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Search results for: atrial septal defect
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</div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: atrial septal defect</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">491</span> Congenital Heart Defect(CHD) “The Silent Crises”; The Need for New Innovative Ways to Save the Ghanaian Child - A Retrospective Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Priscilla%20Akua%20Agyapong">Priscilla Akua Agyapong</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: In a country of nearly 34 million people, Ghana suffers from rapidly growing pediatric CHD cases and not enough pediatric specialists to attend to the burgeoning needs of these children. Most of the cases are either missed or diagnosed late, resulting in increased mortality. According to the National Cardiothoracic Centre, 1 in every 100,000 births in Ghana has CHD; however, there is limited data on the clinical presentation and its management, one of the many reasons I decided to do this case study coupled with the loss my 2 month old niece to multiple Ventricular Septal Defect 3 years ago due late diagnoses. Method: A retrospective cohort study was performed at the child health clinic of one of Ghana’s public tertiary Institutions using data from their electronic health record (EHR) from February 2021 to April 2022. All suspected or provisionally diagnosed cases were included in the analysis. Results: Records of over 3000 children were reviewed with an approximate male to female ratio of 1:1.53 cases diagnosed during the period of study, most of whom were less than 5 years of age. 25 cases had complete clinical records, with acyanotic septal defects being the most diagnosed. 62.5% of the cases were ventricular septal defects, followed by Patent Ductus Arteriosus (23%) and Atrial Septal Defects (4.5%). Tetralogy of Fallot was the most predominant and complex cyanotic CHD with 10%. Conclusion: The indeterminate coronary anatomy of infants makes it difficult to use only echocardiography and other conventional clinical methods in screening for CHDs. There are rising modernizations and new innovative ways that can be employed in Ghana for early detection, hence preventing the delay of a potential surgical repair. It is, therefore, imperative to create the needed awareness about these “SILENT CRISES” and help save the Ghanaian child’s life. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=congenital%20heart%20defect%28CHD%29" title="congenital heart defect(CHD)">congenital heart defect(CHD)</a>, <a href="https://publications.waset.org/abstracts/search?q=ventricular%20septal%20defect%28VSD%29" title=" ventricular septal defect(VSD)"> ventricular septal defect(VSD)</a>, <a href="https://publications.waset.org/abstracts/search?q=atrial%20septal%20defect%28ASD%29" title=" atrial septal defect(ASD)"> atrial septal defect(ASD)</a>, <a href="https://publications.waset.org/abstracts/search?q=patent%20ductus%20arteriosus%28PDA%29" title=" patent ductus arteriosus(PDA)"> patent ductus arteriosus(PDA)</a> </p> <a href="https://publications.waset.org/abstracts/169197/congenital-heart-defectchd-the-silent-crises-the-need-for-new-innovative-ways-to-save-the-ghanaian-child-a-retrospective-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/169197.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">89</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">490</span> Clinical Case Successful Surgical Treatment of Postinfarction Ventricular Septum Defect</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Melikulov%20A.%20A.">Melikulov A. A.</a>, <a href="https://publications.waset.org/abstracts/search?q=Toshpulotov%20Sh.%20G."> Toshpulotov Sh. G.</a>, <a href="https://publications.waset.org/abstracts/search?q=Akhmedova%20M.%20F."> Akhmedova M. F.</a>, <a href="https://publications.waset.org/abstracts/search?q=Beshimov%20A.%20S."> Beshimov A. S.</a>, <a href="https://publications.waset.org/abstracts/search?q=Rakhimov%20M.%20K.%20Zokirov%20N.%20K."> Rakhimov M. K. Zokirov N. K.</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Postinfarction ventricular septal defect (PVSD) is a rare but life-threatening complication of acute myocardial infarction. Currently, an alternative direction of minimally invasive treatment of postinfarction ventricular septal defect (PVSD) is being developed - transcatheter closure of the defect using an occluder, but surgical closure of the defect remains the <> correction of post-infarction VSD. Our article presents a case of successful surgical treatment of a patient with a large post-infarction rupture of the interventricular septum (IVS) and post-infarction LV aneurysm under cardiopulmonary bypass and parallel perfusion. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=echocardiography" title="echocardiography">echocardiography</a>, <a href="https://publications.waset.org/abstracts/search?q=myocardial%20infarction" title=" myocardial infarction"> myocardial infarction</a>, <a href="https://publications.waset.org/abstracts/search?q=ventricular%20septal%20defect" title=" ventricular septal defect"> ventricular septal defect</a>, <a href="https://publications.waset.org/abstracts/search?q=parallel%20perfusion" title=" parallel perfusion"> parallel perfusion</a> </p> <a href="https://publications.waset.org/abstracts/166006/clinical-case-successful-surgical-treatment-of-postinfarction-ventricular-septum-defect" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/166006.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">81</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">489</span> Two Cases of VACTERL Association in Pregnancy with Lymphocyte Therapy</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Seyed%20Mazyar%20Mortazavi">Seyed Mazyar Mortazavi</a>, <a href="https://publications.waset.org/abstracts/search?q=Masod%20Memari"> Masod Memari</a>, <a href="https://publications.waset.org/abstracts/search?q=Hasan%20Ali%20Ahmadi"> Hasan Ali Ahmadi</a>, <a href="https://publications.waset.org/abstracts/search?q=Zhaleh%20Abed"> Zhaleh Abed</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: VACTERL association is a rare disorder with various congenital malformations. The aetiology remains unknown. Combination of at least three congenital anomalies of the following criteria is required for diagnosis: vertebral defects, anal atresia, cardiac anomalies, tracheo-esophageal fistula, renal anomalies, and limb defects. Case presentation: The first case was 1-day old male neonate with multiple congenital anomalies was bore from 28 years old mother. The mother had history of pregnancy with lymphocyte therapy. His anomalies included: defects in thoracic and lumbar vertebral, anal atresia, bilateral hydronephrosis, atrial septal defect, and lower limb abnormality. Other anomalies were cryptorchidism and nasal canal narrowing. The second case was born with 32 weeks gestational age from mother with history of pregnancy with lymphocyte therapy. He had thoracic vertebral defect, cardiac anomalies and renal defect. Conclusion: diagnosis based on clinical finding is VACTERL association. Early diagnosis is very important to investigation and treatment of other coexistence anomalies. VACTERL association in mothers with history of pregnancy with lymphocyte therapy has suggested possibly of relationship between VACTERL association and this method of pregnancy. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=anal%20atresia" title="anal atresia">anal atresia</a>, <a href="https://publications.waset.org/abstracts/search?q=tracheo-esophageal%20fistula" title=" tracheo-esophageal fistula"> tracheo-esophageal fistula</a>, <a href="https://publications.waset.org/abstracts/search?q=atrial%20septal%20defect" title=" atrial septal defect"> atrial septal defect</a>, <a href="https://publications.waset.org/abstracts/search?q=lymphocyte%20therapy" title=" lymphocyte therapy"> lymphocyte therapy</a> </p> <a href="https://publications.waset.org/abstracts/16267/two-cases-of-vacterl-association-in-pregnancy-with-lymphocyte-therapy" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/16267.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">455</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">488</span> The Robotic Factor in Left Atrial Myxoma</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Abraham%20J.%20Rizkalla">Abraham J. Rizkalla</a>, <a href="https://publications.waset.org/abstracts/search?q=Tristan%20D.%20Yan"> Tristan D. Yan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Atrial myxoma is the most common primary cardiac tumor, and can result in cardiac failure secondary to obstruction, or systemic embolism due to fragmentation. Traditionally, excision of atrial an myxoma has been performed through median sternotomy, however the robotic approach offers several advantages including less pain, improved cosmesis, and faster recovery. Here, we highlight the less well recognized advantages and technical aspects to robotic myxoma resection. This video-presentation demonstrates the resection of a papillary subtype left atrial myxoma using the DaVinci© Xi surgical robot. The 10x magnification and 3D vision allows for the interface between the tumor and the interatrial septum to be accurately dissected, without the need to patch the interatrial septum. Several techniques to avoid tumor fragmentation and embolization are demonstrated throughout the procedure. The tumor was completely excised with clear margins. There was no atrial septal defect or mitral valve injury on post operative transesophageal echocardiography. The patient was discharged home on the fourth post-operative day. This video-presentation highlights the advantages of the robotic approach in atrial myxoma resection compared with sternotomy, as well as emphasizing several technical considerations to avoid potential complications. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cardiac%20surgery" title="cardiac surgery">cardiac surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=left%20atrial%20myxoma" title=" left atrial myxoma"> left atrial myxoma</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20tumour" title=" cardiac tumour"> cardiac tumour</a>, <a href="https://publications.waset.org/abstracts/search?q=robotic%20resection" title=" robotic resection"> robotic resection</a> </p> <a href="https://publications.waset.org/abstracts/161018/the-robotic-factor-in-left-atrial-myxoma" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/161018.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">72</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">487</span> A Case Report on Anesthetic Considerations in a Neonate with Isolated Oesophageal Atresia with Radiological Fallacy</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=T.