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Optimising echocardiographic screening for rheumatic heart disease in New Zealand: not all valve disease is rheumatic
- Rachel H. Webb, Nigel J. Wilson, Diana R. Lennon, Elizabeth M. Wilson, Ross W. Nicholson, Tom L. Gentles, Clare P. O'Donnell, John W. Stirling, Irene Zeng, Adrian A. Trenholme
- Journal: Cardiology in the Young / Volume 21 / Issue 4 / 12 July 2011
- Published online by Cambridge University Press: 31 March 2011, pp. 436-443
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View abstractAims
Echocardiography detects a greater prevalence of rheumatic heart disease than heart auscultation. Echocardiographic screening for rheumatic heart disease combined with secondary prophylaxis may potentially prevent severe rheumatic heart disease in high-risk populations. We aimed to determine the prevalence of rheumatic heart disease in children from an urban New Zealand population at high risk for acute rheumatic fever.
Methods and resultsTo optimise accurate diagnosis of rheumatic heart disease, we utilised a two-step model. Portable echocardiography was conducted on 1142 predominantly Māori and Pacific children aged 10–13 years. Children with an abnormal screening echocardiogram underwent clinical assessment by a paediatric cardiologist together with hospital-based echocardiography. Rheumatic heart disease was then classified as definite, probable, or possible. Portable echocardiography identified changes suggestive of rheumatic heart disease in 95 (8.3%) of 1142 children, which reduced to 59 (5.2%) after cardiology assessment. The prevalence of definite and probable rheumatic heart disease was 26.0 of 1000, with 95% confidence intervals ranging from 12.6 to 39.4. Portable echocardiography overdiagnosed rheumatic heart disease with physiological valve regurgitation diagnosed in 28 children. A total of 30 children (2.6%) had non-rheumatic cardiac abnormalities, 11 of whom had minor congenital mitral valve anomalies.
ConclusionsWe found high rates of undetected rheumatic heart disease in this high-risk population. Rheumatic heart disease screening has resource implications with cardiology evaluation required for accurate diagnosis. Echocardiographic screening for rheumatic heart disease may overdiagnose rheumatic heart disease unless congenital mitral valve anomalies and physiological regurgitation are excluded.
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- By Rose Teteki Abbey, K. C. Abraham, David Tuesday Adamo, LeRoy H. Aden, Efrain Agosto, Victor Aguilan, Gillian T. W. Ahlgren, Charanjit Kaur AjitSingh, Dorothy B E A Akoto, Giuseppe Alberigo, Daniel E. Albrecht, Ruth Albrecht, Daniel O. Aleshire, Urs Altermatt, Anand Amaladass, Michael Amaladoss, James N. Amanze, Lesley G. Anderson, Thomas C. Anderson, Victor Anderson, Hope S. Antone, María Pilar Aquino, Paula Arai, Victorio Araya Guillén, S. Wesley Ariarajah, Ellen T. Armour, Brett Gregory Armstrong, Atsuhiro Asano, Naim Stifan Ateek, Mahmoud Ayoub, John Alembillah Azumah, Mercedes L. García Bachmann, Irena Backus, J. Wayne Baker, Mieke Bal, Lewis V. Baldwin, William Barbieri, António Barbosa da Silva, David Basinger, Bolaji Olukemi Bateye, Oswald Bayer, Daniel H. Bays, Rosalie Beck, Nancy Elizabeth Bedford, Guy-Thomas Bedouelle, Chorbishop Seely Beggiani, Wolfgang Behringer, Christopher M. Bellitto, Byard Bennett, Harold V. Bennett, Teresa Berger, Miguel A. Bernad, Henley