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  • 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… More >

  • Open Access

    ARTICLE

    Fetal heart size measurements as new predictors of homozygous α-thalassemia-1 in mid-pregnancy

    Xinyan Li1, Xiaoxia Qiu1, Huan Huang1, Yili Zhao2, Xueqin Li1, Meng Li1, Xiaoxian Tian1

    Congenital Heart Disease, Vol.13, No.2, pp. 282-287, 2018, DOI:10.1111/chd.12568

    Abstract Objective: To evaluate the efficacy of using fetal heart size measurements derived from axial echocardiography to predict homozygous α-thalassemia-1.
    Design: Prospective diagnostic study.
    Setting: The carrier rate of α-thalassemia-1 (–/αα) in China’s Guangxi Zhuang Autonomous Region is approximately 15%. If both parents are carriers, the risk of homozygous a-thalassemia-1 in one pregnancy is 25%.
    Patients: Singleton mid-pregnancies at risk of homozygous α-thalassemia-1 were enrolled.
    Outcome Measures: Fetal heart measurements, including heart diameter (HD), heart length (HL), heart circumference (HC), and heart area (HA), were measured. The z-scores for these heart parameters were then calculated separately based on previously constructed z-score… More >

  • Open Access

    ARTICLE

    Comparisons of MFDFA, EMD and WT by Neural Network, Mahalanobis Distance and SVM in Fault Diagnosis of Gearboxes

    Jinshan Lina*, Chunhong Doub, Qianqian Wanga

    Sound & Vibration, Vol.52, No.2, pp. 11-15, 2018, DOI:10.32604/sv.2018.03653

    Abstract A method for gearbox fault diagnosis consists of feature extraction and fault identification. Many methods for feature extraction have been devised for exposing nature of vibration data of a defective gearbox. In addition, features extracted from gearbox vibration data are identified by various classifiers. However, existing literatures leave much to be desired in assessing performance of different combinatorial methods for gearbox fault diagnosis. To this end, this paper evaluated performance of several typical combinatorial methods for gearbox fault diagnosis by associating each of multifractal detrended fluctuation analysis (MFDFA), empirical mode decomposition (EMD) and wavelet transform More >

  • Open Access

    ARTICLE

    Use of Discrete Wavelet Features and Support Vector Machine for Fault Diagnosis of Face Milling Tool

    C. K. Madhusudana1, N. Gangadhar1, Hemantha Kumar, Kumar,*,1, S. Narendranath1

    Structural Durability & Health Monitoring, Vol.12, No.2, pp. 111-127, 2018, DOI:10.3970/sdhm.2018.01262

    Abstract This paper presents the fault diagnosis of face milling tool based on machine learning approach. While machining, spindle vibration signals in feed direction under healthy and faulty conditions of the milling tool are acquired. A set of discrete wavelet features is extracted from the vibration signals using discrete wavelet transform (DWT) technique. The decision tree technique is used to select significant features out of all extracted wavelet features. C-support vector classification (C-SVC) and ν-support vector classification (ν-SVC) models with different kernel functions of support vector machine (SVM) are used to study and classify the tool More >

  • Open Access

    ARTICLE

    Fault Diagnosis of Motor in Frequency Domain Signal by Stacked De-noising Auto-encoder

    Xiaoping Zhao1, Jiaxin Wu1,*, Yonghong Zhang2, Yunqing Shi3, Lihua Wang2

    CMC-Computers, Materials & Continua, Vol.57, No.2, pp. 223-242, 2018, DOI:10.32604/cmc.2018.02490

    Abstract With the rapid development of mechanical equipment, mechanical health monitoring field has entered the era of big data. Deep learning has made a great achievement in the processing of large data of image and speech due to the powerful modeling capabilities, this also brings influence to the mechanical fault diagnosis field. Therefore, according to the characteristics of motor vibration signals (nonstationary and difficult to deal with) and mechanical ‘big data’, combined with deep learning, a motor fault diagnosis method based on stacked de-noising auto-encoder is proposed. The frequency domain signals obtained by the Fourier transform More >

  • Open Access

    ARTICLE

    Feature Selection Method Based on Class Discriminative Degree for Intelligent Medical Diagnosis

    Shengqun Fang1, Zhiping Cai1,*, Wencheng Sun1, Anfeng Liu2, Fang Liu3, Zhiyao Liang4, Guoyan Wang5

    CMC-Computers, Materials & Continua, Vol.55, No.3, pp. 419-433, 2018, DOI:10.3970/cmc.2018.02289

