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  • Open Access

    CASE REPORT

    Stubborn Hypoxia in Neonates with D-Transposition of the Great Arteries after Arterial Switch Operation: Central Sleep Apnea as the Cause and Potential Indicator of Brain Immaturity

    Camden L. Hebson1,*, Kyle Bliton2, Amr Y. Hammouda1, Kaitlyn Barr3, W. Hampton Gray4, Mohini Gunnett2, Waldemar F. Carlo1

    Congenital Heart Disease, Vol.19, No.2, pp. 185-195, 2024, DOI:10.32604/chd.2024.048871

    Abstract D-transposition of the great arteries (d-TGA) is surgically repaired with the arterial switch operation (ASO) with excellent results, however short and long-term morbidities still develop including neurocognitive delay. Clinically significant central sleep apnea is uncommon in non-premature infants, but when present indicates immature autonomic control of respiration likely due to a neurologic disorder. We report the unanticipated finding of central sleep apnea in four-term neonates with d-TGA after uncomplicated ASO, with the short-term complication of delayed hospital discharge and long-term concerns regarding this early marker of brain immaturity and its hindrance to normal development. Within this report, we will review… More >

  • Open Access

    REVIEW

    Machine Learning-Based Intelligent Auscultation Techniques in Congenital Heart Disease: Application and Development

    Yang Wang#, Xun Yang#, Mingtang Ye, Yuhang Zhao, Runsen Chen, Min Da, Zhiqi Wang, Xuming Mo, Jirong Qi*

    Congenital Heart Disease, Vol.19, No.2, pp. 219-231, 2024, DOI:10.32604/chd.2024.048314

    Abstract Congenital heart disease (CHD), the most prevalent congenital ailment, has seen advancements in the “dual indicator” screening program. This facilitates the early-stage diagnosis and treatment of children with CHD, subsequently enhancing their survival rates. While cardiac auscultation offers an objective reflection of cardiac abnormalities and function, its evaluation is significantly influenced by personal experience and external factors, rendering it susceptible to misdiagnosis and omission. In recent years, continuous progress in artificial intelligence (AI) has enabled the digital acquisition, storage, and analysis of heart sound signals, paving the way for intelligent CHD auscultation-assisted diagnostic technology. Although there has been a surge… More > Graphic Abstract

    Machine Learning-Based Intelligent Auscultation Techniques in Congenital Heart Disease: Application and Development

  • Open Access

    REVIEW

    Treatment and Clinical Management of Chronic Thromboembolic Pulmonary Hypertension: An Update of Literature Review

    Yuan Ren1, Yingxian Sun1, Zhiguang Yang2, Yanli Chen1,*

    Congenital Heart Disease, Vol.19, No.2, pp. 157-176, 2024, DOI:10.32604/chd.2024.047930

    Abstract Chronic thromboembolic pulmonary hypertension (CTEPH) is a chronic, progressive, debilitating, and life-threatening complication of pulmonary embolism (PE). Recent technological advances have permitted various treatment options for the treatment of CTEPH, including surgery, angioplasty, and medical treatment, depending on the location and characteristics of lesions. Pulmonary endarterectomy (PEA) is the treatment of choice for CTEPH, as it offers excellent long-term outcomes and a high probability of recovery. Moreover, various medical and interventional therapies are currently being developed for patients with inoperable CTEPH. This review mainly summarizes the current treatment approaches of CTEPH, offering more options for specialist physicians to, thus, better… More >

  • Open Access

    ARTICLE

    Failure to Rescue as a Quality Metric in Congenital Heart Surgeries in a High-Complexity Service Provider Institution Located in a Middle-Income Country

    Gustavo Cruz1,*, Santiago Pedroza2, Juan F. Vélez3, Jessica Largo2, Juan F. Tejada4, Jorge H. Mejía-Mantilla5

    Congenital Heart Disease, Vol.19, No.2, pp. 207-218, 2024, DOI:10.32604/chd.2024.044244

    Abstract Background: Failure to rescue has been an effective quality metric in congenital heart surgery. Conversely, morbidity and mortality depend greatly on non-modifiable individual factors and have a weak correlation with better-quality performance. We aim to measure the complications, mortality, and risk factors in pediatric patients undergoing congenital heart surgery in a high-complexity institution located in a middle-income country and compare it with other institutions that have conducted a similar study. Methods: A retrospective observational study was conducted in a high-complexity service provider institution, in Cali, Colombia. All pediatric patients undergoing any congenital heart surgery between 2019 and 2022 were included.… More >

  • Open Access

    ARTICLE

    A Comprehensive Investigation on Shear Performance of Improved Perfobond Connector

    Caiping Huang*, Zihan Huang, Wenfeng You

    Structural Durability & Health Monitoring, Vol.18, No.3, pp. 299-320, 2024, DOI:10.32604/sdhm.2024.047850

