{"_buckets": {"deposit": "6f1c4a8b-e673-4f01-914d-563ee670d4bf"}, "_deposit": {"created_by": 100, "id": "7879", "owner": "100", "owners": [100], "owners_ext": {"displayname": "hlahlawin", "username": "hlahlawin"}, "pid": {"revision_id": 0, "type": "depid", "value": "7879"}, "status": "published"}, "_oai": {"id": "oai:meral.edu.mm:recid/00007879", "sets": ["user-um2"]}, "communities": ["um2"], "item_1583103067471": {"attribute_name": "Title", "attribute_value_mlt": [{"subitem_1551255647225": "The clinical characteristics of adults with rheumatic heart disease in Yangon, Myanmar: Anobservation a lstudy", "subitem_1551255648112": "en"}]}, "item_1583103085720": {"attribute_name": "Description", "attribute_value_mlt": [{"interim": "BackgroundRheumaticheartdisease(RHD)is a majorcauseof prematuredeathin lowandmiddle-incomecountries.Thegreatestbarrierto RHDcontrolis neglectof thediseasein nationalhealthpoliciesanda lackof prevalencedatathatmightinformcontrolefforts.Myanmarismakingremarkableprogressagainstmanyinfectiousdiseases,buttherearealmostnodatato definetheclinicalburdenof RHDin thecountry.Thisprospective auditwasperformedinanadultmedicalwardof a tertiary-referralhospitalin Yangon,to gainaninsightintotheprevalenceof RHDin Myanmar.PrincipalfindingsAllpatientsadmittedto thewardbetweenMay1, 2016andApril30,2017wereeligibleforenrolment.RHDwasconfirmedin 96patientswhowereadmittedon134occasions,repre-senting1.1%of the12,172adultmedicaladmissionsduringthestudyperiod.Thiscom-paredwith410(3.4%)admissionswithHIVand14(0.1%)withmalaria.PatientswithRHDhada medianageof 44years(interquartilerange:35–59);70(73%)werefemale.Onlyonepatienthadeverhadsurgerydespite79(82%)meetingcriteriaforintervention;54(56%)patientswerenotreceivinganyregularclinicianreview.Priorto hospitalisationonly18(19%)patientswerereceivingregularpenicillin.Only8 (19%)of the42women\u003c50yearswereusingcontraception.Of49patientswhohadbeenhospitalisedpreviously,22(45%)werereceivingnoregulartherapy.Duringthestudythree(3.1%)patientsdied,and28(29%)werelostto follow-up.Ofthe65(68%)aliveandretainedin care,21(32%)werestillexperiencingmoderate-severeRHD-relatedsymptomsat thestudy’send.ConclusionsThereis a significantandunmetclinicalburdenof RHDin Myanmar.A nationalRHDprogram-mewouldimprovepatientcare,reducingmorbidityandmortalityfromthispreventabledisease."}]}, "item_1583103108160": {"attribute_name": "Keywords", "attribute_value_mlt": [{"interim": "Heart Disease"}, {"interim": "Rheumatology"}]}, "item_1583103120197": {"attribute_name": "Files", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "date": [{"dateType": "Available", "dateValue": "2021-01-28"}], "displaytype": "preview", "download_preview_message": "", "file_order": 0, "filename": "The_clinical_characteristics_of_adults_with_rheuma.pdf", "filesize": [{"value": "1.5 MB"}], "future_date_message": "", "is_thumbnail": false, "licensetype": "license_0", "mimetype": "", "size": 1500000.0, "url": {"url": "https://meral.edu.mm/record/7879/files/The_clinical_characteristics_of_adults_with_rheuma.pdf"}, "version_id": "3b1eadaa-b545-4b10-8531-e24e5fe9759c"}]}, "item_1583103131163": {"attribute_name": "Journal articles", "attribute_value_mlt": [{"subitem_issue": "13", "subitem_journal_title": "PLoSONE", "subitem_pages": "1-14", "subitem_volume": "2"}]}, "item_1583105942107": {"attribute_name": "Authors", "attribute_value_mlt": [{"subitem_authors": [{"subitem_authors_fullname": "Nan Phyu Sin Toe Myint"}, {"subitem_authors_fullname": "Ne Myo Aung"}, {"subitem_authors_fullname": "Myint Soe Win"}, {"subitem_authors_fullname": "Thu Ya Htut"}, {"subitem_authors_fullname": "Ralph, Anna P."}, {"subitem_authors_fullname": "Cooper, David A."}, {"subitem_authors_fullname": "Myo Lwin Nyein"}, {"subitem_authors_fullname": "Mar Mar Kyi"}, {"subitem_authors_fullname": "Hanson, Josh"}]}]}, "item_1583108359239": {"attribute_name": "Upload type", "attribute_value_mlt": [{"interim": "Publication"}]}, "item_1583108428133": {"attribute_name": "Publication type", "attribute_value_mlt": [{"interim": "Journal article"}]}, "item_1583159729339": {"attribute_name": "Publication date", "attribute_value": "2018-02-21"}, "item_1583159847033": {"attribute_name": "Identifier", "attribute_value": "https://doi.org/10.1371/journal.pone.0192880"}, "item_title": "The clinical characteristics of adults with rheumatic heart disease in Yangon, Myanmar: Anobservation a lstudy", "item_type_id": "21", "owner": "100", "path": ["1608053322572"], "permalink_uri": "http://hdl.handle.net/20.500.12678/0000007879", "pubdate": {"attribute_name": "Deposited date", "attribute_value": "2021-01-28"}, "publish_date": "2021-01-28", "publish_status": "0", "recid": "7879", "relation": {}, "relation_version_is_last": true, "title": ["The clinical characteristics of adults with rheumatic heart disease in Yangon, Myanmar: Anobservation a lstudy"], "weko_shared_id": -1}