%20Rakhi">T. Rakhi</a>, <a href="https://publications.waset.org/abstracts/search?q=Thrivikram%20Shenoy"> Thrivikram Shenoy</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Esophageal atresia is a disorder of maldevelopment of esophagus with or without a connection to the trachea. Radiological reviews are needed in consultation with the pediatric surgeon and neonatologist and we report a rare case of esophageal atresia associated with atrial septal defect-patent ductus arteriosus complex. A 2-day old female baby born at term, weighing 3.010kg, admitted to the Neonatal Intensive Care Unit with respiratory distress and excessive oral secretions. On examination, continuous murmur and cyanosis were seen. Esophageal atresia was suspected, after a failed attempt to pass a nasogastric tube. Chest radiograph showed coiling of the nasogastric tube and absent gas shadow in the abdomen. Echocardiography confirmed Patent Ductus Arteriosus with Atrial Septal Defect not in failure and was diagnosed with esophageal atresia with suspected fistula posted for surgical repair. After preliminary management with oxygenation, suctioning in prone position and antibiotics, investigations revealed Hb 17gms serum biochemistry, coagulation profile and C-Reactive Protein Test normal. The baby was premedicated with 5mcg of fentanyl and 100 mcg of midazolam and a rapid awake laryngoscopy was done to rule out difficult airway followed by induction with o2 air, sevo and atracurium 2 mg. Placement of a 3.5 tube was uneventful at first attempt and after confirming bilateral air entry positioned in the lateral position for Right thoracotomy. A pulse oximeter, Echocardiogram, Non-invasive Blood Pressure, temperature and a precordial stethoscope in left axilla were essential monitors. During thoracotomy, both the ends of the esophagus and the fistula could not be located after thorough search suggesting an on table finding of type A esophageal atresia. The baby was repositioned for gastrostomy, and cervical esophagostomy ventilated overnight and extubated uneventful. Absent gas shadow was overlooked and the purpose of this presentation is to create an awareness between the neonatologist, pediatric surgeons and anesthesiologist regarding variation of typing of Tracheoesophageal fistula pre and intraoperatively. A need for imaging modalities warranted for a definitive diagnosis in the presence of a gasless stomach. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=anesthetic" title="anesthetic">anesthetic</a>, <a href="https://publications.waset.org/abstracts/search?q=atrial%20septal%20defects" title=" atrial septal defects"> atrial septal defects</a>, <a href="https://publications.waset.org/abstracts/search?q=esophageal%20atresia" title=" esophageal atresia"> esophageal atresia</a>, <a href="https://publications.waset.org/abstracts/search?q=patent%20ductus%20arteriosus" title=" patent ductus arteriosus"> patent ductus arteriosus</a>, <a href="https://publications.waset.org/abstracts/search?q=perioperative" title=" perioperative"> perioperative</a>, <a href="https://publications.waset.org/abstracts/search?q=chest%20x-ray" title=" chest x-ray"> chest x-ray</a> </p> <a href="https://publications.waset.org/abstracts/100615/a-case-report-on-anesthetic-considerations-in-a-neonate-with-isolated-oesophageal-atresia-with-radiological-fallacy" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/100615.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">179</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">486</span> Effect of Low Level Laser on Healing of Congenital Septal Defects on Dogs</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hady%20Atef">Hady Atef</a>, <a href="https://publications.waset.org/abstracts/search?q=Zinab%20Helmy"> Zinab Helmy</a>, <a href="https://publications.waset.org/abstracts/search?q=Heba%20Abdeen"> Heba Abdeen</a>, <a href="https://publications.waset.org/abstracts/search?q=Mostafa%20Fadel"> Mostafa Fadel</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background and purpose: After the success of the first trials of this experiment which were done on rabbits, a new study were conducted on dogs to ensure the past results; in a step forward to use low-level LASER therapy in the treatment of congenital septal defects in infants. The aim of this study was to investigate the effect of low-level LASER irradiation on congenital septal defects in dogs. Subjects and Methodology: six male dogs who have congenital septal defects in their hearts -with age ranged 6-10 months- enrolled in this study for one and half months. They were assigned into two groups: Group (A): The study group consisted of 3 canine hearts who received routine animal care associated with LASER irradiation. Group (B): The control group consisted of 3 canine hearts who received only routine animal care. Sizes of the septal defects were measured for both groups at the beginning and after the end of the study. Results: There was a significant decrease in the size of the diameter of the congenital septal defect with the study group (percentage of improvement was 42.19%) when compared with control group. Conclusion: It was concluded that low-level LASER therapy can be considered as a promising therapy for congenital heart defects in animals and to be examined on children with similar congenital lesions after then. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=laser" title="laser">laser</a>, <a href="https://publications.waset.org/abstracts/search?q=congenital%20septal%20defects" title=" congenital septal defects"> congenital septal defects</a>, <a href="https://publications.waset.org/abstracts/search?q=dogs" title=" dogs"> dogs</a>, <a href="https://publications.waset.org/abstracts/search?q=infants" title=" infants"> infants</a> </p> <a href="https://publications.waset.org/abstracts/51648/effect-of-low-level-laser-on-healing-of-congenital-septal-defects-on-dogs" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/51648.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">280</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">485</span> Multiple Organ Manifestation in Neonatal Lupus Erythematous: Report of Two Cases</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=A.%20Lubis">A. Lubis</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20Widayanti"> R. Widayanti</a>, <a href="https://publications.waset.org/abstracts/search?q=Z.%20Hikmah"> Z. Hikmah</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Endaryanto"> A. Endaryanto</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Harsono"> A. Harsono</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20Harianto"> A. Harianto</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20Etika"> R. Etika</a>, <a href="https://publications.waset.org/abstracts/search?q=D.%20K.%20Handayani"> D. K. Handayani</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20Sampurna"> M. Sampurna</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Neonatal lupus erythematous (NLE) is a rare disease marked by clinical characteristic and specific maternal autoantibody. Many cutaneous, cardiac, liver, and hematological manifestations could happen with affect of one organ or multiple. In this case, both babies were premature, low birth weight (LBW), small for gestational age (SGA) and born through caesarean section from a systemic lupus erythematous (SLE) mother. In the first case, we found a baby girl with dyspnea and grunting. Chest X ray showed respiratory distress syndrome (RDS) great I and echocardiography showed small atrial septal defect (ASD) and ventricular septal defect (VSD). She also developed anemia, thrombocytopenia, elevated C-reactive protein, hypoalbuminemia, increasing coagulation factors, hyperbilirubinemia, and positive blood culture of Klebsiella pneumonia. Anti-Ro/SSA and Anti-nRNP/sm were positive. Intravenous fluid, antibiotic, transfusion of blood, thrombocyte concentrate, and fresh frozen plasma were given. The second baby, male presented with necrotic tissue on the left ear and skin rashes, erythematous macula, athropic scarring, hyperpigmentation on all of his body with various size and facial haemorrhage. He also suffered from thrombocytopenia, mild elevated transaminase enzyme, hyperbilirubinemia, anti-Ro/SSA was positive. Intravenous fluid, methyprednisolone, intravenous immunoglobulin (IVIG), blood, and thrombocyte concentrate transfution were given. Two cases of neonatal lupus erythematous had been presented. Diagnosis based on clinical presentation and maternal auto antibody on neonate. Organ involvement in NLE can occur as single or multiple manifestations. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=neonatus%20lupus%20erythematous" title="neonatus lupus erythematous">neonatus lupus erythematous</a>, <a href="https://publications.waset.org/abstracts/search?q=maternal%20autoantibody" title=" maternal autoantibody"> maternal autoantibody</a>, <a href="https://publications.waset.org/abstracts/search?q=clinical%20characteristic" title=" clinical characteristic"> clinical characteristic</a>, <a href="https://publications.waset.org/abstracts/search?q=multiple%20organ%20manifestation" title=" multiple organ manifestation"> multiple organ manifestation</a> </p> <a href="https://publications.waset.org/abstracts/9355/multiple-organ-manifestation-in-neonatal-lupus-erythematous-report-of-two-cases" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/9355.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">424</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">484</span> Epidemiology of Congenital Heart Defects in Kazakhstan: Data from Unified National Electronic Healthcare System 2014-2020</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Dmitriy%20Syssoyev">Dmitriy Syssoyev</a>, <a href="https://publications.waset.org/abstracts/search?q=Aslan%20Seitkamzin"> Aslan Seitkamzin</a>, <a href="https://publications.waset.org/abstracts/search?q=Natalya%20Lim"> Natalya Lim</a>, <a href="https://publications.waset.org/abstracts/search?q=Kamilla%20Mussina"> Kamilla Mussina</a>, <a href="https://publications.waset.org/abstracts/search?q=Abduzhappar%20Gaipov"> Abduzhappar Gaipov</a>, <a href="https://publications.waset.org/abstracts/search?q=Dimitri%20Poddighe"> Dimitri Poddighe</a>, <a href="https://publications.waset.org/abstracts/search?q=Dinara%20Galiyeva"> Dinara Galiyeva</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Data on the epidemiology of congenital heart defects (CHD) in Kazakhstan is scarce. Therefore, the aim of this study was to describe the incidence, prevalence and all-cause mortality of patients with CHD in Kazakhstan, using national large-scale registry data from the Unified National Electronic Healthcare System (UNEHS) for the period of 2014-2020. Methods: In this retrospective cohort study, the included data pertained to all patients diagnosed with CHD in Kazakhstan and registered in UNEHS between January 2014 and December 2020. CHD was defined based on International Classification of Diseases 10th Revision (ICD-10) codes Q20-Q26. Incidence, prevalence, and all-cause mortality rates were calculated per 100,000 population. Survival analysis was performed using Cox proportional hazards regression modeling and the Kaplan-Meier method. Results: In total, 66,512 patients were identified. Among them, 59,534 (89.5%) were diagnosed with a single CHD, while 6,978 (10.5%) had more than two CHDs. The median age at diagnosis was 0.08 years (interquartile range (IQR) 0.01 – 0.66) for people with multiple CHD types and 0.39 years (IQR 0.04 – 8.38) for those with a single CHD type. The most common CHD types were atrial septal defect (ASD) and ventricular septal defect (VSD), accounting for 25.8% and 21.2% of single CHD cases, respectively. The most common multiple types of CHD were ASD with VSD (23.4%), ASD with patent ductus arteriosus (PDA) (19.5%), and VSD with PDA (17.7%). The incidence rate of CHD decreased from 64.6 to 47.1 cases per 100,000 population among men and from 68.7 to 42.4 among women. The prevalence rose from 66.1 to 334.1 cases per 100,000 population among men and from 70.8 to 328.7 among women. Mortality rates showed a slight increase from 3.5 to 4.7 deaths per 100,000 in men and from 2.9 to 3.7 in women. Median follow-up was 5.21 years (IQR 2.47 – 11.69). Male sex (HR 1.60, 95% CI 1.45 - 1.77), having multiple CHDs (HR 2.45, 95% CI 2.01 - 2.97), and living in a rural area (HR 1.32, 95% CI 1.19 - 1.47) were associated with a higher risk of all-cause mortality. Conclusion: The incidence of CHD in Kazakhstan has shown a moderate decrease between 2014 and 2020, while prevalence and mortality have increased. Male sex, multiple CHD types, and rural residence were significantly associated with a higher risk of all-cause mortality. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=congenital%20heart%20defects%20%28CHD%29" title="congenital heart defects (CHD)">congenital heart defects (CHD)</a>, <a href="https://publications.waset.org/abstracts/search?q=epidemiology" title=" epidemiology"> epidemiology</a>, <a href="https://publications.waset.org/abstracts/search?q=incidence" title=" incidence"> incidence</a>, <a href="https://publications.waset.org/abstracts/search?q=Kazakhstan" title=" Kazakhstan"> Kazakhstan</a>, <a href="https://publications.waset.org/abstracts/search?q=mortality" title=" mortality"> mortality</a>, <a href="https://publications.waset.org/abstracts/search?q=prevalence" title=" prevalence"> prevalence</a> </p> <a href="https://publications.waset.org/abstracts/168297/epidemiology-of-congenital-heart-defects-in-kazakhstan-data-from-unified-national-electronic-healthcare-system-2014-2020" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/168297.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">95</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">483</span> Measurement of Nasal Septal Cartilage in Adult Filipinos Using Computed Tomography</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Miguel%20Limbert%20Ramos">Miguel Limbert Ramos</a>, <a href="https://publications.waset.org/abstracts/search?q=Joseph%20Amado%20Galvez"> Joseph Amado Galvez</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: The nasal septal cartilage is an autologous graft that is widely used in different otolaryngologic procedures of the different subspecialties, such as in septorhinoplasty and ear rehabilitation procedures. The cartilage can be easily accessed and harvested to be utilized for such procedures. However, the dimension of the nasal septal cartilage differs, corresponding to race, gender, and age. Measurements can be done via direct measurement of harvested septal cartilage in cadavers or utilizing radiographic imaging studies giving baseline measurement of the nasal septal cartilage distinct to every race. A preliminary baseline measurement of the dimensions of Filipino nasal septal cartilage was previously established by measuring harvested nasal septal cartilage in Filipino Malay cadavers. This study intends to reinforce this baseline measurement by utilizing computed tomography (CT) scans of adult Filipinos in a tertiary government hospital in the City of Manila, Philippines, which will cover a larger sampling population. Methods: The unit of observation and analysis will be the computed tomography (CT) scans of patients ≥ 18years old who underwent cranial, facial, orbital, paranasal sinus, and temporal bone studies for the year 2019. The measurements will be done in a generated best midsagittal image (155 subjects) which is a view through the midline of the cerebrum that is simultaneously viewed with its coronal and axial views for proper orientation. The view should reveal important structures that will be used to plot the anatomic boundaries, which will be measured by a DICOM image viewing software (RadiAnt). The measured area of nasal septal cartilage will be compared by gender and age. Results: The total area of the nasal septal cartilage is larger in males compared to females, with a mean value of 6.52 cm² and 5.71 cm², respectively. The harvestable nasal septal cartilage area is also larger in males with a mean value of 3.57 cm² compared to females with only a measured mean value of 3.13 cm². The total and harvestable area of the nasal septal cartilage is largest in the 18-30 year-old age group with a mean value of 6.47 cm² and 3.60 cm² respectively and tends to decrease with the advancement of age, which can be attributed to continuous ossification changes. Conclusion: The best time to perform septorhinoplasty and other otolaryngologic procedures which utilize the nasal septal cartilage as graft material is during post-pubertal age, hence surgeries should be avoided or delayed to allow growth and maturation of the cartilage. A computed tomography scan is a cost-effective and non-invasive tool that can provide information on septal cartilage areas prior to these procedures. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=autologous%20graft" title="autologous graft">autologous graft</a>, <a href="https://publications.waset.org/abstracts/search?q=computed%20tomography" title=" computed tomography"> computed tomography</a>, <a href="https://publications.waset.org/abstracts/search?q=nasal%20septal%20cartilage" title=" nasal septal cartilage"> nasal septal cartilage</a>, <a href="https://publications.waset.org/abstracts/search?q=septorhinoplasty" title=" septorhinoplasty"> septorhinoplasty</a> </p> <a href="https://publications.waset.org/abstracts/137973/measurement-of-nasal-septal-cartilage-in-adult-filipinos-using-computed-tomography" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/137973.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">158</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">482</span> Complicated Sinusitis with Sphenopalatine Artery Thrombosis in a Covid-19 Patient</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sara%20Mahmood">Sara Mahmood</a>, <a href="https://publications.waset.org/abstracts/search?q=Omar%20Ahmed"> Omar Ahmed</a>, <a href="https://publications.waset.org/abstracts/search?q=Youssef%20Aladham"> Youssef Aladham</a>, <a href="https://publications.waset.org/abstracts/search?q=Moustafa%20Abdelnaby"> Moustafa Abdelnaby</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The varied complications of COVID-19 present an ongoing challenge to healthcare professionals. A rare presentation of complicated sinusitis with pre-septal cellulitis and hard palatal necrosis in a COVID-19 patient, was reported. A 52-year-old male was admitted to the hospital with typical COVID manifestations where he had two successive COVID-19 positive swabs. During his admission, he developed symptoms of right orbital complications of sinusitis along with both clinical and radiological evidence of ipsilateral hard palatal necrosis. Imaging confirmed a diagnosis of right pan-sinusitis complicated with right pre-septal infection and hard palatal bony defect on the same side. Intra-operatively, the sphenopalatine artery was found to be thrombosed. This case focuses on the possible association between these manifestations and the known thromboembolic complications of COVID-19. Ongoing management of such complicated rare cases should be through a multidisciplinary team. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=COVID-19" title="COVID-19">COVID-19</a>, <a href="https://publications.waset.org/abstracts/search?q=sinusitis" title=" sinusitis"> sinusitis</a>, <a href="https://publications.waset.org/abstracts/search?q=sphenopalatine%20artery" title=" sphenopalatine artery"> sphenopalatine artery</a>, <a href="https://publications.waset.org/abstracts/search?q=thrombosis" title=" thrombosis"> thrombosis</a> </p> <a href="https://publications.waset.org/abstracts/138323/complicated-sinusitis-with-sphenopalatine-artery-thrombosis-in-a-covid-19-patient" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/138323.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">179</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">481</span> Long-Term Results of Surgical Treatment of Atrial Fibrillation in Patients with Coronary Heart Disease: One Center Experience</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Emil%20Sakharov">Emil Sakharov</a>, <a href="https://publications.waset.org/abstracts/search?q=Alex%20Zotov"> Alex Zotov</a>, <a href="https://publications.waset.org/abstracts/search?q=Ilkin%20Osmanov"> Ilkin Osmanov</a>, <a href="https://publications.waset.org/abstracts/search?q=Oleg%20Shelest"> Oleg Shelest</a>, <a href="https://publications.waset.org/abstracts/search?q=Aleksander%20Troitskiy"> Aleksander Troitskiy</a>, <a href="https://publications.waset.org/abstracts/search?q=Robert%20Khabazov"> Robert Khabazov</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: Since 2015, our center has been actively implementing methods of surgical correction of atrial fibrillation, in particular, in patients with coronary heart disease. The study presents a comparative analysis of the late postoperative period in patients with coronary artery bypass grafting and atrial fibrillation. Methods: The study included 150 patients with ischemic heart disease and atrial fibrillation for the period from 2015 to 2021. Patients were divided into 2 groups. The first group is represented by patients with ischemic heart disease and atrial fibrillation who underwent coronary bypass surgery and surgical correction of atrial fibrillation (N=50). The second group is represented by patients with ischemic heart disease and atrial fibrillation who underwent only myocardial revascularization (N=100). Patients were comparable in age, gender, and initial severity of the condition. Among the patients in group 1 there were 82% were men, while in the second group, their number was 75%. Among the patients of the first group, there were 36% with persistent atrial fibrillation, 20% with long-term persistent atrial fibrillation. In the second group, 10% with persistent atrial fibrillation and 17% with long-term persistent atrial fibrillation. Results: Average follow-up for groups 1 and 2 amounted to 47 months. There were no complications in group 1, such as bleeding and stroke. There was only 1 patient in group 1, who had died from cardiovascular disease. Freedom of atrial fibrillation was in 82% without AADs therapy. In group 2 there were 8 patients who had died from cardiovascular diseases and total freedom of atrial fibrillation was in 35% of patients, among which 42.8% had additional AADs therapy. Follow-up data are presented in Table 2. Progression of heart failure was observed in 3% in group 1 and 7% in group 2. Combined endpoints (recurrence of AF, stroke, progression of heart failure, myocardial infarction) were achieved in 16% in group 1 and 34% in group 2, respectively. Freedom from atrial fibrillation without antiarrhythmic therapy was 82% for group 1 and 35% for group 2. In the first group, there is a more pronounced decrease in heart failure rates. Deaths from cardiovascular causes were recorded in 2% for group 1 and 7% for group 2. Conclusion: Surgical treatment of atrial fibrillation helps to reduce adverse complications in the late postoperative period and contributes to the regression of heart failure. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=atrial%20fibrillation" title="atrial fibrillation">atrial fibrillation</a>, <a href="https://publications.waset.org/abstracts/search?q=coronary%20artery%20bypass%20grafting" title=" coronary artery bypass grafting"> coronary artery bypass grafting</a>, <a href="https://publications.waset.org/abstracts/search?q=ischaemic%20heart%20disease" title=" ischaemic heart disease"> ischaemic heart disease</a>, <a href="https://publications.waset.org/abstracts/search?q=heart%20failure" title=" heart failure"> heart failure</a> </p> <a href="https://publications.waset.org/abstracts/152606/long-term-results-of-surgical-treatment-of-atrial-fibrillation-in-patients-with-coronary-heart-disease-one-center-experience" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/152606.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">119</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">480</span> Comparison of Peri- and Post-Operative Outcomes of Three Left Atrial Incisions: Conventional Direct, Transseptal and Superior Septal Left Atriotomy</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Estelle%20D%C3%A9moulin">Estelle Démoulin</a>, <a href="https://publications.waset.org/abstracts/search?q=Dionysios%20Adamopoulos"> Dionysios Adamopoulos</a>, <a href="https://publications.waset.org/abstracts/search?q=Tornike%20Sologashvili"> Tornike Sologashvili</a>, <a href="https://publications.waset.org/abstracts/search?q=Mathieu%20Van%20Steenberghe"> Mathieu Van Steenberghe</a>, <a href="https://publications.waset.org/abstracts/search?q=Jalal%20Jolou"> Jalal Jolou</a>, <a href="https://publications.waset.org/abstracts/search?q=Haran%20Burri"> Haran Burri</a>, <a href="https://publications.waset.org/abstracts/search?q=Christoph%20Huber"> Christoph Huber</a>, <a href="https://publications.waset.org/abstracts/search?q=Mustafa%20Cikirikcioglu"> Mustafa Cikirikcioglu</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background & objective: Mitral valve surgeries are mainly performed by median sternotomy with conventional direct atriotomy. Good exposure to the mitral valve is challenging, especially for acute pathologies, where left atrium dilation does not occur. Other atriotomies, such as transseptal or superior septal, are used as they allow better access and visualization. Peri- and postoperative outcomes of these three different left atriotomies were compared. Methods: Patients undergoing mitral valve surgery between January 2010 and December 2020 were included and divided into three groups: group 1 (conventional direct, n=115), group 2 (transseptal, n=33) and group 3 (superior septal, n=59). To improve the sampling size, all patients underwent mitral valve surgery with or without associated procedures (CABG, aortic-tricuspid surgery, Maze procedure). The study protocol was approved by SwissEthics. Results: No difference was shown for the etiology of mitral valve disease, except endocarditis, which was more frequent in group 3 (p = 0.014). Elective surgeries and isolated mitral valve surgery were more frequent in group 1 (p = 0.008, p = 0.011) and aortic clamping and cardiopulmonary bypass were shorter (p = 0.002, p<0.001). Group 3 had more emergency procedures (p = 0.011) and longer lengths of intensive care unit and hospital stay (p = 0.000, p = 0.003). There was no difference in permanent pacemaker implantation, postoperative complications and mortality between the groups. Conclusion: Mitral valve surgeries can be safely performed using those three left atriotomies. Conventional direct may lead to shorter aortic clamping and cardiopulmonary bypass times. Superior septal is mostly used for acute pathologies, and it does not increase postoperative arrhythmias and permanent pacemaker implantation. However, intensive care unit and hospital lengths of stay were found to be longer in this group. In our opinion, this outcome is more related to the pathology and type of surgery than the incision itself. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mitral%20valve%20surgery" title="Mitral valve surgery">Mitral valve surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiac%20surgery" title=" cardiac surgery"> cardiac surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=atriotomy" title=" atriotomy"> atriotomy</a>, <a href="https://publications.waset.org/abstracts/search?q=Operative%20outcomes" title=" Operative outcomes"> Operative outcomes</a> </p> <a href="https://publications.waset.org/abstracts/160482/comparison-of-peri-and-post-operative-outcomes-of-three-left-atrial-incisions-conventional-direct-transseptal-and-superior-septal-left-atriotomy" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/160482.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">76</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">479</span> Signal Estimation and Closed Loop System Performance in Atrial Fibrillation Monitoring with Communication Channels</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mohammad%20Obeidat">Mohammad Obeidat</a>, <a href="https://publications.waset.org/abstracts/search?q=Ayman%20Mansour"> Ayman Mansour</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In this paper a unique issue rising from feedback control of Atrial Fibrillation monitoring system with embedded communication channels has been investigated. One of the important factors to measure the performance of the feedback control closed loop system is disturbance and noise attenuation factor. It is important that the feedback system can attenuate such disturbances on the atrial fibrillation heart rate signals. Communication channels depend on network traffic conditions and deliver different throughput, implying that the sampling intervals may change. Since signal estimation is updated on the arrival of new data, its dynamics actually change with the sampling interval. Consequently, interaction among sampling, signal estimation, and the controller will introduce new issues in remotely controlled Atrial Fibrillation system. This paper treats a remotely controlled atrial fibrillation system with one communication channel which connects between the heart rate and rhythm measurements to the remote controller. Typical and optimal signal estimation schemes is represented by a signal averaging filter with its time constant derived from the step size of the signal estimation algorithm. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=atrial%20fibrillation" title="atrial fibrillation">atrial fibrillation</a>, <a href="https://publications.waset.org/abstracts/search?q=communication%20channels" title=" communication channels"> communication channels</a>, <a href="https://publications.waset.org/abstracts/search?q=closed%20loop" title=" closed loop"> closed loop</a>, <a href="https://publications.waset.org/abstracts/search?q=estimation" title=" estimation"> estimation</a> </p> <a href="https://publications.waset.org/abstracts/56344/signal-estimation-and-closed-loop-system-performance-in-atrial-fibrillation-monitoring-with-communication-channels" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/56344.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">378</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">478</span> Alcohol Septal Ablation in a 19-Year-Old with Hypertrophic Obstructive Cardiomyopathy Patient: A Case Report</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Christine%20Ysabelle%20G.%20Roman">Christine Ysabelle G. Roman</a>, <a href="https://publications.waset.org/abstracts/search?q=Pauline%20Torres"> Pauline Torres</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Hypertrophic cardiomyopathy is a disease of marked heterogeneity. It is a genetically determined heart disease characterized by significant myocardium hypertrophy that results in diastolic dysfunction, left ventricular outflow tract obstruction, and an increased risk of arrhythmias. The primary treatment in patients with such conditions is negative inotropic drugs, such as beta-blockers, calcium channel antagonists, and disopyramide. However, for those who remain symptomatic and need septal reduction therapy, surgical septal myectomy or alcohol septal ablation are options. Case Summary: A 19 – year old female presented in the authors’ institution with easy fatigability. The consult was done a year prior, and 2D echocardiography was requested which showed concentric left ventricular hypertrophy, asymmetrically hypertrophied interventricular septum (IVS) with the largest diameter of 3.3cm & subaortic dynamic obstruction with a maximum gradient of 47 mmHg. A repeat echo a year later showed asymmetric septal hypertrophy (IVS measuring at 3cm) with the systolic anterior motion of anterior mitral valve leaflet and left ventricular outflow tract obstruction (peak gradient of 50mmHg). The patient then underwent alcohol septal ablation and was discharged stable after four days of admission. Conclusion: Hypertrophic obstructive cardiomyopathy, a cardiovascular genetic disease, results in various patterns of left ventricular hypertrophy and abnormality of mitral valve apparatus. The patient is managed medically initially. However, despite optimal drug therapy and significant left ventricular outflow tract obstruction, significant heart failure symptoms or syncope require invasive treatment. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=hypertrophic%20obstructive%20cardiomyopathy" title="hypertrophic obstructive cardiomyopathy">hypertrophic obstructive cardiomyopathy</a>, <a href="https://publications.waset.org/abstracts/search?q=left%20ventricular%20outflow%20tract%20obstruction" title=" left ventricular outflow tract obstruction"> left ventricular outflow tract obstruction</a>, <a href="https://publications.waset.org/abstracts/search?q=alcohol%20septal%20ablation" title=" alcohol septal ablation"> alcohol septal ablation</a>, <a href="https://publications.waset.org/abstracts/search?q=alcohol" title=" alcohol"> alcohol</a> </p> <a href="https://publications.waset.org/abstracts/152816/alcohol-septal-ablation-in-a-19-year-old-with-hypertrophic-obstructive-cardiomyopathy-patient-a-case-report" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/152816.