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  • Open Access

    CASE REPORT

    Implementation of a High-Risk Outpatient Clinic for Children with Complex Congenital Heart Disease in a Reference Service in Brazil

    Gustavo Foronda1,2, Vanessa Ferreira Amorim de Melo2,3,*, Claudia Regina Pinheiro de Castro Grau4, Ingrid Magatti Piva1, Glaucia Maria Penha Tavares4, Ana Cristina Sayuri Tanaka1, Nana Miura1

    Congenital Heart Disease, Vol.18, No.6, pp. 649-656, 2023, DOI:10.32604/chd.2023.027987

    Abstract Background: Children with congenital heart disease (CHD), even after surgical approaches, and especially those who undergo staged procedures in the first months of life, remain vulnerable to readmissions and complications, requiring very close monitoring and differentiated intervention strategies. Methods: Descriptive and exploratory study, of the experience report type, which presents the process of building the high-risk outpatient clinic for complex congenital heart diseases (AAR) at the Instituto do Coração (InCor). Results: Report of the path taken to structure the AAR, demonstrating the organization, interface with the multidisciplinary team, admission and discharge criteria, training, and patient profile. In these five years… More >

  • Open Access

    ARTICLE

    The Effect of Atrial Septal Defect Closure on Cardiac Volumetric Changes in Adults, Transcatheter Versus Surgical Closure, a Pilot Cardiac Magnetic Resonance Study

    Amr Mansour1, Noha M. Gamal2,*, Alaa M. Nady3, Amr Ibraheem3, Dalia M. Salah4, Khaled M. El-Maghraby2

    Congenital Heart Disease, Vol.18, No.6, pp. 679-691, 2023, DOI:10.32604/chd.2023.020028

    Abstract Background: Closure of an atrial septal defect (ASD) reduces right-side heart volumes by abolishing shunting with simultaneous improvement of the left ventricle (LV) filling and functions due to ventricular interdependence, thereby improving symptoms. Furthermore, studies conducted on atrial volume changes after ASD closure are limited. Cardiac magnetic resonance (CMR) is considered as the gold standard method for measuring cardiac volume and mass. Objective: We aimed to study the effect of transcatheter and surgical closure of secundum ASD on cardiac volumes and systolic functions as well as the fate of tricuspid regurgitation (TR), using CMR analysis. Methods: We prospectively enrolled 30… More >

  • Open Access

    ARTICLE

    Impact Analysis of Microscopic Defect Types on the Macroscopic Crack Propagation in Sintered Silver Nanoparticles

    Zhongqing Zhang1, Bo Wan1,*, Guicui Fu1, Yutai Su2,*, Zhaoxi Wu3, Xiangfen Wang1, Xu Long2

    CMES-Computer Modeling in Engineering & Sciences, Vol.139, No.1, pp. 441-458, 2024, DOI:10.32604/cmes.2023.043616

    Abstract Sintered silver nanoparticles (AgNPs) are widely used in high-power electronics due to their exceptional properties. However, the material reliability is significantly affected by various microscopic defects. In this work, the three primary micro-defect types at potential stress concentrations in sintered AgNPs are identified, categorized, and quantified. Molecular dynamics (MD) simulations are employed to observe the failure evolution of different microscopic defects. The dominant mechanisms responsible for this evolution are dislocation nucleation and dislocation motion. At the same time, this paper clarifies the quantitative relationship between the tensile strain amount and the failure mechanism transitions of the three defect types by… More >

  • Open Access

    ARTICLE

    Real-Time Remote-Mentored Echocardiography in Management of Newborns with Critical Congenital Heart Defects

    Håvard Bjerkeseth Solvin1,2,5,*, Simone Goa Diab1,4, Ole Jakob Elle2,3, Henrik Holmstrøm1,4, Henrik Brun2,4,*

    Congenital Heart Disease, Vol.18, No.5, pp. 551-559, 2023, DOI:10.32604/chd.2023.031537

    Abstract Background: The management of suspected critical congenital heart defects (CCHD) relies on timely echocardiographic diagnosis. The availability of experienced echocardiographers is limited or even non-existent in many hospitals with obstetric units. This study evaluates remote-mentored echocardiography performed by physicians without experience in imaging of congenital heart defects (CHD). Methods: The setup included a pediatric cardiologist in a separate room, guiding a physician without experience in echocardiographic imaging of CHD in the examination of a symptomatic newborn. This remote-mentoring pair was blinded to the diagnosis of the newborn and presented with a simplified patient history. The echocardiographic images were streamed to… More > Graphic Abstract

    Real-Time Remote-Mentored Echocardiography in Management of Newborns with Critical Congenital Heart Defects

  • Open Access

    ARTICLE

    Maternal Vascular Dysfunction in Congenital Heart Defects

    Yanli Liu1,2, Fengzhen Han2, Jian Zhuang4, Yanqiu Ou4, Yanji Qu5, Yanyan Lin2, Weina Zhang2, Haiping Wang3,*, Liping Huang1,*

    Congenital Heart Disease, Vol.18, No.5, pp. 561-570, 2023, DOI:10.32604/chd.2023.030511

