, r Dr r dt,{t tlruffml0alflafingnnlolt Itt

rudunrrfinn ul'irfirjrsdfinr:flnrr{trjrsnrfld r fiorjruufld z -udmr

n?'lildf'lrd$a'lrn'l?inururndaofra iasnu eo.z rdanoaaumidfi'nlduln?1ild$fittC

tuU,jrorsfiUn.lTflntlfimrrmr8,rrdilAlun.ltinrt cp-rralu€ = O.619) ilI1sn?1il.i1ti

ilT sd'nflrrfinrrsir ofiuriilnrrinrrnriT ralaldugrngir rfir

a1fru uil'ir firirscilfiar?ur{rur fidnnnmrnnir rnuolunr:inrrurndmr fiant

rfirrtaear BZ,4,fianonaunroafifi u'ir aT ?ufinmldrfiuCad'ro"nfludrftpr.rafififiu

m1ildlhramtunrrtnvl (p-value = o,ozz) dlfia {rlredfiaT ?uunndrofiumiunrr

inmarirtnmttnngir{ftI tngfifir corrLingiency coefriclerrL (c) = o.1?

nslfirlanrauairoiaflI Dl do vr, t

l,,u')'l AIU?Elnilt'lg t0Tult?1d t5r OO1-2Or0OO U'lll

fidn:rnmildir rnrallnrrinrT lrnitao frnrfiufasau sl.4 uncmaldil'lfln'i1 zo,ooo

il'rn frdgrnn'lrilnrirraralunr:inrrriaedan 6orfitiasdg ?3.8 ',danonaum{dfifr1^li

nrn'rrddnCtcu'irrmaldsianraunirsiaflfiua?trdirrnmlunlriflrl (p-value =

o.sz6) dufia firJrs#msldsirofiuriun, zinnnrfiT rdlatiunngirrftr

nelfilndnsianusiafl rdtrfisrfiursldsianrauairsiafl fia tiurunrTrlflu

filCrcu'irsneldrrdsgianufiuntmrirraratrnrrinur (p-velue = o.zo8) torruu'j'r

firhsiifursldrsu'j'r,r 1,oo1-5rooo rlln fidnmntliloriirrnraltnrrinrraono 6or$u9||tIb o - a Vu r 6 d o

TaflRu 83.5 $Acnlfinnatlgtotf'1flfl't'l 10r@o 1J17t notiluTagny 64.7t

n'l'l$dli1tdm1unrtiru1 (p-velue = o.449)

nria rnla'llnr:inrrvrniinnfio rfiliosac Bo' z

t

+

a

39I

elnn'lrflflurdnuncn'l oilrcdrnr ilil'ir firiredfin?rrrunntir o1l6ru

arflu 'rwnrfirtfit[rhalrriunrrimrnirramunnsirofiu dT ufiTldt ', 'hlunfirfislarirlfifi

ilrs$r iilnr rinrrddll drausnsir ofi u

n.r. o'n " mrdrfirr#cu'i1 'rn,r'llarh r amtmrrinurta tfirhstra,inudin .6resrar

drdruunnrilfinust*rlilnr tilrcdrnr

a1g

+ nr:rtriunrrinur

nfrrnla tinrh rala

,iruu ciasnc) tiruru riagnur

oa'lu'm

(i1g) I -AAn1f,nnfinuuufr'rtl

o'lB-t<34

35-44

45-54

55-64

6b'

ll,ttl

tr1fl

Alffud

dnlrn'llrdilrdAtdoI

n!

il'ltl

s't (92.2>

40 (B?.O)

54 (74'O)

52 (86.7)

22 (64.7>

lgt ('17.5>

74 ,(

83. 1)

25 (7l.4>

155 (80.7)

25 (80'6)

g ( 17'g)

6 ( 1g.O)

19 (26.0)

g ( 13.3)

12 (95'3)

3g (22.5)

15 ( 16.9)

10 (28.6)

37 ( 19.9)

6 ( 19.4)

x" = g.s84

df =4p-value

= O.O48

= O'19

xt = !.lgzdf=1p-value -- 0.?z87

x" = 1.sgg

df =2

p-velue

= O.449

45

46

'tg

60

g4

*

169

89

35

192

31

3

{

n'lrlod g tsia)

40

dnusu$T'trj tinri,rnra

o1111?ll

(?19) ri,afifi

Ugfrlt$1riln1ff nt'l

nlir rnm

dtrr <iaaac) 'irmr tiasaul

I

186

10

*

nrrflnyr

tildfirnrrflnrr

tJ.1 - il.7

ntn"ir il.2

&r{tn

iuiroAat9

50 (78.1)

66 (79.6)

24 (80.O)

32 (91.4)

93 (79.9)

4 (30.8)

46 ( 19.8)

3 (e3.1)

38 ( 17,6)

I (32.O)

7 (41,.2>

14 (21.9)

I8 (21.4,

6 (20.O)

3 (9.6)

LZ (26.7>

(69,2)

(go.a)

(26.9)

13

22

1g

xa = o.gb6

df=2p-velue = O.619

x" = ?.896

df=2

p-value

= O.O&

c = o'17

xt = 4.wdf =4

p-value

o.376

216

25

17

178

t7

10

<82.4)

(69.o)

( 59.8)

'*

64

84

30

35

45

ns-ldriantaunir t ln?rgiafl I

(5rOOO

5rOO1-lOrOOO

1Or0O1 - 15rOOO

t5rOO1-2OrO0O

)2OrOOO

t

C 4t

n rrod g

finuu"fitll

li nrlT rnrn

(1rfrX)

irdarl

nrrlriumrdnur

tinrirrnrn

httil tfagnsl, fturu t'fagnul

tgx*(76'O)

(83.5)

(T1.8,

(64.?)

18 (24.O)

23 ( 16.5)

6 (?2,2,

6 (35,9)

ll

-iix-''il= 4.&lii

df|= ei', .

