RESUMO
OBJECTIVE: To compare the left ventricular eccentricity index (EI) and tricuspid valve systolic-diastolic (SD) ratio in infants at risk of bronchopulmonary dysplasia (BPD) and pulmonary hypertension (PH). STUDY DESIGN: Review of echocardiograms performed on infants born at ≤ 28 weeks' postmenstrual age, categorized into the following three cohorts: BPD and PH (n = 13); BPD only (n = 16); and controls (n = 59). EI was measured from a parasternal short axis 2D image. The SD ratio was measured from the continuous wave Doppler tracing. Groups were compared using Kruskal-Wallis and Wilcoxon rank sum tests. RESULT: EI and SD ratios were successfully measured in all infants. There were no differences between controls and BPD cohort. In contrast, the BPD and PH cohort had increased systolic EI (1.46 vs. 1.00-1.01), diastolic EI (1.47 vs. 1.00), and SD ratio (1.12 vs. 0.97-1.00) compared with controls and BPD only cohort (p ≤ 0.01 for all). CONCLUSION: The EI and SD ratio may be useful as a screening tool for PH in this population.
Assuntos
Displasia Broncopulmonar/epidemiologia , Hipertensão Pulmonar/epidemiologia , Recém-Nascido de Peso Extremamente Baixo ao Nascer , Lactente Extremamente Prematuro , Diástole , Ecocardiografia Doppler , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos , Sístole , Função Ventricular EsquerdaRESUMO
The present study investigated degree of resistance to sexual assault as a function of personality variables and circumstances of assault. Death anxiety was the personality variable most predictive of high resistance. The profile of the high-resistant women showed that the absence of a weapon, lower death anxiety, and knowing the assailant accounted for 66% of the variance. It was inferred that the life-threatening aspects of the rape situation are of great importance in determining a potential victim's reaction.