Publisher: Medknow Publishers   (Total: 427 journals)

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Showing 1 - 200 of 427 Journals sorted alphabetically
Acta Medica Intl.     Open Access   (SJR: 0.101, CiteScore: 0)
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advanced Biomedical Research     Open Access  
Advances in Human Biology     Open Access   (Followers: 5)
Advances in Skeletal Muscle Function Assessment     Open Access  
African J. for Infertility and Assisted Conception     Open Access   (Followers: 1)
African J. of Medical and Health Sciences     Open Access   (Followers: 3)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.25, CiteScore: 1)
African J. of Trauma     Open Access   (Followers: 1)
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 2)
Al-Azhar Assiut Medical J.     Open Access   (Followers: 2)
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Alexandria J. of Pediatrics     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Annals of African Medicine     Open Access   (Followers: 2, SJR: 0.258, CiteScore: 1)
Annals of Bioanthropology     Open Access   (Followers: 5)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 15, SJR: 0.308, CiteScore: 1)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery     Open Access  
Annals of Indian Psychiatry     Open Access  
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 12, SJR: 0.352, CiteScore: 1)
Annals of Saudi Medicine     Open Access   (SJR: 0.238, CiteScore: 1)
Annals of Thoracic Medicine     Open Access   (Followers: 6, SJR: 0.524, CiteScore: 1)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 14, SJR: 0.152, CiteScore: 0)
Annals of Tropical Pathology     Open Access  
Apollo Medicine     Open Access  
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access   (Followers: 1)
Archives of Cardiovascular Imaging     Open Access   (Followers: 2, SJR: 0.187, CiteScore: 0)
Archives of Intl. Surgery     Open Access   (Followers: 10, SJR: 0.302, CiteScore: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Medicine and Surgery     Open Access   (Followers: 1)
Archives of Pharmacy Practice     Open Access   (Followers: 12, SJR: 0.102, CiteScore: 0)
Archives of Trauma Research     Open Access   (Followers: 4, SJR: 0.37, CiteScore: 2)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access   (Followers: 1)
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 5)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.856, CiteScore: 2)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 2)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.35, CiteScore: 1)
Asian Pacific J. of Reproduction     Open Access   (SJR: 0.227, CiteScore: 1)
Asian Pacific J. of Tropical Biomedicine     Open Access   (Followers: 2, SJR: 0.491, CiteScore: 2)
Asian Pacific J. of Tropical Medicine     Open Access   (Followers: 1, SJR: 0.561, CiteScore: 2)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
Biomedical and Biotechnology Research J.     Open Access   (Followers: 1)
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 2)
Canadian J. of Rural Medicine     Full-text available via subscription   (Followers: 1, SJR: 0.202, CiteScore: 0)
Cancer Translational Medicine     Open Access   (Followers: 2)
Cardiology Plus     Open Access   (Followers: 1)
Chinese Medical J.     Open Access   (Followers: 10, SJR: 0.52, CiteScore: 1)
CHRISMED J. of Health and Research     Open Access   (Followers: 2)
Clinical Cancer Investigation J.     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 5)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access   (Followers: 2)
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 10, SJR: 0.811, CiteScore: 2)
Contemporary Clinical Dentistry     Open Access   (Followers: 5, SJR: 0.353, CiteScore: 1)
Current Medical Issues     Open Access   (Followers: 2)
CytoJ.     Open Access   (Followers: 3, SJR: 0.543, CiteScore: 1)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 5, SJR: 0.152, CiteScore: 0)
Dental Research J.     Open Access   (Followers: 14, SJR: 0.416, CiteScore: 1)
Dentistry and Medical Research     Open Access   (Followers: 1)
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 8, SJR: 0.242, CiteScore: 0)
Education in the Health Professions     Open Access   (Followers: 2)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1, SJR: 1.799, CiteScore: 2)
Egyptian J. of Chest Diseases and Tuberculosis     Open Access   (Followers: 3, SJR: 0.155, CiteScore: 0)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access   (Followers: 1)
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 1)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Nursing J.     Open Access  
Egyptian Orthopaedic J.     Open Access   (Followers: 2)
Egyptian Pharmaceutical J.     Open Access   (Followers: 3)
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access   (Followers: 2)
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.822, CiteScore: 2)
Environmental Disease     Open Access   (Followers: 4)
Eurasian J. of Pulmonology     Open Access  
European J. of Dentistry     Open Access   (Followers: 4, SJR: 0.749, CiteScore: 2)
European J. of General Dentistry     Open Access   (Followers: 2, SJR: 0.12, CiteScore: 0)