P-Value1i

o'F8

75

139

t7

17

1r@1:5ri0@il

5r@1 - ll0rO@I>lOrW I

6.1'd

116

ZT

11

ll'

nrT rnrirrruatlnrrfnrrlrndp Fnrihiaenu 96.0 uecifre Bondenrtne

mrmrir rClratmtrfrnrrfoedde fu tfulaaru 6G.?iilI

zun'ir otfi*laolrn r{alfirnrrln*ir ra$alsnrrfffi.r

urrjr thhgtrfin Bondenllne Lepnomtous

(pqntuei - O.lt3 )dr{rhatrq r {a$ir ofiflnfu m firnrdnnnrh r nlatfi rndr tfiu

r:ii,il

ri

j ilrg rnnilognltfnt'l :tlrolnmlfufilCrcrhorhcrnmannr*ru4fiumrl

arfrr rnrnl$ttinurl (p-velue = s,z*zt lmrnrir$hefFrmrliln+r peuctb{cn reryllrrri

Lepnosv 1 filunrfinrrnfT rnlalasou 76.8 nnun{l Mtrtttbacillany lii,spnosy

':fasnc ze.h li 1l

J

42t

{

dnr.flaoohi?g m'ir firisd r6t a r| ro a 0 o '

rsfiad lurssultnlddr r?umiunrdnrrdrir r nrntlo Jrr C ro a o a u u t I

iiaess eo.g tusfi?hj'refiad'hrusc1rndrr?uriunr:inurnr0rramiafldu ?4.3 rfia

nndailnl odfifihlunrnruf,ilfiuCrcu'h .rdnr,na {rfirhsfiilalmfr r nmtilmiiffil( p-va I ue = o. 4 1 s ) dlfiarirhsdfianrwir ofirunitnrrinrrnri'r r alotiunnrir ofiu

rudumufinrr urir{rhadfiR?'rrfin'rrrcfiu g frdnnnrrmr0r ramlrnrr

inr,lrndan ficrrfiudasnc 8s.s unuairJT edframrfinrrrcdu r frdnrln'lrilnrirralaln

nrrinrrdrno finr$tfasac s?. r rdanonailn'lodfifildr,nrnrtrdlfilCrurirorufiumrn

finr:fiumrlarirrnrotunrrinrr (p-velue = o.osrl dlfia firJrecrfirufiuamrfinrr

sir 0fiil$riunrrinuT ar0T ramtiunngir rfiu

,.nlrn'r., {o timrnmlfllfiuCruu'itnanr:n:rq rdafiunrrmdtnmtl

nrtlnrr (p-val'e = o.216) lom,nrirrirhsdn:rqur{olrfunrrinurndrrnilaiarl

au 68.4 unu{rhadnnqldrdrlu{au.iun.rin"rnrir rnmfasn' Bo.s

uu'ir rirlT s#hrnrraaotrnfi{urc

rriT tlnrr fidmrnrrmrh r nlalunrrinurmnn'irfirhedilfrarnrrm olrnlrifidurru'ir o

fnur 6e rfilfasnt, 8r..4 uau so'o rdanonatm'rndfifi uu'irfrnrrrfllfilCfiladTrfrfls

dr ftpr tn6fi zuu'ir oo'rnrrm strnrcrir rinrrfiunm mrir r rualunrrinn < p-.'a l ue =- J o Dt do c I u I uo.ooa) fiufia ftJ,ls-nfia'lnlrmo"lrnrcuirofnrrgirofturlunrinrrarir rnilaurngirr!

fin toefidr corrbirNtcy CoefficierrL (C) = o.1B

aT nrr$flaoraotrn'llrJqlfir m'ir {ilrod'tdrtmnaa'ln'rrraotrntriu#u'llfla$rffidnn1n'rl ildfl r auatunrrfnrrmnn'i{ilradfi rfr ornrma rtrnrhrnnaei 6n r $u

iasnc Bs.B uau z2.6 ,iiononuunloun#'ilfrnrTdrfiuCfiuadr.rfrfisdrft1p.maffirru

u'ir oarnr:uaotmttrnlufleqfiufiuar1ildd1 rnmlunrrinur t p-.r" rue = o, ooe l dufia

!'

t

t 43

a

firirsdfrorn.lflrdodeorrtrntuflelfinrirofiufidfrr'ra,'nfrra'almrrinrrunnsirrfiu tns

fifif Corrbinglcy Cqbfpicient (G) = 0.16

artrio rfisqndrrialrn r{aurarnil'lflnluarailnir rnrir firJrst:n r{oldlflAiumuittfiequnundrqrnnm?nlurnaunir-lro..rnti.lnmlrnr:inrr {asnu ?e.B

unun{arlrhad'ltiiuntrirrfiaquaunfirqrnf,u?nlunraunirfinr.odri.,,nnnfasnu zo.o

rilonedaunl mfifilrir+rnrrlrdlfilCrcil'ir onruir r fisqnfireiatzn r{aumonm?nlmmu

nirfilnmlarhtnmtunrtinut tp-.relue = o.6sz) dlfialT iunrrinr, nrhrruotiIU

[nnn1ont

ernnrrflnrtludrlfinrucalfl lrxa otrn r {atfu uvir arnrfi a rtrffi su.ir o

inurdrsmaruuasalnlrtdnnnootrnluflqrfiu flanrhtfrirhsariunrriffirarir ramunnlu

o'ldntl

n.t.od ro nmlflr*indtuil'ironrrrnf'rralottnrrinrrmoatrlT strnr{audirp.tdrs

s1afitx iiirumn'udffissamrrmotro,{uu

-unrrmfunr:inrr

finuwarnrrmrtzn nfr ram lrinrh ram

&lrr tfamcl iruu rfasnur

oa'lll?ll

(trgl I -atCloldnn

a6Anltnnad lrfltTaI

TT

BT

BB

BL

LL

10 (71.4)

s3 (84.6)

12 (66,7,

e4 (96.O)

tlre <zz.a,

4 (?'9.6>

6 ( 15.4)

6 (33.3)

I (4,O)

96 (?2.2)

L4

g9

18

25

r62

*" 7,4G4

df=4p-velue

= 0.113

*

to'l?'rod 10 (sia)

