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  • Open Access

    ARTICLE

    Clinical Effect of an Improved Post-Operative Feeding Protocol “in Transition” Infants of Congenital Heart Disease with Pulmonary Hypertension

    Huaying He1,2, Zhiyong Lin1,2, Yuelan Weng1,2, Jianjie Zhou1,2, Man Ye1,2, Xiaowei Luo1,2, Qifeng Zhao1,2,*

    Congenital Heart Disease, Vol.16, No.6, pp. 655-673, 2021, DOI:10.32604/CHD.2021.016054

    Abstract Background: To achieve successful management of infants with congenital heart disease (CHD) together with pulmonary hypertension (PH), postoperative care, especially feeding care is vital in addition to surgery. Postoperative feeding is comprised of three stages: feeding in the intensive care unit, feeding in the general ward and family feeding, in which the general ward is considered as the “transitional stage”. At present, there is little research on the optimal mode of feeding care for the transitional stage, and there is no universally recognized and accepted protocol. Methods: We retrospectively analyzed 114 CHD infants with PH who underwent family-centered (FC) feeding… More >

  • Open Access

    ARTICLE

    Reliability Based Multi-Objective Thermodynamic Cycle Optimisation of Turbofan Engines Using Luus-Jaakola Algorithm

    Vin Cent Tai1,*, Yong Chai Tan1, Nor Faiza Abd Rahman1, Yaw Yoong Sia2, Chan Chin Wang2, Lip Huat Saw3

    Energy Engineering, Vol.118, No.4, pp. 1057-1068, 2021, DOI:10.32604/EE.2021.014866

    Abstract Aircraft engine design is a complicated process, as it involves huge number of components. The design process begins with parametric cycle analysis. It is crucial to determine the optimum values of the cycle parameters that would give a robust design in the early phase of engine development, to shorten the design cycle for cost saving and man-hour reduction. To obtain a robust solution, optimisation program is often being executed more than once, especially in Reliability Based Design Optimisations (RBDO) with Monte-Carlo Simulation (MCS) scheme for complex systems which require thousands to millions of optimisation loops to be executed. This paper… More >

  • Open Access

    ARTICLE

    UAV Clustering Scheme for FANETs using Elbow-Hybrid Metaheuristic Techniques

    Kundan Kumar*, Rajeev Arya

    Computer Systems Science and Engineering, Vol.38, No.3, pp. 321-337, 2021, DOI:10.32604/csse.2021.016748

    Abstract Great strides have been made to realistically deploy multiple Unmanned Aerial Vehicles (UAVs) within the commercial domain, which demands a proper coordination and reliable communication among the UAVs. UAVs suffer from limited time of flight. Conventional techniques suffer from high delay, low throughput, and early node death due to aerial topology of UAV networks. To deal with these issues, this paper proposes a UAV parameter vector which considers node energy, channel state information and mobility of UAVs. By intelligently estimating the proposed parameter, the state of UAV can be predicted closely. Accordingly, efficient clustering may be achieved by using suitable… More >

  • Open Access

    ARTICLE

    High Prevalence of Genetic Alterations in Infantile-Onset Cardiomyopathy

    Junsung Park1, Go Hun Seo2, Yena Lee1, Yunha Choi1, Minji Kang3, Hyo-Sang Do3, Young-Hwue Kim4, Jeong Jin Yu4, Ellen Ai-Rhan Kim5, Euiseok Jung5, Byong Sop Lee5, Jae Suk Baek4,#,*, Beom Hee Lee1,6,#,*

    Congenital Heart Disease, Vol.16, No.4, pp. 397-410, 2021, DOI:10.32604/CHD.2021.015167

    Abstract Background and Method: The genetic cause of infantile-onset cardiomyopathy is rarely investigated. Here, we conducted whole exome sequencing (WES) and mitochondrial DNA (mtDNA) sequencing in eight patients with infantile-onset cardiomyopathy to identify genetic variations. Result: Among these patients, two (25%) had dilated cardiomyopathy (DCMP), two (25%) had left ventricular non-compaction (LVNC), and four (50%) had hypertrophic cardiomyopathy (HCMP). Except four patients identified prenatally, the remaining patients presented at a median age of 85.5 days. WES identified genetic variants in a total of seven (87.5%) patients and mtDNA sequencing in the other case. TPM1 and MYH7 variants were identified in the… More >

  • Open Access

    ARTICLE

    An Efficient Medium Access Control Mechanism for Flying Ad-hoc Networks

    Muhammad Asghar Khan1,*, Fazal Noor2, Insaf Ullah3, Sajjad ur Rehman4, Shibli Nisar5, Mohaira Ahmad5