    Abstract By using efficient and timely medical diagnostic decision making, clinicians can positively impact the quality and cost of medical care. However, the high similarity of clinical manifestations between diseases and the limitation of clinicians’ knowledge both bring much difficulty to decision making in diagnosis. Therefore, building a decision support system that can assist medical staff in diagnosing and treating diseases has lately received growing attentions in the medical domain. In this paper, we employ a multi-label classification framework to classify the Chinese electronic medical records to establish corresponding relation between the medical records and disease… More >

  • Open Access

    ARTICLE

    Family perception of unmet support needs following a diagnosis of congenital coronary anomaly in children: Results of a survey

    Hitesh Agrawal1,2, Oriana K. Wright3, Kathleen E. Carberry1,4, S. Kristen Sexson Tejtel1,2, Carlos M. Mery1,5, Silvana Molossi1,2

    Congenital Heart Disease, Vol.12, No.6, pp. 721-725, 2017, DOI:10.1111/chd.12473

    Abstract Background: Long-term outcome data on patients with anomalous aortic origin of coronary arteries (AAOCA) is sparse and they are often managed in a nonuniform manner. There is subjective perception of anxiety and unmet needs in these patients and families.
    Methods: An online survey of 13 questions was sent to 74 families of patients with AAOCA between May and October 2015. Descriptive statistics were performed.
    Results: A total of 31 (47%) families responded. Of these, 27 expressed the need to interact with other patients/families with AAOCA. The majority were interested in either face-to-face meetings (77%) or online support groups… More >

  • Open Access

    ARTICLE

    Myocardial bridges: Overview of diagnosis and management

    Ian S. Rogers1,2, Jennifer A. Tremmel1, Ingela Schnittger1

    Congenital Heart Disease, Vol.12, No.5, pp. 619-623, 2017, DOI:10.1111/chd.12499

    Abstract A myocardial bridge is a segment of a coronary artery that travels into the myocardium instead of the normal epicardial course. Although it is general perception that myocardial bridges are normal variants, patients with myocardial bridges can present with symptoms, such as exertional chest pain, that cannot be explained by a secondary etiology. Such patients may benefit from individualized medical/ surgical therapy. This article describes the prevalence, clinical presentation, classification, evaluation, and management of children and adults with symptomatic myocardial bridges. More >

  • Open Access

    ARTICLE

    Right aortic arch with situs solitus frequently heralds a vascular ring

    William N. Evans1,2, Ruben J. Acherman1,2, Michael L. Ciccolo1,3, Sergio A. Carrillo1,3, Gary A. Mayman1,2, Carlos F. Luna1,2, Robert C. Rollins1,2, William J. Castillo1,2, Alvaro Galindo1,2, Abraham Rothman1,2, John A. Alexander1,2, Tina W. Kwan1,2, Humberto Restrepo1,2

    Congenital Heart Disease, Vol.12, No.5, pp. 583-587, 2017, DOI:10.1111/chd.12487

    Abstract Objective: We hypothesized that a right aortic arch in situs solitus, with or without an associated cardiovascular malformation, is often associated with a vascular ring.
    Methods: From those born in Southern Nevada between March 2012 and March 2017, we identified 50 (3.6 per 10,000 live births) with a right aortic arch and situs solitus. From the 50 patients, 6 did not meet inclusion criteria for further analysis.
    Results: Of the 44 remaining, 33 (75%) had a vascular ring. Of the 33 with a vascular ring, 26 (79%) occurred with an isolated right aortic arch, and 7 (21%) had More >

  • Open Access

    ARTICLE

    Condition Monitoring of Roller Bearing by K-Star Classifier and K-Nearest Neighborhood Classifier Using Sound Signal.

    Rahul Kumar Sharma*1, V. Sugumaran1, Hemantha Kumar2, Amarnath M3

    Structural Durability & Health Monitoring, Vol.11, No.1, pp. 1-16, 2017, DOI:10.3970/sdhm.2017.012.001

    Abstract Most of the machineries in small or large scale industry have rotating element supported by bearings for rigid support and accurate movement. For proper functioning of machinery, condition monitoring of the bearing is very important. In present study sound signal is used to continuously monitor bearing health as sound signals of rotating machineries carry dynamic information of components. There are numerous studies in literature that are reporting superiority of vibration signal of bearing fault diagnosis. However, there are very few studies done using sound signal. The cost associated with condition monitoring using sound signal (Microphone)… More >

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