44

n'l?!1tiln'rrinur

finuucarn'lrmsttn afr rnm tinrirrnla

'irut tiogaul {rurtt ciasaut

oa1lt'tlt

(t'lg) I .AAnldnn

{

iltu rnnratnrtinrt

anrffia{rhl,ts

rir riu

tirir r?u

rufiunrufinrtVtaUIl,lfllt

AOunlttuouAOl{fl',llfuouOUtttl'lTtUOU

(76.5)

(79.7,

(74.9,

( go.3 )

t48 (82.2,

I (57.1)

19 (67.9)

30 (83.9)

( 68.4)

(9o.3)

(29.5)

(eo.3)

(25.7>

( 19,7)

32 ( 17.8)

6 (42.9)

g (32.1)

5 ( 16.7)

t7

24I

g5

?2

4

49

I

44

t3

r92

26

179

PBL

MBL

x" = o.09g

df=l

p-value

= O,T5Z

x" = 0.66g

df=1

p-value

= e.415

x" = z.?5g

df=3p-value

= O.O51

*a = t.53

df=1p-value

= o.216

!

1

z

3

180

t4

29

36

zLrnfl1:ffi',let?a

ulr{a

liuur{a

19

28,9

13

192

6 (31 .6)

47 (I9,7,

;

?45

n1r1nd 10 tdal l

I

nfrr rnm tiadrrala

o1',lu?u

(t1g) I .AAnlnnsl

UUn'lflt'ltUfl'l1Tflu'l

finuscarnr:mt1tn

irru tiasas) {rutu ciasnur

fiarnr:motrnrlrlnna$

nllio rfisrnfireiatzn r#ar

(91.4)

(50.o)

+ aT nrrlaot:ffisil'iroiflnoE

o1fl1fo1uu rat

a'Ifl'lf til6rttl

arnr:uaoom otrnltfl{lfiu'hiiarnrrtn .l rl:rnn

197

I

(95.9)

(72,,6,

( 19.6)

(50,o)

(14.2,

(n.4)

*t = 9.069

df=1

p-velue

= 0.002

C = o.1B

xa = 6.91G

df=1

p-velue

= O.OO8

c = o.16

xe = o.zoZ

df=1p-valu,e

= O.652

242

16

134

r2.4

45

I

19

g4

115

90

!

aOuta0f,il'lxfl lilntailnl?

oai0lflgeVtoat$t{ tflga

25

asg

6

47

19

186

(76.O)

(79.9)

(24.O,

(20.2'

rl

.t46

1

6.1.3 finuuqdruuBnrr

uu'ir firhadfidfinar fiearhil r qrn

onruu?nrtn.ormqtdiunrrinpr riaEn'iru?orrh s m, miumrfnnarirralahn

r$ufasnt 8o'6 unuaddronnuu?nrrmnn'ir 5 flr. miunrrinuraf.rrdlaiagas

z5 . o tiianonaum odfifildurunrrddlCrsu'ir rrcssm ofiunrunrir rnmlunrrinrr(p-value = o.s?g) dil6aruscn'lr'trifir.rathlfifirhsmiunrrinr, arhrdrta1tflnei.lgfi11

rrernardlflunrrrfiunrs mir {rhadl{r, nrlunrzrfirnrrfptn.ir rJ$rtlr frnrrmrirtnmtunrtinrrfrorfiuf,asnu ?e.s unc&hsdtdnarmnn-iru?a

rri'rfiu r drtl.r 'nnrtrnf,tnmtunrrinrrfagau zg.a riianoaaunrrnfrfilrimrnrtr

d$fiuCrcu'i1d?esc lra.dlflunrr rômr ofiumlrdil rnmtunrrirul ( p-ve ltre =

o. ees ) dufia{riradld t rnrtunrt t fi tm odr ofiuniunrrinrrnnil aratiunndr ofiu

ri, l{iiErlun, rrfiunrr uu'ir {rlratrn rfatrd'tri,Asrirt{i.rslunrr rfru

unrrhjrsd r fl sri'rliireyriunrrfnnnrirnrrmiunrrinrrnrirratafasnc g!,2

tam iasnu 16.r tiiannnaunronfifilriuun'lrlfllfirt#:srl.irodrliirelmrrrfiunrrfiu

o..oathunmtmr:tnrr (p-value = o.342) drfiarirt{irsldfil.,nrhl'firirlrgrr,liu

nrrfnrr nah r d$a unnsir \rfiu

i6nrrrfiunro urir fi.rhtrd'fidsrrrnrr$drfT ralalunrrimurndnofasac

sa . o lr{tnrrinrr tnsif; r fi uunc torenrr:nilrs{r nr rfi dnr.nr'ronr0't r nilariaednntasnc

ts . s tiionndailn'l snfifitir,nrnmddtCrsu'ir rifrnrr r'ounr ofiun'l'rldrir rnmlmtrinurdufia{rhedtffifr nrr rfiun1 osir {fiu$riunrrinrrnrir r alalriunn

{ullt8rrc{rraar1rirrdur'11rrurh"rfu rnli, {ilradldirnrznrusir

?

(p-value = O,457)

'Ust'10flil

,l

t

rfialtosr{rurirdn, olruptfiniue'llilsinu rfialfirfinr1ildf.l rRmlunrrinultasas

t

85.3 unterngrfidrtotfrnrrmrfrrd$aiasas oz.z r*anodailmodfifi r,ru.irfinrrdlfin#

fiuadr,rfiflsdrftpr'rafifr:uil'irogiunurflT nru{urfiautimilnr:inrrtlusias rfiaufiilnrrr

ofrramlunt:inrr (p-vatue = 0.oo3) c = o.ao dufia {rfiadldiurtruucfrernunansiri 'l fiurilnr:{nrrnrh truounnrirofiu toeu,nrrrusrfl0iroruu.iroqrfid,fiaofiurdr