European J. of Prosthodontics     Open Access   (Followers: 4)
European J. of Psychology and Educational Studies     Open Access   (Followers: 11, SJR: 0.113, CiteScore: 0)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.112, CiteScore: 0)
Genome Integrity     Open Access   (Followers: 2, SJR: 0.153, CiteScore: 0)
Glioma     Open Access  
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Gynecology and Minimally Invasive Therapy     Open Access   (SJR: 0.311, CiteScore: 1)
Hamdan Medical J.     Open Access  
Heart and Mind     Open Access  
Heart India     Open Access   (Followers: 2)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
Ibnosina J. of Medicine and Biomedical Sciences     Open Access   (Followers: 1)
IJS Short Reports     Open Access  
Imam J. of Applied Sciences     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.478, CiteScore: 1)
Indian J. of Burns     Open Access   (Followers: 3)
Indian J. of Cancer     Open Access   (Followers: 1, SJR: 0.361, CiteScore: 1)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.37, CiteScore: 1)
Indian J. of Dental Research     Open Access   (Followers: 5, SJR: 0.266, CiteScore: 1)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.468, CiteScore: 1)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 4, SJR: 0.445, CiteScore: 1)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1, SJR: 0.791, CiteScore: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4, SJR: 0.568, CiteScore: 1)
Indian J. of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 3)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.425, CiteScore: 1)
Indian J. of Medical Microbiology     Open Access   (Followers: 2, SJR: 0.503, CiteScore: 1)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.656, CiteScore: 1)
Indian J. of Medical Sciences     Open Access   (Followers: 3, SJR: 0.102, CiteScore: 0)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.347, CiteScore: 1)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.23, CiteScore: 0)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 3, SJR: 0.225, CiteScore: 1)
Indian J. of Ophthalmology     Open Access   (Followers: 5, SJR: 0.498, CiteScore: 1)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 8, SJR: 0.392, CiteScore: 1)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.199, CiteScore: 0)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 2)
Indian J. of Palliative Care     Open Access   (Followers: 8, SJR: 0.454, CiteScore: 1)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 4, SJR: 0.276, CiteScore: 1)
Indian J. of Pharmacology     Open Access   (SJR: 0.412, CiteScore: 1)
Indian J. of Psychiatry     Open Access   (Followers: 2, SJR: 0.408, CiteScore: 1)
Indian J. of Psychological Medicine     Open Access   (SJR: 0.368, CiteScore: 1)
Indian J. of Public Health     Open Access   (Followers: 1)
Indian J. of Radiology and Imaging     Open Access   (Followers: 5)
Indian J. of Research in Homoeopathy     Open Access   (Followers: 2)
Indian J. of Respiratory Care     Open Access   (Followers: 3)
Indian J. of Rheumatology     Open Access   (Followers: 1, SJR: 0.119, CiteScore: 0)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.34, CiteScore: 0)
Indian J. of Social Psychiatry     Open Access   (Followers: 1)
Indian J. of Transplantation     Open Access  
Indian J. of Urology     Open Access   (Followers: 5, SJR: 0.434, CiteScore: 1)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Indian Spine J.     Open Access  
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intervention     Open Access   (Followers: 2)
Intl. Archives of Health Sciences     Open Access  
Intl. J. of Abdominal Wall and Hernia Surgery     Open Access   (Followers: 1)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Clinicopathological Correlation     Open Access   (Followers: 1)
Intl. J. of Community Dentistry     Open Access  
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1, SJR: 0.192, CiteScore: 0)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 8, SJR: 0.142, CiteScore: 0)
Intl. J. of Growth Factors and Stem Cells in Dentistry     Open Access  
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 6)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.535, CiteScore: 1)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4, SJR: 0.17, CiteScore: 0)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 3)
Intl. J. of Orofacial Biology     Open Access   (Followers: 1)
Intl. J. of Orofacial Research     Open Access   (Followers: 2)
Intl. J. of Orthodontic Rehabilitation     Open Access   (Followers: 2)
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 2)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.623, CiteScore: 1)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 5, SJR: 0.653, CiteScore: 1)
Intl. J. of the Cardiovascular Academy     Open Access   (SJR: 0.105, CiteScore: 0)
Intl. J. of Trichology     Open Access   (SJR: 0.4, CiteScore: 1)
Intl. J. of Yoga     Open Access   (Followers: 16)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 7)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 3)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  

