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Old
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I
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[
1
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[
2
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T
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q
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liv
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with
ch
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is
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s
es
[
3
]
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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8
8
0
6
P
r
ed
ictive
fa
cto
r
s
o
f q
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a
lity o
f
life a
mo
n
g
o
ld
er a
d
u
lts
in
r
u
r
a
l I
n
d
o
n
esia
:
…
(
P
a
g
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P
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s
ca
r
ella
R
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ta
)
257
Qu
ality
o
f
life
in
o
ld
er
ad
u
lt
s
h
as
b
ee
n
r
ec
o
g
n
ized
as
an
ess
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tial
in
d
icato
r
o
f
m
u
ltid
im
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s
io
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al
well
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ein
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ass
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n
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ical,
p
s
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lo
g
ical,
s
o
cial,
an
d
en
v
ir
o
n
m
e
n
tal
asp
ec
ts
[
4
]
,
[
5
]
.
T
h
e
W
HO
d
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in
es
q
u
ality
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f
life
as
an
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p
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life
i
n
ac
co
r
d
an
ce
with
th
eir
cu
ltu
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al
co
n
tex
t,
v
alu
es,
g
o
als,
an
d
life
ex
p
ec
tan
cies
[
6
]
,
[
7
]
.
Pre
v
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u
s
s
tu
d
ies
h
av
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s
h
o
wn
th
at
q
u
a
lity
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life
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n
o
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lts
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s
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to
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s
,
i
n
clu
d
in
g
h
ea
lth
s
tatu
s
[
8
]
,
[
9
]
,
ab
ilit
y
to
p
er
f
o
r
m
ac
tiv
ities
o
f
d
aily
liv
in
g
(
ADL
)
[
1
0
]
,
[
1
1
]
m
u
s
c
le
s
tr
en
g
th
[
1
2
]
-
[
1
4
]
m
o
b
ilit
y
[
1
2
]
,
[
1
5
]
an
d
r
is
k
o
f
f
alls
[
9
]
,
[
1
6
]
.
I
n
s
tr
u
m
en
ts
s
u
ch
as
th
e
B
ar
th
el
I
n
d
ex
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wid
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ep
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wh
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tim
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p
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g
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(
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UG)
an
d
3
0
-
s
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d
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it
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STS)
ar
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tr
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cle
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Fu
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th
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r
e,
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e
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m
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ity
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u
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is
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es
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tial
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r
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f
o
ld
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lts
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ely
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ticip
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g
s
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wh
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s
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s
ely
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elate
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eir
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ality
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life
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Alth
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g
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n
u
m
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s
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ies
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e
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am
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s
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ed
o
n
u
r
b
a
n
p
o
p
u
latio
n
s
o
r
ad
v
a
n
ce
d
h
ea
lth
ca
r
e
f
ac
ilit
ies.
R
esear
ch
o
n
p
r
i
m
ar
y
h
ea
lth
ca
r
e
in
r
u
r
al
ar
ea
s
,
p
ar
ticu
lar
ly
o
n
in
teg
r
atin
g
f
u
n
ctio
n
al
ab
ili
ty
,
m
u
s
cle
s
tr
en
g
th
,
m
o
b
ilit
y
,
an
d
co
m
m
u
n
ity
am
b
u
latio
n
,
r
e
m
ain
s
lim
ited
.
Fu
r
th
er
m
o
r
e
,
em
p
ir
ical
s
tu
d
ie
s
h
av
e
n
o
t
s
p
ec
if
ically
i
d
en
tifi
ed
wh
ich
f
u
n
ctio
n
al
p
r
ed
icto
r
s
m
o
s
t
s
ig
n
if
ican
tly
in
f
lu
en
ce
q
u
ality
o
f
life
i
n
o
ld
e
r
ad
u
lts
with
ch
r
o
n
ic
d
is
ea
s
es
i
n
r
eso
u
r
ce
-
lim
ited
s
ettin
g
s
.
T
h
is
g
ap
m
ak
es
i
t
d
if
f
icu
lt
f
o
r
p
r
im
ar
y
h
ea
lth
ca
r
e
p
r
o
v
i
d
er
s
to
d
esig
n
tar
g
et
ed
,
co
n
tex
t
-
s
p
ec
if
ic
in
ter
v
en
tio
n
s
.
T
o
ad
d
r
ess
th
is
g
ap
,
th
is
s
tu
d
y
co
n
d
u
cted
a
cr
o
s
s
-
s
ec
tio
n
al
s
tu
d
y
o
f
o
ld
er
ad
u
lts
with
ch
r
o
n
ic
d
is
ea
s
es
i
n
r
u
r
al
I
n
d
o
n
esia.
T
h
is
s
tu
d
y
an
aly
ze
d
th
e
r
elatio
n
s
h
ip
b
etwe
en
d
aily
liv
in
g
ab
i
lity
(
B
ar
th
el
I
n
d
ex
)
,
lo
wer
lim
b
m
u
s
cle
s
tr
en
g
th
(
3
0
s
STS)
,
m
o
b
ilit
y
T
UG,
a
n
d
C
AS
o
n
q
u
ality
o
f
life
f
o
r
o
ld
er
ad
u
lts
,
a
s
m
ea
s
u
r
ed
u
s
in
g
th
e
W
HOQO
L
-
B
R
E
F.
W
ith
th
is
co
m
p
r
eh
e
n
s
iv
e
ap
p
r
o
ac
h
,
th
e
s
tu
d
y
is
ex
p
ec
ted
to
p
r
o
v
id
e
a
m
o
r
e
c
o
m
p
r
e
h
en
s
iv
e
p
ictu
r
e
o
f
th
e
f
u
n
ctio
n
al
f
ac
t
o
r
s
co
n
t
r
ib
u
tin
g
to
q
u
ality
o
f
life
f
o
r
o
ld
er
ad
u
lts
at
th
e
p
r
im
ar
y
h
ea
lth
ca
r
e
lev
el.
W
e
b
e
li
e
v
e
t
h
es
e
f
i
n
d
i
n
g
s
h
a
v
e
i
m
p
o
r
t
a
n
t
i
m
p
li
c
a
ti
o
n
s
f
o
r
th
e
d
e
v
e
l
o
p
m
e
n
t
o
f
p
o
l
i
c
i
es
a
n
d
p
r
a
c
t
i
c
es
f
o
r
e
l
d
e
r
l
y
h
e
a
l
t
h
s
e
r
v
i
c
e
s
,
p
ar
t
i
c
u
l
a
r
l
y
i
n
r
u
r
a
l
a
r
e
a
s
.
T
h
e
r
e
s
u
l
ts
c
a
n
i
n
f
o
r
m
t
h
e
p
l
a
n
n
i
n
g
o
f
p
r
o
m
o
t
i
v
e
a
n
d
p
r
e
v
e
n
t
i
v
e
i
n
t
e
r
v
e
n
ti
o
n
s
i
n
c
o
m
m
u
n
i
t
y
h
e
a
l
t
h
c
e
n
t
e
r
s
,
i
n
l
in
e
w
i
t
h
t
h
e
H
e
al
t
h
y
I
n
d
o
n
esia
t
h
r
o
u
g
h
a
F
a
m
i
ly
A
p
p
r
o
a
c
h
p
r
o
g
r
a
m
.