rd-ilU1ilfl10'lTl[{X (p-.tatue < O.OO5) C = O.Zs

nn,rdinrr mri, firlrsdiilnrrinrrqrnnnrflaurfie fidonmr$ar0rrnla

tmrrinttlrninao fiorfiufaeau BO.1 ?a{ladm'l6uri{rl, adfunrrinrlqrntr.tt.plrura

tillr fidstrln?1ildi'ltdlaiasnu og.e ,lianrnaunrrafifiuyirfinrrddlCfiuasirofifis

dtduxnroafifiruu'ironntritfrurfiunmud'r rnmlmrrfnrl (p-velu€ = o.ols) c =

o. 1 s dtfia Erl'ladfinnrudinursir rfiuriunrrinurnrir r alaunndr ofirtasurunmunn

drtfiutuu'ir.r afifintror{alfiuanrflou.rfis (p-value < o.oos) c = o.2r

ludT udnruuu?nrrfr uu'irfiulurirnru{l rfiautfl'riusrlrusiac r6ar $nrdn1il

dinnfinnl&nitCsianr.un h,nuatunrrfnrr dufrafrwnrl'rlftirlremfunrrinu.ldri.l rdxa

unnsirrfir

lrnnrrflnur finuuunroilrcdrnr rrtrrlfilamrrra r lrmuu'ir rfnrl a1fl1?u6tnom r trahfl qrfru

t[usincrfrautatnn.uiif,nur franrfirlfifirhstriunrrinrrnrir rnraunngir.!fir u6nrufl1fiuCadturnurtiauirosirtnsfiqrrulmnrirfllrlruflndnalfio rqrd (conriREency

coerflcienr, c) dsaasrnfiaofiunllfintrfad r d.ir,,{ilmtrnrr"nrdfidnnron.ro

ilrerrnrrrtruSfre doru dr'rfiruniunrrinurmhrdmunnrhofii,,

'*

dtnr mrirtldru arE orflu

{uuurir nru{l r fiallflr iusr

t

*48

o1t1 {d 1 1 " nT TrdlfiuCruu'ir onruarir r nlaltnrrinurm otirhatrn rfaldinrr6rsman$ {ruunnufinuopdrtu?nrr

dnsilud'luu?nrr

nrrltdunrrinu.r

nr8r rnm hinrirrara

irttu <ioflac) iuru r{asasr

oqlmlt

(ttgl rirnffi

aardEdilnn'luil?nrr

166

39

(80.6)

(75.O)

( 19.4)

(25.o)

(20.5)

(20.6)

( 18.8)

(23.9)

u06

52

40

13

31

22

151

ro7

170

88

g2

2T

ax = O.Z9Z

df=1

p-value = O.3ZB

*" = o.oooo4

df=1

p-value = O.g95

xt = o.goz

df=1

p-value=o.942

rus" rrardlftmrrrfiu

m\r (lil-nfiil)

tza

85

( 1 dlfr

)2 t fi|,*

(79.5)

(79.4)

( g1 .2)

(76, t )

(lil - nftr)

ldrflerirt{i.rs

rfudrl{ire138

67

)

)49

n'rn{d 11 <sia)

dnuuudrru?nrr

nrruiunrrinyr

nrirrnm ldnritalo

iuru tfasacl iruu tiasaul

oe'llr2tl

(119) IAAn1flnrl

}i$riusrlurginur6auJr

fllgn'nto{

s{Tufirdrarmruq?lr3

$'lTufl',lolgr|lttad

anrndlnrr

nfiflnttar{at

89 (84.O)

56 (77.9)

24 (77.4t

36 (79.5)

gZ (62,7,

81 (85.9)

92 (92.!>

24 (&.2'

I (69.2)

172 (93.1)

a

aoa2f'fl'lttoun'I0

Atoll

UTneffig1lt

ot1$eflT81Ugffi

fflgltn

tw&n&quflau

17 ( 16.0) 106

L6 (22.2, 72

7 (22.6' 31

13 (26.5) 49

Lg (97.7, 51

t4 (t4.7, 95

20 (17.9) lta

14 (36.8) 38

4 (3O.9) 13

35 ( 16.9) ZO?

*" = z.sg7

df=3

p-value=O.452

*t = 11.1gg

df=z

p-value

= o.oo3

C = o.Zo

*" = 8.699

df=2p-value

= O.O13

c = o.1B

*

1:oug'lurailrtn

nnrfloilrSs

O

I50

6.2 nrugdubolEali

qrnnrrfiflurnlilunnsir oruu'ir onr.na,f . r nmlmr:dnuluacnrtrf rda o

a E r i'r do D6t u - su -3 - q s r lr da"lrnrTal uuir qilihdfinmlflurufiulo'rdgrrntrlnrir rnlatrfllrinu'lrtrnn'irluursnil

nrrrftrrudurirni.6'ru*.*gn.onfifi lp-.,"lue = o.ooa) totruudntrartrnir rnm

lmrrinrr rrirfiuiasnu ss.4 $as z1.o ufluriiarirnrrflnrrlsnurfisotrdruo?trirdaoa A D r nEtrn rialtua? ffi1fl0!{no{r

'.

D

- 6 t I Dr Cc Dr'e E 4 e a t Jo-n1 rilnna0 rtnrTalr riln'l il1t29il$42'ltt?'l tlatlalrtiltt llanonailIal!iln

o!i

mq'lnr{alrnr{an mimr:innnrilnrafasnu s1.6 uacfiilrerdtinnudrrugrmo

l:nyriunrrinrr nrirrnraiasnu ?e. r rdanodauillodffiudrfirjredfinr, lfunuhi-r9t

nllir'iaofi rilnradttor{au -ndgrllnrrilariT ralatlnrrinn-triunnrirsfiu (p-velue

= O.359)

Aa a r vD t d r daunurciliEnrz-nosialdlnnfiao rihnrilfifintrfno mfun.trinuldrh rd$afasaui irt t t!

unuftlrsdfim'rlttdrlriunr:fnu'rnfl r dilafasn u Tr . z rdansrnaun, odfrfiuu"j'l!t

ifrnr:frqgiaraolrnr{ar u'iT {ilrodflnrr{'irtrnr{alrfiltrn#ndald80.9

rirhst

dfiner{rdaoifrnT rfiosiomstrnrrtautlrufiug.runu{rhadfinrrlf r?aoifrnr:findamoa&eu3,trntlarttrluounl frdrnrnrunrirralalun.rrn ',iri,,nnsi'r0fir (p-value = o.zs1)

