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  • Open Access

    ARTICLE

    A Novel Technique for Estimating the Numerical Error in Solving the Helmholtz Equation

    Kue-Hong Chen1, *, Cheng-Tsung Chen2, 3

    CMC-Computers, Materials & Continua, Vol.64, No.1, pp. 145-160, 2020, DOI:10.32604/cmc.2020.08864

    Abstract In this study, we applied a defined auxiliary problem in a novel error estimation technique to estimate the numerical error in the method of fundamental solutions (MFS) for solving the Helmholtz equation. The defined auxiliary problem is substituted for the real problem, and its analytical solution is generated using the complementary solution set of the governing equation. By solving the auxiliary problem and comparing the solution with the quasianalytical solution, an error curve of the MFS versus the source location parameters can be obtained. Thus, the optimal location parameter can be identified. The convergent numerical solution can be obtained and… More >

  • Open Access

    ARTICLE

    A Novel Approach of Image Steganography for Secure Communication Based on LSB Substitution Technique

    Shahid Rahman1, Fahad Masood2, Wajid Ullah Khan2, Niamat Ullah1, Fazal Qudus Khan3, Georgios Tsaramirsis3, Sadeeq Jan4, *, Majid Ashraf5

    CMC-Computers, Materials & Continua, Vol.64, No.1, pp. 31-61, 2020, DOI:10.32604/cmc.2020.09186

    Abstract Steganography aims to hide the messages from unauthorized persons for various purposes, e.g., military correspondence, financial transaction data. Securing the data during transmission is of utmost importance these days. The confidentiality, integrity, and availability of the data are at risk because of the emerging technologies and complexity in software applications, and therefore, there is a need to secure such systems and data. There are various methodologies to deal with security issues when utilizing an open system like the Internet. This research proposes a new technique in steganography within RGB shading space to achieve enhanced security compared with existing systems. We… More >

  • Open Access

    ARTICLE

    Ability of noninvasive criteria to predict hemodynamically significant aortic obstruction in adults with coarctation of the aorta

    Marco Astengo1,2*, Caroline Berntsson3*, Åse A. Johnsson3,4, Peter Eriksson1,2, Mikael Dellborg1,2

    Congenital Heart Disease, Vol.12, No.2, pp. 174-180, 2017, DOI:10.1111/chd.12424

    Abstract Objective: Coarctation of the aorta (CoA) is a common condition. Adult patients with newly diagnosed CoA and patients with recurring or residual CoA require evaluation of the severity of aortic obstruction. Cardiac catheterization is considered the gold standard for the evaluation of hemodynamically significant CoA. The European Society of Cardiology (ESC) Guidelines for the management of grown-up congenital heart disease (GUCH) include noninvasive criteria for identifying significant CoA. Our aim was to investigate the ability of the Class I and Class IIa ESC recommendations to identify significant CoA at cardiac catheterization.
    Design: Sixty-six adult patients with native or recurrent CoA… More >

  • Open Access

    ARTICLE

    Effect of solute temperature in the measurement of cardiac output in children using the thermodilution technique

    Shyam Sathanandam1, Pooja Kashyap1, David Zurakowski2, Lindsey Bird1, Vera McGhee3, Jeffrey Towbin1, Benjamin Rush Waller III1

    Congenital Heart Disease, Vol.12, No.2, pp. 181-187, 2017, DOI:10.1111/chd.12423

    Abstract Objectives: The primary aim of this study was to compare thermodilution (TD) cardiac index (TDCi) measured by injecting cold saline (C-TDCi) to saline at room temperature (R-TDCi). The secondary aim was to assess the change in body temperature with cold saline injections in children.
    Design: This is a prospective, case control study.
    Setting: Cardiac catheterization lab at Le Bonheur Children’s Hospital, Memphis, Tennessee.
    Patients: Eighty-six children ≤18 years of age that underwent cardiac catheterization between April 2013 and April 2015, excluding patients with admixing lesions, on inotropic support and with ejection fraction < 30%.
    Interventions: A TD catheter in the… More >

  • Open Access

    ARTICLE

    Serial cardiac MRIs in adult Fontan patients detect progressive hepatic enlargement and congestion

    Matthew J. Lewis1, Elizabeth Hecht2, Jonathan Ginns1, Joshua Benton2, Martin Prince2, Marlon S. Rosenbaum1

    Congenital Heart Disease, Vol.12, No.2, pp. 153-158, 2017, DOI:10.1111/chd.12422

    Abstract Background: The progression of hepatic disease in adult Fontan patients is not well understood. They reviewed the experience with serial cardiac MRIs (CMR) in adult Fontan patients to determine if hepatic anatomic markers of prolonged Fontan exposure were present and if clinical predictors of progressive hepatic congestion could be identified.
    Methods and Results: A retrospective cohort study of all adult Fontan patients who had undergone at least two CMRs was performed. Hepatic dimensions, inferior vena cava (IVC) size, right hepatic vein (RHV) size and spleen diameter were determined from images acquired at the time of clinically guided CMR. Two radiologists… More >

  • Open Access

    ARTICLE

    Is pulse oximetry helpful for the early detection of critical congenital heart disease at high altitude?

