Ar i M an ggi yas t u t i
Abstract
Si
c
k
i
s
a
c
ondi
t
i
on
t
hat
c
an
not
b
e
s
e
par
at
e
d
f
r
om
a
pe
r
s
on
l
i
v
e
s
,
c
an
l
e
ad
t
o
a
c
hange
of
phy
s
i
c
al
appe
ar
anc
e
,
me
nt
al
,
and
s
oc
i
al
.
One
of
t
he
c
hange
s
c
aus
e
d
by
t
he
s
i
c
k
i
s
phy
s
i
c
al
di
s
abi
l
i
t
y
.
Phy
s
i
c
al
c
hange
s
,
t
he
f
e
e
l
i
ng
of
l
o
w
s
e
l
f
e
s
t
e
e
m
and
a
s
oc
i
al
di
s
c
r
i
mi
nat
or
y
ar
e
t
he
e
f
f
e
c
t
s
of
phy
s
i
c
al
di
s
abi
l
i
t
y
.
Bas
e
d
on
a
l
a
t
e
s
t
s
ur
v
e
y
,
s
ome
one
w
i
t
h
phy
s
i
c
al
di
s
abi
l
i
t
y
had
a
pr
obl
e
m
i
n
he
al
t
h
s
t
at
us
w
h
i
c
h
w
a
s
l
ow
.
L
o
w
he
al
t
h
St
at
us
c
oul
d
be
af
f
e
c
t
e
d
by
di
f
f
e
r
e
nc
e
s
i
n
pe
r
c
e
pt
i
on
of
t
he
c
onc
e
pt
of
he
al
t
hy
and
s
i
c
k
.
Pe
opl
e
of
t
e
n
a
s
s
ume
t
he
di
s
ab
l
e
d
as
a
s
i
c
k
pe
r
s
on.
T
he
as
s
ump
t
i
on
w
oul
d
i
ndi
r
e
c
t
l
y
af
f
e
c
t
t
he
c
on
c
e
pt
of
di
s
abl
e
d
pe
opl
e
about
t
he
c
ondi
t
i
on
of
hi
s
he
al
t
h
w
hi
c
h
w
oul
d
af
f
e
c
t
i
n
t
he
e
f
f
or
t
s
of
he
al
t
h
s
e
e
k
i
ng
be
hav
i
or
.
T
he
t
y
pe
of
t
hi
s
r
e
s
e
ar
c
h
i
s
phe
nome
nol
ogi
c
al
.
Dat
a
w
e
r
e
c
ol
l
e
c
t
e
d
b
y
c
onduc
t
i
ng
i
n
de
pt
h
i
nt
e
r
v
i
e
w
s
about
t
he
c
har
ac
t
e
r
i
s
t
i
c
,
pe
r
c
e
pt
i
on
of
he
al
t
h
s
i
c
k
,
and
he
al
t
h
s
e
e
k
i
ng
be
hav
i
or
among
di
s
abl
e
d
and
s
uppor
t
e
d
w
i
t
h
obs
e
r
v
at
i
on
and
doc
ume
nt
at
i
on.
T
he
s
ampl
i
n
g
t
e
c
hni
que
us
e
d
w
as
pur
pos
i
v
e
s
am
pl
i
ng
and
obt
ai
ne
d
4
i
nf
or
mant
s
.
Dat
a
anal
y
s
i
s
t
e
c
hni
que
us
e
d
w
as
t
r
i
angu
l
at
i
on
s
our
c
e
s
.
Bas
e
d
on
t
he
r
e
s
ul
t
of
i
n
de
pt
h
i
n
t
e
r
v
i
e
w
,
Pe
opl
e
w
i
t
h
di
s
abi
l
i
t
i
e
s
l
ook
he
al
t
hy
f
oc
us
e
d
on
c
ondi
t
i
on
of
me
nt
al
l
y
he
al
t
hy
and
s
i
c
k
w
as
j
us
t
pr
e
s
e
nt
c
ondi
t
i
on
t
he
y
w
e
r
e
not
c
apabl
e
of
doi
ng
t
he
ac
t
i
v
i
t
y
n
ot
be
c
aus
e
di
s
abi
l
i
t
y
ow
ne
d.
Bas
e
d
on
t
hi
s
f
ac
t
,
i
t
i
s
ne
c
e
s
s
ar
y
t
o
be
not
i
f
i
e
d
t
o
t
he
p
ubl
i
c
t
hat
a
phy
s
i
c
al
di
s
abi
l
i
t
y
i
s
not
e
qual
t
o
s
i
c
k
and
ne
e
d
mor
e
f
ur
t
he
r
anal
y
s
i
s
about
pe
opl
e
w
i
t
h
di
s
abi
l
i
t
i
e
s
’
he
al
t
hy
ne
e
ds
.
Collections
- UT-Faculty of Public Health [2275]