F
u
r
t
h
e
r
m
o
r
e
,
t
h
e
r
e
s
u
l
t
i
n
g
e
m
p
i
r
i
c
a
l
ev
i
d
e
n
c
e
c
a
n
b
e
u
s
e
d
t
o
i
m
p
r
o
v
e
t
h
e
q
u
a
l
i
t
y
o
f
c
o
m
m
u
n
i
t
y
-
b
a
s
e
d
g
e
r
i
a
t
r
i
c
s
e
r
v
i
c
e
s
,
s
t
r
e
n
g
t
h
e
n
t
h
e
r
o
l
e
o
f
f
a
m
i
l
i
es
i
n
e
l
d
e
r
l
y
c
a
r
e
,
a
n
d
o
p
t
i
m
i
z
e
s
t
r
a
t
e
g
ie
s
t
o
i
m
p
r
o
v
e
t
h
e
q
u
a
l
i
t
y
o
f
l
i
f
e
.
2.
M
E
T
H
O
D
2
.
1
.
Desig
n
W
e
co
n
d
u
cted
a
cr
o
s
s
-
s
ec
ti
o
n
al
s
tu
d
y
,
wh
er
e
all
s
tu
d
y
v
ar
iab
les
wer
e
m
ea
s
u
r
ed
at
o
n
e
d
ata
co
llectio
n
p
o
in
t
[
1
7
]
,
to
d
escr
ib
e
th
e
r
elatio
n
s
h
ip
b
etwe
en
f
u
n
ctio
n
al
co
n
d
itio
n
s
an
d
q
u
al
ity
o
f
life
i
n
o
l
d
er
ad
u
lts
with
ch
r
o
n
ic
d
is
ea
s
es.
2
.
2
.
B
a
c
k
g
ro
un
d
W
e
co
n
d
u
cted
a
s
tu
d
y
in
th
e
wo
r
k
in
g
ar
ea
o
f
D
u
s
u
n
T
e
n
g
ah
C
o
m
m
u
n
ity
Hea
lth
C
en
t
er
,
L
u
b
u
k
San
d
i
Dis
tr
ict,
Selu
m
a
R
eg
en
cy
,
B
en
g
k
u
lu
Pro
v
i
n
ce
,
I
n
d
o
n
esia
,
wh
ich
i
s
o
n
e
o
f
th
e
ar
ea
s
with
a
s
ig
n
if
ican
t
n
u
m
b
er
o
f
o
ld
er
a
d
u
lts
s
u
f
f
er
i
n
g
f
r
o
m
ch
r
o
n
ic
d
is
ea
s
es
,
as s
h
o
wn
in
Fig
u
r
e
1
.
2
.
3
.
P
a
rt
icipa
nts
T
h
e
s
tu
d
y
p
a
r
ticip
an
ts
wer
e
6
0
o
ld
e
r
a
d
u
lts
s
elec
ted
u
s
in
g
a
p
u
r
p
o
s
iv
e
s
am
p
lin
g
tec
h
n
iq
u
e
[
1
8
]
.
W
e
u
s
ed
p
u
r
p
o
s
iv
e
s
am
p
lin
g
to
e
n
s
u
r
e
th
e
in
clu
s
io
n
o
f
o
ld
er
ad
u
lts
with
ch
r
o
n
ic
d
is
ea
s
es,
d
o
m
iciled
in
th
e
Du
s
u
n
T
en
g
ah
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
wo
r
k
in
g
ar
ea
,
an
d
a
b
le
to
co
m
m
u
n
icate
well.
Me
an
wh
ile,
o
ld
er
ad
u
lts
with
s
ev
er
e
co
g
n
itiv
e
im
p
air
m
en
t
o
r
d
em
en
tia,
ac
u
te
co
n
d
itio
n
s
,
o
r
ex
p
er
ien
cin
g
s
ev
er
e
m
ed
ical
co
m
p
licatio
n
s
at
th
e
tim
e
o
f
d
ata
co
llectio
n
,
an
d
o
ld
e
r
ad
u
lts
wh
o
wer
e
p
h
y
s
ically
u
n
a
b
le
to
co
m
p
lete
t
h
e
en
tire
s
er
ies o
f
m
ea
s
u
r
em
en
ts
wer
e
ex
clu
d
ed
.
2
.
4
.
I
ns
t
rum
ent
s
T
h
e
i
n
s
tr
u
m
en
ts
we
u
s
ed
wer
e
th
e
W
HOQO
L
-
B
R
E
F
to
m
e
asu
r
e
q
u
ality
o
f
life
i
n
o
ld
er
a
d
u
lts
[
1
9
]
,
th
e
B
ar
th
el
n
d
ex
to
ass
ess
t
h
e
ab
ilit
y
o
f
d
aily
li
v
in
g
ac
t
iv
ities
[
2
0
]
,
th
e
C
AS
to
d
eter
m
in
e
th
e
lev
el
o
f
am
b
u
latio
n
[
2
1
]
,
th
e
T
UG
T
e
s
t
to
m
ea
s
u
r
e
m
o
b
ilit
y
[
2
2
]
,
a
n
d
th
e
3
0
-
s
ec
o
n
d
Sit
-
to
-
Stan
d
T
est
(
3
0
s
STS)
t
o
ass
es
s
lo
wer
ex
tr
em
ity
m
u
s
cle
s
t
r
en
g
th
[
2
3
]
.
A
v
alid
atio
n
s
tu
d
y
o
f
th
e
W
HOQO
L
-
B
R
E
F
i
n
I
n
d
o
n
esia
r
ep
o
r
ted
g
o
o
d
c
o
n
s
tr
u
ct
v
alid
ity
an
d
C
r
o
n
b
ac
h
'
s
alp
h
a
r
eliab
ilit
y
o
f
ap
p
r
o
x
im
ately
0
,
7
5
f
o
r
t
h
e
f
o
u
r
W
HOQO
L
-
B
R
E
F
d
o
m
ain
s
(
p
h
y
s
ical,
p
s
y
ch
o
lo
g
ical,
s
o
cial,
a
n
d
e
n
v
ir
o
n
m
en
tal)
[
2
4
]
,
[
2
5
]
.
T
h
e
B
a
r
th
el
I
n
d
e
x
h
as
b
ee
n
u
s
ed
a
n
d
test
ed
in
eld
er
ly
p
atien
ts
in
h
ea
lth
ca
r
e
f
ac
ilit
ies
an
d
p
o
s
t
-
s
tr
o
k
e
p
atien
ts
with
an
av
er
ag
e
k
ap
p
a
o
f
≈
0
.
6
7
an
d
e
v
id
en
ce
o
f
co
n
s
tr
u
ct
v
alid
ity
[
2
0
]
,
[
2
6
]
.
A
s
tu
d
y
in
I
n
d
o
n
esia
r
ep
o
r
ted
th
at
t
h
e
T
UG
is
a
v
alid
an
d
r
eliab
le
t
o
o
l
f
o
r
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8
8
0
6
I
n
t J Pu
b
lic
Hea
lth
Sci
,
Vo
l.
15
,
No
.
1
,
M
ar
ch
20
26
:
2
5
6
-
265
258
ass
es
s
in
g
m
o
b
ilit
y
an
d
f
all
r
is
k
in
o
ld
er
ad
u
lts
[
2
7
]
.
I
n
ter
n
atio
n
al
liter
atu
r
e
s
h
o
ws
a
h
ig
h
t
est
-
r
etest
C
C
f
o
r
th
e
30s
-
STS
(
>0
.
90)
[
2
8
]
.
Stu
d
ie
s
in
I
n
d
o
n
esia
h
av
e
r
e
p
o
r
te
d
th
at
th
e
m
o
d
if
ied
3
0
s
-
STS
is
s
af
e
an
d
f
ea
s
ib
le
in
ce
r
tain
p
atien
ts
an
d
r
ec
o
m
m
e
n
d
ass
ess
in
g
its
r
eliab
ili
ty
wh
en
ap
p
lied
to
r
u
r
al
eld
er
l
y
p
o
p
u
latio
n
s
[
2
9
]
.