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">80</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">477</span> Copy Number Variants in Children with Non-Syndromic Congenital Heart Diseases from Mexico</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Maria%20Lopez-Ibarra">Maria Lopez-Ibarra</a>, <a href="https://publications.waset.org/abstracts/search?q=Ana%20Velazquez-Wong"> Ana Velazquez-Wong</a>, <a href="https://publications.waset.org/abstracts/search?q=Lucelli%20Ya%C3%B1ez-Gutierrez"> Lucelli Yañez-Gutierrez</a>, <a href="https://publications.waset.org/abstracts/search?q=Maria%20Araujo-Solis"> Maria Araujo-Solis</a>, <a href="https://publications.waset.org/abstracts/search?q=Fabio%20Salamanca-Gomez"> Fabio Salamanca-Gomez</a>, <a href="https://publications.waset.org/abstracts/search?q=Alfonso%20Mendez-Tenorio"> Alfonso Mendez-Tenorio</a>, <a href="https://publications.waset.org/abstracts/search?q=Hayde%C3%A9%20Rosas-Vargas"> Haydeé Rosas-Vargas</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Congenital heart diseases (CHD) are the most common congenital abnormalities. These conditions can occur as both an element of distinct chromosomal malformation syndromes or as non-syndromic forms. Their etiology is not fully understood. Genetic variants such copy number variants have been associated with CHD. The aim of our study was to analyze these genomic variants in peripheral blood from Mexican children diagnosed with non-syndromic CHD. We included 16 children with atrial and ventricular septal defects and 5 healthy subjects without heart malformations as controls. To exclude the most common heart disease-associated syndrome alteration, we performed a fluorescence in situ hybridization test to identify the 22q11.2, responsible for congenital heart abnormalities associated with Di-George Syndrome. Then, a microarray based comparative genomic hybridization was used to identify global copy number variants. The identification of copy number variants resulted from the comparison and analysis between our results and data from main genetic variation databases. We identified copy number variants gain in three chromosomes regions from pediatric patients, 4q13.2 (31.25%), 9q34.3 (25%) and 20q13.33 (50%), where several genes associated with cellular, biosynthetic, and metabolic processes are located, UGT2B15, UGT2B17, SNAPC4, SDCCAG3, PMPCA, INPP6E, C9orf163, NOTCH1, C20orf166, and SLCO4A1. In addition, after a hierarchical cluster analysis based on the fluorescence intensity ratios from the comparative genomic hybridization, two congenital heart disease groups were generated corresponding to children with atrial or ventricular septal defects. Further analysis with a larger sample size is needed to corroborate these copy number variants as possible biomarkers to differentiate between heart abnormalities. Interestingly, the 20q13.33 gain was present in 50% of children with these CHD which could suggest that alterations in both coding and non-coding elements within this chromosomal region may play an important role in distinct heart conditions. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=aCGH" title="aCGH">aCGH</a>, <a href="https://publications.waset.org/abstracts/search?q=bioinformatics" title=" bioinformatics"> bioinformatics</a>, <a href="https://publications.waset.org/abstracts/search?q=congenital%20heart%20diseases" title=" congenital heart diseases"> congenital heart diseases</a>, <a href="https://publications.waset.org/abstracts/search?q=copy%20number%20variants" title=" copy number variants"> copy number variants</a>, <a href="https://publications.waset.org/abstracts/search?q=fluorescence%20in%20situ%20hybridization" title=" fluorescence in situ hybridization"> fluorescence in situ hybridization</a> </p> <a href="https://publications.waset.org/abstracts/53721/copy-number-variants-in-children-with-non-syndromic-congenital-heart-diseases-from-mexico" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/53721.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">292</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">476</span> Strategy and Maze Surgery (Atrial fibrillation Surgery)</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Shirin%20Jalili">Shirin Jalili</a>, <a href="https://publications.waset.org/abstracts/search?q=Ramin%20Ghasemi%20Shayan"> Ramin Ghasemi Shayan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Atrial fibrillation is the foremost common arrhythmia around the world, with expanding recurrence famous with age. Thromboembolic occasions and strokes are the number one cause of mortality and morbidity. For patients who don't react to restorative treatment for rate and beat control, the maze method offers an elective treatment mediation. pharmaco-medical treatment for atrial fibrillation is pointed at the control of rate or cadence, intrusive treatment for atrial fibrillation is pointed at cadence control. An obtrusive approach may comprise of percutaneous catheter treatment, surgery, or a crossover approach. Since the maze method is recognized as the foremost successful way to dispense with AF, combining the maze strategy amid major cardiac surgeries has been received in clinical hone. the maze strategy, moreover known as Cox¬maze iii or the ‘cut¬and¬sew’ method, involves making different incisions within the atria to make an arrangement of scars that dispose of each potential zone of re¬entry. The electrical drive is constrained through a maze of scars that coordinates the electrical drive from the sinus node to the av node. By settling the headstrong period between ranges of scar, re¬entry is disposed of. in this article, we evaluate the Maze surgery method that's the surgical method of choice for the treatment of restorative atrial fibrillation. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=atrial%20fibrillation" title="atrial fibrillation">atrial fibrillation</a>, <a href="https://publications.waset.org/abstracts/search?q=congenital%20heart%20disease" title=" congenital heart disease"> congenital heart disease</a>, <a href="https://publications.waset.org/abstracts/search?q=procedure" title=" procedure"> procedure</a>, <a href="https://publications.waset.org/abstracts/search?q=maze%20surgery" title=" maze surgery"> maze surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=treatment" title=" treatment"> treatment</a> </p> <a href="https://publications.waset.org/abstracts/144860/strategy-and-maze-surgery-atrial-fibrillation-surgery" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/144860.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">138</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">475</span> Incidence, Pattern and Risk Factors of Congenial Heart Diseases in Neonates in a Tertiary Care Hospital, Egyptian Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Gehan%20Hussein">Gehan Hussein</a>, <a href="https://publications.waset.org/abstracts/search?q=Hams%20Ahmad"> Hams Ahmad</a>, <a href="https://publications.waset.org/abstracts/search?q=Baher%20Matta"> Baher Matta</a>, <a href="https://publications.waset.org/abstracts/search?q=Yasmeen%20Mansi"> Yasmeen Mansi</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohamad%20Fawzi"> Mohamad Fawzi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Congenital heart disease (CHD) is a common problem worldwide with variable incidence in different countries. The exact etiology is unknown, suggested to be multifactorial. We aimed to study the incidence of various CHD in a neonatal intensive care unit (NICU) in a tertiary care hospital in Egypt and the possible associations with variable risk factors. Methods: Prospective study was conducted over a period of one year (2013 /2014) at NICU KasrAlAini School of Medicine, Cairo University. Questionnaire about possible maternal and/or paternal risk factors for CHD, clinical examination, bedside echocardiography were done. Cases were classified into groups: group 1 without CHD and group 2 with CHD. Results: from 723 neonates admitted to NICU, 180 cases were proved to have CHD, 58 % of them were males. patent ductus arteriosus(PDA) was the most common CHD (70%), followed by an atrial septal defect (ASD8%), while Fallot tetralogy and single ventricle were the least common (0.45 %) for each. CHD was found in 30 % of consanguineous parents Maternal age ≥ 35 years at the time of conception was associated with increased incidence of PDA (p= 0.45 %). Maternal diabetes and insulin intake were significantly associated with cases of CHD (p=0.02 &0.001 respectively), maternal hypertension and hypothyroidism were both associated with VSD, but the difference did not reach statistical significance (P=0.36 &0.44respectively). Maternal passive smoking was significantly associated with PDA (p=0.03). Conclusion: The most frequent CHD in the studied population was PDA, followed by ASD. Maternal conditions as diabetes was associated with VSD occurrence. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=NICU" title="NICU">NICU</a>, <a href="https://publications.waset.org/abstracts/search?q=risk%20factors" title=" risk factors"> risk factors</a>, <a href="https://publications.waset.org/abstracts/search?q=congenital%20heart%20disease" title=" congenital heart disease"> congenital heart disease</a>, <a href="https://publications.waset.org/abstracts/search?q=echocardiography" title=" echocardiography"> echocardiography</a> </p> <a href="https://publications.waset.org/abstracts/143362/incidence-pattern-and-risk-factors-of-congenial-heart-diseases-in-neonates-in-a-tertiary-care-hospital-egyptian-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/143362.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">191</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">474</span> Obstetric Outcome after Hysteroscopic Septum Resection in Patients with Uterine Septa of Various Sizes</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nilanchali%20Singh">Nilanchali Singh</a>, <a href="https://publications.waset.org/abstracts/search?q=Alka%20Kriplani"> Alka Kriplani</a>, <a href="https://publications.waset.org/abstracts/search?q=Reeta%20Mahey"> Reeta Mahey</a>, <a href="https://publications.waset.org/abstracts/search?q=Garima%20Kachhawa"> Garima Kachhawa</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Objective: Resection of larger uterine septa does improve obstetric performance but whether smaller septa need resection and their impact on obstetric outcome is not clear. We wanted to evaluate the role of septal resection of septa of various sizes in obstetric performance. Methods: This retrospective cohort study comprised of 107 patients with uterine septum. The patients were categorized on the basis of extent of uterine septum into four groups: a) Subsepta (< 1/3rd), b) Septum > 1/3 to ½, c) Septum>1/2 to whole uterine cervix, d) Septum traversing whole of uterine cavity and cervix. Out of these 107 patients, 74 could be contacted telephonically and outcomes recorded. Sensitivity and specificity of investigative modalities were calculated. Results: Infertility was seen in maximum number of cases in complete septa (100%), whereas abortions were seen more commonly, in subsepta (18%). MRI had maximum sensitivity and positive predictive value, followed by hysteron-salpingography. Tubal block, fibroid, endometriosis, pelvic adhesions, ovarian pathologies were seen in some but no definite association of these pathologies was seen with any subgroup of septa. Almost five-year follow-up was recorded in all the subgroups. Significant reduction in infertility was seen in all septal subgroup (p=0.046, 0.032 & 0.05) patients except in subsepta (< 1/3rd uterine cavity) after septum resection. Abortions were significantly reduced (p=0.048) in third subgroup (i.e. septum > ½ to upto internal os) after hysteroscopic septum resection. Take home baby rate was 33% in subsepta and around 50% in the remaining subgroups of septa. Conclusions: Septal resection improves obstetric performance in patients with uterine septa of various sizes. Whether septal resection improves obstetric performance in patients with subsepta or very small septa, is controversial. Larger studies addressing this issue need to be planned. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=septal%20resection" title="septal resection">septal resection</a>, <a href="https://publications.waset.org/abstracts/search?q=obstetric%20outcome" title=" obstetric outcome"> obstetric outcome</a>, <a href="https://publications.waset.org/abstracts/search?q=infertility" title=" infertility"> infertility</a>, <a href="https://publications.waset.org/abstracts/search?q=septum%20size" title=" septum size"> septum size</a> </p> <a href="https://publications.waset.org/abstracts/35070/obstetric-outcome-after-hysteroscopic-septum-resection-in-patients-with-uterine-septa-of-various-sizes" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/35070.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">318</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">473</span> A Social Network Analysis for Formulating Construction Defect Generation Mechanisms</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hamad%20Aljassmi">Hamad Aljassmi</a>, <a href="https://publications.waset.org/abstracts/search?q=Sangwon%20Han"> Sangwon Han</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Various solutions for preventing construction defects have been suggested. However, a construction company may have difficulties adopting all these suggestions due to financial and practical constraints. Based on this recognition, this paper aims to identify the most significant defect causes and formulate their defect generation mechanism in order to help a construction company to set priorities of its defect prevention strategies. For this goal, we conducted a questionnaire survey of 106 industry professionals and identified five most significant causes including: (1) organizational culture, (2) time pressure and constraints, (3) workplace quality system, (4) financial constraints upon operational expenses and (5) inadequate employee training or learning opportunities. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=defect" title="defect">defect</a>, <a href="https://publications.waset.org/abstracts/search?q=quality" title=" quality"> quality</a>, <a href="https://publications.waset.org/abstracts/search?q=failure" title=" failure"> failure</a>, <a href="https://publications.waset.org/abstracts/search?q=risk" title=" risk"> risk</a> </p> <a href="https://publications.waset.org/abstracts/9063/a-social-network-analysis-for-formulating-construction-defect-generation-mechanisms" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/9063.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">627</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">472</span> Case Report of Left Atrial Myxoma Diagnosed by Bedside Echocardiography</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Anthony%20S.%20Machi">Anthony S. Machi</a>, <a href="https://publications.waset.org/abstracts/search?q=Joseph%20Minardi"> Joseph Minardi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> We present a case report of left atrial myxoma diagnosed by bedside transesophageal (TEE) ultrasound. Left atrial myxoma is the most common benign cardiac tumor and can obstruct blood flow and cause valvular insufficiency. Common symptoms consist of dyspnea, pulmonary edema and other features of left heart failure in addition to thrombus release in the form of tumor fragments. The availability of bedside ultrasound equipment is essential for the quick diagnosis and treatment of various emergency conditions including cardiac neoplasms. A 48-year-old Caucasian female with a four-year history of an untreated renal mass and anemia presented to the ED with two months of sharp, intermittent, bilateral flank pain radiating into the abdomen. She also reported intermittent vomiting and constipation along with generalized body aches, night sweats, and 100-pound weight loss over last year. She had a CT in 2013 showing a 3 cm left renal mass and a second CT in April 2016 showing a 3.8 cm left renal mass along with a past medical history of diverticulosis, chronic bronchitis, dyspnea on exertion, uncontrolled hypertension, and hyperlipidemia. Her maternal family history is positive for breast cancer, hypertension, and Type II Diabetes. Her paternal family history is positive for stroke. She was a current everyday smoker with an 11 pack/year history. Alcohol and drug use were denied. Physical exam was notable for a Grade II/IV systolic murmur at the right upper sternal border, dyspnea on exertion without angina, and a tender left lower quadrant. Her vitals and labs were notable for a blood pressure of 144/96, heart rate of 96 beats per minute, pulse oximetry of 96%, hemoglobin of 7.6 g/dL, hypokalemia, hypochloremia, and multiple other abnormalities. Physicians ordered a CT to evaluate her flank pain which revealed a 7.2 x 8.9 x 10.5 cm mixed cystic/solid mass in the lower pole of the left kidney and a filling defect in the left atrium. Bedside TEE was ordered to follow up on the filling defect. TEE reported an ejection fraction of 60-65% and visualized a mobile 6 x 3 cm mass in the left atrium attached to the interatrial septum extending into the mitral valve. Cardiothoracic Surgery and Urology were consulted and confirmed a diagnosis of left atrial myxoma and clear cell renal cell carcinoma. The patient returned a week later due to worsening nausea and vomiting and underwent emergent nephrectomy, lymph node dissection, and colostomy due to a necrotic colon. Her condition declined over the next four months due to lung and brain metastases, infections, and other complications until she passed away. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bedside%20ultrasound" title="bedside ultrasound">bedside ultrasound</a>, <a href="https://publications.waset.org/abstracts/search?q=echocardiography" title=" echocardiography"> echocardiography</a>, <a href="https://publications.waset.org/abstracts/search?q=emergency%20medicine" title=" emergency medicine"> emergency medicine</a>, <a href="https://publications.waset.org/abstracts/search?q=left%20atrial%20myxoma" title=" left atrial myxoma"> left atrial myxoma</a> </p> <a href="https://publications.waset.org/abstracts/79284/case-report-of-left-atrial-myxoma-diagnosed-by-bedside-echocardiography" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/79284.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">330</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">471</span> The Effect on Rolling Mill of Waviness in Hot Rolled Steel</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sunthorn%20Sittisakuljaroen">Sunthorn Sittisakuljaroen</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The edge waviness in hot rolled steel is a common defect. Variables that effect for such defect include as raw material and machine. These variables are necessary to consider. This research studied the defect of edge waviness for SS 400 of metal sheet manufacture. Defect of metal sheets divided into two groups. The specimens were investigated on chemical composition and mechanical properties to find the difference. The results of investigate showed that not different to a standard significantly. Therefore the roll milled machine for sample need to adjustable rollers for press on metal sheet which was more appropriate to adjustable at both ends. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=edge%20waviness" title="edge waviness">edge waviness</a>, <a href="https://publications.waset.org/abstracts/search?q=hot%20rolling%20steel" title=" hot rolling steel"> hot rolling steel</a>, <a href="https://publications.waset.org/abstracts/search?q=metal%20sheet%20defect" title=" metal sheet defect"> metal sheet defect</a>, <a href="https://publications.waset.org/abstracts/search?q=SS%20400" title=" SS 400"> SS 400</a>, <a href="https://publications.waset.org/abstracts/search?q=roll%20leveller" title=" roll leveller "> roll leveller </a> </p> <a href="https://publications.waset.org/abstracts/11857/the-effect-on-rolling-mill-of-waviness-in-hot-rolled-steel" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/11857.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">420</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">470</span> Effect of Atrial Flutter on Alcoholic Cardiomyopathy</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ibrahim%20Ahmed">Ibrahim Ahmed</a>, <a href="https://publications.waset.org/abstracts/search?q=Richard%20Amoateng"> Richard Amoateng</a>, <a href="https://publications.waset.org/abstracts/search?q=Akhil%20Jain"> Akhil Jain</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohamed%20Ahmed"> Mohamed Ahmed</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Alcoholic cardiomyopathy (ACM) is a type of acquired cardiomyopathy caused by chronic alcohol consumption. Frequently ACM is associated with arrhythmias such as atrial flutter. Our aim was to characterize the patient demographics and investigate the effect of atrial flutter (AF) on ACM. This was a retrospective cohort study using the Nationwide Inpatient Sample database to identify admissions in adults with principal and secondary diagnoses of alcoholic cardiomyopathy and atrial flutter from 2019. Multivariate linear and logistic regression models were adjusted for age, gender, race, household income, insurance status, Elixhauser comorbidity score, hospital location, bed size, and teaching status. The primary outcome was all-cause mortality, and secondary outcomes were the length of stay (LOS) and total charge in USD. There was a total of 21,855 admissions with alcoholic cardiomyopathy, of which 1,635 had atrial flutter (AF-ACM). Compared to Non-AF-ACM cohort, AF-ACM cohort had fewer females (4.89% vs 14.54%, p<0.001), were older (58.66 vs 56.13 years, p<0.001), fewer Native Americans (0.61% vs2.67%, p<0.01), had fewer smaller (19.27% vs 22.45%, p<0.01) & medium-sized hospitals (23.24% vs28.98%, p<0.01), but more large-sized hospitals (57.49% vs 48.57%, p<0.01), more Medicare (40.37% vs 34.08%, p<0.05) and fewer Medicaid insured (23.55% vs 33.70%, p=<0.001), fewer hypertension (10.7% vs 15.01%, p<0.05), and more obesity (24.77% vs 16.35%, p<0.001). Compared to Non-AF-ACM cohort, there was no difference in AF-ACM cohort mortality rate (6.13% vs 4.20%, p=0.0998), unadjusted mortality OR 1.49 (95% CI 0.92-2.40, p=0.102), adjusted mortality OR 1.36 (95% CI 0.83-2.24, p=0.221), but there was a difference in LOS 1.23 days (95% CI 0.34-2.13, p<0.01), total charge $28,860.30 (95% CI 11,883.96-45,836.60, p<0.01). In patients admitted with ACM, the presence of AF was not associated with a higher all-cause mortality rate or odds of all-cause mortality; however, it was associated with 1.23 days increase in LOS and a $28,860.30 increase in total hospitalization charge. Native Americans, older age and obesity were risk factors for the presence of AF in ACM. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=alcoholic%20cardiomyopathy" title="alcoholic cardiomyopathy">alcoholic cardiomyopathy</a>, <a href="https://publications.waset.org/abstracts/search?q=atrial%20flutter" title=" atrial flutter"> atrial flutter</a>, <a href="https://publications.waset.org/abstracts/search?q=cardiomyopathy" title=" cardiomyopathy"> cardiomyopathy</a>, <a href="https://publications.waset.org/abstracts/search?q=arrhythmia" title=" arrhythmia"> arrhythmia</a> </p> <a href="https://publications.waset.org/abstracts/149617/effect-of-atrial-flutter-on-alcoholic-cardiomyopathy" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/149617.