{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:22:00Z","timestamp":1777908120318,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[1996,4,1]],"date-time":"1996-04-01T00:00:00Z","timestamp":828316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[1996,4]]},"abstract":"<jats:p>The pattern of rheumatic heart disease in 84 adolescent and adult patients seen over a 9 year period (1982\u20131990) at the University of Maiduguri Teaching Hospital (UMTH) is presented. Over 70% were in the second and third decades of life. Pure mitral incompetence and mixed mitral valve disease were the commonest valvular lesions. This pattern appears similar to those in other developing countries. Congestive cardiac failure was the commonest complication. Declining economic fortunes of the developing countries, over crowding, malnutrition and inadequate medical facilities may further perpetuate the condition. Early recognition and the management of rheumatic carditis and early valvular lesions will reduce the morbidity and mortality.<\/jats:p>","DOI":"10.1177\/004947559602600208","type":"journal-article","created":{"date-parts":[[2017,1,15]],"date-time":"2017-01-15T12:49:33Z","timestamp":1484484573000},"page":"67-69","source":"Crossref","is-referenced-by-count":5,"title":["Pattern of Rheumatic Heart Disease in Adults in Maiduguri \u2014 North East Nigeria"],"prefix":"10.1177","volume":"26","author":[{"given":"A C","family":"Onwuchekwa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E C","family":"Ugwu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1996,4,1]]},"reference":[{"issue":"3","key":"bibr1-004947559602600208","first-page":"132","volume":"2","author":"Macedo A","year":"1989","journal-title":"Acta Med Port"},{"key":"bibr2-004947559602600208","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/11.6.928"},{"issue":"22","key":"bibr3-004947559602600208","first-page":"69","volume":"6","author":"Cole TD","year":"1980","journal-title":"Trop Cardiol"},{"issue":"4","key":"bibr4-004947559602600208","first-page":"181","volume":"78","author":"Barlow JM","year":"1990","journal-title":"S Afr Med J"},{"key":"bibr5-004947559602600208","doi-asserted-by":"publisher","DOI":"10.1016\/0167-5273(89)90254-4"},{"issue":"3","key":"bibr6-004947559602600208","first-page":"277","volume":"38","author":"Lutalo SK","year":"1986","journal-title":"Trop Geogr Med."},{"key":"bibr7-004947559602600208","first-page":"9","volume":"10","author":"Antia AU","year":"1971","journal-title":"Ghana Med J"},{"issue":"3","key":"bibr8-004947559602600208","first-page":"122","volume":"45","author":"Okuwobi BO","year":"1968","journal-title":"E Afr Med J"},{"issue":"4","key":"bibr9-004947559602600208","first-page":"192","volume":"3","author":"Oviasu VO","year":"1973","journal-title":"Nig Med J"},{"key":"bibr10-004947559602600208","first-page":"185","volume":"6","author":"Ladipo GO","year":"1977","journal-title":"Afr J Med Sci."},{"key":"bibr11-004947559602600208","doi-asserted-by":"publisher","DOI":"10.1177\/004947558001000103"},{"key":"bibr12-004947559602600208","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1989.tb136596.x"},{"issue":"1","key":"bibr13-004947559602600208","first-page":"39","volume":"43","author":"Shrestha UK","year":"1991","journal-title":"Heart J"},{"key":"bibr14-004947559602600208","first-page":"4","volume":"33","author":"Jaiyesimi F","year":"1981","journal-title":"Trop Geogr Med."},{"issue":"2","key":"bibr15-004947559602600208","first-page":"121","volume":"6","year":"1976","journal-title":"Nig Med J"},{"key":"bibr16-004947559602600208","doi-asserted-by":"publisher","DOI":"10.1253\/jcj.50.1241"},{"key":"bibr17-004947559602600208","doi-asserted-by":"publisher","DOI":"10.1080\/02724936.1987.11748474"},{"issue":"2","key":"bibr18-004947559602600208","first-page":"123","volume":"6","author":"Cole TO","year":"1976","journal-title":"Nig Med J"},{"key":"bibr19-004947559602600208","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960050403"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947559602600208","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947559602600208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:56:59Z","timestamp":1777643819000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/004947559602600208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,4]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1996,4]]}},"alternative-id":["10.1177\/004947559602600208"],"URL":"https:\/\/doi.org\/10.1177\/004947559602600208","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,4]]}}}