T
h
e
v
alid
ity
an
d
r
eliab
ilit
y
o
f
th
e
C
AS
s
ca
le
i
n
I
n
d
o
n
esia
h
av
e
b
ee
n
r
e
p
o
r
ted
in
a
p
ee
r
-
r
e
v
iewe
d
p
u
b
licatio
n
u
s
in
g
a
s
am
p
le
o
f
eld
e
r
ly
s
u
r
g
ical
p
atien
ts
[
3
0
]
.
I
n
ad
d
itio
n
,
we
u
s
ed
a
s
ep
ar
ate
q
u
esti
o
n
n
air
e
t
o
co
llect
d
em
o
g
r
a
p
h
ic
d
ata,
ec
o
n
o
m
ic
s
tatu
s
(
b
ased
o
n
m
o
n
th
ly
in
co
m
e
)
,
an
d
s
o
cial
s
u
p
p
o
r
t,
m
ea
s
u
r
ed
b
y
th
e
n
u
m
b
er
o
f
f
am
ily
m
em
b
er
s
liv
in
g
i
n
th
e
s
am
e
h
o
u
s
eh
o
l
d
.
Fig
u
r
e
1
.
R
esear
ch
ar
ea
2
.
5
.
P
r
o
ce
du
re
W
e
co
llected
d
ata
th
r
o
u
g
h
q
u
esti
o
n
n
air
es
an
d
f
u
n
ctio
n
a
l
m
ea
s
u
r
em
en
ts
.
All
p
ar
ticip
an
ts
wer
e
in
f
o
r
m
e
d
o
f
th
e
s
tu
d
y
'
s
p
u
r
p
o
s
e
an
d
p
r
o
ce
d
u
r
es
b
e
f
o
r
e
d
ata
c
o
llectio
n
.
C
h
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o
n
ic
d
is
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s
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d
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n
o
s
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i
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th
r
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g
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r
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s
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d
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e
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ld
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d
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am
ily
m
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e
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s
.
2
.
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.
Ana
ly
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wer
e
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u
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v
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tio
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p
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el
with
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B
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m
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[
3
1
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All
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itia
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ated
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ad
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ased
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ik
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R
atio
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at
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with
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1
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2
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RE
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D
D
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SCU
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1
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1
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to
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r
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n
(
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d
wo
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as
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lan
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f
ar
m
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s
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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Hea
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8
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P
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o
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3
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ated
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e
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wit
h
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2
2
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I
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b
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al
a
ctiv
ities
,
an
d
eq
u
al
ac
ce
s
s
to
h
ea
lth
ca
r
e
s
er
v
ices.
Un
d
er
th
ese
co
n
d
itio
n
s
,
b
i
o
lo
g
ical
d
if
f
e
r
en
ce
s
b
etwe
en
m
en
an
d
w
o
m
en
b
ec
o
m
e
less
d
o
m
in
an
t
in
s
h
ap
in
g
p
e
r
ce
p
tio
n
s
o
f
q
u
ality
o
f
li
f
e.
T
h
is
f
i
n
d
in
g
alig
n
s
with
a
s
tu
d
y
i
n
Ko
r
ea
t
h
at
r
ep
o
r
ted
th
at
g
en
d
er
d
i
d
n
o
t
s
ig
n
if
ican
tly
i
n
f
l
u
en
ce
q
u
ality
o
f
life
am
o
n
g
o
ld
er
a
d
u
lts
,
ev
en
af
ter
co
n
tr
o
llin
g
f
o
r
h
ea
lth
f
ac
to
r
s
a
n
d
p
h
y
s
ica
l
f
u
n
ctio
n
,
as
in
[
3
2
]
.
An
o
th
e
r
s
tu
d
y
o
f
r
u
r
al
eld
er
ly
i
n
I
n
d
o
n
esia
also
s
h
o
wed
th
at
th
e
q
u
ality
o
f
life
i
s
m
o
r
e
d
eter
m
in
ed
b
y
f
u
n
ctio
n
al
a
b
ilit
y
th
an
b
y
g
e
n
d
er
d
if
f
er
e
n
ce
s
[
3
3
]
.
E
d
u
ca
tio
n
le
v
el
was
n
o
t
s
ig
n
if
ican
tly
ass
o
ciate
d
with
q
u
ality
o
f
life
am
o
n
g
o
ld
er
a
d
u
lts
.
Mo
s
t
r
esp
o
n
d
en
ts
h
ad
p
r
im
ar
y
e
d
u
c
atio
n
o
r
n
o
s
ch
o
o
lin
g
,
r
esu
ltin
g
i
n
r
elativ
ely
lim
ited
ed
u
ca
tio
n
al
v
ar
iatio
n
.
T
h
is
s
itu
atio
n
in
d
icate
s
th
at
ed
u
ca
ti
o
n
al
lev
el
i
s
n
o
t
a
s
tr
o
n
g
en
o
u
g
h
i
n
d
icato
r
o
f
i
n
d
iv
i
d
u
al
p
er
ce
p
tio
n
s
o
f
q
u
ality
o
f
life
.
Fu
r
t
h
er
m
o
r
e,
i
n
later
life
,
th
e
b
en
ef
it
s
o
f
f
o
r
m
a
l
ed
u
ca
tio
n
g
ain
ed
in
y
o
u
th
ten
d
to
d
im
in
is
h
,
p
ar
ticu
lar
ly
wh
en
o
ld
er
ad
u
lts
f
ac
e
p
h
y
s
ical
lim
itatio
n
s
an
d
ch
r
o
n
ic
i
lln
ess
es.
T
h
is
f
in
d
in
g
is
co
n
s
i
s
ten
t
with
s
ev
er
al
s
tu
d
ies
s
h
o
win
g
th
at
ed
u
ca
tio
n
is
n
o
t
alwa
y
s
a
p
r
ed
i
cto
r
o
f
q
u
ality
o
f
life
in
o
ld
er
ad
u
lts
,
p
ar
ticu
lar
ly
in
r
u
r
al
ar
ea
s
,
wh
e
r
e
life
ex
p
er
ien
ce
[
3
4
]
,
[
3
5
]
,
ad
ap
tatio
n
to
th
e
en
v
ir
o
n
m
en
t,
an
d
a
cc
ep
tan
ce
o
f
h
ea
lth
co
n
d
itio
n
s
p
lay
a
m
o
r
e
s
ig
n
if
i
ca
n
t r
o
le
th
an
f
o
r
m
al
ed
u
ca
tio
n
al
b
ac
k
g
r
o
u
n
d
.
T
h
e
r
esu
lts
o
f
th
is
s
tu
d
y
also
in
d
icate
th
at
s
o
c
ial
s
u
p
p
o
r
t,
as
m
ea
s
u
r
ed
b
y
th
e
n
u
m
b
er
o
f
f
am
ily
m
em
b
er
s
liv
in
g
in
th
e
s
am
e
h
o
u
s
eh
o
ld
,
d
id
n
o
t
s
ig
n
if
ica
n
tly
im
p
ac
t
q
u
ality
o
f
life
in
o
ld
er
ad
u
lts
.
T
h
is
f
in
d
in
g
is
lik
ely
d
u
e
t
o
lim
itatio
n
s
in
th
e
s
o
cial
s
u
p
p
o
r
t
i
n
d
icato
r
s
u
s
ed
.
