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  • Open Access

    ARTICLE

    Epidemiologic Evolution Platform Using Integrated Modeling and Geographic Information System

    Adrian Brezulianu1, Oana Geman2,*, Muhammad Arif3, Iuliana Chiuchisan2, Octavian Postolache2, Guojun Wang3

    CMC-Computers, Materials & Continua, Vol.67, No.2, pp. 1645-1663, 2021, DOI:10.32604/cmc.2021.014225 - 05 February 2021

    Abstract At the international level, a major effort is being made to optimize the flow of data and information for health systems management. The studies show that medical and economic efficiency is strongly influenced by the level of development and complexity of implementing an integrated system of epidemiological monitoring and modeling. The solution proposed and described in this paper is addressed to all public and private institutions involved in the fight against the COVID-19 pandemic, using recognized methods and standards in this field. The Green-Epidemio is a platform adaptable to the specific features of any public… More >

  • Open Access

    ARTICLE

    Atrial Septal Defect in Children: The Incidence and Risk Factors for Diagnosis

    Gustaf Tanghöj1,*, Anna Lindam2, Petru Liuba3,4, Gunnar Sjöberg5, Estelle Naumburg1

    Congenital Heart Disease, Vol.15, No.5, pp. 287-299, 2020, DOI:10.32604/CHD.2020.011977 - 23 September 2020

    Abstract Objective: Secundum atrial septal defect (ASD II) is a common congenital heart defect, and interatrial communications among preterm children is even more common. The objective of this study was to calculate the incidence of ASD II in children, with assessment to gestational age at birth. Further, to assess maternal, prenatal and postnatal risk factors associated with ASD II among children of different gestational age at birth. Design: This national registry based retrospective incidence study was supplemented with a national case-control study, using the Swedish Register of Congenial Heart Disease, Swedish Medical Birth Register and Statistics Sweden.… More >

  • Open Access

    ARTICLE

    Obesity trends in children, adolescents, and young adults with congenital heart disease

    Jeremy M. Steele1,2, Tamar J. Preminger4, Francine G. Erenberg2, Lu Wang3, Katherine Dell2, Tarek Alsaied1, Kenneth G. Zahka2

    Congenital Heart Disease, Vol.14, No.4, pp. 517-524, 2019, DOI:10.1111/chd.12754

    Abstract Objectives: To determine the prevalence, age of onset, and risk factors for overweight and obesity in children with congenital heart disease (CHD).
    Study Design: Children with CHD who were seen at our institution from 1996 to 2017 were studied. Patients were full-time residents of the United States and were receiving all cardiac care at our institution. Patients were categorized by age and CHD diagnosis. The date of last normal weight for age and the date of first recorded weight in the range of overweight and obese were documented.
    Results: Nine hundred sixty-eight patients with CHD were included. The More >

  • Open Access

    ARTICLE

    Small atrial septal defects are associated with psychiatric diagnoses, emotional distress, and lower educational levels

    Sebastian Udholm1, Camilla Nyboe1, Thomas Meinertz Dantoft2, Torben Jørgensen2,3,4, Charlotte U. Rask5, Vibeke E. Hjortdal1

    Congenital Heart Disease, Vol.14, No.5, pp. 803-810, 2019, DOI:10.1111/chd.12808

    Abstract Objective: For the first time, we wish to assess the psychiatric burden in adult patients living with small, unrepaired atrial septal defects (ASD) using register‐based data, com‐ bined with self‐reported measures on levels emotional distress and educational status.
    Design: A descriptive study using both the unique Danish registries and validated psychiatric questionnaires and scales, including: The Symptom Checklist, Whiteley‐7, and Brief Illness Perception Questionnaire.
    Patients: Adult patients with small, unrepairedASD, diagnosed between 1953 and 2011.
    Outcome Measures: Number of register‐based psychiatric diagnoses. Additionally, symptoms of anxiety, depression, somatization, health anxiety, illness perception, and levels of educational attainment compared to… More >

  • Open Access

    ARTICLE

    Sudden cardiac death in the young: Epidemiology and overview

    Mark S. Link

    Congenital Heart Disease, Vol.12, No.5, pp. 597-599, 2017, DOI:10.1111/chd.12494

    Abstract Sudden cardiac death (SCD), particularly in the young athlete, is a rare though devastating event for families, institutions, and communities at large. It can also affect the nonathlete and occur at rest, although most commonly associated with exercise activities and/or sports participation. Common causes of SCD include cardiomyopathies, particularly hypertrophic cardiomyopathy in the United States, congenital coronary artery anomalies, channelopathies, among others. This report will explore an overview of the prevalence and causes of SCD in the young. More >

  • Open Access

    ARTICLE

    Trends, microbiology, and outcomes of infective endocarditis in children during 2000–2010 in the United States

    Shipra Gupta1, Ankit Sakhuja2, Eric McGrath1, Basim Asmar1

    Congenital Heart Disease, Vol.12, No.2, pp. 196-201, 2017, DOI:10.1111/chd.12425

    Abstract Background: We studied the incidence, trend, underlying conditions, microbiology, and outcomes of infective endocarditis (IE) in children during 11 years using Nationwide Inpatient Sample (NIS) database. This is the largest all-payer inpatient care database in the United States containing data for more than 8 million hospital stays from over 1000 hospitals.
    Methods: NIS data from 2000 to 2010 of primary discharge diagnosis of IE in children aged ≤19 years old were studied. Children with underlying congenital heart defects and acquired heart conditions were identified. Microbiological causative agents were recorded. Linear regression was used to assess trend of… More >

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