Bernard, Alan E. Bernstein, Jon L. Berquist, Johannes Beutler, Ana María Bidegain, Matthew P. Binkewicz, Jennifer Bird, Joseph Blenkinsopp, Dmytro Bondarenko, Paulo Bonfatti, Riet en Pim Bons-Storm, Jessica A. Boon, Marcus J. Borg, Mark Bosco, Peter C. Bouteneff, François Bovon, William D. Bowman, Paul S. Boyer, David Brakke, Richard E. Brantley, Marcus Braybrooke, Ian Breward, Ênio José da Costa Brito, Jewel Spears Brooker, Johannes Brosseder, Nicholas Canfield Read Brown, Robert F. Brown, Pamela K. Brubaker, Walter Brueggemann, Bishop Colin O. Buchanan, Stanley M. Burgess, Amy Nelson Burnett, J. Patout Burns, David B. Burrell, David Buttrick, James P. Byrd, Lavinia Byrne, Gerado Caetano, Marcos Caldas, Alkiviadis Calivas, William J. Callahan, Salvatore Calomino, Euan K. Cameron, William S. Campbell, Marcelo Ayres Camurça, Daniel F. Caner, Paul E. Capetz, Carlos F. Cardoza-Orlandi, Patrick W. Carey, Barbara Carvill, Hal Cauthron, Subhadra Mitra Channa, Mark D. Chapman, James H. Charlesworth, Kenneth R. Chase, Chen Zemin, Luciano Chianeque, Philip Chia Phin Yin, Francisca H. Chimhanda, Daniel Chiquete, John T. Chirban, Soobin Choi, Robert Choquette, Mita Choudhury, Gerald Christianson, John Chryssavgis, Sejong Chun, Esther Chung-Kim, Charles M. A. Clark, Elizabeth A. Clark, Sathianathan Clarke, Fred Cloud, John B. Cobb, W. Owen Cole, John A Coleman, John J. Collins, Sylvia Collins-Mayo, Paul K. Conkin, Beth A. Conklin, Sean Connolly, Demetrios J. Constantelos, Michael A. Conway, Paula M. Cooey, Austin Cooper, Michael L. Cooper-White, Pamela Cooper-White, L. William Countryman, Sérgio Coutinho, Pamela Couture, Shannon Craigo-Snell, James L. Crenshaw, David Crowner, Humberto Horacio Cucchetti, Lawrence S. Cunningham, Elizabeth Mason Currier, Emmanuel Cutrone, Mary L. Daniel, David D. Daniels, Robert Darden, Rolf Darge, Isaiah Dau, Jeffry C. Davis, Jane Dawson, Valentin Dedji, John W. de Gruchy, Paul DeHart, Wendy J. 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- Edited by Daniel Patte, Vanderbilt University, Tennessee
- Book: The Cambridge Dictionary of Christianity
- Published online: 05 August 2012
- Print publication: 20 September 2010, pp xi-xliv
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16. Commission Pour les Observations Physiques des Planètes et des Satellites
- M. M. Maggini, M.M. Andrea, Antoniadi, Armellini, L. Campbell, Delporte, Dunham, Hargreaves, Mlle Harwood, MM. Jarry-Desloges, Lampland, Link, Luplau-Janssen, Lyot, Nicholson, Peek, Phillips, Plakidis, Quénisset, F. E. Ross, E. C. Slipher, Wildt, F. E. Wright, W. H. Wright
- Journal: Transactions of the International Astronomical Union / Volume 6 / 1939
- Published online by Cambridge University Press: 25 April 2016, pp. 114-119
- Print publication: 1939
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Depuis la dernière Assemblée générale, notre commission a eu le regret de perdre deux de ses membres les plus éminents: M. Paul Stroobant, directeur de l’Observatoire Royal de Belgique et M. W. H. Pickering, ancien directeur des succursales de l’Observatoire de Harvard à Arequipa (Pérou) et Mandeville (Jamaïque). Les recherches de M. Paul Stroobant se rapportent pour une grande partie aux planètes, notamment Mercure, Vénus, les petites planètes et Saturne dont il étudia pendant des années les anneaux. Il faisait partie de notre Union comme président de la 5e commission et membre de beaucoup d’autres.