T
h
e
n
u
m
b
e
r
o
f
f
am
ily
m
em
b
e
r
s
liv
in
g
to
g
eth
er
d
o
es
n
o
t
alw
ay
s
r
ef
lect
th
e
q
u
ality
o
f
e
m
o
tio
n
al,
in
s
tr
u
m
e
n
tal
,
o
r
p
s
y
ch
o
s
o
cial
s
u
p
p
o
r
t
r
ec
eiv
ed
b
y
o
ld
er
a
d
u
lts
.
In
r
u
r
al
co
n
tex
ts
,
f
am
ily
p
r
esen
ce
is
o
f
ten
n
o
r
m
ativ
e
b
u
t
m
ay
n
o
t
b
e
ac
co
m
p
a
n
ied
by
in
te
r
ac
tio
n
s
th
at
s
u
p
p
o
r
t
o
ld
er
a
d
u
lts
'
in
d
ep
en
d
e
n
ce
an
d
well
-
b
ein
g
.
Sev
e
r
al
p
r
ev
io
u
s
s
tu
d
ies
h
av
e
s
h
o
w
n
th
at
th
e
q
u
ality
o
f
s
o
cial
s
u
p
p
o
r
t
(
s
u
ch
as
atten
tio
n
,
e
m
p
ath
y
,
an
d
ac
tiv
e
i
n
v
o
lv
e
m
en
t
)
h
a
s
a
g
r
ea
ter
in
f
lu
en
ce
o
n
q
u
ality
o
f
life
th
a
n
th
e
q
u
a
n
tity
o
f
f
am
ily
m
em
b
er
s
[
3
5
]
-
[
3
7
]
.
T
h
er
e
f
o
r
e,
t
he
s
ig
n
i
f
ican
ce
o
f
s
o
cial
s
u
p
p
o
r
t
in
th
is
s
tu
d
y
is
lik
ely
d
u
e
t
o
a
m
ea
s
u
r
em
en
t a
p
p
r
o
ac
h
th
at
is
m
o
r
e
s
tr
u
ctu
r
al
t
h
an
f
u
n
ctio
n
a
l.
T
h
e
r
esu
lts
s
h
o
wed
th
at
ag
e,
o
cc
u
p
atio
n
,
i
n
co
m
e
,
a
m
b
u
latio
n
,
m
o
b
ilit
y
,
lo
wer
-
lim
b
m
u
s
cle
s
tr
en
g
th
,
an
d
d
aily
ac
tiv
ities
wer
e
s
ig
n
if
ican
tly
ass
o
ciate
d
with
q
u
ality
o
f
life
am
o
n
g
o
ld
e
r
ad
u
lts
.
T
h
ese
f
in
d
in
g
s
co
n
f
ir
m
th
at
q
u
ality
o
f
life
in
o
ld
er
ad
u
lts
is
p
r
im
ar
ily
in
f
lu
en
ce
d
b
y
f
ac
to
r
s
r
elate
d
to
p
h
y
s
ical
f
u
n
ctio
n
,
in
d
ep
en
d
en
ce
,
an
d
ec
o
n
o
m
ic
co
n
d
itio
n
s
.
H
o
wev
er
,
w
h
en
a
ll
th
ese
v
ar
iab
les
wer
e
an
al
y
z
ed
s
im
u
ltan
eo
u
s
ly
u
s
in
g
m
u
ltip
le
lo
g
is
tic
r
eg
r
ess
io
n
,
o
n
ly
am
b
u
latio
n
an
d
in
co
m
e
r
em
ain
ed
s
ig
n
if
ica
n
t
in
th
e
f
in
al
m
o
d
el
,
in
d
icatin
g
th
ey
wer
e
th
e
m
o
s
t d
o
m
in
an
t
p
r
ed
icto
r
s
.
Ag
e
was
s
ig
n
if
ican
tly
ass
o
ciate
d
with
q
u
ality
o
f
life
,
with
o
ld
er
ad
u
lts
ten
d
in
g
to
h
a
v
e
a
lo
wer
q
u
ality
o
f
life
.
T
h
ese
f
in
d
in
g
s
s
u
p
p
o
r
t
s
ev
e
r
al
s
tu
d
ies
s
h
o
win
g
a
s
ig
n
if
ica
n
t
ass
o
ciatio
n
b
etwe
en
a
g
e
a
n
d
q
u
ality
o
f
life
in
o
ld
e
r
ad
u
lts
[
3
4
]
,
[
3
8
]
.
T
h
is
is
co
n
s
is
ten
t
with
th
e
ag
i
n
g
p
r
o
ce
s
s
,
wh
ich
is
ch
ar
a
cter
ized
b
y
a
p
r
o
g
r
ess
iv
e
d
ec
lin
e
in
p
h
y
s
i
ca
l
f
u
n
ctio
n
,
a
n
in
cr
ea
s
e
in
ch
r
o
n
ic
d
is
ea
s
es,
an
d
lim
itatio
n
s
in
m
o
b
ilit
y
an
d
s
o
cial
p
ar
ticip
atio
n
.
Ho
wev
er
,
i
n
m
u
ltiv
ar
iate
an
aly
s
is
,
th
e
ef
f
ec
t
o
f
ag
e
b
ec
am
e
s
ig
n
if
ican
t
af
ter
co
n
tr
o
llin
g
f
o
r
f
u
n
ctio
n
al
v
a
r
iab
l
es.
T
h
ese
f
in
d
in
g
s
in
d
icat
e
th
at
ag
e
is
n
o
t
a
d
i
r
ec
t
d
et
er
m
in
an
t
b
u
t
r
ath
e
r
in
f
lu
en
ce
s
q
u
ality
o
f
life
d
i
r
ec
tly
th
r
o
u
g
h
d
ec
r
ea
s
ed
a
m
b
u
latio
n
,
m
o
b
ilit
y
,
an
d
i
n
d
e
p
en
d
en
ce
in
d
aily
ac
tiv
ities
.
In
o
th
e
r
wo
r
d
s
,
it'
s
n
o
t
c
h
r
o
n
o
lo
g
ical
ag
e
t
h
at
d
eter
m
in
es
q
u
alit
y
o
f
life
,
b
u
t
h
o
w
a
g
e
im
p
ac
ts
b
o
d
ily
f
u
n
ctio
n
s
.
E
m
p
lo
y
m
e
n
t
an
d
in
c
o
m
e
v
ar
i
ab
les
also
s
h
o
wed
s
ig
n
if
ican
t
ass
o
ciatio
n
s
with
q
u
ality
o
f
life
in
o
ld
er
ad
u
lts
.
Old
er
ad
u
lts
wh
o
wer
e
s
till
em
p
lo
y
ed
an
d
h
ad
h
ig
h
er
in
co
m
es
ten
d
ed
to
r
ep
o
r
t
a
b
e
tter
q
u
ality
o
f
life
.
I
n
m
u
ltiv
ar
iate
an
aly
s
is
,
in
co
m
e
r
em
ain
ed
s
ig
n
if
ican
t,
wh
i
le
em
p
lo
y
m
en
t
s
tatu
s
was
e
l
im
in
ated
f
r
o
m
th
e
m
o
d
el.
T
h
is
s
u
g
g
ests
th
at
ac
tu
al
ec
o
n
o
m
ic
f
ac
to
r
s
(
in
co
m
e)
p
lay
a
g
r
ea
ter
r
o
le
th
an
em
p
l
o
y
m
en
t
s
tatu
s
it
s
elf
.
Ad
eq
u
ate
in
co
m
e
en
ab
les
o
ld
er
ad
u
lts
to
m
ee
t
b
asic
n
ee
d
s
,
ac
ce
s
s
h
ea
lth
ca
r
e
s
er
v
ices,
p
u
r
ch
ase
m
ed
icatio
n
s
,
an
d
m
ain
tain
in
d
ep
en
d
e
n
ce
,
u
ltima
tely
p
o
s
itiv
ely
im
p
ac
tin
g
q
u
ality
o
f
li
f
e.