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">112</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">469</span> A Practical and Theoretical Study on the Electromotor Bearing Defect Detection in a Wet Mill Using the Vibration Analysis Method and Defect Length Calculation in the Bearing</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Mostafa%20Firoozabadi">Mostafa Firoozabadi</a>, <a href="https://publications.waset.org/abstracts/search?q=Alireza%20Foroughi%20Nematollahi"> Alireza Foroughi Nematollahi</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Wet mills are one of the most important equipment in the mining industries and any defect occurrence in them can stop the production line and it can make some irrecoverable damages to the system. Electromotors are the significant parts of a mill and their monitoring is a necessary process to prevent unwanted defects. The purpose of this study is to investigate the Electromotor bearing defects, theoretically and practically, using the vibration analysis method. When a defect happens in a bearing, it can be transferred to the other parts of the equipment like inner ring, outer ring, balls, and the bearing cage. The electromotor defects source can be electrical or mechanical. Sometimes, the electrical and mechanical defect frequencies are modulated and the bearing defect detection becomes difficult. In this paper, to detect the electromotor bearing defects, the electrical and mechanical defect frequencies are extracted firstly. Then, by calculating the bearing defect frequencies, and the spectrum and time signal analysis, the bearing defects are detected. In addition, the obtained frequency determines that the bearing level in which the defect has happened and by comparing this level to the standards it determines the bearing remaining lifetime. Finally, the defect length is calculated by theoretical equations to demonstrate that there is no need to replace the bearing. The results of the proposed method, which has been implemented on the wet mills in the Golgohar mining and industrial company in Iran, show that this method is capable of detecting the electromotor bearing defects accurately and on time. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=bearing%20defect%20length" title="bearing defect length">bearing defect length</a>, <a href="https://publications.waset.org/abstracts/search?q=defect%20frequency" title=" defect frequency"> defect frequency</a>, <a href="https://publications.waset.org/abstracts/search?q=electromotor%20defects" title=" electromotor defects"> electromotor defects</a>, <a href="https://publications.waset.org/abstracts/search?q=vibration%20analysis" title=" vibration analysis"> vibration analysis</a> </p> <a href="https://publications.waset.org/abstracts/36165/a-practical-and-theoretical-study-on-the-electromotor-bearing-defect-detection-in-a-wet-mill-using-the-vibration-analysis-method-and-defect-length-calculation-in-the-bearing" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/36165.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">502</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">468</span> Shared Heart with a Common Atrial Complex and Persistent Right Dorsal Aorta in Conjoined Twins</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=L.%20C.%20Prasanna">L. C. Prasanna</a>, <a href="https://publications.waset.org/abstracts/search?q=Antony%20Sylvan%20D%E2%80%99Souza"> Antony Sylvan D’Souza</a>, <a href="https://publications.waset.org/abstracts/search?q=Kumar%20M.%20R.%20Bhat"> Kumar M. R. Bhat</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Although life as a conjoined twin would seem intolerable, there has recently been an increased interest in this subject because of the increasing number of cases where attempts have been made to separate them surgically. We have reviewed articles on cardiovascular anomalies in conjoined twins and presenting rarest anomaly in dicephalus parapagus fetus having two heads attached to one body from the neck or upper chest downwards, with a pair of limbs and a set of reproductive organs. Both the twins shared a common thoracic cavity with a single sternum. When the thoracic cavity was opened, a common anterior mediastinum was found. On opening the pericardium, two separate, closely apposed hearts were exposed. The two cardia are placed side by side. The left heart was slightly larger than the right and were joined at the atrial levels. Four atrial appendages were present, two for each twin. The atrial complex was a common chamber posterior to the ventricles. A single large tributary which could be taken as inferior vena cava drains into the common atrial chamber. In this case, the heart could not be assigned to either twin and therefore, it is referred to as the shared heart within a common pericardial sac. The right and left descending thoracic aorta have joined with each other just above the diaphragm to form a common descending thoracic aorta which has an opening in the diaphragm to be continued as common abdominal aorta which has a normal branching pattern. Upon an interior dissection, it is observed that the two atria have a wide communication which could be a wide patent foramen ovale and this common atrial cavity has a communication with a remnant of a possible common sinus venosus. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=atrium" title="atrium">atrium</a>, <a href="https://publications.waset.org/abstracts/search?q=congenital%20anomaly" title=" congenital anomaly"> congenital anomaly</a>, <a href="https://publications.waset.org/abstracts/search?q=conjoined%20twin" title=" conjoined twin"> conjoined twin</a>, <a href="https://publications.waset.org/abstracts/search?q=sinus%20venosus" title=" sinus venosus"> sinus venosus</a> </p> <a href="https://publications.waset.org/abstracts/63812/shared-heart-with-a-common-atrial-complex-and-persistent-right-dorsal-aorta-in-conjoined-twins" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/63812.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">394</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">467</span> Defect Management Life Cycle Process for Software Quality Improvement</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Aedah%20Abd%20Rahman">Aedah Abd Rahman</a>, <a href="https://publications.waset.org/abstracts/search?q=Nurdatillah%20Hasim"> Nurdatillah Hasim</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Software quality issues require special attention especially in view of the demands of quality software product to meet customer satisfaction. Software development projects in most organisations need proper defect management process in order to produce high quality software product and reduce the number of defects. The research question of this study is how to produce high quality software and reducing the number of defects. Therefore, the objective of this paper is to provide a framework for managing software defects by following defined life cycle processes. The methodology starts by reviewing defects, defect models, best practices and standards. A framework for defect management life cycle is proposed. The major contribution of this study is to define a defect management road map in software development. The adoption of an effective defect management process helps to achieve the ultimate goal of producing high quality software products and contributes towards continuous software process improvement. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=defects" title="defects">defects</a>, <a href="https://publications.waset.org/abstracts/search?q=defect%20management" title=" defect management"> defect management</a>, <a href="https://publications.waset.org/abstracts/search?q=life%20cycle%20process" title=" life cycle process"> life cycle process</a>, <a href="https://publications.waset.org/abstracts/search?q=software%20quality" title=" software quality"> software quality</a> </p> <a href="https://publications.waset.org/abstracts/40687/defect-management-life-cycle-process-for-software-quality-improvement" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/40687.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">306</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">466</span> Analysis of Causality between Defect Causes Using Association Rule Mining</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sangdeok%20Lee">Sangdeok Lee</a>, <a href="https://publications.waset.org/abstracts/search?q=Sangwon%20Han"> Sangwon Han</a>, <a href="https://publications.waset.org/abstracts/search?q=Changtaek%20Hyun"> Changtaek Hyun</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Construction defects are major components that result in negative impacts on project performance including schedule delays and cost overruns. Since construction defects generally occur when a few associated causes combine, a thorough understanding of defect causality is required in order to more systematically prevent construction defects. To address this issue, this paper uses association rule mining (ARM) to quantify the causality between defect causes, and social network analysis (SNA) to find indirect causality among them. The suggested approach is validated with 350 defect instances from concrete works in 32 projects in Korea. The results show that the interrelationships revealed by the approach reflect the characteristics of the concrete task and the important causes that should be prevented. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=causality" title="causality">causality</a>, <a href="https://publications.waset.org/abstracts/search?q=defect%20causes" title=" defect causes"> defect causes</a>, <a href="https://publications.waset.org/abstracts/search?q=social%20network%20analysis" title=" social network analysis"> social network analysis</a>, <a href="https://publications.waset.org/abstracts/search?q=association%20rule%20mining" title=" association rule mining"> association rule mining</a> </p> <a href="https://publications.waset.org/abstracts/51355/analysis-of-causality-between-defect-causes-using-association-rule-mining" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/51355.