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Similar Journals
Journal Cover
Annals of Pediatric Cardiology
Journal Prestige (SJR): 0.352
Citation Impact (citeScore): 1
Number of Followers: 12  

  This is an Open Access Journal Open Access journal
ISSN (Print) 0974-2069 - ISSN (Online) 0974-5149
Published by Medknow Publishers Homepage  [427 journals]
  • Impact of the COVID-19 pandemic on pediatric cardiac care in India: Time
           for action!

    • Authors: Krishna S Iyer
      Pages: 183 - 185
      Abstract: Krishna S Iyer
      Annals of Pediatric Cardiology 2020 13(3):183-185

      Citation: Annals of Pediatric Cardiology 2020 13(3):183-185
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_153_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • Recent outcomes of the extracardiac Fontan procedure in patients with
           hypoplastic left heart syndrome

    • Authors: Alisa Arunamata, Theresa A Tacy, Saraswati Kache, Richard D Mainwaring, Michael Ma, Katsuhide Maeda, Rajesh Punn
      Pages: 186 - 193
      Abstract: Alisa Arunamata, Theresa A Tacy, Saraswati Kache, Richard D Mainwaring, Michael Ma, Katsuhide Maeda, Rajesh Punn
      Annals of Pediatric Cardiology 2020 13(3):186-193
      Objective: To investigate patient-related factors, echocardiographic, and anatomic variables associated with immediate and long-term clinical outcomes after extracardiac Fontan procedure at our institution.Materials and Methods: Retrospective review of preoperative cardiac catheterizations and echocardiograms as well as medical records of all children with hypoplastic left heart syndrome (HLHS) who underwent Fontan between June 2002 and December 2018.Results: Seventy-seven patients with HLHS were included (age 4 years [1.5–11.7]). Seventy patients (91%) received a nonfenestrated Fontan and 57 patients (74%) underwent Fontan without cardiopulmonary bypass (CPB). Presence of a Fontan fenestration (P = 0.69) and use of CPB (P = 0.79) did not differ between those with <2 weeks compared to those with =2 weeks of chest tube drainage. There were no differences in either pre- or intra-operative hemodynamics between patients who weighed <15 kg compared to those who weighed ≥15 kg at time of surgery; incidence of death, transplant, and transplant listing were similar between weight groups. Inferior vena cava (IVC) diameter z-score did not differ among patients with and without chylous chest tube drainage (P = 0.78), with and without development of protein losing enteropathy (P = 0.23), or death/heart transplant/transplant listing compared to survivors without transplant (P = 0.26)Conclusion: In HLHS patients undergoing Fontan, preoperative weight and IVC diameter appeared to have no influence on immediate postoperative outcomes. Performing the Fontan off CPB and with a fenestration also conferred no added clinical benefit. These observations should be considered when deciding optimal timing for Fontan completion.
      Citation: Annals of Pediatric Cardiology 2020 13(3):186-193
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_5_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • Systolic excursion of the leaflets of the truncal valve: An unusual
           mechanism for pulmonary stenosis in common arterial trunk

    • Authors: Saurabh Kumar Gupta, Abhinav Aggarwal, Gurpreet S Gulati, Sivasubramanian Ramakrishnan, Shyam S Kothari, Anita Saxena, Sanjiv Sharma, Balram Airan, Robert H Anderson
      Pages: 194 - 198
      Abstract: Saurabh Kumar Gupta, Abhinav Aggarwal, Gurpreet S Gulati, Sivasubramanian Ramakrishnan, Shyam S Kothari, Anita Saxena, Sanjiv Sharma, Balram Airan, Robert H Anderson
      Annals of Pediatric Cardiology 2020 13(3):194-198
      Background: Pulmonary stenosis in patients with common arterial trunk protects the pulmonary vasculature. In our recently published prospective study of common arterial trunk, some patients with sinusal origin of the pulmonary arterial segment had pulmonary stenosis induced by systolic excursion of a truncal valvar leaflet. We aimed to determine the detailed morphologic characteristics of this unusual finding.Methods and Results: All 70 patients underwent echocardiography and computed tomographic angiography as per predefined study protocol. In selected cases, we also performed cardiac catheterization. Among 27 patients with aortic dominance, we found sinusal origin of the pulmonary arterial segment. In 5 of these patients, pulmonary stenosis was induced by systolic excursion of a truncal valvar leaflet. In all these patients, the truncal valve was trisinusate, albeit with asymmetric sinuses. The pulmonary arterial segment arose from the largest left sinus with its relatively large leaflet obstructing the pulmonary orifice during systole. In the remaining 22 patients, without pulmonary stenosis but with sinusal origin of pulmonary arterial segment, the truncal valve was quadrisinusate in 7, bisinusate in 2, and trisinusate in 13. None of the patients with quadrisinusate and bisinusate truncal valves had pulmonary stenosis. Among the 13 patients with trisinusate valves, the sinuses of the truncal valve were symmetrical in 6, while in 7, the pulmonary orifice originated from a smaller asymmetric sinus.Conclusion: Pulmonary stenosis, produced by a relatively large leaflet of an asymmetric truncal sinus, may prevent early development of pulmonary vascular disease. Timely recognition of this unusual mechanism of pulmonary stenosis is important for optimal management.
      Citation: Annals of Pediatric Cardiology 2020 13(3):194-198
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_22_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • &#304;nvestigation of endothelial dysfunction in children with
           acute rheumatic fever

