From 556bb33c31c41cf528154478ddb236f3c2203866 Mon Sep 17 00:00:00 2001 From: Reza Sameni <38889933+rsameni@users.noreply.github.com> Date: Fri, 26 Apr 2024 14:18:50 -0400 Subject: [PATCH] Added CHD page --- assets/images/emory-chd-center-logo.png | Bin 0 -> 17379 bytes congenital_heart_defects.md | 120 ++++++++++++++++++++++++ projects.md | 2 +- 3 files changed, 121 insertions(+), 1 deletion(-) create mode 100644 assets/images/emory-chd-center-logo.png create mode 100644 congenital_heart_defects.md diff --git a/assets/images/emory-chd-center-logo.png b/assets/images/emory-chd-center-logo.png new file mode 100644 index 0000000000000000000000000000000000000000..935c1e296932b5f6ea9043f6411fcf7e48242f27 GIT binary patch literal 17379 zcmV*MKx4m&P)I-!|)K;0}qa2 zcnIu)2LnN`Ya<-4?MT2wU=KX_0*6 znvH1QycsP#zkBlr^3+a6CR-`jo!vc#yA$DQbRjAMU&U&=z_h6CUF<3 z-0eVndoybDa<#kBHj4NOitn*tuy7Hr4IGmJi;>-m*e;cF^SR zXhFBbPIH?dr++>X<--CGfj#(2!RDaPDq?l=wUfszYqL2}*R&UVR;|Rwci%+mLl0ob z2XA3}=}hc-|6OdI{XQCV=V5PAHg>Ju0$W`NHr7-C?VUzox9{AGZ8a;feMuG7cr9A% zce0es<>yG0-5Y?xhKIl&e5GLTwV{{3Y7a@<(d$5KZ!117twQ~ZW!V18@31T(6t#h0 zM|GSx@`6sq;;`W;2{{#oVPD6xo36sPx#=YP9<<~aW6d9)#h#@FXm8kqEo+ve>=zHC zxvCsxAHK&1qRrUQJ%`y3_7K>EV+$e!NkMIM9v>_eE$-9^@ zkP$r!MUf*>6z7N1Bws8_2|&&GAXFy>qBbr7%aenUeNF;O&piv(-@g_WcbrFZpN^#$ zPQ?0ovr+r^*O2+>Pw;VJ7IsuDg{_x=-ZP#|L2X_)sjF z7>cTt5G+m(M$Lp!ESlhr?D*kSSyH~#zI{~|In(p56J*u&3j==Yh&J4jO# zAr?uyd(~OvKo`B$E}Fl3?QwL`c_k|jAi_@KI} z<4(uIcwb~B1R{g#yD-KV>CxWEj2g*fzQ*}rVdN;x8XJHGq5hZ?Jrb$OzE~LRi>&0) zC`t51X7EtthxlXL|9uPFip$Wz``hX}P~XdEHFmTUrVVlK4hlR3J_tPe=%e`A&whqi zUwsu_UFzZoLPA1t`Q?{m^yty}`q#gXi!Qpzln)m6lDyi!N^nrMdb_Dy-Aa^D!UQ)G zw#V+2GX2}iO=J-CY82WyLuOAmk+mAUn|?X(aT_$Pt(oF`Vk_gRGbU>dJtNm#vlH99&v%>Kt8e~dHFJkt>M z!V51n1b+D8hx-(H$BrFl|K*ooHphd3-o{3wz}mh_=v9R$Yr9C`PBPDC^w?SXcThEV z7v*8s@+Ii*R1Dc!E_8D1GTBk2Dg9j20MO(%>PzKyboZd!?lisEKKd|9#*RYH1QIhc zkg6Mi`Bc=|RN86LBQP~)6lOF1z?D~CY07+j*itW8V9MN0YVAMt&_k}HLx-K8QO|p7>#nYL zl^*|aP%1k}ILphmceP{JvKp-W;4PF~eIW`{LQ!;H1Zsc!eQajg?wo8?zx6trw`_5} z185;j+Q|}!>5Fyx(A{=X2&gNsK!NWNRF4nAg7D#3nBYrg^~3BKA55dNPK)-!)Yws& z6XlHz60{^S1ceDy+ISyilE7(kzL=Lll_rTZ_@1mpKjcuo7bS+GFwzf&A*W*1OTR}` z?K;$L+JIJ@0%x)S6ws0y^E;U*Idptw2>h>q{mT$+!-fs6lKo@Mm@xWBzxTcG!Q0#0sI!