COr,o o b I Dr Co DO Ctutls|2n1n t! tm1ftfls1o?gg10ffitil }ru?1 4lllgniln?1ilT tilttadtcgu[?a1

dlfltnrrinrldreetnnunnfioo fidnnntlrfnnir ralalnnrrirnnmnn'ir firlrsdfrnlld

lrinnfiat fio iaens B6.s $au zo.s rdanErnaunr oafi ?nnri, firhe'nfinmlf'lu rda ortTT

so rrn'rdtfflunrrinurnnfiarfidn:rn?lildril raratmrrinurmnrrirfirhadfrntlfldnn

fia.radrtflfigdrftprrrafifi (p-velue <o.oo1 )

an tflflsa.ln'lrfiror$nrrtrahiarir r nila uriT r[rJrfl t:a r{ard-lralrlf rda o

a

an rfleta{nrrflffirfnurtrn r{auldalir raralu:cfiuaofidnr1m1ilf,fl rnmtmrr$nyr

t

I

ll

il

iiii

51

il

rl

r er da ii, I u I e u | |il1flfi21afil?sniln?1ilffr?ord.rndrr'lurududr fia iasac ea.g ]tni, 54.8 rfianonauIP

n1sdfi'n uu'ir sirhscilfrnrtrirdaoanrflffiaoflrrfiusrfnrrt:ntinrir railalurcduno fidsnrrll !r

a'l'rildrfi'r tnila6lm'r?frnr, lrnn'irr!.rlT adfinrrlf rdadondrrtl:cfiilriaariroflfiedlftunro[.o9

dfi^n tp-value (O.0O1)

nrr{nrihtrn r{ol $r'ir rirhslrn rfoldinnl!'iT lm r{uunlo.rninrrtfi

ureld tffiif;nrtfiltr, fiodofiuari.oari.inoumiunrrinrrarir ralofasnc sr.? d.ut

rhsdlrifinrrdlulfiitrrinrrt:nfinrrldrirraratmr:finulrfig,liasnc 4'r,rr,du*dailm 0.ffi4 *i.

l1 rirhodfinllf r?a onr:inurtmfidsrro..oa,i. rdmtmrrtnrrmn

r Dr dv tfl?'latil?gn ut

!

raD$Aoifia, rlfilllriaodonit adT ofifisdT ftpronfifi (p-velue <o.o01)

li

il

A!rr'e1fln'lr6 rrnrcfnrrrunngir oruui'l $n?'lildf1 ram'tmrrinur{rumnrilflq

{udrtnruf rdotlrh r{at lt rdaml rilffia{trn ,,io,r tf;nr$odamotra r{ot?uss r?n1

dlflnnrrinrrdT ffihruil ara rflsmrnlrfiffi rinrrt:ntimh rdilaununlrinurtrn r{au

urir {rhadfinrri I da orrs, nnrdlfftunrfnurnnfiao finmli rda u.n rflmarnT rfrr

slinrrltoldnrir r niraunufiarui rda onr:inrrlrn r{argnfia omiun'ninrrafir rnm

lrnn'iratrhadfinnlf rdaodonrittignfiao donannfiarfiunllfiSrl*iT "{rhatto,{aud

fi nrtri r ?a o ttn r {uihffi udud {il'riunrrinrrn i., nouo.nniT {rhalrn r {aldfrnT r rf,duofioni',.1urufiuih."

o*>

t

a

l

I

I

il

I

I

52

il

Ii

--- r. | | ___ --t_ al _ !, Dr 6 A C- ro?1ilurnfln10tutr?1{tFt?'llt6flt'l tdila tIfl'lT?nt'lnad3;Iil?g tlntTailfiinrrdrs't

s1a,6lr {rnunnrmT r{r?ottrn r{au,Iri

dsl'rT1{n 12

ri. raro tiarh rnla

cq'u?lr

(?19) I .AARlnnn

nr:trlunrrinrrr,i q E

Fl?'lltt t7a0 ltn tsaltt

i irmr ciasaur {uu tfosncr

t ruuil3aonlnq!tuilru€ufl1',1lJ

'tdnnl

6ta.Enl5monano{r [TnrTau

b-nl'lltfSt{t

IIa

DOFr?'lilTn1

u

31 (81.6)

174 (79.1)

127 (8O.9)

78 (77.2'

z = 0.36

p-value

= O.359

z = 0.67

, p-value

= O.?s

Z = 4,49

p-value

<o.ool

( 19. 1)

(?,2.8,

( ls.z)(45.2,

38

?20

7

45

157

101

go

2A

( 19.4)

(20.9)

it

'*do rn .]l

-r,uss u'lar fi 'lftunr rinndrgsrila$

7t7',lll

kinnutzz

83

uln u fierua rnr:fiffirldhftaila

n?1ilfd{!t

aDO

Fl?1il?n'lI

(86.5)

(70.9)

( 13.5)

(29.1)

141

tt7

216

42

19

g4

34

19

182

29ij

i

(94.3)

(54.9)

Z = 4.49

p-velue

<o'oo1

t

a53

n'rr1{d 12 (oio)

arrlirdarlrnriat

nrruiunrrfnu'r

nfr rnm tinrirrala

{rrrtt <iosnu) {rrrr t{asnst

g (47.1) g (52.9)

oe1tlil(T1fl) riraffi

Z = 3.3O

p-value

<0.oo1

z = 2.71

p-value

= O.OO2

o

151

107

22

31

t29

76

(85.4)

(71.O)

( 14.6)

(29.o)

nr:inurlrnr{au

r,J e 'Ean:?rn?'lt|l t ta{l t:n tTall-il

r'lm1rl6l{r '