    • Authors: Murat Çiftel, Osman Yilmaz
      Pages: 199 - 204
      Abstract: Murat Çiftel, Osman Yilmaz
      Annals of Pediatric Cardiology 2020 13(3):199-204
      Background: Acute rheumatic fever (ARF) is an important cause of valvular heart disease in children. Endothelial dysfunction plays an important role in the pathogenesis of valvular heart diseases. The role of endothelial dysfunction in valvular heart diseases due to ARF is not exactly known. In ARF, autoimmune injury, inflammation, oxidative stress, and impairment of nitric oxide in valvular endothelium may be the causes of endothelial dysfunction. The purpose of this study is to evaluate endothelial dysfunction and arterial stiffness in children with ARF.Materials and Methods: Thirty-six patients diagnosed with ARF (the mean age was 11.80 ± 2.82 years) and 36 volunteered individuals with similar age, sex, and body mass index were included in the study. The study groups were compared in terms of M-mode echocardiography parameters, carotid arterial strain (CAS), beta-stiffness index (βSI), and flow-mediated dilation (FMD).Results: In patients with ARF, there was a decrease in FMD% (10.36 ± 7.26 and 12.76 ± 4.59; P < 0.001) compared to the control group. In addition, CAS (0.16 ± 0.06 and 0.18 ± 0.08; P = 0.44) and βSI (3.65 ± 1.61 and 3.57 ± 2.38; P = 0.24) were similar in the patient and the control groups. Furthermore, no correlation was detected between decreased FMD value and mitral regurgitation (r = -0.07; P = 0.66), aortic regurgitation (r = -0.04; P = 0.78), CAS (r = -0.08; P = 0.61), and βSI (r = -0.20; P = 0.22).Conclusion: In our study, a decrease in FMD value, which is a marker of endothelial dysfunction, was found in children with rheumatic carditis.
      Citation: Annals of Pediatric Cardiology 2020 13(3):199-204
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_201_19
      Issue No: Vol. 13, No. 3 (2020)
       
  • Electrocardiogram interpretation among pediatricians: Assessing knowledge,
           attitudes, and practice

    • Authors: Mohammad A Ebrahim, Reem K Alseid, Raghad T Aleinati, Volkan Tuzcu
      Pages: 205 - 211
      Abstract: Mohammad A Ebrahim, Reem K Alseid, Raghad T Aleinati, Volkan Tuzcu
      Annals of Pediatric Cardiology 2020 13(3):205-211
      Objectives: This study assesses the competency of pediatricians in interpreting electrocardiograms (ECGs).Methods: A cross-sectional study involving 125 pediatricians comprised of 71 general pediatricians, 15 pediatric cardiologists, and 39 other subspecialists recruited from all public hospitals and two specialty centers. Participants completed a questionnaire that included 10 ECGs and questions regarding backgrounds, attitudes, and practices. The ECGs were graded to obtain a knowledge score out of 30 points. Mann–Whitney U test and Kruskal-Wallis test with post hoc analysis and Bonferroni adjustment were used to compare groups.Results: The mean knowledge score ranged from 47.7% to 69.7% among various pediatric specialties (P = 0.006). Age, increasing years of experience, confidence level, number of cardiology referrals, and perceived importance of having good ECG interpretation skills were significantly related to the knowledge score (P = 0.05). Accuracy was highest in identifying normal ECGs (76.8%), supraventricular tachycardia (64.8%), along with long QT interval (58.4%), and was lowest for right bundle branch block (RBBB) (10.4%), 2:1 atrioventricular conduction (10.4%), and atrial tachycardia (AT) (4.8%). Accuracy among pediatric cardiologists was highest for long QT interval (100%), normal ECG (80%), as well as Wolff-Parkinson-White syndrome (80%), and lowest for RBBB (13.3%) and AT (0%). Most pediatricians believe that ECGs are “useful” (78.4%) and that having good interpretation skill is “important” (80.6%).Conclusions: Pediatricians recognize the importance of ECGs. However, their skill and level of accuracy at interpretation is suboptimal, including cardiologists, and may affect patient care. Thus, efforts should be made to improve ECG understanding to provide better service to patients.
      Citation: Annals of Pediatric Cardiology 2020 13(3):205-211
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_18_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • Surgical outcomes of absent pulmonary valve syndrome: An institutional
           experience

    • Authors: Ashvin Krishna Nair, Maruti Haranal, Ibrahim Mukhtar Elkhatim, Jeswant Dillon, Chee Chin Hew, Sivakumar Sivalingam
      Pages: 212 - 219
      Abstract: Ashvin Krishna Nair, Maruti Haranal, Ibrahim Mukhtar Elkhatim, Jeswant Dillon, Chee Chin Hew, Sivakumar Sivalingam
      Annals of Pediatric Cardiology 2020 13(3):212-219
      Background: Absent pulmonary valve syndrome (APVS) is a variant of tetralogy of Fallot characterized by aneurysmal pulmonary arteries, which compresses the tracheobronchial tree, leading to respiratory symptoms. We report the mid-term outcomes of surgical correction of patients with APVS.Subject and Methods: A total of 27 patients underwent surgery between 2001 and 2015, and they were followed up for a mean period of 6.4 ± 4.1 years. Out of the 27 patients, 14 (51.9%) were infants. The median age at repair was 9.8 months. Preoperative intubation was required in six patients (22.2%), and 11 patients (40.7%) had symptoms of respiratory distress. The pulmonary valve was replaced with a valved conduit in 15 patients (55.6%), monocusp valve in 6 patients (22.2%), and a transannular patch in 6 patients (22.2%). Reduction pulmonary arterioplasty was done in all patients.Results: The overall 10-year survival was 82.1%. There was 81.1% overall freedom from re-intervention at 10 years. No statistically significant difference was found in 10-year survival (P = 0.464) and reoperation rates (P = 0.129) between valved conduit, monocusp, or transannular patch techniques. Older children had statistically significantly longer survival (P = 0.039) and freedom from re-intervention (P = 0.016) compared to infants. Patients without respiratory complications had 100% 10-year survival and 93.3% freedom from reoperation at 10 years compared to 55.6% and 60.1%, respectively, for patients with respiratory complications.Conclusion: There has been improvement in surgical results for APVS over the years. However, it still remains a challenge to manage infants and patients with persistent respiratory problems.
      Citation: Annals of Pediatric Cardiology 2020 13(3):212-219
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_111_19
      Issue No: Vol. 13, No. 3 (2020)
       