    Abstract This paper presents an easily installed improved perfobond connector (PBL) designed to reduce the shear concentration of PBL. The improvement of PBL lies in changing the straight penetrating rebar to the Z-type penetrating rebar. To study the shear performance of improved PBL, two PBL test specimens which contain straight penetrating rebar and six improved PBL test specimens which contain Z-type penetrating rebars were designed and fabricated, and push-out tests of these eight test specimens were carried out to investigate and compare the shear behavior of PBL. Additionally, Finite Element Analysis (FEA) models of the PBL specimens were established and validated… More >

  • Open Access

    ARTICLE

    Shield Excavation Analysis: Ground Settlement & Mechanical Responses in Complex Strata

    Baojun Qin1, Guangwei Zhang1, Wei Zhang2,*

    Structural Durability & Health Monitoring, Vol.18, No.3, pp. 341-360, 2024, DOI:10.32604/sdhm.2024.047405

    Abstract This study delves into the effects of shield tunneling in complex coastal strata, focusing on how this construction method impacts surface settlement, the mechanical properties of adjacent rock, and the deformation of tunnel segments. It investigates the impact of shield construction on surface settlement, mechanical characteristics of nearby rock, and segment deformation in complex coastal strata susceptible to construction disturbances. Utilizing the Fuzhou Binhai express line as a case study, we developed a comprehensive numerical model using the ABAQUS finite element software. The model incorporates factors such as face force, grouting pressure, jack force, and cutterhead torque. Its accuracy is… More >

  • Open Access

    ARTICLE

    Numerical Exploration of Asymmetrical Impact Dynamics: Unveiling Nonlinearities in Collision Problems and Resilience of Reinforced Concrete Structures

    AL-Bukhaiti Khalil1, Yanhui Liu1,*, Shichun Zhao1, Daguang Han2

    Structural Durability & Health Monitoring, Vol.18, No.3, pp. 223-254, 2024, DOI:10.32604/sdhm.2024.044751

    Abstract This study provides a comprehensive analysis of collision and impact problems’ numerical solutions, focusing on geometric, contact, and material nonlinearities, all essential in solving large deformation problems during a collision. The initial discussion revolves around the stress and strain of large deformation during a collision, followed by explanations of the fundamental finite element solution method for addressing such issues. The hourglass mode’s control methods, such as single-point reduced integration and contact-collision algorithms are detailed and implemented within the finite element framework. The paper further investigates the dynamic response and failure modes of Reinforced Concrete (RC) members under asymmetrical impact using… More >

  • Open Access

    REVIEW

    A Review of NILM Applications with Machine Learning Approaches

    Maheesha Dhashantha Silva*, Qi Liu

    CMC-Computers, Materials & Continua, Vol.79, No.2, pp. 2971-2989, 2024, DOI:10.32604/cmc.2024.051289

    Abstract In recent years, Non-Intrusive Load Monitoring (NILM) has become an emerging approach that provides affordable energy management solutions using aggregated load obtained from a single smart meter in the power grid. Furthermore, by integrating Machine Learning (ML), NILM can efficiently use electrical energy and offer less of a burden for the energy monitoring process. However, conducted research works have limitations for real-time implementation due to the practical issues. This paper aims to identify the contribution of ML approaches to developing a reliable Energy Management (EM) solution with NILM. Firstly, phases of the NILM are discussed, along with the research works… More >

  • Open Access

    ARTICLE

    Relational Turkish Text Classification Using Distant Supervised Entities and Relations

    Halil Ibrahim Okur1,2,*, Kadir Tohma1, Ahmet Sertbas2

    CMC-Computers, Materials & Continua, Vol.79, No.2, pp. 2209-2228, 2024, DOI:10.32604/cmc.2024.050585

    Abstract Text classification, by automatically categorizing texts, is one of the foundational elements of natural language processing applications. This study investigates how text classification performance can be improved through the integration of entity-relation information obtained from the Wikidata (Wikipedia database) database and BERT-based pre-trained Named Entity Recognition (NER) models. Focusing on a significant challenge in the field of natural language processing (NLP), the research evaluates the potential of using entity and relational information to extract deeper meaning from texts. The adopted methodology encompasses a comprehensive approach that includes text preprocessing, entity detection, and the integration of relational information. Experiments conducted on… More >

  • Open Access

    ARTICLE

    Enhanced Hybrid Equilibrium Strategy in Fog-Cloud Computing Networks with Optimal Task Scheduling

    Muchang Rao, Hang Qin*

    CMC-Computers, Materials & Continua, Vol.79, No.2, pp. 2647-2672, 2024, DOI:10.32604/cmc.2024.050380

    Abstract More devices in the Intelligent Internet of Things (AIoT) result in an increased number of tasks that require low latency and real-time responsiveness, leading to an increased demand for computational resources. Cloud computing’s low-latency performance issues in AIoT scenarios have led researchers to explore fog computing as a complementary extension. However, the effective allocation of resources for task execution within fog environments, characterized by limitations and heterogeneity in computational resources, remains a formidable challenge. To tackle this challenge, in this study, we integrate fog computing and cloud computing. We begin by establishing a fog-cloud environment framework, followed by the formulation… More >

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