.iaDO

m'llttsr1i

*

(p-value <O.OO1)

rnri, fnhedfrnru

ldilnmmltq r a'llrldouaunsflnn'u rdladr odqrn r,{ruriT d

a

uu'ir {rha#nrr$ouatqlurcunr?mfi1fi'lrugrnhnrrinrrnrrir rf,iloil1nfl'j rh:uuuu3n'lrd'10'lrsqmtir rfrflsC'rftgnr ufrfi

tounrdnnmlrdrhldratmldnrr rrirfiu iaenu sr.z $nu

B8.B rdarfirnrrfln{rhnsnu rieodrmr, rfi$ral.qhrcuuu?nrr rlnngarafiod

;r

fiff01q

miunrrfnndrirr Br.1 unuahlT sdtifiouatqsiau?nrrdldiu lriunr#nrranirrnlaiagas 66. riiar{T nT :nndoilmodfifi mrir oirlreffinmrfiouatqtuu?fl'l??a0

ID]dAAtl1iltt1nilAnl rnratrnrrinmmnn'irrirj, fldldfi slntqturFfl 'lrra d r {rurird

arirofiriedrdrxnr (p-velue = O.O36)

t

f

nT rlfitflolqtmlili nelildru'Iryrdartrnr{aurar r{rufird r,ru.ir{rtradfi

nrurda$u'ir raiirtrdpuantauflmrri nrudrurrgrdaotrar{anfrtn fidrnrntrarir ralahnrtfnrr$rnn'i{ilrodtiirnurda$llnrdaon.nrf arrldrrrryroo r{ru,[rdfra fasnu so.s uaf ss.s rdans,noun.rrnfifi r,ru,ir {rhudfinrrrfior,ntelunrr1;nrudurrgrdaot:ar{aumo r{rurirdfrdnr.nrT rnrir rnmlunrrinrrmnn'irrirjrsd'trlfi

nmlfiu,ratrtu rda tfi onir, arir ofifiodrftgnr odfifi r p-va lue = o. ozt )

nrrr rt'nurirsdo{utrailun'rtflfirr uuir {rl-rafnn'ltr rdaurirsda{,rnur

lmrtinrr tumudnluu?nT rf,l firuufisildos'ln rflsnarranasururiun.rrfnurnrir

tdtaiagau zo.o unufirjrsdldfinmlrfiauriT ssiafunorlmrrirntniunrrinurnri.r

raila iaenc Bt.e llriiarirnrmonamrrnfifi uu'ir lirhst:nsfaudlriinruriianrirssia

f,lsrailmrrfnrrmilrn.rrfnurnrri.l rrtilar1flfldr {rhadfiartrriiaurireeia{lgnulmlrinuadrofifiedrftp, rafi'n cp-vatue <o.oot )

nrr$ r da[rirseianrr tfiffi r oilriun'rririm whfi{rlratra r{aldfi amo,da

uriresianrttfilnr.rlrHuntrinrrrffircdnlttu?nTrad'tnnfirurfilth?an,ttrhmrlldnc-

ormiunrtinrradr t dilaf,asas ss . g Cru{rhedtifr nrrl rdonirsiianrr r dm:l o miunr:innn$rtdm fagav Bz.r,dannnaunronffi m'ir {rhodldfinltrrdaurirssianrttfimro finrTrninlaualuntrfnurmnn"irfirhodfinetrrdaurirssianrrrfiilnroadrofi

fiedrftgnrta6fi (p-vbtue <o,oo1)

nmtillllluwnnrrfnn uu.ir {ilradfinrril$ltqtu"rnnr:fnurdrssrfrnil'ireunrlrlndnrT Ttn t*all'fiursld urfumrinrrari'r ralafasns ze. I uau{rhadld

$u'lqtrh'nnrtdnrrmfunrdntrnrrir tdnafaea y 7z.z rdananaunroafifrr,nrir{ilradfi

nrrl$utq1*un.ri*lrunufirjred'tdfiamu$ulqtw,,nnrrinrrm{unrrinrrnrilnm'[d

unnsirtfiu (p-value'1= o,zs)

t

;

*

I

55li

rl

i1

.11 d,,!e1nn1lllrffi ludn?1ulnnn1 oicil?'l dnllildri1 tdila'hmrfnuritumhrdl{g

drunrrrfiouahlrrlFruu?nrrmrdnlril?m?fls1isdr 'lndlrnrtrfiruatqeiauinl?ro0

r{rurhd nmffiowo![lmrrlf nrudurryrdaolrnr{omrr{rufird, nrurdaudrsgion'rrt6unio , qn.r,,iiaurirstia{unarttnr:tnrrunrnru$rlqtrnnnrriffilurrirr!

rJrsdfintlilfi tr,nlqlul]:'ruuu?nrrnrs'rrs6t1'narrlfi .ruahlunrrlf nrudurry rda rtra,,{uunoo r{ruri.rd ilhnru r$aurireeiafiinartmr:inyruau'lrifiatrlrdaurireeianrr rfir

lqlr$cuuFfl 1r6t1s1rsfn r

ldfi .rmlqlunru{ dfirlrdtnrg rda rTrn r{aura o r {rutrd, fiorrl r damiredo{tgrailh

nrrinurunrfinllr{budredanrrrfirnro donanndarfiinllFrlrld'iT "&Jrstrnl{uud

finrrlfi llnlelttourffia'lrta {dn1uu?nrrnrorruqalrilnrrinu, ndr r dramnn'hfirhaq t dvr- ol:n rTotfi lrlfi om"tet$ruluu?nr:ra oanrru?n'li6t'ls'lrs6lr "

l

nrnoit rg nmuofinri.rrsu'ironrrmdrrdmlmrrinrT mr{rhstrnr{ardifiu.rfirfl

sr$adl {ruunsnsnr, lfi rilalqhrcuru?nrro.ul*on

I

I

g9n1til'Hiln'lT?flE'l

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226

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187

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flr{edfrnrr P.- P" Z-test p-velue SignlficanL

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oA e g1. m1ilt[100 Hnt?alt

{ 0.15-0. 13

o.62-0.57

O.6O-O.36

O,89-O.64

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lunrrinrr

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t.z if;nr:fiosiatrn

rla'ldtfftrfilfinr,laavl

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t

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nrtmiunr:inrrldndr t drauauifinrrinrrtro,{uu drnrtrill rtarfi onritqsdowa