  • Early experience with pediatric cardiac transplantation in a limited
           resource setting

    • Authors: Swati Garekar, Talha Meeran, Vinay Patel, Sachin Patil, Shyam Dhake, Shivaji Mali, Amit Mhatre, Dilip Bind, Ashish Gaur, Sandeep Sinha, Vijay Shetty, Kirtis Sabnis, Bharat Soni, Dhananjay Malankar, Anvay Mulay
      Pages: 220 - 226
      Abstract: Swati Garekar, Talha Meeran, Vinay Patel, Sachin Patil, Shyam Dhake, Shivaji Mali, Amit Mhatre, Dilip Bind, Ashish Gaur, Sandeep Sinha, Vijay Shetty, Kirtis Sabnis, Bharat Soni, Dhananjay Malankar, Anvay Mulay
      Annals of Pediatric Cardiology 2020 13(3):220-226
      Background: Pediatric heart transplantation is a now a well-established and standard treatment option for end stage heart failure for various conditions in children. Due to logistic issues, it is not an option for in most pediatric cardiac centres in the third world.Aim: We sought to describe our early experience in the current era in India.Methods: This is a short term retrospective chart review of pediatric patients who underwent heart transplantation at our centre. Mean/Median with standard deviation /range was used to present data.Results: Twenty patients underwent orthotopic heart transplant between January 2016 and June 2019. The median age at transplant was 12.4years (range 3.3 to 17.3 years). The median weight was 23.2kg (range 10-80kg). The mean donor/recipient weight ratio was 1.62± 0.84. The mean ICU stay was 12.1days. The mean follow up post transplant was 2.03± 0.97years (range 10 days-3.57years). The 1 month and the 1 year survival was 100%. Biopsies were positive for significant rejection in 7 patients (35%). At the time of last follow-up, 3 patients (15%) had expired. The major post transplant morbidities were mechanical circulatory support (n=3), hypertension with seizure complex (n=3), post transplant lympho-proliferative disorder (n=1), pseudocyst of pancreas (n=1), coronary allograft vasculopathy (n=3) and systemic hypertension (n=7). All surviving patients (n=17) were asymptomatic at last follow up.Conclusion: The results suggest acceptable short term outcomes in Indian pediatric patients can be achieved after heart transplantation in the current era. Significant rejection episodes and coronary allograft vasculopathy need careful follow up.
      Citation: Annals of Pediatric Cardiology 2020 13(3):220-226
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_105_19
      Issue No: Vol. 13, No. 3 (2020)
       
  • Hybrid approach for aortic embolization of Amplatzer duct occluder

    • Authors: Sudesh Prabhu, Shreesha Maiya, Riyan Shetty, Keshava Murthy, Prakash Ramachandra, Rishi Tiwari
      Pages: 227 - 229
      Abstract: Sudesh Prabhu, Shreesha Maiya, Riyan Shetty, Keshava Murthy, Prakash Ramachandra, Rishi Tiwari
      Annals of Pediatric Cardiology 2020 13(3):227-229
      Embolization of the patent ductus arteriosus (PDA) device is a known adverse event of percutaneous PDA closure, which can lead to complications. Embolization can occur into the pulmonary artery or into the aorta. Device embolization can be moderate adverse event (when retrieved percutaneously) or major adverse event (when retrieved surgically). We are describing a hybrid approach for aortic embolization of PDA device when the percutaneous retrieval fails, where device retrieval and PDA ligation can be done through thoracotomy incision, thus decreasing the complications.
      Citation: Annals of Pediatric Cardiology 2020 13(3):227-229
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_13_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • Patterns of myocardial involvement in children during COVID-19 pandemic:
           Early experience from northern Italy

    • Authors: Paolo Ferrero, Isabelle Piazza, Caterina Bonino, Matteo Ciuffreda
      Pages: 230 - 233
      Abstract: Paolo Ferrero, Isabelle Piazza, Caterina Bonino, Matteo Ciuffreda
      Annals of Pediatric Cardiology 2020 13(3):230-233
      There is limited information about coronavirus disease 2019 (COVID-19) in the pediatric population. Preliminary data suggest a not insignificant prevalence of cardiac involvement. Here, we report our early experience with COVID-19 in the pediatric population. These patients display exceptionally high levels of acute-phase reactants. The clinical syndrome in these patients is somewhat similar to Kawasaki disease with or without myocardial involvement. In some cases, the presentation mimics typical myocarditis. Severe myocardial involvement is associated with transient electrocardiographic and echocardiographic abnormalities. These findings may be due to the cardiotropic nature of the virus or may be the result of an immunologic response to the infection.
      Citation: Annals of Pediatric Cardiology 2020 13(3):230-233
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_77_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • Percutaneous coronary intervention for coronary allograft vasculopathy
           with drug-eluting stent in Indian subcontinent: Issues in diagnosis and
           management

