Focused cardiac ultrasound screening for rheumatic heart disease by briefly trained health workers: a study of diagnostic accuracy

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Screening for rheumatic heart disease: quality and agreement of focused cardiac ultrasound by briefly trained health workers

BACKGROUND Echocardiographic screening for rheumatic heart disease (RHD) has the potential to detect subclinical cases for secondary prevention, but is constrained by inadequate human resources in most settings. Training non-expert health workers to perform focused cardiac ultrasound (FoCUS) may enable screening at a population-level. We aimed to evaluate the quality and agreement of FoCUS for ...

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Screening for rheumatic heart disease: evaluation of a focused cardiac ultrasound approach.

BACKGROUND Rheumatic heart disease (RHD) remains a major public health problem worldwide. Although early diagnosis by echocardiography may potentially play a key role in developing active surveillance, systematic evaluation of simple approaches in resource poor settings are needed. METHODS AND RESULTS We prospectively compared focused cardiac ultrasound (FCU) to a reference approach for RHD s...

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Diagnostic Accuracy of Acute Appendicitis by Ultrasound in Hospital Emergency

Background Acute appendicitis is the most common medical condition requiring immediate abdominal surgery.Medical ultrasound is a non-intrusive, non-expensive and available diagnostic method. In this study, the accuracy of ultrasound in diagnosis of acute appendicitis in hospital emergency was evaluated. Materials and Methods This retrospective cohort study was performed at Ahvaz Imam Khomeini h...

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Echocardiographic screening for rheumatic heart disease.

doi:10.2471/BLT.07.046680 For a disease to be suitable for screening as a tool of preventive medicine, it must satisfy the following criteria: (1) the evidence of an obvious burden of the disease, (2) an initial latent stage of the condition, (3) which can be detected by appropriate tests, (4) and treated by adequate therapy, and finally (5) to prove that intervention at an early stage can impr...

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Handheld echocardiographic screening for rheumatic heart disease by non-experts.

OBJECTIVES Handheld echocardiography (HAND) has good sensitivity and specificity for rheumatic heart disease (RHD) when performed by cardiologists. However, physician shortages in RHD-endemic areas demand less-skilled users to make RHD screening practical. We examine nurse performance and interpretation of HAND using a simplified approach for RHD screening. METHODS Two nurses received trainin...

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ژورنال

عنوان ژورنال: The Lancet Global Health

سال: 2016

ISSN: 2214-109X

DOI: 10.1016/s2214-109x(16)30065-1