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ff 1 Tufl ?QTllwotroilneu r r ir o'l r urfl 'l rufl rn rtt r ta d o 0 fl a1,t tosnrrlfrfl flnrr r rio.r tro r {ou

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iunrrfnuraeiroarir tdilauaclunrt'lfinrfinrrft r6rurlrda.u.tod.urir rfirnrildnnn{r

dfi tonrnlos ror,r'lu riiafirhemiuertrueins rfiar

/,. ludrlnrT rfiluatqtursuuu?nrrnrorrunafir r{T urIT dqvfiaoffirs'l$

oo{mareir,! ,r tuntrraiuu?nrrnlrdn'1,fi{rha'tdfunr.r]ooo.nnordr nlf,ofinrrlfi

n?rildr'lc rartetCqpun flnnrr Xnqadronru rfirfiu ra ruaulunrrmius'lm r{rleult

usiacnf {, {.u,['rd.r,fioon ..o].,l.rru olrnodr onc rdenudrmemunnrrrfinufl'r

h

I

lunrrtnurlftirJT nnnu rrdr'lfirirdrlarlrhutiruri,iatlrhaeukifirirfirlurtunrz

a

inuradrtnfr rnilagia'tilunuluurrn{mu#arfinrznrcfirrfrauuauaanfinnulfiftJrsmfua.r

lun:fid{rhffi r onr:flnur u?a r fi unr o miunrzinrrlriaunrn

{a r nuaruulunrrflnrtiisn{oeialil

lunrtflnrri{sn{rsialil nr:firnrrflnuriiauilll case - controt srudy

toslinddradro z r[r$ fia ndr{rhadlriunrrinrrafrrnraunun{r{ilruduiunrrt!

a inrr-trinrirrala tflioflrrurt#ieutfieufidq{sdro l dra,qfiannrcnueionrrmiunrrinn

nri. rnoa

l

t

)70

t

o3. Etu

u?ilt'lllfltll

1. nastrnt{al. nt$milnilttnfioda. {fianmfgfifin1m?ilnrtrnr{audruiur{rrJilil'lnf,'lf''lTil{X. fll\ttnWt s 253Ot 1-B r g?-99.tt

2, fjl'lll tl,tlrrlllt?i, f;ru t1r6tn. n'lrflfls1 rfiaofilnrrun?1rfifl.lrm.r{rhatznr{au

lnrjruunfllnfl. rr:dr:lrnfinda zszs | fld e, sfiud a | 44r.-4s7.

llrldn. . ftprnr.rfldnilxo\rlrnr{au. ?.lrd,lrfl{nlnrnn{nrrutmd zszss

fld s ,i, ofudn r s 6s-81

4. Rogers Leonand , Muin Ernest. Lepnosy. London t 1946 | gZ,

5. 6:s :'tttdsl. n'ltirnt'lc#srumunrtrnriau uil?nlo nnifinrruniltld.lrl r,fir{

u?nrtnnnrm4atufiuiir rnarlacnrnlfl${n11r nlrflrilrrrudurrfi rda rnlrn?uhxlrnr{atttlrhur?rfl'lnfl. zszs I r,

6. 6ru T'rildn , il:u1rmz tarnruur{, egCI flrerrnnrd r rdfisr tgrchrs.

arilnnrtnr#o tunrunrtrn r{aunrruHlfinurfi olruduuirtr'n sfiud a .

(zszo-zszsr. ?.lrd.lrtrnfrnrio eszg r fld o, sfiud rr rt-L,7, nastrar{ar. ntilmilqlttnfioda. dlrFto.rrunrufirrufirmtorm,rurutinr{al,

zsso. rdodrrurt

8. world Health 0nganizat,ion. Epidenlotosry of Lepnosy in relatlon tocontrol. Report of a tlHO study groupl tecl.rnical neport

senies 716, Genevae lgg5 s lG-19.

e. f,ts :rildn. n?'ltffirrufi1uac{anr:rJfiffildsrfiunrr'l{a'trnfifrfint:nr{aunnl

ululurinur{auwfrmrawinrramfiatan. uundnnrnrt zsso r fld re..d

olrun 1 I 5-13-.Jll-10. alflnfi rirr.rfl?' nrrinrrlrnrfal'lufle1fiu. t1:d1rlrn^nain zqzq r flil z.t

-J louuIl3l187-198.

11. Arnold H L,, Fasal P.Lepnosy Diagnosis and Managlemerrt. Ittinois r

1973 : 78-83

a

I

t

J7t

a

1

12 tonld Health Ofganizat,ion. WHO Expent Corrrittee on Lepnosy. Ftfth

nepontrl technical repont senies 608. Geneva, 1977 ? 20.22,

13. Joplingf l{. Handbook of Leprosy. London s 1978 t 80-86.

14. Bnown S. Thl diagtnosis and Manegernent of eenly Lepr.osy. London t

nd I e8-32.

15. naolrnr{a$. niilnrunillrn^groda. nrr{ruunrûolrnr:Eatrruuluri $tt?Aomrt--- oiltrunaunrrrlaofitufiltunuinrrttnrialuuuluri. flTor?nr I rooct'luoil tnr$aufl11ila{nutn ltunulflr'l lfntl r

firoitdrt{rfiorq.!re?rgnrrfulri t zsz4 r le-as.a

16. 'nza Tlililil nrfrnfi dlflsrsn'ttr , td? irriar ,n rt I nqr$lror irtfirJrunr ,

L7,

anri Ldu1iflilna. n1rflfls1n'r:6aeruoilttllu{rlT arntrllnfinlrillurilfllns.

?1in1tnruffi?{rd1filrsqx zszs; fld s, ofild gr 1?o-18s.

tforld Health Ongenlzat ion. EpidernloloEly of Leprosy in relat,lon to

corrtrol. Report, of a tlllo study group I technlcel report

series,r 675 Genevar lgge t 8-3,2.

rjrctill,n tarmrnrd , 6rs rlu6tn. n?1rfi1rilri1mdrnfififio1:nr{al. ?1r

nT ttrnfrosia zszs r fld e, ofiud 4 | 4ss-477.

