2012
DOI: 10.1590/s0482-50042012000200008
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Apresentação e desfecho da febre reumática em uma série de casos

Abstract: Objective: To assess the clinical characteristics and outcome of a rheumatic fever case-series from a referral hospital over the last 20 years. Patients and methods: Patients under the age of 18 years, diagnosed with rheumatic fever between 1986 and 2007 were retrospectively assessed to estimate the carditis and relapse rates, by use of descriptive and survival analysis. Results: Of 178 cases identifi ed, 134 were included. During the acute phase, 66.4% had polyarthritis, 56.8% had carditis, 28.6% had chorea, … Show more

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Cited by 16 publications
(5 citation statements)
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“…When a prevention program is in place, one of the key goals is to obtain, and maintain, the patient's adherence to secondary prophylaxis (1, 17,18). Usual obstacles to strong secondary prophylaxis program include difficulties related with the patient's registration, recording of injection dates, injection-associated pain, lack of IM penicillin in remote health centers, and limited training of the health care workers (19)(20)(21). According to Dassel et al, some protection is already provided to patients who receive 40% of the prescribed doses for secondary prophylaxis; however, a lower percentage (<20%) of doses is associated with a fourfold increase in the odds of having a recurrence (22).…”
Section: Discussionmentioning
confidence: 99%
“…When a prevention program is in place, one of the key goals is to obtain, and maintain, the patient's adherence to secondary prophylaxis (1, 17,18). Usual obstacles to strong secondary prophylaxis program include difficulties related with the patient's registration, recording of injection dates, injection-associated pain, lack of IM penicillin in remote health centers, and limited training of the health care workers (19)(20)(21). According to Dassel et al, some protection is already provided to patients who receive 40% of the prescribed doses for secondary prophylaxis; however, a lower percentage (<20%) of doses is associated with a fourfold increase in the odds of having a recurrence (22).…”
Section: Discussionmentioning
confidence: 99%
“…This issue is particularly critical in low-income countries, where healthcare systems face substantial challenges. Identifying and treating acquired and congenital heart conditions present formidable obstacles due to the scarcity of specialized cardiologists in remote and underprivileged areas with limited access to healthcare 2 , 3 . Consequently, a vast majority of patients in these settings lack access to consultations with qualified cardiologists.…”
Section: Introductionmentioning
confidence: 99%
“…A substantial portion of the existing research in this domain heavily relies on the CinC /Physionet challenge 2016 dataset 2 , which were made available as part of a specific challenge. However, it's essential to recognize that these datasets primarily rely on the binary classification of PCG signals.…”
Section: Introductionmentioning
confidence: 99%
“…Roughly 1% of neonates have congenital heart diseases, which significantly cause morbidity and mortality for several severe disorders [1]. Acquired heart diseases, such as rheumatic fever, are also becoming a serious public health issue in developing countries [2]. One of the common ways to non-invasively detect and diagnose congenital and acquired heart diseases is by studying the heart's mechanical function through Phonocardiogram (PCG) recordings.…”
Section: Introductionmentioning
confidence: 99%