    • Authors: Mohammed Shakawat Alam, Arvind Sahadev Singh, Sreeja Pavithran, Vijayakumar Subban, Ajit Mullasari, Kothandam Sivakumar
      Pages: 234 - 237
      Abstract: Mohammed Shakawat Alam, Arvind Sahadev Singh, Sreeja Pavithran, Vijayakumar Subban, Ajit Mullasari, Kothandam Sivakumar
      Annals of Pediatric Cardiology 2020 13(3):234-237
      Coronary allograft vasculopathy fails to give a warning anginal pain due to denervation and often presents with acute coronary syndrome, ventricular dysfunction, or sudden cardiac death. Early diagnosis in a pediatric patient is difficult as it involves invasive coronary angiography or advanced imaging such as intravascular ultrasound or optical coherence tomography. A 12-year-old boy developed acute coronary syndrome, elevated troponins, and right bundle branch block, 5 years after cardiac transplantation and was treated with culprit-vessel angioplasty with a drug-eluting stent. Advanced imaging showed the involvement of nonculprit vessels too. In a detailed literature search, we failed to identify a similar clinical presentation and management in the subcontinent, hence our interest in publishing this report for educational value. Issues in diagnosis, management, prognosis, and prevention are discussed.
      Citation: Annals of Pediatric Cardiology 2020 13(3):234-237
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_69_19
      Issue No: Vol. 13, No. 3 (2020)
       
  • Cardiac tumors in both twins &#8211; A case report of a rare
           occurrence

    • Authors: N M Sharath Babu, Dibyaranjan Behera, Anoop George Alex, Lijo Varghese, Oommen K George
      Pages: 238 - 240
      Abstract: N M Sharath Babu, Dibyaranjan Behera, Anoop George Alex, Lijo Varghese, Oommen K George
      Annals of Pediatric Cardiology 2020 13(3):238-240
      Cardiac tumors in neonates and infancy are one among the many known congenital cardiac diseases. Although fetal cardiac tumors are rare, there is increased detection because of expertise in echocadiographic examination. Rhabdomyomas are the most common cardiac tumors among infants and children. Here, we describe twin neonates who had multiple cardiac tumors. This kind of presentation appears to be a very rare situation.
      Citation: Annals of Pediatric Cardiology 2020 13(3):238-240
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_98_19
      Issue No: Vol. 13, No. 3 (2020)
       
  • Steroid-associated bradycardia in a newly diagnosed B precursor acute
           lymphoblastic leukemia patient with Holt–Oram syndrome

    • Authors: Raymond Morales, Bishir Clayton, Hoang H Nguyen, Lisa Giordano, Brieann A Muller
      Pages: 241 - 243
      Abstract: Raymond Morales, Bishir Clayton, Hoang H Nguyen, Lisa Giordano, Brieann A Muller
      Annals of Pediatric Cardiology 2020 13(3):241-243
      Holt–Oram syndrome (HOS) (OMIM#142900) is a rare condition with upper extremity malformations as well as structural and conduction cardiac anomalies. There are sparse reports in the literature documenting malignancy in association with HOS. We report a pediatric patient clinically diagnosed with HOS (missing thumbs bilaterally, atrial septal defect, ventricular septal defect, and first-degree heart block), who also developed B precursor acute lymphoblastic leukemia. During induction of chemotherapy with steroids, she developed profound bradycardia without clinical symptoms. The bradycardia resolved without intervention, but this case highlights the challenges of managing chemotherapy side effects in a patient with congenital heart disease. A literature review pertinent to the associated findings in the case is also presented.
      Citation: Annals of Pediatric Cardiology 2020 13(3):241-243
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_87_19
      Issue No: Vol. 13, No. 3 (2020)
       
  • Atypical recurrent kawasaki disease with retropharyngeal involvement: A
           case study and literature review

    • Authors: Rachel K Cason, Umakumaran P Ponniah, Elizabeth S Makil, Mary C Niu
      Pages: 244 - 247
      Abstract: Rachel K Cason, Umakumaran P Ponniah, Elizabeth S Makil, Mary C Niu
      Annals of Pediatric Cardiology 2020 13(3):244-247
      Kawasaki disease (KD) is a systemic inflammatory condition primarily affecting young children. We present an adolescent male with two episodes of complete KD between the age of 2 and 14 years. At age 14, he presented with findings suggestive of a retropharyngeal abscess. This was later determined to be a recurrence of KD, diagnosed after the development of coronary artery aneurysms. Our case reinforces the role of maintaining a high index of suspicion for KD, both in patients with prior KD episodes and in those with persistent fever who do not fulfill the diagnostic criteria for typical KD. This is particularly important for patients presenting with atypical symptoms not commonly associated with KD, such as inflammation of the retropharyngeal and parapharyngeal spaces.
      Citation: Annals of Pediatric Cardiology 2020 13(3):244-247
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_89_19
      Issue No: Vol. 13, No. 3 (2020)
       
