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  • Open Access

    ARTICLE

    Formal Modelling of Real-Time Self-Adaptive Multi-Agent Systems

    Awais Qasima, Syed Asad Raza Kazmib

    Intelligent Automation & Soft Computing, Vol.25, No.1, pp. 49-63, 2019, DOI:10.31209/2018.100000012

    Abstract The paradigm of multi-agent systems is very expressive to model distributed real-time systems. These real-time multi-agent systems by their working nature have temporal constraints as they need to operate in pervasive, dynamic and unpredictable environments. To achieve better fault-tolerance, they need to have the ability of self-adaptivity making them adaptable to the failures. Presently there is a lack of vocabulary for the formal modelling of real-time multi-agent systems with self-adaptive ability. In this research we proposed a framework named SMARTS for the formal modelling of self-adaptive real-time multi-agent systems. Our framework integrates MAPE-K interfaces, reflection More >

  • Open Access

    ARTICLE

    A Distributed Heterogeneous Inspection System for High Performance Inline Surface Defect Detection

    Yu-Cheng Chou1, Wei-Chieh Liao2, Yan-Liang Chen2, Ming Chang2, Po Ting Lin3

    Intelligent Automation & Soft Computing, Vol.25, No.1, pp. 79-90, 2019, DOI:10.31209/2018.100000011

    Abstract This paper presents the Distributed Heterogeneous Inspection System (DHIS), which comprises two CUDA workstations and is equipped with CPU distributed computing, CPU concurrent computing, and GPU concurrent computing functions. Thirty-two grayscale images, each with 5,000× 12,288 pixels and simulated defect patterns, were created to evaluate the performances of three system configurations: (1) DHIS; (2) two CUDA workstations with CPU distributed computing and GPU concurrent computing; (3) one CUDA workstation with GPU concurrent computing. Experimental results indicated that: (1) only DHIS can satisfy the time limit, and the average turnaround time of DHIS is 37.65% of More >

  • Open Access

    ARTICLE

    An Improved K-nearest Neighbor Algorithm Using Tree Structure and Pruning Technology

    Juan Li

    Intelligent Automation & Soft Computing, Vol.25, No.1, pp. 35-48, 2019, DOI:10.31209/2018.100000003

    Abstract K-Nearest Neighbor algorithm (KNN) is a simple and mature classification method. However there are susceptible factors influencing the classification performance, such as k value determination, the overlarge search space, unbalanced and multi-class patterns, etc. To deal with the above problems, a new classification algorithm that absorbs tree structure, tree pruning and adaptive k value method was proposed. The proposed algorithm can overcome the shortcoming of KNN, improve the performance of multi-class and unbalanced classification, reduce the scale of dataset maintaining the comparable classification accuracy. The simulations are conducted and the proposed algorithm is compared with several existing More >

  • Open Access

    ARTICLE

    Ductus arteriosus‐associated infective endarteritis: Lessons from the past, future perspective

    Alessia Callegari1, Barbara Burkhardt1, Christa Relly2, Walter Knirsch1, Martin Christmann1

    Congenital Heart Disease, Vol.14, No.4, pp. 671-677, 2019, DOI:10.1111/chd.12830

    Abstract Background: Since routine clinical use of antibiotics as well as surgical and catheter‐ based closure of a patent arterial duct (PDA), PDA‐associated infective endarteritis (PDA‐IE) is rare but can still occur when the ductus is still open or as it closes. Thus, clinicians should maintain a high index of concern for patients with unexplained fever.
    Methods: We report on a PDA‐IE in a young infant shortly after potentially delayed obliteration of a PDA. We discuss this case report by reviewing the literature in regard to the pathogenesis (infection primary or secondary to PDA thrombus formation), clinical (new… More >

  • Open Access

    ARTICLE

    Surgical treatment of anomalous left main coronary artery with an intraconal course

    Richard D. Mainwaring, Frank L. Hanley

    Congenital Heart Disease, Vol.14, No.4, pp. 504-510, 2019, DOI:10.1111/chd.12826

    Abstract Objective: Anomalous left main coronary artery (LMCA) with an intraconal course is a relatively rare form of anomalous aortic origin of a coronary artery (AAOCA) from the wrong sinus of Valsalva. There is currently a paucity of information regarding this entity. The purpose of this article is to review our surgical experience with repair of anomalous LMCA with an intraconal course.
    Methods: This was a retrospective review of 12 patients with an anomalous LMCA and an intraconal course who underwent surgical repair. The median age at surgery was 15 years (range 2‐47). The seven oldest patients all… More >

  • Open Access

    ARTICLE

    Alternative approach to pediatric cardiac quality assessment for low‐volume centers