T
h
is
f
in
d
in
g
alig
n
s
with
th
e
liter
atu
r
e
,
in
d
icatin
g
th
at
f
in
an
cial
s
ec
u
r
ity
is
an
ess
en
tial
d
eter
m
in
an
t
o
f
q
u
ali
ty
o
f
life
in
o
ld
e
r
ad
u
lts
[
3
6
]
,
[
3
9
]
.
Facto
r
s
s
u
ch
as
am
b
u
latio
n
,
m
o
b
ilit
y
,
lo
wer
lim
b
m
u
s
cle
s
tr
en
g
th
,
an
d
ac
tiv
ities
o
f
d
aily
liv
in
g
d
em
o
n
s
tr
ated
s
ig
n
if
ican
t
ass
o
ciatio
n
s
with
q
u
ality
o
f
life
in
b
iv
ar
iate
an
aly
s
is
.
Old
e
r
ad
u
lts
with
g
o
o
d
am
b
u
latio
n
,
m
o
b
ilit
y
,
n
o
r
m
al
m
u
s
cle
s
tr
en
g
th
,
a
n
d
i
n
d
ep
e
n
d
en
ce
i
n
ac
tiv
ities
o
f
d
aily
liv
in
g
co
n
s
is
ten
tly
r
ep
o
r
ted
a
b
etter
q
u
ality
o
f
l
if
e.
T
h
ese
f
in
d
in
g
s
r
ein
f
o
r
ce
th
e
co
n
ce
p
t
th
at
p
h
y
s
ical
f
u
n
ctio
n
is
ce
n
tr
al
to
q
u
ality
o
f
life
in
o
l
d
er
a
d
u
lts
,
as
it
d
ir
ec
tly
in
f
lu
en
ce
s
th
e
a
b
ilit
y
to
in
ter
ac
t
with
th
e
en
v
i
r
o
n
m
en
t,
m
ain
tai
n
s
o
cial
r
o
les,
an
d
m
ain
tain
s
elf
-
esteem
.
Am
b
u
latio
n
em
er
g
ed
as
th
e
m
o
s
t
d
o
m
in
an
t
p
r
ed
icto
r
o
f
q
u
ality
o
f
life
in
o
ld
er
a
d
u
lt
s
.
E
ld
er
ly
in
d
iv
id
u
als
with
g
o
o
d
am
b
u
la
tio
n
wer
e
m
o
r
e
th
an
1
3
tim
es
m
o
r
e
lik
ely
t
o
h
av
e
a
g
o
o
d
q
u
ality
o
f
life
th
an
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265
262
th
o
s
e
with
lim
ited
am
b
u
latio
n
.
T
h
is
s
u
g
g
ests
th
at
th
e
ab
ilit
y
to
walk
an
d
e
n
g
ag
e
in
co
m
m
u
n
ity
ac
ti
v
ities
is
a
k
ey
f
ac
to
r
i
n
i
n
teg
r
atin
g
v
ar
i
o
u
s
asp
ec
ts
o
f
p
h
y
s
ical
f
u
n
ctio
n
.
Go
o
d
am
b
u
latio
n
r
ef
lect
s
n
o
t
o
n
ly
walk
in
g
ab
ilit
y
b
u
t
also
b
alan
ce
,
m
u
s
cle
s
tr
en
g
th
,
co
o
r
d
i
n
atio
n
,
an
d
th
e
co
n
f
id
en
ce
to
p
ar
ticip
ate
in
s
o
cial
ac
tiv
ities
.
W
h
en
am
b
u
latio
n
was
in
clu
d
ed
in
th
e
m
u
ltiv
ar
iate
m
o
d
el,
th
e
in
f
lu
en
ce
o
f
o
t
h
er
v
a
r
iab
le
s
,
s
u
ch
as
m
o
b
ilit
y
,
m
u
s
cle
s
tr
en
g
th
,
an
d
d
aily
a
ctiv
ities
,
d
ec
r
ea
s
ed
o
r
b
ec
a
m
e
in
s
ig
n
if
ican
t
,
s
u
g
g
esti
n
g
o
v
er
lap
p
i
n
g
ef
f
ec
ts
am
o
n
g
t
h
ese
f
u
n
ctio
n
al
v
ar
iab
les.
T
h
u
s
,
th
e
r
esu
lts
o
f
th
is
s
tu
d
y
co
n
f
ir
m
th
at
am
b
u
latio
n
is
th
e
m
o
s
t
co
m
p
r
eh
en
s
iv
e
f
u
n
ctio
n
al
in
d
icato
r
,
r
ef
lectin
g
th
e
o
v
e
r
a
ll
p
h
y
s
ical
co
n
d
itio
n
o
f
o
l
d
er
ad
u
lts
.
Me
an
wh
ile,
in
c
o
m
e
s
e
r
v
es
as
an
ex
ter
n
al
b
u
f
f
er
,
e
n
ab
lin
g
o
ld
e
r
a
d
u
lts
t
o
m
ain
tain
th
is
f
u
n
ctio
n
th
r
o
u
g
h
ac
ce
s
s
to
h
ea
lth
ca
r
e
s
er
v
ic
es
an
d
s
u
p
p
o
r
t
f
o
r
d
aily
liv
in
g
n
ee
d
s
.
Qu
ality
o
f
life
is
u
ltima
te
ly
d
eter
m
in
ed
b
y
o
ld
er
ad
u
lts
'
ab
ilit
y
to
r
e
m
ain
ac
tiv
e
in
th
e
co
m
m
u
n
ity
a
n
d
to
h
a
v
e
a
d
eq
u
ate
ec
o
n
o
m
ic
s
u
p
p
o
r
t.
T
h
ese
f
in
d
in
g
s
h
av
e
im
p
o
r
tan
t
im
p
licatio
n
s
:
in
ter
v
en
tio
n
s
to
im
p
r
o
v
e
th
e
q
u
ality
o
f
life
o
f
o
ld
er
ad
u
lts
in
p
r
im
ar
y
h
ea
lth
ca
r
e
s
h
o
u
ld
p
r
io
r
itize
p
r
o
g
r
am
s
to
in
cr
ea
s
e
am
b
u
latio
n
,
p
r
ev
en
t
d
ec
lin
e
in
p
h
y
s
ical
f
u
n
ct
io
n
,
a
n
d
s
tr
en
g
th
en
ec
o
n
o
m
i
c
s
u
p
p
o
r
t
f
o
r
o
ld
er
ad
u
lts
,
esp
ec
ially
in
r
u
r
a
l a
r
ea
s
.
C
o
m
m
u
n
ity
h
ea
lth
ce
n
ter
s
ca
n
d
e
v
elo
p
s
af
e
a
n
d
ac
ce
s
s
ib
le
s
tr
u
ctu
r
ed
walk
in
g
tr
ai
n
in
g
p
r
o
g
r
am
s
,
s
u
ch
as
b
alan
ce
an
d
co
o
r
d
in
atio
n
-
b
ased
el
d
er
ly
g
y
m
n
asti
cs,
g
r
ad
u
al
walk
in
g
ar
o
u
n
d
th
e
co
m
m
u
n
ity
o
r
v
illag
e,
an
d
lig
h
t
s
tair
-
clim
b
i
n
g
ex
er
cises
.