  • Reversible hypertension associated with complete heart block in a
           6-year-old boy

    • Authors: Elia Fares Anees Boles, Steven Herold
      Pages: 248 - 251
      Abstract: Elia Fares Anees Boles, Steven Herold
      Annals of Pediatric Cardiology 2020 13(3):248-251
      We herein report a case of a 6-year-old boy with hypertension and complete heart block with a unique outcome. The patient was treated with an epicardial pacemaker followed by complete and sustained resolution of his hypertension with no further need for the previously prescribed antihypertensive medication.
      Citation: Annals of Pediatric Cardiology 2020 13(3):248-251
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_163_19
      Issue No: Vol. 13, No. 3 (2020)
       
  • Lethal recurrent mycotic ascending aortic pseudoaneurysm in a 21-month-old
           child with repaired subaortic membrane

    • Authors: Khaled A Alhawri, Usama H Elsaedy, Sami A Alahdal, Nabil S Albahlooli, Abdullah A Al Qwaee, Ali A Alakhfash
      Pages: 252 - 255
      Abstract: Khaled A Alhawri, Usama H Elsaedy, Sami A Alahdal, Nabil S Albahlooli, Abdullah A Al Qwaee, Ali A Alakhfash
      Annals of Pediatric Cardiology 2020 13(3):252-255
      Mycotic pseudoaneurysm of the aorta is a rare and lethal complication of pediatric congenital heart surgery. We report the lethal consequences of recurrent mycotic pseudoaneurysm in an 18-month-old baby, early after subaortic membrane resection. We managed to repair the pseudoaneurysm successfully by replacing the infected ascending aorta using bovine jugular vein graft, but unfortunately, the patient developed new pseudoaneurysm at the site of anastomosis which led to his death. Although prompt diagnosis and surgical management can save the patient life, uncontrolled infection can lead to the recurrence of the problem and lethal results.
      Citation: Annals of Pediatric Cardiology 2020 13(3):252-255
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_1_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • Recurrent pericarditis in an adolescent with Crohn&#39;s colitis

    • Authors: Bibhuti B Das, Morgan Dodson, Angel Guzman
      Pages: 256 - 259
      Abstract: Bibhuti B Das, Morgan Dodson, Angel Guzman
      Annals of Pediatric Cardiology 2020 13(3):256-259
      Extraintestinal manifestations are common complications of inflammatory bowel disease (IBD), whereas the recurrent pericarditis during remission of Crohn's disease is rarely reported. Chest pain developed in a 13-year-old adolescent male who had a history of Crohn's colitis since 9 years of age and was in remission for 4 years after treatment with infliximab, adalimumab, and vedolizumab. Physicians should be aware of the pericardial involvement in patients with a history of IBD. The literature on pericardial involvement in Crohn's disease is reviewed with emphasis on the management of recurrent pericardial effusion in the pediatric age group.
      Citation: Annals of Pediatric Cardiology 2020 13(3):256-259
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_16_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • Transcatheter reduction in size of large undesirable fenestrations
           following extracardiac conduit Fontan surgery with off-label use of
           Occlutech atrial flow regulator

    • Authors: Bhushan Shivaji Sonawane, Kothandam Sivakumar
      Pages: 260 - 263
      Abstract: Bhushan Shivaji Sonawane, Kothandam Sivakumar
      Annals of Pediatric Cardiology 2020 13(3):260-263
      Fontan surgery streamlines the systemic venous return through the pulmonary circulation before filling the systemic ventricle in univentricular hearts. The venous congestion leads to effusions, lowers cardiac output, and affects organ perfusion. Fenestrations in the Fontan circuit improve forward flow through the ventricles, lower venous pressures, and reduce perioperative morbidity. When large fenestrations cause profound hypoxia and effort intolerance, there are no current techniques to reduce their size. Atrial flow regulators with a predetermined orifice were used off-label in three borderline patients with large undesirable fenestrations following extracardiac conduit Fontan surgeries. This resulted in improved oxygenation without marked elevation of venous pressures, while retaining the patency of the decompressive fenestration.
      Citation: Annals of Pediatric Cardiology 2020 13(3):260-263
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_52_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • Flecainide intoxication in pediatric patients with supraventricular
           tachycardia