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16. Commission Pour les Observations Physiques des Planètes, des Comètes et des Satellites
- T. E. R. Phillips, MM. Andrea, Antoniadi, Armellini, Baldet, Bobrovnikoff, L. Campbell, Delporte, Doniteli, Dunham, Gastardi, Mile Harwood, MM. Jarry-Desloges, Lampland, Luplau-Janssen, Lyot, Maggini, Nicholson, Peek, W. U. Pickering, Plakidis, Quénisset, Ross, E. C. Slipher, V. M. Slipher, Stroobant, Wildt, F. E. Wright, W. H. Wright
- Journal: Transactions of the International Astronomical Union / Volume 5 / 1936
- Published online by Cambridge University Press: 25 April 2016, pp. 96-107
- Print publication: 1936
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The following work embodying researches coming within the scope of this commission has been published since the last meeting of the Union: La Planète Mercure et la Rotation des Satellites, by E. M. Antoniadi; Gauthier-Villars, Paris.
In addition to references to the work of other astronomers the author gives a summary of his own observations with the 0.83 m. refractor at Meudon and his conclusions.
The following Memoirs or papers not specifically referred to in the body of the Report have also been published since the last meeting of the Union: Cometa Halley. Vol. xxv of Resultados del Observatorio Nacional Argentino. This is a monograph on the Comet at its 1910 return. By C. D. Perrine. Les Comètes en 1930,1931 et 1932. By F. Baldet. (L’ Astronomie 46,497 et 48,175.) I Fondamenti Psicologici dell’ Indagine Visuale. By M. Maggini. (Memorie dellaSoc. Astron. Italiana, Vol. VIII, 2.) Théorie Photométrique des Eclipses de Lune. By F. M. Link. (Bulletin Astronomique,
8 fase. 11.) Relative Lunar Heights and Topography by means of the Motion Picture Negative.
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16. Commission Pour les Observations Physiques des Planétes, des Cométes et des Satellites
- T. E. R. Phillips, MM. Andrea, Antoniadi, Armellini, Baldet, L. Campbell, Delporte, Donitch, Gastardi, Mile Harwood, MM. Jarry-Desloges, Lampland, Luplau-Janssen, Lyot, Maggini, Mascari, Nicholson, W. H. Pickering, Quénisset, Ross, E. C. Slipher, Steavenson, Stroobant, Wright
- Journal: Transactions of the International Astronomical Union / Volume 4 / 1933
- Published online by Cambridge University Press: 25 April 2016, pp. 87-95
- Print publication: 1933
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The following works embodying researches coming within the scope of this Commission have been published since the last meeting of the Union:
1. “Recherches sur la polarisation de la lumière des planètes et de quelques substances terrestres,” by B. Lyot, Annales de l’Observatoire de Paris, Section de Meudon, 3, Fase. i. Characteristic curves are found representing the fraction of light polarized in the case of the Moon and several of the planets for the angles Sun-Moon or planet-Earth and compared with curves obtained in the laboratory for light reflected by a number of terrestrial substances. Some of the conclusions arrived at are referred to in the notes below.
2. La Planète Mars 1656-1929, by E. M. Antoniadi. This is based mainly on the author’s own telescopic observations with the 0.83 m. Meudon refractor in 1909 and the following years, and contains the author’s conclusions therefrom. The work of numerous earlier and contemporary observers is also summarized and compared with the Meudon observations.
3. The Moon, by W. Goodacre. Contains a description of the lunar surface formations, numerous drawings, charts and photographs, and the author’s revised Map of the Moon in 25 sections.
4. “Ricerche Polarigrafiche sui Pianeti. La Polarizzazione sul Disco di Giove,” by M. Maggini, Mem. della Soc. Astron. Italiana, 4.
5. La Constitution des Comètes, by F. Baldet. Paris, Hermann et Cie. 1930.
6. “ Halley’s Comet in its Apparition of 1909-1911,” by Nicholas T. Bobrovnikoff, Pub. of the Lick Observatory, 17, pt 11, 1931.
7. “Absorptionsspektren und Atmosphären der grossen Planeten,” by R. Wildt, Nach, von der Gesellschaft der Wissenschaften zu Göttingen, Math.-Phys. Klasse, 1932.
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