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Critical congenital heart disease (CCHD) represents a challenging problem in global health equity due to the need for specialized surgical or transcatheter intervention within the first year of life. CCHD screening using pulse oximetry (POS) has led to significant improvements in mortality due to early referral and intervention. Andean America represents one of the few regions in the world with increasing CHD deaths and variable POS implementation. In this manuscript, we review the current state of CCHD in Andean America, the challenges and opportunities for developing new POS algorithms that account for high-altitude physiology, data on regional cost-effectiveness supporting POS implementation and outline future directions to achieve equity in CHD care in this region.
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http://dx.doi.org/10.1016/j.ijcchd.2022.100415 | DOI Listing |
Neuroimage
September 2025
Developing Brain Institute, Children's National Hospital, Washington, D.C. USA; Department of Radiology, The George Washington University School of Medicine and Health Sciences, Washington, D.C. USA; Department of Pediatrics, The George Washington University School of Medicine and Health Sciences, W
The purpose of this study was to compare brain metabolite concentrations between healthy and CHD neonates before and after cardiac surgery. Healthy term newborns and neonates with CHD were recruited prospectively. T-weighted brain images and MRS data were acquired in the cerebellum, right frontal lobe and basal ganglia.
View Article and Find Full Text PDFJ Am Soc Echocardiogr
September 2025
Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
The American Society of Echocardiography (ASE) plays a vital role in establishing practice standards and guidelines within the echocardiography field. Its influence is comprehensive, covering training, image acquisition, nomenclature, measurements, diagnosis, and quality improvement. This report focuses on the final phases of the diagnostic imaging process, specifically reporting and communicating exam results.
View Article and Find Full Text PDFInt J Surg Case Rep
September 2025
Department of Urology, Shandong Provincial Third Hospital, Shandong University, Jinan, 250012, China; Shandong Stone Disease Prevention and Treatment Center, Jinan, 250012, China. Electronic address:
Introduction: The Multiple primary malignant tumors (MPMT) refers to the occurrence of two primary malignant tumors in the same organ or organs in the same patient at the same time. However, MPMT is rare in the urinary system. Congenital urinary tract anomalies (e.
View Article and Find Full Text PDFASAIO J
September 2025
Division of Developmental Pediatrics, Department of Pediatrics, University of Alberta and Glenrose Rehabilitation Hospital, Edmonton, Alberta, Canada.
This referral center's prospective inception-cohort study from 1989 to 2000 (Era 1) and 2000 to 2022 (Era 2) included 232 consecutive children having neonatal respiratory extracorporeal membrane oxygenation (ECMO). Kindergarten-age outcomes determined in 137/139 (95.8%) survivors were Wechsler Preschool and Primary Scales of Intelligence, Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI), and sensorimotor disability, with optimal outcome defined as scores greater than or equal to 80 and without disability.
View Article and Find Full Text PDFJ Heart Lung Transplant
August 2025
Cardiology Eastern Virginia Medical School, Macon and Joan Brock Virginia Health Sciences at Old Dominion University, George and Linda Kaufman Academic Chair of Cardiology, Sentara Health 825 Fairfax Ave, Suite 563 Norfolk, Virginia 23507. Electronic address: