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  • Open Access

    ARTICLE

    Intraoperative Blood Glucose Levels and Postoperative Acute Kidney Injury in Pediatric Patients Having Congenital Heart Surgery under Cardiopulmonary Bypass

    Dongyun Bie1,#, Hongbai Wang1,#, Chaobin Zhang2, Chunrong Wang3, Yuan Jia1, Su Yuan1, Sheng Shi1, Jiangshan Huang1, Jianhui Wang1,*, Fuxia Yan1,*

    Congenital Heart Disease, Vol.18, No.4, pp. 475-488, 2023, DOI:10.32604/chd.2023.028017

    Abstract Purpose: This study sought to explore the effect of intraoperative mean blood glucose levels and variability on postoperative acute kidney injury (AKI) in children undergoing congenital cardiac surgery. Methods: We conducted a prospective nested case-control study in children (age < 18 years) undergoing congenital heart surgery with cardiopulmonary bypass (CPB) at the Fuwai Hospital between April 01, 2022 and July 30, 2022. Cases were individuals who developed AKI within the first postoperative 7 days (AKI group) and controls were those without AKI (Non-AKI group) according to KDIGO criteria. AKI and Non-AKI groups unmatched and 1:1 matched by age, sex, and baseline serum… More > Graphic Abstract

    Intraoperative Blood Glucose Levels and Postoperative Acute Kidney Injury in Pediatric Patients Having Congenital Heart Surgery under Cardiopulmonary Bypass

  • Open Access

    ARTICLE

    Recognition System for Diagnosing Pneumonia and Bronchitis Using Children’s Breathing Sounds Based on Transfer Learning

    Jianying Shi1, Shengchao Chen1, Benguo Yu2, Yi Ren3,*, Guanjun Wang1,4,*, Chenyang Xue5

    Intelligent Automation & Soft Computing, Vol.37, No.3, pp. 3235-3258, 2023, DOI:10.32604/iasc.2023.041392

    Abstract Respiratory infections in children increase the risk of fatal lung disease, making effective identification and analysis of breath sounds essential. However, most studies have focused on adults ignoring pediatric patients whose lungs are more vulnerable due to an imperfect immune system, and the scarcity of medical data has limited the development of deep learning methods toward reliability and high classification accuracy. In this work, we collected three types of breath sounds from children with normal (120 recordings), bronchitis (120 recordings), and pneumonia (120 recordings) at the posterior chest position using an off-the-shelf 3M electronic stethoscope. Three features were extracted from… More >

  • Open Access

    ARTICLE

    The Relationship between Rural Left-Behind Children’s Physical Activity and Hope: The Mediating Effects of Perceived Social Support

    Menglong Li*, Yujia Ren

    International Journal of Mental Health Promotion, Vol.25, No.9, pp. 1033-1039, 2023, DOI:10.32604/ijmhp.2023.028243

    Abstract It has been confirmed in previous studies that there is a positive correlation between physical activity and hope. In this study, rural left-behind children in China was taken as the participants to investigate the impact of physical activity on hope in rural left-behind children and examine the mediating role of perceived social support in the relationship between physical activity and hope. 797 valid copies of the questionnaire were collected from China. Pearson correlation coefficient was employed to analyze the relationship between physical activity and hope; SEM and Bootstrap were used to test the mediating effect of perceived social support. The… More >

  • Open Access

    ARTICLE

    Research on Teaching Method of Children’s Image Cognition Based on AR Technology

    Jie Gui1,2,*, Joohyun Suh3

    Journal on Internet of Things, Vol.4, No.4, pp. 197-213, 2022, DOI:10.32604/jiot.2022.037182

    Abstract In this paper, the research on the teaching method of children’s image cognition based on AR technology is carried out. By analyzing the principle of AR technology to recognize images, we understand that AR technology can promote children’s image cognition, and this teaching method is in line with the Tower of Experience theory. It further analyzes the current situation of children’s image cognition teaching with simple teaching methods, backward AR teaching tools, and poor perception of teaching objects. Teachers’ traditional image teaching methods cannot effectively and efficiently improve children’s image cognition. Therefore, based on AR technology, two commonly used image… More >

  • Open Access

    ARTICLE

    Examination of the Illness Representations among Children with T1DM in Relation to Mental Health Factors

    Brigitta Munkácsi1,*, Enikő Felszeghy1, Flóra Kenyhercz2, Beáta Erika Nagy1

    International Journal of Mental Health Promotion, Vol.25, No.8, pp. 961-969, 2023, DOI:10.32604/ijmhp.2023.027319

    Abstract The most common comorbid psychiatric disorders in children with type 1 diabetes mellitus (T1DM) are depression, anxiety and behavioral disorders. Patients with comorbid psychopathology are less capable of psychically adjusting to the new life situation resulting from T1DM, which may negatively affect glycemic control and adherence related to the treatment. We aimed to investigate the association between mental health and type 1 diabetes including illness representation. 115 children and adolescents with T1DM were recruited through the outpatient clinic in Debrecen, Hungary. Measures: PRISM-D, Child Depression Inventory (CDI), Cantril Ladder and Self-Rated Health, Glycosylaeted haemoglobin (HbA1C) were measured. Children having depressive… More > Graphic Abstract

    Examination of the Illness Representations among Children with T1DM in Relation to Mental Health Factors

  • Open Access

    ARTICLE

    Effect of a Double Helical Spring Decompression Structure Backpack on the Lumbar Spine Biomechanics of School-Age Children: A Finite Element Study

    Fengping Li1, Dong Sun1,*, Qiaolin Zhang1,2,3, Hairong Chen1,2,3, István Bíró2,3, Zhiyi Zheng4, Yaodong Gu1,*