    Fabricio González‐Andrade, Daniel Echeverría, Valeria López, Michaela Arellano

    Congenital Heart Disease, Vol.13, No.6, pp. 911-918, 2018, DOI:10.1111/chd.12654

    Abstract Objective: To assess the pulse oximetry as a method for screening critical congenital heart disease (CHD) in newborns.
    Study design: This is an observational, transversal, descriptive simple study. The pre‐ ductal and postductal saturation were taken in term newborns thatfulfilled the criteria of inclusion and exclusion in the Hospital Gineco‐Obstetrico Isidro Ayora (HGOIA) in Quito. These measurements were performed between the 24 and 48 h after birth. Those new‐ borns that saturated less than 90% on initial pulse oxìmetry underwent 3 successive measurements at 1‐h intervals. Those who saturate less than 90% after 3 measurements or have a difference higher… More >

  • Open Access

    ARTICLE

    Prenatal detection of critical cardiac outflow tract anomalies remains suboptimal despite revised obstetrical imaging guidelines

    Heather Y. Sun1, James A. Proudfoot2, Rachel T. McCandless1

    Congenital Heart Disease, Vol.13, No.5, pp. 748-756, 2018, DOI:10.1111/chd.12648

    Abstract Background: Fetal echocardiography can accurately diagnose critical congenital heart disease prenatally, but relies on referrals from abnormalities identified on routine obstetrical ultrasounds. Critical congenital heart disease that is frequently missed due to inadequate outflow tract imaging includes anomalies such as truncus arteriosus, double outlet right ventricle, transposition of the great arteries, tetralogy of Fallot, pulmonary stenosis, and aortic stenosis.
    Objective: This study evaluated the prenatal detection rate of critical outflow tract anomalies in a single urban pediatric hospital before and after “AIUM Practice Guideline for the Performance of Obstetric Ultrasound Examinations,” which incorporated outflow tract imaging.
    Design: Infants with outflow… More >

  • Open Access

    ARTICLE

    Right aortic arch with situs solitus

    William N. Evans1,2, Ruben J. Acherman1,2, Dean Berthoty3, Gary A. Mayman1,2, Michael L. Ciccolo1,4, Sergio A. Carrillo1,4, Humberto Restrepo1,2

    Congenital Heart Disease, Vol.13, No.4, pp. 624-627, 2018, DOI:10.1111/chd.12623

    Abstract Patients: We reviewed all patients evaluated at our center with situs solitus, levocardia, and a right aortic arch that were born between January 2000 and January 2018. Results: From our databases, we identified 204 patients. We excluded patients with a double aortic arch from analysis. Of the 204 patients, 103 (50%) were male. Of the 204 patients, 95 (47%) had an isolated right aortic arch. Of the 95 with an isolated right aortic arch, 4 (4%) had chromosome 22q11.2 deletion syndrome, and 89 (94%) had a vascular ring. Of the 204 patients, 109 (53%) had a surgical intracardiac malformation. Of… More >

  • Open Access

    ARTICLE

    Optimus covered stent: Advanced covered stent technology for complex congenital heart disease

    Gareth J. Morgan1, Matteo Ciuffreda2, Isabella Spadoni3, Joseph DeGiovanni4

    Congenital Heart Disease, Vol.13, No.3, pp. 458-462, 2018, DOI:10.1111/chd.12596

    Abstract Aim: To assess the acute results of the first human use of the Optimus covered stent in complex coarctation of the aorta.
    Methods and Results: We successfully implanted the Optimus covered stent in eight cases in patients whose preprocedural anatomy looked challenging for currently available covered stents. Six of the patients had native coarctation with one recoarctation following surgical repair. There were no significant complications with reduction in the mean invasive gradient from 22 to 1 mm Hg. The length of stents used ranged from 33 to 57 mm with a median shortening after expansion of 13%. Postprocedural follow-up with… More >

  • Open Access

    ARTICLE

    Lambl’s excrescences in children: Improved detection via transthoracic echocardiography

    Amanda L. Phillips1, Muhammad Yasir Qureshi1,2, Benjamin W. Eidem1,2,3, Frank Cetta1,2,3

    Congenital Heart Disease, Vol.13, No.2, pp. 251-253, 2018, DOI:10.1111/chd.12560

    Abstract Background: Lambl’s excrescences (LE) are fibrous extensions that can be found along the lines of closure of the aortic valve. Due to improvements in ultrasound technology, LE are frequently imaged during transthoracic echocardiography (TTE) in adults.
    Objective: The purpose of this study was to determine the prevalence of LE among children from two eras (2004–2006 and 2011–2012) and the effect of technological advancements on LE detection.
    Methods: TTE from 700 subjects (age 18 years old or younger) were reviewed. All parasternal long and short axis images of the aortic valve were reviewed by a board certified echocardiographer, and the positive… More >

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