19. naottar{ail. l, fltrn?unltrnfioria. ut^nn'lrngls01ilmr1{ffi?^-nlrriiaf'lflninrr

firlT strnr{arhilrcrnfllnfl. zsso. <dodrLr1) .

zo. rhutrnm lagnruuri , nrannlqed finurrpfr, qgr! flrsum'ln#, gfit nft?

nttnd, flsu flecflnd. n'ltilona{rs,tatnrttosofuuuuludmsarr{n'l:attTftl

tnnlunnni'rfin{rhntrnrfamtu r flurnllfiasrn. rrrdrrt:nfiosia zszsl

fld rz, afiud r r 1-zo.

zr. naolrnt{at. ffiiln?il4$trnfiogia' nllnanrll^fndilmilnrtrnr{alrlrsirfltu

nfl rnnr rrlfi fifi o r uaruqrtra r{or

z5go. <dodrtil1).

18.

I

. tj:vlrsi

&. nartrnr{al.

zszg. <dodr!tr'l).

firlf?ilqillfnfingio.

ilruirflouilrcms

gUq{il?noun

t

r1!01flf

* 7Z

?.8. 6rs lhudn.lr24. l{orld Heel

l

l25, Rtdlefd-d26. ttrlFtT

1980 t

Ilerurl

trnr itrarflnuCil?rygrlmrRT nnrrnlfufln, n.$.*qn-

* Z?. Hertltb

28. Onatdili

3l2. drd1d

29, A.

of

30' A,and

I

31. PnlcQ JEInpl I

Rev

Ftskrl

l

I

Dav q

ii

ii

errf,s evaluatlon of out patierrt nedical cBFer {ounnal

cal Evaluatlon 19?1 I 14 t2gg-242. il

ii

eopnapal, The effeet of locatlon on fanlly pfhrnrtr€il

,l_

tr

'*r'll

, t))"[rofinfthunu

o'rn#t

tJs

of pat

42.4

the

Facul

1981.

rr{r$ffinttrntiial. n1otttun t zszs r t-18.

tnllfl?nfi&'

R.A study

ents In a

of Soclal Sclence ard Hrrunnlt,ies. ttfahido Untif,enstty.

Ith faclllty use. Pattern of Health tlblllzatio!fl In up

llIAI LAIID. Instltute fon Populet lon end tl Soclel

the

Lepr.

I 54 I 129-197,

ndntuurotnar. for#r{rf, u. rnunu .r r||

t 351-364.

C

I

+

7g

33, Koticha K Krand Neir R P R. Treatrprrb Defaulters in Lepnosy.

A Retnospectlve Study of 42r@O cBS€sr IrIL, J.Lepr lg7g I

47 t 5i6-55'

84. *fiui pnrfnufinC. fllrnruqlsmslratrdrtrr, lu t fl1fd'ls'lfsdn 2,

lnrineiidsntrfisffrrufintr. n{rd r. flr{rrnuilil'lrnt r fiufifiuufildo,tt

2526 t 113.

35. lli lson R N. The Sociology of Health t An lntnoduction. New York.

RondoniHouse. lggo ! ?2.

36. Niglan P. et al. Imegulanity of Tneatnent in Leprosy patierrbsl lts

nagnitude and ceuse. Lepn. Indla 1g?9 | 51 r SZ1-S3Z.

37. EkambenEn Vr Absentteeisn fon treetnentr thelr causee and

suglstested renedial ftEBSUF€so Lepn. tndia 19?6 | 46 r 46-49.

r

gB. n?l afinqnr. fl1r?'l{nwlrnrailni?fiilfirJratrnrfal. inarfluuCil?rsn$.rfirfin.tt

rsydsnilRo Lnfl udf,'ldn{, lurins'lfisorrilflldn{. zsts.

Be. dxu?d {rfrun{rnut. nr:tlnrl r d?tru rfisun1ril?nrt{ rrllanrufirlrstrn r{ou

no di5nds randrhrJ:v rnfllns. ?lsl'lmnflrfi isn$cf, {nil.ht rnnyrfnrnn{

rmrinsrfiasrrxdldn{ . z5!7.

4O. Giel R. end V-an Luijk J N. Lepnosy in Ethioptan society. IrrU. J.

Lepr 19BO I gB r lBZ-199.

41. tugq'l saodltîlu unutug. ilqrfiunsfllrflnnnrtfl{n$inslmcxlrdtnflflll

ulmd' dnrfiui{eilTs!'utflraudrnl. lurinflrdsrfi Aa. zszs r 46.

42. rlzunrr*g {?TtB. fiounfi mt{on1?rrderuilarunsuqfinrr$att1fis, flrsrmfis

tar6srdtn4 , zueu r 35.

4s. rfrueid qrduunrrlf; . dnu$unl$fldru rflftIfieunufl1roflfinrdfufitCfiiltrqfi-

nrrilnl? r 6udram r{rlT strn r {au. insrtuuCil?ryxtrulfufinart1fl .rnlnran{

nlrumduaudlslrsd!, imflninsrds ilurinsrfiflr,fron, zszr I ufir as.

c

q}74

44, oitfis ?n{0F{0T. ilrutrn:uaunrr{dradrr. nuudror:uf,tflrdgr{,

lurinflrfigrfina. zsgl. <dodrr[1).

45' drlu arni#. afifinrfi{s. filrh{rd r nqorrnd,,r r ilqfl. rod ron fl1rall^ltJl,f' e525 t 33-341 69-71.

46. d$d1€t qfirr{rfil. udnflrnfifi. firdra{rd z. nltrnwr r trofrl#rufinr ,

2.526,r ?24-2;50 t 92t-323.

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76

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1.

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tg. luntt tfitnruriunr:inrrusiarn{o riT urflsrirt{irs rdu rirururcuara*l .r

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inrrrir l r $lodr .rfiu?a'hi

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( ) Idld

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z*/zfrtr-()"N/d2

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