T
h
ese
p
r
o
g
r
am
s
ca
n
b
e
i
n
teg
r
ated
i
n
t
o
r
o
u
tin
e
in
teg
r
ated
h
ea
lth
p
o
s
t
ac
tiv
ities
f
o
r
th
e
eld
er
ly
,
th
u
s
m
in
im
izin
g
th
e
n
ee
d
f
o
r
s
ig
n
if
ican
t
ad
d
itio
n
al
r
e
s
o
u
r
ce
s
.
Pre
v
en
tin
g
p
h
y
s
ical
f
u
n
ctio
n
d
ec
lin
e
r
e
q
u
ir
es
o
n
g
o
in
g
ef
f
o
r
ts
th
r
o
u
g
h
ea
r
ly
d
etec
tio
n
an
d
p
r
e
v
e
n
tiv
e
in
t
er
v
e
n
tio
n
s
.
C
o
m
m
u
n
ity
h
ea
lth
ce
n
ter
s
ca
n
im
p
lem
en
t
r
o
u
tin
e
f
u
n
ctio
n
al
s
cr
ee
n
in
g
u
s
in
g
th
e
B
ar
th
el
I
n
d
ex
,
T
UG,
an
d
3
0
-
s
ec
o
n
d
Sit
-
to
-
Stan
d
d
u
r
i
n
g
r
e
g
u
lar
ch
ec
k
u
p
s
f
o
r
o
l
d
er
ad
u
lt
s
.
T
h
ese
s
cr
ee
n
in
g
r
esu
lts
in
f
o
r
m
f
o
llo
w
-
u
p
p
lan
s
,
in
clu
d
in
g
lo
wer
-
lim
b
m
u
s
cle
-
s
tr
en
g
th
en
in
g
ex
er
cises
,
ed
u
c
atio
n
o
n
s
af
e
p
h
y
s
ical
ac
tiv
it
y
at
h
o
m
e,
an
d
f
all
r
is
k
p
r
e
v
en
tio
n
.
Fam
ily
ed
u
c
atio
n
is
also
c
r
u
cial
t
o
en
c
o
u
r
ag
e
o
ld
er
ad
u
lts
to
r
em
ai
n
i
n
d
ep
en
d
en
t
i
n
d
aily
ac
tiv
ities
,
r
ath
er
th
an
lim
itin
g
th
em
d
u
e
t
o
ex
ce
s
s
iv
e
an
x
iety
.
T
h
e
s
ig
n
if
ican
t
r
o
le
o
f
i
n
co
m
e
i
n
q
u
ality
o
f
life
u
n
d
er
s
co
r
es th
e
n
ee
d
t
o
s
tr
en
g
th
e
n
ec
o
n
o
m
ic
asp
ec
ts
o
f
o
ld
er
ad
u
lts
'
l
iv
es
as
p
ar
t
o
f
co
m
p
r
eh
en
s
iv
e
h
ea
lth
in
te
r
v
en
tio
n
s
.
C
o
m
m
u
n
ity
h
ea
lth
ce
n
ter
s
ca
n
ac
t
as
cr
o
s
s
-
s
ec
to
r
liais
o
n
s
,
co
llab
o
r
atin
g
with
v
illag
e
g
o
v
e
r
n
m
en
t
s
,
s
o
cial
s
er
v
ices,
an
d
s
o
cial
p
r
o
tectio
n
p
r
o
g
r
am
s
to
en
s
u
r
e
eld
er
ly
ac
ce
s
s
to
s
o
cial
ass
i
s
tan
ce
,
h
ea
lth
in
s
u
r
an
ce
,
o
r
s
im
p
le
ec
o
n
o
m
ic
em
p
o
wer
m
en
t
p
r
o
g
r
am
s
.
Fo
r
s
en
io
r
s
wh
o
ar
e
s
till
p
r
o
d
u
ctiv
e,
lig
h
t
ec
o
n
o
m
ic
ac
tiv
iti
es
s
u
ch
as
s
m
all
-
s
ca
le
f
ar
m
in
g
,
h
o
m
e
c
r
af
ts
,
o
r
co
m
m
u
n
ity
-
b
ased
b
u
s
in
ess
es
ca
n
b
e
f
ac
ilit
ated
th
r
o
u
g
h
s
en
io
r
g
r
o
u
p
s
o
r
v
illag
e
ca
d
r
es.
T
h
is
ap
p
r
o
ac
h
n
o
t
o
n
ly
i
n
cr
ea
s
es
i
n
co
m
e
b
u
t
a
ls
o
s
tr
en
g
th
en
s
s
en
io
r
s
'
s
en
s
e
o
f
em
p
o
we
r
m
en
t
an
d
s
elf
-
esteem
,
p
o
s
itiv
ely
i
m
p
ac
tin
g
th
eir
q
u
ality
o
f
life
.
T
h
is
s
tu
d
y
is
lim
ited
b
y
its
r
elativ
ely
s
m
all
s
am
p
le
s
ize
an
d
p
u
r
p
o
s
iv
e
s
am
p
lin
g
with
in
a
s
in
g
le
r
u
r
al
co
m
m
u
n
ity
h
ea
lth
ce
n
te
r
o
p
er
atin
g
ar
ea
.
T
h
er
ef
o
r
e,
th
e
f
in
d
in
g
s
o
f
th
is
s
tu
d
y
ar
e
m
o
r
e
r
ep
r
esen
tativ
e
o
f
th
e
co
n
d
itio
n
s
o
f
r
u
r
al
el
d
er
ly
i
n
t
h
e
s
tu
d
y
ar
ea
.
Fu
r
th
er
m
o
r
e,
th
e
m
ea
s
u
r
em
en
t o
f
s
o
cial
s
u
p
p
o
r
t w
as b
ased
s
o
lely
o
n
th
e
n
u
m
b
er
o
f
f
am
ily
m
em
b
er
s
liv
in
g
i
n
th
e
s
am
e
h
o
u
s
eh
o
ld
,
th
er
e
b
y
f
ailin
g
t
o
f
u
lly
ca
p
tu
r
e
th
e
d
im
en
s
io
n
s
o
f
s
o
cial
s
u
p
p
o
r
t
q
u
ality
,
s
u
ch
as
em
o
tio
n
al,
i
n
s
tr
u
m
en
tal,
an
d
i
n
f
o
r
m
ati
o
n
al
s
u
p
p
o
r
t.
T
h
is
lim
itatio
n
m
ay
ex
p
lain
th
e
i
n
s
ig
n
if
ican
t e
f
f
ec
t o
f
s
o
cial
s
u
p
p
o
r
t o
n
q
u
ality
o
f
life
am
o
n
g
eld
er
ly
i
n
d
iv
id
u
als
i
n
th
e
s
tu
d
y
.
Alth
o
u
g
h
th
is
s
tu
d
y
u
s
ed
i
n
ter
n
atio
n
ally
v
alid
ated
i
n
s
tr
u
m
en
ts
,
s
o
m
e
o
f
wh
ich
h
a
v
e
b
ee
n
a
d
ap
ted
t
o
th
e
I
n
d
o
n
esia
n
co
n
tex
t,
s
o
m
e
f
u
n
ctio
n
al
i
n
s
tr
u
m
e
n
ts
,
s
u
ch
as
th
e
3
0
-
s
ec
o
n
d
Sit
-
to
-
Stan
d
an
d
th
e
C
o
m
m
u
n
ity
Am
b
u
latio
n
Scale,
s
till
h
av
e
lim
ited
ev
id
en
ce
o
f
v
alid
ity
an
d
r
eliab
ilit
y
s
p
ec
if
ic
to
th
e
I
n
d
o
n
esia
n
r
u
r
a
l
eld
er
ly
p
o
p
u
latio
n
.