    Abstract Background: Research on fetal congenital heart defect (CHD) mostly focuses on etiology and mechanisms. However, studies on maternal complications or pathophysiology are limited. Our objective was to determine whether vascular dysfunction exists in pregnant women carrying a fetus with congenital heart defects. Methods: We conducted a case-control study. 27 cases of pregnant women carrying a fetus with major CHD admitted to our hospital for delivery between April 2021 and August 2022 were selected. Every case was matched with about 2 pregnant complication-free controls without fetal abnormalities. The proangiogenic and anti-angiogenic factors and pregnancy outcomes were compared. Results: The proangiogenic factors… More > Graphic Abstract

    Maternal Vascular Dysfunction in Congenital Heart Defects

  • Open Access

    ARTICLE

    Graph-Based Feature Learning for Cross-Project Software Defect Prediction

    Ahmed Abdu1, Zhengjun Zhai1,2, Hakim A. Abdo3, Redhwan Algabri4,*, Sungon Lee5,*

    CMC-Computers, Materials & Continua, Vol.77, No.1, pp. 161-180, 2023, DOI:10.32604/cmc.2023.043680

    Abstract Cross-project software defect prediction (CPDP) aims to enhance defect prediction in target projects with limited or no historical data by leveraging information from related source projects. The existing CPDP approaches rely on static metrics or dynamic syntactic features, which have shown limited effectiveness in CPDP due to their inability to capture higher-level system properties, such as complex design patterns, relationships between multiple functions, and dependencies in different software projects, that are important for CPDP. This paper introduces a novel approach, a graph-based feature learning model for CPDP (GB-CPDP), that utilizes NetworkX to extract features and learn representations of program entities… More >

  • Open Access

    ARTICLE

    Rail Surface Defect Detection Based on Improved UPerNet and Connected Component Analysis

    Yongzhi Min1,2,*, Jiafeng Li3, Yaxing Li1

    CMC-Computers, Materials & Continua, Vol.77, No.1, pp. 941-962, 2023, DOI:10.32604/cmc.2023.041182

    Abstract To guarantee the safety of railway operations, the swift detection of rail surface defects becomes imperative. Traditional methods of manual inspection and conventional nondestructive testing prove inefficient, especially when scaling to extensive railway networks. Moreover, the unpredictable and intricate nature of defect edge shapes further complicates detection efforts. Addressing these challenges, this paper introduces an enhanced Unified Perceptual Parsing for Scene Understanding Network (UPerNet) tailored for rail surface defect detection. Notably, the Swin Transformer Tiny version (Swin-T) network, underpinned by the Transformer architecture, is employed for adept feature extraction. This approach capitalizes on the global information present in the image… More >

  • Open Access

    ARTICLE

    Research and Application of Log Defect Detection and Visualization System Based on Dry Coupling Ultrasonic Method

    Yongning Yuan1, Dong Zhang2, Usama Sayed3, Hao Zhu1, Jun Wang4, Xiaojun Yang2, Zheng Wang2,*

    Journal of Renewable Materials, Vol.11, No.11, pp. 3917-3932, 2023, DOI:10.32604/jrm.2023.028764

    Abstract In order to optimize the wood internal quality detection and evaluation system and improve the comprehensive utilization rate of wood, this paper invented a set of log internal defect detection and visualization system by using the ultrasonic dry coupling agent method. The detection and visualization analysis of internal log defects were realized through log specimen test. The main conclusions show that the accuracy, reliability and practicability of the system for detecting the internal defects of log specimens have been effectively verified. The system can make the edge of the detected image smooth by interpolation algorithm, and the edge detection algorithm… More >

  • Open Access

    ARTICLE

    Mortality Rates of Ventricular Septal Defect for Children in Kazakhstan: Spatio-Temporal Epidemiological Appraisal

    Akkerbez Adilbekova1,3,*, Shukhrat Marassulov1, Bakhytzhan Nurkeev1, Saken Kozhakhmetov2, Aikorkem Badambekova3

    Congenital Heart Disease, Vol.18, No.4, pp. 447-459, 2023, DOI:10.32604/chd.2023.028742

    Abstract Objective: The aim is to study the trends in ventricular septal defect (VSD) mortality in children in Kazakhstan. Methods: The retrospective study was done for the period 2011–2020. Descriptive and analytical methods of epidemiology were applied. The universally acknowledged methodology used in sanitary statistics is used to calculate the extensive, crude, and age-specific mortality rates. Results: Kazakhstan is thought to be seeing an increase in mortality from VSDs in children. As a result, this study for the years 2011 to 2020 was conducted to retrospectively assess data from the central registration of the Bureau of National Statistics that was available… More > Graphic Abstract

    Mortality Rates of Ventricular Septal Defect for Children in Kazakhstan: Spatio-Temporal Epidemiological Appraisal

  • Open Access

    PROCEEDINGS

    Comprehensive Simulation of Hot Shape Rolling by Considering the Casting Defects

    Umut Hanoglu1,2,*, Božidar Šarler1,2

    The International Conference on Computational & Experimental Engineering and Sciences, Vol.27, No.2, pp. 1-1, 2023, DOI:10.32604/icces.2023.09610

    Abstract In this research, a rolling simulation system based on a novel meshless solution procedure is upgraded considering casting defects in the material model. The improved model can predict the final stage of the defects after multi-pass rolling. The casted steel billet that enters the rolling mill arrives with casting defects. Those defects may be porosity due to the shrinkage and cavity or micro-cracks near the surface due to hot tearing. In this work, porosity is considered the main defect source since it can easily be determined experimentally. The damage theory develops a damaged stiffness matrix with a scalar damage value.… More >

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