    • Authors: Guiem Vaquer, Laura Marfil, Josep Ortega, Anna Sabate-Rotes, Ferran Gran-Ipina, Ferran Roses-Noguer
      Pages: 264 - 266
      Abstract: Guiem Vaquer, Laura Marfil, Josep Ortega, Anna Sabate-Rotes, Ferran Gran-Ipina, Ferran Roses-Noguer
      Annals of Pediatric Cardiology 2020 13(3):264-266
      Flecainide is a class IC antiarrhythmic indicated for ventricular and supraventricular arrhythmias in pediatric patients without structural heart disease. Flecainide has a narrow therapeutic window and proarrhythmic effect even in therapeutic doses and could lead to a life-threatening intoxication. Dosage errors, accidental intakes, and drug or food interactions, especially with dairy products, can be the cause of the intoxication. We report three consecutive cases of flecainide intoxication in children with supraventricular tachycardia (SVT) in our hospital from 2017 to 2019. Two cases had complete and spontaneous normalization of electrocardiogram (ECG) after flecainide removal. However, admission to the intensive care was required due to a sustained ventricular tachycardia in one case. Flecainide intoxication can be a life-threatening complication in patients with SVT. We believe all children should have close monitoring with serial ECG and plasma levels of flecainide during the 48–72 h after initiation of treatment, and consider hospitalization for patients <1 year of age.
      Citation: Annals of Pediatric Cardiology 2020 13(3):264-266
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_116_19
      Issue No: Vol. 13, No. 3 (2020)
       
  • Coronary artery aneurysm in kawasaki disease

    • Authors: Achala Donuru, Maansi Parekh, Vinay V. R Kandula, Sharon Gould
      Pages: 267 - 268
      Abstract: Achala Donuru, Maansi Parekh, Vinay V. R Kandula, Sharon Gould
      Annals of Pediatric Cardiology 2020 13(3):267-268
      A 3-year-old male presents to the emergency department with chief complaints of fever and vomiting. He had a positive rapid streptococcus throat test with cervical lymphadenopathy. The patient was started on antibiotics. On examination, there was diffuse erythematous macular rash on the chest. Laboratory tests revealed elevated white cell count and C-reactive protein. Electrocardiogram was notable for prolonged PR interval indicating 1st degree atrioventricular block. Echocardiogram revealed ectasia of the right coronary artery (RCA). A presumptive diagnosis of Kawasaki disease was made and the patient was started on high-dose aspirin and intravenous immunoglobulins. Cardiac computed tomography angiography (CTA) showed an aneurysm of the proximal RCA measuring up to 7.4 mm. The RCA immediately proximal to the aneurysm measured 3 mm in diameter. The Z score was 13.4. Oblique coronal image from cardiac CTA and volume rendered images demonstrated an aneurysm of the proximal RCA. The patient improved with treatment.
      Citation: Annals of Pediatric Cardiology 2020 13(3):267-268
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_6_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • Hemangioma &#8211; A pointer to Abernethy syndrome?

    • Authors: Shyam S Kothari
      Pages: 269 - 271
      Abstract: Shyam S Kothari
      Annals of Pediatric Cardiology 2020 13(3):269-271
      Diffuse pulmonary arteriovenous malformations or pulmonary arterial hypertension (PAH) may result from congenital portosystemic venous shunts. Hemangioma as a physical sign of congenital portosystemic shunts (like Abernethy syndrome) has not been described. I report two children (one with severe cyanosis from pulmonary arteriovenous malformations and the other with severe PAH) with cutaneous hemangioma and Abernethy syndrome. Hemangioma may be a clinical pointer to portosystemic shunts even in the absence of obvious liver disease.
      Citation: Annals of Pediatric Cardiology 2020 13(3):269-271
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_91_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • Indications for intervention for coarctation of the aorta

    • Authors: Navaneetha Sasikumar, Atsuko Kato
      Pages: 272 - 273
      Abstract: Navaneetha Sasikumar, Atsuko Kato
      Annals of Pediatric Cardiology 2020 13(3):272-273

      Citation: Annals of Pediatric Cardiology 2020 13(3):272-273
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_21_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • Author&#39;s reply

    • Authors: Anita Saxena, Jay Relan
      Pages: 273 - 273
      Abstract: Anita Saxena, Jay Relan
      Annals of Pediatric Cardiology 2020 13(3):273-273

      Citation: Annals of Pediatric Cardiology 2020 13(3):273-273
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_32_20
      Issue No: Vol. 13, No. 3 (2020)
       
  • “Hurdles at each step:” Aberrant lobar pulmonary artery in an
           

    • Authors: CR Pruthvi, V Krishna Santosh, Krishna Prasad Nevali, Dinakar Bootla, Sanjeev Naganur
      Pages: 274 - 276
      Abstract: CR Pruthvi, V Krishna Santosh, Krishna Prasad Nevali, Dinakar Bootla, Sanjeev Naganur
      Annals of Pediatric Cardiology 2020 13(3):274-276

      Citation: Annals of Pediatric Cardiology 2020 13(3):274-276
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_119_19
      Issue No: Vol. 13, No. 3 (2020)
       
  • Mycobacterium chimaera in a post thaw pulmonary valve homograft as a
           result of contaminated heater cooler unit in use during the implant
           surgery

    • Authors: Wee Ling Heng, Mathew Jose Chakaramakkil
      Pages: 277 - 278
      Abstract: Wee Ling Heng, Mathew Jose Chakaramakkil
      Annals of Pediatric Cardiology 2020 13(3):277-278

      Citation: Annals of Pediatric Cardiology 2020 13(3):277-278
      PubDate: Wed,8 Jul 2020
      DOI: 10.4103/apc.APC_72_20
      Issue No: Vol. 13, No. 3 (2020)
       
 
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