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">367</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">465</span> An Audit to Look at the Management of Paediatric Peri Orbital Cellulitis in a District General Hospital, Emergency Department</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Ruth%20Green">Ruth Green</a>, <a href="https://publications.waset.org/abstracts/search?q=Samantha%20Milton"> Samantha Milton</a>, <a href="https://publications.waset.org/abstracts/search?q=Rinal%20Desai"> Rinal Desai</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background/Aims: Eye pain/swelling/redness is a common presentation to Barnet General Hospital (a district general hospital), pediatric emergency department, and is managed by both the pediatric and emergency teams. The management of each child differs dramatically depending on the healthcare professional who reviews them. There also appears to be confusion in diagnosis between periorbital cellulitis, pre-septal cellulitis, and orbital cellulitis. Pre septal cellulitis refers to an inflammation of the eyelids and soft tissue anterior to the orbital septum. In contrast, orbital cellulitis is a serious, rapidly progressive infection of soft tissues located posterior to the orbital septum. Pre-septal cellulitis is more prevalent and less serious than orbital cellulitis, although it may be part of a continuous spectrum if untreated. Pre-septal cellulitis should there be diagnosed and treated urgently to prevent spread to the septum. For the purpose of the audit, the term periorbital cellulitis has been used as an umbrella term for all spectrums of this infection. The audit aimed to look at, how as a whole, the department is diagnosing and managing orbital and pre-septal cellulitis. Gold Standard: Patients of the same age and diagnosis should be treated with the same medication, advice, and follow-up. Method: Data was collected retrospectively from pediatric patients ( < 18years) who attended the emergency department from June 2019 to February 2020 who had been coded as pre-septal cellulitis, periorbital cellulitis, orbital cellulitis, or eye pain/swelling/redness. Demographics, signs and symptoms, management, and follow-up were recorded for all patients with any of the diagnoses of pre-septal, periorbital, or orbital cellulitis. A Microsoft Excel spreadsheet was used to record the anonymised data. Results: There were vast discrepancies in the diagnosis, management, and follow-up of patients with periorbital cellulitis. Conclusion/Discussion: The audit concluded there is no uniform approach to managing periorbital cellulitis in Barnet General Hospital Paediatric Emergency Department. Healthcare professionals misdiagnosed conjunctivitis as periorbital cellulitis, and adequate steps did not appear to be documented on excluding red flag signs and symptoms of patients presenting. There was no consistency in follow-up, with some patients having timely phone reviews or clinical reviews for mild symptoms. Advice given by the staff was appropriate, and patients did return when symptoms got worse and were treated accordingly. Plan: Given the inconsistency, a gold standard care pathway or local easily accessible clinical guideline can be developed to help with the diagnosis and management of periorbital cellulitis. Along with this, a teaching session can be carried out for the staff of the pediatric team and emergency department to disseminate the teaching. Following the introduction of a guideline and teaching sessions, patients notes can be re-reviewed to check improvement in patient care. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=periorbital%20cellulitis" title="periorbital cellulitis">periorbital cellulitis</a>, <a href="https://publications.waset.org/abstracts/search?q=preseptal%20cellulitis" title=" preseptal cellulitis"> preseptal cellulitis</a>, <a href="https://publications.waset.org/abstracts/search?q=orbital%20cellulitis" title=" orbital cellulitis"> orbital cellulitis</a>, <a href="https://publications.waset.org/abstracts/search?q=erythematous%20eyelid" title=" erythematous eyelid"> erythematous eyelid</a> </p> <a href="https://publications.waset.org/abstracts/128504/an-audit-to-look-at-the-management-of-paediatric-peri-orbital-cellulitis-in-a-district-general-hospital-emergency-department" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/128504.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">129</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">464</span> Investigation of Polymer Solar Cells Degradation Behavior Using High Defect States Influence Over Various Polymer Absorber Layers</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Azzeddine%20Abdelalim">Azzeddine Abdelalim</a>, <a href="https://publications.waset.org/abstracts/search?q=Fatiha%20Rogti"> Fatiha Rogti</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The degradation phenomenon in polymer solar cells (PCSs) has not been clearly explained yet. In fact, there are many causes that show up and influence these cells in a variety of ways. Also, there has been a growing concern over this degradation in the photovoltaic community. One of the main variables deciding PSCs photovoltaic output is defect states. In this research, devices modeling is carried out to analyze the multiple effects of degradation by applying high defect states (HDS) on ideal PSCs, mainly poly(3-hexylthiophene) (P3HT) absorber layer. Besides, a comparative study is conducted between P3HT and other PSCs by a simulation program called Solar Cell Capacitance Simulator (SCAPS). The adjustments to the defect parameters in several absorber layers explain the effect of HDS on the total output properties of PSCs. The performance parameters for HDS, quantum efficiency, and energy band were therefore examined. This research attempts to explain the degradation process of PSCs and the causes of their low efficiency. It was found that the defects often affect PSCs performance, but defect states have a little effect on output when the defect level is less than 1014cm-3, which gives similar performance values with P3HT cells when these defects is about 1019cm-3. The high defect states can cause up to 11% relative reduction in conversion efficiency of ideal P3HT. In the center of the band gap, defect states become more noxious. This approach is for one of the degradation processes potential of PSCs especially that use fullerene derivative acceptors. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=degradation" title="degradation">degradation</a>, <a href="https://publications.waset.org/abstracts/search?q=high%20defect%20states" title=" high defect states"> high defect states</a>, <a href="https://publications.waset.org/abstracts/search?q=polymer%20solar%20cells" title=" polymer solar cells"> polymer solar cells</a>, <a href="https://publications.waset.org/abstracts/search?q=SCAPS-1D" title=" SCAPS-1D"> SCAPS-1D</a> </p> <a href="https://publications.waset.org/abstracts/162233/investigation-of-polymer-solar-cells-degradation-behavior-using-high-defect-states-influence-over-various-polymer-absorber-layers" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/162233.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">91</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">463</span> A Comparative Study of Linearly Graded and without Graded Photonic Crystal Structure </h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Rajeev%20Kumar">Rajeev Kumar</a>, <a href="https://publications.waset.org/abstracts/search?q=Angad%20Singh%20Kushwaha"> Angad Singh Kushwaha</a>, <a href="https://publications.waset.org/abstracts/search?q=Amritanshu%20Pandey"> Amritanshu Pandey</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20K.%20Srivastava"> S. K. Srivastava</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Photonic crystals (PCs) have attracted much attention due to its electromagnetic properties and potential applications. In PCs, there is certain range of wavelength where electromagnetic waves are not allowed to pass are called photonic band gap (PBG). A localized defect mode will appear within PBG, due to change in the interference behavior of light, when we create a defect in the periodic structure. We can also create different types of defect structures by inserting or removing a layer from the periodic layered structure in two and three-dimensional PCs. We can design microcavity, waveguide, and perfect mirror by creating a point defect, line defect, and palanar defect in two and three- dimensional PC structure. One-dimensional and two-dimensional PCs with defects were reported theoretically and experimentally by Smith et al.. in conventional photonic band gap structure. In the present paper, we have presented the defect mode tunability in tilted non-graded photonic crystal (NGPC) and linearly graded photonic crystal (LGPC) using lead sulphide (PbS) and titanium dioxide (TiO2) in the infrared region. A birefringent defect layer is created in NGPC and LGPC using potassium titany phosphate (KTP). With the help of transfer matrix method, the transmission properties of proposed structure is investigated for transverse electric (TE) and transverse magnetic (TM) polarization. NGPC and LGPC without defect layer is also investigated. We have found that a photonic band gap (PBG) arises in the infrared region. An additional defect layer of KTP is created in NGPC and LGPC structure. We have seen that an additional transmission mode appers in PBG region. It is due to the addition of defect layer. We have also seen the effect, linear gradation in thickness, angle of incidence, tilt angle, and thickness of defect layer, on PBG and additional transmission mode. We have observed that the additional transmission mode and PBG can be tuned by changing the above parameters. The proposed structure may be used as channeled filter, optical switches, monochromator, and broadband optical reflector. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=defect%20modes" title="defect modes">defect modes</a>, <a href="https://publications.waset.org/abstracts/search?q=graded%20photonic%20crystal" title=" graded photonic crystal"> graded photonic crystal</a>, <a href="https://publications.waset.org/abstracts/search?q=photonic%20crystal" title=" photonic crystal"> photonic crystal</a>, <a href="https://publications.waset.org/abstracts/search?q=tilt%20angle" title=" tilt angle"> tilt angle</a> </p> <a href="https://publications.waset.org/abstracts/40533/a-comparative-study-of-linearly-graded-and-without-graded-photonic-crystal-structure" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/40533.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">376</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">462</span> Statistical Characteristics of Distribution of Radiation-Induced Defects under Random Generation</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=P.%20Selyshchev">P. Selyshchev</a> </p> <p class="card-text"><strong>Abstract:</strong></p> We consider fluctuations of defects density taking into account their interaction. Stochastic field of displacement generation rate gives random defect distribution. We determinate statistical characteristics (mean and dispersion) of random field of point defect distribution as function of defect generation parameters, temperature and properties of irradiated crystal. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=irradiation" title="irradiation">irradiation</a>, <a href="https://publications.waset.org/abstracts/search?q=primary%20defects" title=" primary defects"> primary defects</a>, <a href="https://publications.waset.org/abstracts/search?q=interaction" title=" interaction"> interaction</a>, <a href="https://publications.waset.org/abstracts/search?q=fluctuations" title=" fluctuations"> fluctuations</a> </p> <a href="https://publications.waset.org/abstracts/10105/statistical-characteristics-of-distribution-of-radiation-induced-defects-under-random-generation" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/10105.pdf" target="_blank" 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