    Molecular & Cellular Biomechanics, Vol.20, No.1, pp. 35-47, 2023, DOI:10.32604/mcb.2023.041016

    Abstract Background: A children’s backpack is one of the important school supplies for school-age children. Long-term excessive weight can cause spinal deformity that cannot be reversed. This study compared a double helical spring decompression structure backpack (DHSB) with a traditional backpack (TB) to explore the optimization of decompression devices on upper body pressure. The finite element (FE) method was then used to explore the simulation of lumbar stress with different backpacks, in order to prove that DHSB can reduce the influence of backpack weight on lumbar vertebrae, avoid the occurrence of muscle discomfort and spinal deformity in children; Methods: 18 male… More > Graphic Abstract

    Effect of a Double Helical Spring Decompression Structure Backpack on the Lumbar Spine Biomechanics of School-Age Children: A Finite Element Study

  • Open Access

    ARTICLE

    Optimized Three-Dimensional Cardiovascular Magnetic Resonance Whole Heart Imaging Utilizing Non-Selective Excitation and Compressed Sensing in Children and Adults with Congenital Heart Disease

    Ingo Paetsch1,*, Roman Gebauer2, Christian Paech2, Frank-Thomas Riede2, Sabrina Oebel1, Andreas Bollmann1, Christian Stehning3, Jouke Smink4, Ingo Daehnert2, Cosima Jahnke1

    Congenital Heart Disease, Vol.18, No.3, pp. 279-294, 2023, DOI:10.32604/chd.2023.029634

    Abstract Background: In congenital heart disease (CHD) patients, detailed three-dimensional anatomy depiction plays a pivotal role for diagnosis and therapeutical decision making. Hence, the present study investigated the applicability of an advanced cardiovascular magnetic resonance (CMR) whole heart imaging approach utilizing nonselective excitation and compressed sensing for anatomical assessment and interventional guidance of CHD patients in comparison to conventional dynamic CMR angiography. Methods: 86 consecutive pediatric patients and adults with congenital heart disease (age, 1 to 74 years; mean, 35 years) underwent CMR imaging including a free-breathing, ECG-triggered 3D nonselective SSFP whole heart acquisition using compressed SENSE (nsWHcs). Anatomical assessability and… More >

  • Open Access

    ARTICLE

    Having a Partner and Having Children: Comparisons of Adults with Congenital Heart Disease and the General Population: A 15-Year Case-Control Study

    Siegfried Geyer1,*, Claudia Dellas2, Thomas Paul2, Matthias Müller2, Kambiz Norozi2,3,4

    Congenital Heart Disease, Vol.18, No.3, pp. 337-348, 2023, DOI:10.32604/chd.2023.028827

    Abstract Objectives: To examine whether patients with congenital heart disease (CHD) are less likely to have a partner or children than individuals from the general population. Methods: Longitudinal study with two assessments of the same patients (n = 244) from a hospital population and controls (n = 238) from the German Socio-Economic Panel (GSOEP) using parental education, patients age, and sex as matching criteria. The first patient study was conducted between 5/2003 and 6/2004, the second one between 5/2017 and 4/2019. Controls were drawn from GSOEP-surveys 2004 and 2018. CHD-severity was classified according to type of surgery: curative, reparative, or palliative.… More > Graphic Abstract

    Having a Partner and Having Children: Comparisons of Adults with Congenital Heart Disease and the General Population: A 15-Year Case-Control Study

  • Open Access

    ARTICLE

    “I Dread the Heart Surgery but it Keeps My Child Alive”—Experiences of Parents of Children with Right Ventricular Outflow Tract Anomalies during the Assessment for Cardiac Reoperation

    Birgitta Svensson1,2,*, Petru Liuba1,2, Anne Wennick3, Malin Berghammer4,5

    Congenital Heart Disease, Vol.18, No.3, pp. 349-359, 2023, DOI:10.32604/chd.2023.028391

    Abstract Background: Parents of children with complex right ventricular outflow tract (RVOT) anomalies are confronted with their child’s need for heart surgery early in life and repeated reoperations later on. Preoperative assessment needs to be performed whenever an indication for reoperation is suspected. The aim was to illuminate the experiences of parents of children diagnosed with RVOT anomalies, in particular, how they experience their child’s heart disease and everyday life during the assessment and after the decision on whether to perform a reoperation. Method: Individual interviews (n = 27) were conducted with nine parents on three occasions between 2014 and 2016 and analyzed… More >

  • Open Access

    ARTICLE

    Transcatheter Ventricular Septal Defect Closure with Nit-Occlud Lê VSD Device—Five Years’ Experience and Literature Review

    Ivana B. Cerović1, Vladislav A. Vukomanović1,2, Jovan Lj. Košutić1,2, Mila S. Stajević1,2, Sanja S. Ninić1, Saša S. Popović1, Ivan D. Dizdarević1, Staša D. Krasić1, Sergej M. Prijić1,2,*

    Congenital Heart Disease, Vol.18, No.3, pp. 361-371, 2023, DOI:10.32604/chd.2023.026533

    Abstract Introduction: Transcatheter closure is an alternative to ventricular septal defect (VSD) occlusion surgery. Nit-Occlud Lê VSD coil is a new device yet to be evaluated. The study aimed to evaluate immediate and midterm results after transcatheter closure with the Nit-Occlud Lê VSD device. Methods: The retrospective analysis included 30 patients with VSD referred for closure during the period from October 2015 to December 2020. Results: At the time of intervention, the patients’ mean age and body weights were 7.5 ± 5.6 years and 29.3 ± 19.1 kg. The majority of the defects had perimembranous location (24/30), four defects had muscular and two outlet subaortic position.… More >

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