Fu
r
t
h
er
m
o
r
e,
v
ar
iatio
n
s
i
n
ass
ess
o
r
s
k
ill
s
,
alth
o
u
g
h
m
in
im
ize
d
th
r
o
u
g
h
tr
ain
in
g
,
ca
n
s
till
i
n
tr
o
d
u
ce
m
ea
s
u
r
em
e
n
t
b
ias.
Fin
ally
,
o
th
er
f
ac
to
r
s
th
at
co
u
l
d
i
n
f
lu
e
n
ce
th
e
q
u
ality
o
f
life
o
f
o
ld
e
r
ad
u
lts
,
s
u
ch
as
m
ild
co
g
n
itiv
e
i
m
p
air
m
en
t,
p
s
y
ch
o
lo
g
ical
co
n
d
itio
n
s
(
d
e
p
r
ess
io
n
o
r
an
x
iety
)
,
p
ai
n
lev
els,
an
d
th
e
q
u
ality
o
f
th
e
p
h
y
s
ical
en
v
ir
o
n
m
en
t,
wer
e
n
o
t
e
v
alu
ated
i
n
th
is
s
tu
d
y
an
d
m
a
y
h
a
v
e
b
ee
n
co
n
f
o
u
n
d
in
g
v
ar
iab
les
n
o
t
co
n
tr
o
lled
f
o
r
.
4.
CO
NCLU
SI
O
N
T
h
e
r
esu
lts
o
f
th
is
s
tu
d
y
co
n
clu
d
ed
th
at
f
u
n
ctio
n
al
an
d
ec
o
n
o
m
ic
f
ac
to
r
s
p
r
im
a
r
ily
in
f
lu
en
ce
th
e
q
u
ality
o
f
life
o
f
o
ld
er
ad
u
lts
in
r
u
r
al
ar
ea
s
.
T
h
e
an
aly
s
is
s
h
o
wed
th
at
ag
e,
o
cc
u
p
atio
n
,
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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Sci
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2252
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8
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P
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263
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Ass
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DATA AV
AI
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AB
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tu
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ar
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av
ailab
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eq
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est f
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esp
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[
PPR
]
,
u
p
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r
ea
s
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b
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r
eq
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t.
T
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ata,
wh
ich
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tain
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f
o
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m
atio
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t
h
at
co
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ld
c
o
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p
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is
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th
e
p
r
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o
f
r
esear
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p
ar
ticip
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b
licly
av
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d
u
e
to
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r
tain
r
estrictio
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s
.
RE
F
E
R
E
NC
E
S
[
1
]
S
.
M
.
S
z
y
m
k
o
w
i
c
z
,
A
.
R
.
G
e
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l
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.
H
o
mi
a
c
k
,
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n
d
W
.
D
.
T
a
y
l
o
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i
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c
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l
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t
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n
f
l
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e
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e
ss
i
o
n
i
n
l
a
t
e
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l
i
f
e
:
r
o
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o
f
a
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g
p
r
o
c
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sse
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r
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m
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c
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t
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s,
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ra
n
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l
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t
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Ps
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4
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2
]
W
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e
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l
t
h
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a
n
i
z
a
t
i
o
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(
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H
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)
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:
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s
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l
/
a
g
e
i
n
g
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d
-
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e
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l
t
h
[
3
]
T.
E.
S
t
r
a
n
d
b
e
r
g
,
“
Q
u
a
l
i
t
y
o
f
l
i
f
e
i
n
o
l
d
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r
p
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p
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,
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e
ssm
e
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t
s
,
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rea
t
m
e
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t
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a
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d
M
o
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n
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n
d
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e
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r
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se
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se:
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p
p
.
1
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I
SS
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:
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I
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15
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1
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ar
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6
-
265
264
[
4
]
T.
M
a
,
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.
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e
n
g
,
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Y
e
,
C
.
J
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a
,
M
.
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n
d
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.
Li
u
,
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a
l
t
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e
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a
c
y
me
d
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a
t
e
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n
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w
l
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z
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d
c
o
m
mu
n
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t
y
,
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o
n
t
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e
rs
i
n
P
u
b
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p
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0
.
[
5
]
J.
U
t
o
m
o
,
A
.
Y
.
R
u
k
m
a
n
a
,
S
.
A
n
d
a
r
m
o
y
o
,
a
n
d
D
.
A
n
u
r
o
g
o
,
“
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h
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f
f
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t
o
f
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u
c
a
t
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o
n
,
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n
c
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me
,
a
n
d
a
c
c
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ss
t
o
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a
l
t
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serv
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c
e
s
o
n
t
h
e
q
u
a
l
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f
l
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f
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f
t
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l
d
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l
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n
W
e
st
Jav
a
,
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s
t
S
c
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o
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[
6
]
Z.
J
o
s
t
a
n
d
S
.
K
u
j
a
c
h
,
“
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n
d
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[
9
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A
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3
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1
4
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.
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[
1
5
]
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Y
.
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1
6
]
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.
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,
“
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[
1
7
]
K
.
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.
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.
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[
1
8
]
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[
1
9
]
W
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[
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0
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.
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,
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e
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v
a
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p
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a
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h
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p
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Pu
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5
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6
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6
2
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4
9
.
[
2
1
]
R
.
B
a
r
c
l
a
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e
t
a
l
.
,
“
C
o
mm
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n
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t
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m
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t
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A
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l
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(
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1
2
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7
7
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3
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5
9
8
-
3.
[
2
2
]
P
.
O
r
t
e
g
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-
B
a
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d
a
s
,
B
.
G
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u
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a
no
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a
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d
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t
(
i
TU
G
)
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n
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m
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3
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3
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3
4
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6
.
[
2
3
]
J.
S
a
k
a
z
a
k
i
,
T
.
N
a
k
a
m
u
r
a
,
K
.
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o
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a
ma,
a
n
d
T
.
H
i
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h
i
,
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Ti
m
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up
-
a
n
d
-
g
o
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e
s
t
w
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a
n
o
b
st
a
c
l
e
:
Ev
a
l
u
a
t
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n
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a
n
t
i
c
i
p
a
t
o
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y
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d
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n
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a
d
u
l
t
s
,
”
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o
u
rn
a
l
o
f
M
o
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o
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Be
h
a
v
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o
r
,
v
o
l
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7
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o
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p
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8
9
5
.
2
0
2
5
.
2
5
5
9
9
7
1
.
[
2
4
]
N
.
A
.
N
u
r
b
a
sar
i
,
S
.
G
o
n
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o
d
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p
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n
d
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w
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p
a
,
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h
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e
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y
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s
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a
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P
a
n
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i
W
e
r
d
h
a
a
n
d
t
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o
mm
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n
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t
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o
f
B
a
n
d
u
n
g
C
i
t
y
:
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H
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L
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R
EF
a
n
d
W
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d
o
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a
n
V
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h
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re
:
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a
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o
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l
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h
a
r
e
.
v
9
i
2
.
2
5
6
1
1
.
[
25
]
S
.
M
a
r
t
i
n
i
,
D
.
A
.
S
e
t
i
a
N
i
n
g
r
u
m,
K
.
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.
A
b
d
u
l
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M
u
mi
n
,
a
n
d
C
.
