British medical journal
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The work in the resuscitation room is initial intensive care. This must be always available independent of inpatient resources. ⋯ Much of the work is medical rather than surgical and appropriate for physicians to treat. Our experience might help others to plan for the future.
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British medical journal · Aug 1972
Rheumatic fever and rheumatic heart disease in Barbados: detection and prophylaxis.
The objectives of this study were to improve our methods of secondary prophylaxis of rheumatic fever and rheumatic heart disease in Barbados, to estimate the overall prevalence of these diseases and the relative load imposed by them on available health services, and to measure the yield, feasibility, and effectiveness of mass programmes for the detection and prophylactic management of rheumatic heart disease in schoolchildren. Improved methods of surveillance and follow-up resulted in 97% adherence to therapy by patients on prophylactic penicillin. ⋯ Out of a possible 3,942 schoolchildren aged 5-11 years, 3,882 (98%) were screened for rheumatic heart disease. Four cases (about 1 per 1,000) were discovered.