    Amy E. Delaney1, Nina M. Dadlez2, Audrey C. Marshall2

    Congenital Heart Disease, Vol.14, No.4, pp. 665-670, 2019, DOI:10.1111/chd.12821

    Abstract Background: In pediatric cardiac care, many centers participate in multiple, national, domain‐specific registries, as a major component of their quality assessment and im‐ provement efforts. Small cardiac programs, whose clinical activities and scale may not be well‐suited to this approach, need alternative methods to assess and track quality.
    Methods: We conceived of and piloted a rapid‐approach cardiac quality assessment, intended to encompass multiple aspects of the service line, in a low‐volume program. The assessment incorporated previously identified measures, drawn from multiple sources, and ultimately relied on retrospective chart review.
    Results: A collaborative, multidisciplinary team formed and came to… More >

  • Open Access

    ARTICLE

    Cardiovascular risk factors in adults with coarctation of the aorta

    Maria Fedchenko, Zacharias Mandalenakis, Helena Dellborg, Görel Hultsberg‐Olsson, Anna Björk, Peter Eriksson, Mikael Dellborg

    Congenital Heart Disease, Vol.14, No.4, pp. 549-558, 2019, DOI:10.1111/chd.12785

    Abstract Background: The aging patient with adult congenital heart disease (ACHD) faces the risk of developing atherosclerotic disease. Patients with coarctation of the aorta (CoA) are especially vulnerable because of an inherent high risk of developing hy‐ pertension. However, data on the prevalence of other cardiovascular risk factors are scarce. Therefore, this study aimed to describe the prevalence of traditional cardio‐ vascular risk factors (diabetes, hypertension, hyperlipidemia, smoking, obesity, and sedentary lifestyle) in adult patients with CoA.
    Methods: Patients with CoA who were registered at the ACHD clinic in Gothenburg were asked to participate in a comprehensive cardiovascular… More >

  • Open Access

    ARTICLE

    Lost in the system? Transfer to adult congenital heart disease care—Challenges and solutions

    Jennifer Gerardin1, Cheryl Raskind‐Hood2, Fred H. Rodriguez3,4, Trenton Hoffman2, Andreas Kalogeropoulos5, Carol Hogue2, Wendy Book3

    Congenital Heart Disease, Vol.14, No.4, pp. 541-548, 2019, DOI:10.1111/chd.12780

    Abstract Objective: Transfer of congenital heart disease care from the pediatric to adult set‐ ting has been identified as a priority and is associated with better outcomes. Our objective is to determine what percentage of patients with congenital heart disease transferred to adult congenital cardiac care.
    Design: A retrospective cohort study.
    Setting: Referrals to a tertiary referral center for adult congenital heart disease pa‐ tients from its pediatric referral base.
    Patients: This resulted in 1514 patients age 16‐30, seen at least once in three pediat‐ ric Georgia health care systems during 2008‐2010.
    Interventions: We analyzed for protective factors associated with age‐appropriate… More >

  • Open Access

    ARTICLE

    Too little too late? Communication with patients with congenital heart disease about challenges of adult life

    Lisa X. Deng1, Lacey P. Gleason2, Katherine Awh2, Abigail May Khan3, David Drajpuch2,4, Stephanie Fuller5, Leah A. Goldberg2, Christopher E. Mascio5, Sara L. Partington2,4, Lynda Tobin2,4, Adrienne H. Kovacs3, Yuli Y. Kim2,4

    Congenital Heart Disease, Vol.14, No.4, pp. 534-540, 2019, DOI:10.1111/chd.12778

    Abstract Objective: To investigate the experiences and communication preferences of adult patients with congenital heart disease (CHD) in the domains of employment, insur‐ ance, and family planning.
    Design: Patients ≥ 18 years of age completed a questionnaire about experiences and communication preferences regarding employment, health insurance, and family planning.
    Results: Of 152 patients (median age = 33 years, 50% female, 35% with CHD of great complexity), one in four reported work‐related problems due to CHD and a quar‐ ter also recalled a previous gap in health insurance. Of females, 29% experienced an unplanned pregnancy. The median importance of discussion… More >

  • Open Access

    ARTICLE

    Do we have the ACHD physician resources we need to care for the burgeoning ACHD population?

    Fatima M. Ezzeddine1, Tabitha Moe2, Georges Ephrem3, William Aaron Kay3

    Congenital Heart Disease, Vol.14, No.4, pp. 511-516, 2019, DOI:10.1111/chd.12771

    Abstract Background: Delivery of care to the adult congenital heart disease (ACHD) popula‐ tion has been limited by a shortage in the ACHD physician resources. There is limited data regarding the adequacy of the ACHD physician resources in the United States and our population estimates are extrapolated from Canadian data. Therefore, we proposed to evaluate the adequacy of ACHD physician: patient ratios in the United States at both national and regional levels.
    Methods: Data from the Adult Congenital Heart Association (ACHA) website along with metropolitan area and statewide population data from 2016 US Census Bureau estimates were analyzed.… More >

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