Ruptura do septo interventricular após trauma torácico fechado

Mello, Ronaldo Peixoto de; Santana, Maria Virgínia Tavares; Silva, Maria Aparecida de Paula; Esteves, César A.; Pedra, Carlos Augusto Cardoso; Thom, A.; Chaccur, Paulo; Miaira, Marly A.; Andrade, Pedro Beraldo de; Rodrigues, Alejandra Borges

doi:10.1590/s0066-782x2006001900022

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…TB is endemic in the Eastern Cape [2,21] and the cure rate of 41% lags far behind the 85% rate recommended by the WHO [4]. Data from a survey of 1020 Grahamstown East/Rhini households, conducted in November 2007, were used for this study.…”

Section: Methodsmentioning

confidence: 99%

“…Cure rate of 65% remains well below the 85% rate recommended by the WHO [2]. At 41%, The Eastern Cape's cure rate lags even further behind the national average [4]. …”

Section: Introductionmentioning

confidence: 99%

“…Achieving a high level of TB awareness is crucial for the success of prevention and treatment efforts in high risk populations and represents a key challenge for public health initiatives [20]. Since the Eastern Cape is known as a province with high incidence, prevalence [21] and with one of the worst cure rates of South Africa [4], its inhabitants can be considered lay experts when it comes to TB. Therefore, we investigated perceptions among an Eastern Cape population.…”

Section: Introductionmentioning

confidence: 99%

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TB treatment initiation and adherence in a South African community influenced more by perceptions than by knowledge of tuberculosis

et al. 2010

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BackgroundTuberculosis (TB) is a global health concern. Inadequate case finding and case holding has been cited as major barrier to the control of TB. The TB literature is written almost entirely from a biomedical perspective, while recent studies show that it is imperative to understand lay perception to determine why people seek treatment and may stop taking treatment. The Eastern Cape is known as a province with high TB incidence, prevalence and with one of the worst cure rates of South Africa. Its inhabitants can be considered lay experts when it comes to TB. Therefore, we investigated knowledge, perceptions of (access to) TB treatment and adherence to treatment among an Eastern Cape population.MethodsAn area-stratified sampling design was applied. A total of 1020 households were selected randomly in proportion to the total number of households in each neighbourhood.ResultsTB knowledge can be considered fairly good among this community. Respondents' perceptions suggest that stigma may influence TB patients' decision in health seeking behavior and adherence to TB treatment. A full 95% of those interviewed believe people with TB tend to hide their TB status out of fear of what others may say. Regression analyses revealed that in this population young and old, men and women and the lower and higher educated share the same attitudes and perceptions. Our findings are therefore likely to reflect the actual situation of TB patients in this population.ConclusionsThe lay experts' perceptions suggests that stigma appears to effect case holding and case finding. Future interventions should be directed at improving attitudes and perceptions to potentially reduce stigma. This requires a patient-centered approach to empower TB patients and active involvement in the development and implementation of stigma reduction programs.

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Section: Methodsmentioning

confidence: 99%

“…Cure rate of 65% remains well below the 85% rate recommended by the WHO [2]. At 41%, The Eastern Cape's cure rate lags even further behind the national average [4]. …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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TB treatment initiation and adherence in a South African community influenced more by perceptions than by knowledge of tuberculosis

et al. 2010

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“…O trauma cardíaco fechado pode ocorrer em consequência de diversos fatores que levam à interação entre forças sobre o tecido cardíaco no momento do impacto, seja diretamente sobre o tórax ou sobre o dorso, como uma consequência da alteração brusca de movimento linear pela desaceleração ou mudança abrupta deste (MELLO et al, 2006). Parmley classificou em 7 categorias as causas de injúria cardíaca: forças de ação direta; forças indiretas; forças bidirecionais ou compressivas; desaceleração; forças explosivas; concussão e combinação destas (PARMLEY et al, 1958).…”

Section: Apresentação Clínicaunclassified

Atendimento Do Trauma Cardíaco Na Emergência

Nunes¹,

Cavalcante²,

Oliveira³

et al. 2022

Teoria E Prática Trauma E Emergência - Ed. 3ª Vol. 1

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“…Many of these individuals died secondarily to multiple trauma including head and chest trauma. 6 In addition to blunt trauma, penetrating legions, coronary artery lesions and endocarditis may cause VSD. 7 …”

Section: Introductionmentioning

confidence: 99%

Ventricular septal necrosis after blunt chest trauma

Sabzi¹,

Sahebjamee²,

Zokaei³

et al. 2012

J Inj Violence Res

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Abstract:Ventricular Septal Defect (VSD) after blunt chest trauma is a very rare traumatic affection. We report here a case of blunt chest injury-related VSD and pseudoaneurysm. A 30-year old male truck driver was referred from a trauma center to our hospital seven days after a blunt chest trauma and rib fracture. The patient had severe pulmonary edema and echocardiography showed large VSD. Several mechanisms are involved in the pathogenesis of this affection including an acute compression of the heart muscle between the sternum and the spine, leading to excessive changes in the intrathoracic and most likely the intracardiac pressure after blunt chest injury. Traumatical patients with the same symptoms may be at risk of sudden death. Therefore, a high grade of suspicion is mandatory even without solid evidence of myocardial damage on the initial evaluation. In continue some hidden angles of this case was discussed. Given the prognostic implications of traumatic VSD with associated pseudoaneurysm, its detection has critical value for preventing its clinical sequelae.

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Ruptura do septo interventricular após trauma torácico fechado

Abstract: We report a case of ventricular septal rupture following chest trauma resulting from a car accident. The outcome was relatively favorable despite the extension of the anatomic lesion.

Cited by 7 publications

References 8 publications

TB treatment initiation and adherence in a South African community influenced more by perceptions than by knowledge of tuberculosis

TB treatment initiation and adherence in a South African community influenced more by perceptions than by knowledge of tuberculosis

Atendimento Do Trauma Cardíaco Na Emergência

Ventricular septal necrosis after blunt chest trauma

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