    Computer Systems Science and Engineering, Vol.38, No.1, pp. 47-63, 2021, DOI:10.32604/csse.2021.016430

    Abstract The Flying Ad-hoc Networks (FANETs) is characterized by the transition from a single large Unmanned Aerial Vehicle (UAV) to multiple small UAVs connected in an ad-hoc fashion. Since high mobility is the core feature of such networks, they are prone to route breaks within the links. The issue of connectivity loss can be coped with, to some extent, by making use of omnidirectional antennas. Such modification, however, curtails Quality-of-Service (QoS) requirements of networks in terms of bandwidth, media access delay, coverage and others. Alternately, directional antennas have advantages over omnidirectional antennas such as improved transmission range, spatial reuse and high… More >

  • Open Access

    ARTICLE

    Screening Coarctation of Aorta with Clinical and Echocardiographic Profiles in Infants: A Pilot Study

    Ruikun Zou1, Yifei Wang1,*, Chengcheng Pang2, Yunxia Sun1, Chen Chen1, Jian Zhuang3

    Congenital Heart Disease, Vol.16, No.2, pp. 159-170, 2021, DOI:10.32604/CHD.2021.015050

    Abstract Aim: To determine the profiles of clinical features including four-limb blood pressure (BP), saturations of peripheral oxygen (SpO2), and echocardiographic features in infants with coarctation of aorta (CoA) to facilitate congenital heart diseases screening. Methods: The charts of infants with CoA were retrospectively reviewed. All in-hospital infants suspected of congenital heart diseases by clinical teams were prospectively measured of four limbs BPs and SpO2 in a regional cardiac transferring center during 2013 and 2019. Echocardiography as a gold standard test was followed within 2 days after suspicion. All infants were divided into non-significant CoA group or significant CoA group based… More >

  • Open Access

    CASE REPORT

    The ASD that Wouldn’t Go Away: An Unusual Case of ASD Device Failure in a Patient with Marfan Syndrome

    Christopher M. Day1,*, Neda Mulla2, Timothy Martens3, Brent M. Gordon2

    Congenital Heart Disease, Vol.16, No.2, pp. 183-187, 2021, DOI:10.32604/CHD.2021.014337

    Abstract Marfan syndrome patients have connective tissue abnormalities that predispose them to intracardiac defects and postoperative complications. We present a case of late onset ASD device failure secondary to device movement within the atrial septum in a girl with Marfan syndrome. This case study suggests that further studies are necessary to determine the optimal device and approach for ASD repair in this patient cohort. More >

  • Open Access

    ARTICLE

    An Improved iBAT-COOP Protocol for Cooperative Diversity in FANETs

    Shahzad Hameed1, Qurratul-Ain Minhas1, Sheeraz Ahmed2, Shabana Habib4, Mohammad Kamrul Hasan3, Muhammad Islam5, Sheroz Khan5,*

    CMC-Computers, Materials & Continua, Vol.67, No.2, pp. 2527-2546, 2021, DOI:10.32604/cmc.2021.013896

    Abstract Flying ad hoc networks (FANETs) present a challenging environment due to the dynamic and highly mobile nature of the network. Dynamic network topology and uncertain node mobility structure of FANETs do not aim to consider only one path transmission. Several different techniques are adopted to address the issues arising in FANETs, from game theory to clustering to channel estimation and other statistical schemes. These approaches mostly employ traditional concepts for problem solutions. One of the novel approaches that provide simpler solutions to more complex problems is to use biologically inspired schemes. Several Nature-inspired schemes address cooperation and alliance which can… More >

  • Open Access

    ARTICLE

    Reducing Occupational Noise Propagated from Centrifugal Fan through Dissipative Silencers: A Field Study

    Ali Safari Variani1, Masoumeh Ghorbanide1, Sajad Zare2, Saeid Ahmadi1,*, Zahra Hashemi3

    Sound & Vibration, Vol.55, No.1, pp. 31-41, 2021, DOI:10.32604/sv.2021.08930

    Abstract Acoustic performance of dissipative silencer was evaluated to determine the effectiveness of perforated duct porosity and absorbent material density in reducing occupational noise exposure propagated from centrifugal fan. Design charts were applied to predict noise reduction and length of a dissipative silencer. Dissipative silencers with various punched duct porosity (14%, 30% and 40%) and sound absorbent density (80 Kg/m3, 120 Kg/m3, and 140 Kg/m3) were designed and fabricated. According to ISO9612 and ISO11820, noise level was measured before and after installing all nine test silencers at fixed workstations around the discharge side of a centrifugal fan in a manufacturing plant.… 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

    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. All children, 0–18 years… More >

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