{"created":"2021-01-28T08:46:48.156542+00:00","id":7879,"links":{},"metadata":{"_buckets":{"deposit":"6f1c4a8b-e673-4f01-914d-563ee670d4bf"},"_deposit":{"created_by":100,"id":"7879","owner":"100","owners":[100],"owners_ext":{"displayname":"hlahlawin","email":"hhlawin2013@gmail.com","username":"hlahlawin"},"pid":{"revision_id":0,"type":"depid","value":"7879"},"status":"published"},"_oai":{"id":"oai:meral.edu.mm:recid/00007879","sets":["1607984359018:1608053322572"]},"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<50yearswereusingcontraception.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","filename":"The_clinical_characteristics_of_adults_with_rheuma.pdf","filesize":[{"value":"1.5 MB"}],"licensetype":"license_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"],"publish_date":"2021-01-28","publish_status":"0","recid":"7879","relation_version_is_last":true,"title":["The clinical characteristics of adults with rheumatic heart disease in Yangon, Myanmar: Anobservation a lstudy"],"weko_creator_id":"100","weko_shared_id":-1},"updated":"2021-12-13T04:31:09.141194+00:00"}