Y
i
-
Li
,
“
A
s
sessi
n
g
q
u
a
l
i
t
y
o
f
l
i
f
e
a
n
d
a
sso
c
i
a
t
e
d
f
a
c
t
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r
s
i
n
p
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st
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st
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k
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p
a
t
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e
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t
s
u
si
n
g
t
h
e
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o
r
l
d
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e
a
l
t
h
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r
g
a
n
i
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a
t
i
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n
a
b
b
r
e
v
i
a
t
e
d
g
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e
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c
q
u
a
l
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t
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f
l
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f
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q
u
e
s
t
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o
n
n
a
i
r
e
(
W
H
O
Q
O
L
-
B
R
EF)
,
”
C
l
i
n
i
c
a
l
Ep
i
d
e
m
i
o
l
o
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y
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n
d
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l
o
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a
l
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e
a
l
t
h
,
v
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l
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3
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2
0
2
2
,
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0
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1
0
1
6
/
j
.
c
e
g
h
.
2
0
2
1
.
1
0
0
9
4
1
.
[
26
]
H
.
P
o
n
g
a
n
t
u
n
g
,
J.
Lo
r
i
c
a
,
a
n
d
M
.
S
o
l
o
n
,
“
C
o
n
st
r
u
c
t
v
a
l
i
d
i
t
y
I
n
d
o
n
e
si
a
n
v
e
r
si
o
n
o
f
B
a
r
t
h
e
l
I
n
d
e
x
f
o
r
p
o
st
s
t
r
o
k
e
,
”
I
n
d
i
a
n
J
p
u
r
n
a
l
o
f
Pu
b
l
i
c
H
e
a
l
t
h
R
e
se
a
rc
h
&
D
e
v
e
l
o
p
m
e
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t
,
v
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l
.
1
1
,
n
o
.
0
3
,
p
.
4
,
2
0
2
0
,
[
O
n
l
i
n
e
]
.
A
v
a
i
l
a
b
l
e
:
h
t
t
p
s
:
/
/
w
w
w
.
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a
r
c
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g
a
t
e
.
n
e
t
/
p
u
b
l
i
c
a
t
i
o
n
/
3
4
5
7
0
5
8
6
1
[
27
]
B
.
U
t
o
m
o
a
n
d
N
.
T
a
k
a
r
i
n
i
,
“
U
j
i
v
a
l
i
d
i
t
a
s
k
r
i
t
e
r
i
a
t
i
m
e
u
p
a
n
d
g
o
t
e
s
t
(
TU
G
)
seb
a
g
a
i
a
l
a
t
u
k
u
r
k
e
se
i
m
b
a
n
g
a
n
p
a
d
a
l
a
n
s
i
a
,
”
J
u
r
n
a
l
Fi
si
o
t
e
r
a
p
i
,
v
o
l
.
9
,
n
o
.
2
,
p
p
.
8
6
–
9
3
,
2
0
0
9
,
d
o
i
:
1
0
.
4
7
0
0
7
/
f
i
s
i
o
.
v
9
i
2
.
6
2
9
.
[
28
]
A
.
P
o
l
i
d
o
r
i
,
M
.
M
a
l
a
g
o
l
i
,
R
.
G
i
a
c
a
l
o
n
e
,
G
.
B
r
i
c
h
e
t
t
o
,
M
.
M
o
n
t
i
B
r
a
g
a
d
i
n
,
a
n
d
V
.
P
r
a
d
a
,
“
3
0
-
s
e
c
o
n
d
c
h
a
i
r
st
a
n
d
a
n
d
5
-
t
i
me
s
s
i
t
-
to
-
st
a
n
d
t
e
st
s
a
r
e
i
n
t
e
r
e
st
i
n
g
t
o
o
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s
f
o
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a
ss
e
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n
g
d
i
s
a
b
i
l
i
t
y
a
n
d
a
b
i
l
i
t
y
t
o
a
mb
u
l
a
t
e
a
m
o
n
g
p
a
t
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e
n
t
s
w
i
t
h
m
u
l
t
i
p
l
e
s
c
l
e
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o
si
s
,
”
L
i
f
e
,
v
o
l
.
1
4
,
n
o
.
6
,
2
0
2
4
,
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o
i
:
1
0
.
3
3
9
0
/
l
i
f
e
1
4
0
6
0
7
0
3
.
[
29
]
E.
R
.
N
.
H
i
d
a
y
a
t
i
,
A
.
S
u
h
a
r
t
i
,
A
.
T.
S
u
r
a
t
i
n
o
y
o
,
S
.
R
.
Za
h
r
a
,
a
n
d
N
.
N
u
s
d
w
i
n
u
r
i
n
g
t
y
a
s,
“
F
e
a
s
i
b
i
l
i
t
y
o
f
t
h
e
m
o
d
i
f
i
e
d
3
0
-
se
c
o
n
d
s
i
t
-
to
-
st
a
n
d
t
e
st
i
n
a
n
i
s
o
l
a
t
i
o
n
w
a
r
d
o
m
o
d
e
r
a
t
e
C
O
V
I
D
-
1
9
,
”
Me
d
i
c
a
l
J
o
u
r
n
a
l
o
f
I
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d
o
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e
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a
,
v
o
l
.
3
0
,
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o
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4
,
p
p
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1
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2
0
2
1
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o
i
:
1
0
.
1
3
1
8
1
/
mj
i
.
b
c
.
2
1
5
4
7
7
.
[
30
]
N
.
A
.
A
i
sa
h
a
n
d
C
.
B
.
R
o
p
y
a
n
t
o
,
“
H
u
b
u
n
g
a
n
a
n
t
a
r
a
e
f
i
k
a
si
d
i
r
i
d
e
n
g
a
n
m
o
b
i
l
i
s
a
si
d
i
n
i
p
a
d
a
p
a
si
e
n
p
a
sk
a
b
e
d
a
h
may
o
r
,
”
H
o
l
i
s
t
i
c
N
u
rs
i
n
g
a
n
d
H
e
a
l
t
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S
c
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e
n
c
e
,
v
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l
.
5
,
n
o
.
2
,
p
p
.
1
8
8
–
1
9
6
,
2
0
2
2
,
d
o
i
:
1
0
.
1
4
7
1
0
/
h
n
h
s
.
5
.
2
.
2
0
2
2
.
4
4
-
5
2
.
[
31
]
P
.
R
a
n
g
a
n
a
t
h
a
n
,
C
.
P
r
a
m
e
s
h
,
a
n
d
R
.
A
g
g
a
r
w
a
l
,
“
C
o
mm
o
n
p
i
t
f
a
l
l
s
i
n
st
a
t
i
st
i
c
a
l
a
n
a
l
y
s
i
s:
l
o
g
i
st
i
c
r
e
g
r
e
s
si
o
n
,
”
Pe
rs
p
e
c
t
i
v
e
s
i
n
C
l
i
n
i
c
a
l
Re
s
e
a
r
c
h
,
v
o
l
.
8
,
n
o
.
3
,
p
p
.
1
4
8
–
1
5
1
,
2
0
1
7
,
d
o
i
:
1
0
.
4
1
0
3
/
p
i
c
r
.
P
I
C
R
_
8
7
_
1
7
.
[
32
]
H
.
Je
o
n
g
a
n
d
Y
.
L
e
e
,
“
S
e
x
-
b
a
se
d
d
i
f
f
e
r
e
n
c
e
s
i
n
t
h
e
q
u
a
l
i
t
y
o
f
l
i
f
e
o
f
e
l
d
e
r
l
y
K
o
r
e
a
n
s
w
i
t
h
c
h
r
o
n
i
c
mu
s
c
u
l
o
s
k
e
l
e
t
a
l
p
a
i
n
,
”
I
n
t
e
r
n
a
t
i
o
n
a
l
J
o
u
r
n
a
l
o
f
E
n
v
i
ro
n
m
e
n
t
a
l
Re
s
e
a
r
c
h
a
n
d
P
u
b
l
i
c
H
e
a
l
t
h
,
v
o
l
.
1
7
,
n
o
.
3
,
2
0
2
0
,
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