-smnk1CbiMLQAA!4Gd(BmPyu(R0Q^_0m zVEONUjV0f@6#2=4^jFVBVfYy+paK?>WYx(dQI#?bOV1sL0;*v8*&(QU`B^lsUv2Ir zC&xiG?;(LZsnhBM7Shj;Moq*hs%ik{QEe9{cvDSBQgKIO2De!;UYJgGof+wcv}ix% z#|EG{X*6<4)O40-ki;1@sTa~uo=bl?FWwJ%ByuVJ;VhPwhn|7zTdu^8>2uNA-ob{1 z->Fl+Fs%T(0s4M442%*VD!wuVe){RBap#?PqOPva9N%}}eOS0~Ax4cFg`q=-!oimD zg%@5hqy1p3ZdTL? z%p5x$^P{|wO2Vd+fD1^_IeeYPvdqNM$d;KblF~%Zq6%lztS(6mHoosXHY7S%$o-gGmt;N}Cq=um`bsnaA4Iwc} zRQk44Xa-M<9ErIkZw4EL%!ELi$o`m30?QXpjq*i0NtwaV%p&3Q5_t`usW>qR`Edcp zoX(0Tq4~ZNURRzHLSp-%B02!8zL9`+|NJxBs>+de&E;5^>2$j~6h(LR=>J2;F-Kr2 z;OCja4Gj&LI&~^iQ&UaA$-?co-;U7GP_r*{SH7%p{`uz{vWlEe{IHnBEvE8q9zO=lE*yg@T^D{P7GIcx z9i_#laajB0! zEXql!(gd2%0P^@*1^oPMz9*9nKmlL%yruliEH(@U zyjJG*qASkEif`V4om1Y!`s`Hfs$6EiYcJaPJJ@B691@O70;_u_FE7vRuUxqjNl8hD zWWrr{-G%@Ck1d%CBA&IWpH@MqU;gr!edM(K+Ue7$<2S$gjfpP*_P4(^=Txphl+5Vn z=4Mm&?z`_A6M4y!CFcB}|NLiDek7poqn0bKKr;D$K*G(Ih>Vv z`>gko8F2<`5=Ntp>Xwt_&5eXINfjg)6*7+sS2iIWbE$B1NjxQAWRW=YNUrp;qiDwZ zll+0mBN?-($f;D#{BU3TrlV0v5@!Ss!~6&@(_J(-)`$0@iOfbp{%<<{Slv(kzzgKt zlEkSrndfs8fko;}z9&=uEr}{J=hK8&*ODxOJT@xXJfAOfo6jdJAzj43AO@Sh{~c_3 z=WXP@^rFd;?v%^#=%gE=?|x_$KI#bE-Q8`76C50Dj_1vrhs4B0erTI8HD zV@BWpV~;&%_RGr33@NR0_0Pt}#^Sv5&cpNcBb96+lUZnORXV_@@i@&@1-HKW&2Ksb zEJp|;a622NRw~DFmCT`^l>Tm;M3}ox`B})IFIpURI+mS17KJ222?>!K=H`*e@?+CT;B@(^O3okw6tqi4vY4_+|N8JW(a37yOL zXXrI4kk2%d&*OtqS`Txm*y|qq5!Sx+JlYpkp}wRT_Rdx|V*D9Qg2$mnvX07H@uMI8 z2-mnwMn!~0#)O0f6I@!qe!V%~zI{7>@Pi-p5mo)X+E+wa(EeL*y=C^59VN2b>2Iko z_;8X^(d^BeH{*j3K5&%`93pVXE3csCh8vEnWDfoQ%4hC&b%s_xcn?ZKzJ}U~VW>$7 z#iHb3l*&vc@zl?nXS#3#O*&%^%NNkkoe?_adEI=fwg@=i zY`&NlF$^EZjKl|goyPagC85(F6bam0czi z#F?Tpa2z$YLg|U>V_mgsl_7vdOc7aqtm^7XOG`6lI=+;uB5g9nD^{$);>C**7#Qd(`C=$8E_Uq!TeogC%B^QouuQqr1BHW@Mjh{CfB${7u|X4o zd-&TNFHpvmw8w65Mec-2D2N({Rg28x8j+Mae9a~i78=4S)sf_-UpjTH z7iRFrA=7oOQC5;ps!K9YC&@n|AwM92KO})?MN+w=WET4%jl^6KtF9vw zpX8lQ^_)vW&f_%;Nz^QW#Z%G zO?H!lOzKk=2^2+^YAUqUVH7ecwmUZ$9l!s**|!gZsvj*-f|RgxSsv9l z5Q}IMm(mPgNMdEsY)vH*XOIAyBurY&2r4TH#A{MXwy9KQMUSVFoU^H%sWg}8OEne! zCE+Y0r;*sRN#dy_<%h2BqFIq5Cw*JKXD-!QDyx*p`64fsb0*0+NB1HDrMOO$St*px zYn>Teql{{&@mZ!v4#P|~3NrQQk-*t}E@gJj=a!c+3dO-*sLx!0?Ng@1VRK;hvTF2n z*c87rqpNy)Z6+!`P<(DpZECV&gic5upL*&kQ$Y`wFx%JyopHt)sI06s@3%6V3JMC$ zu}HXP%^Fh{6%}P7$rg0pg36_oR#Juq`Oo{q=b6m6+;WS_z_RepJMXymoKUya%$YMy zHTJf9V-$aN6OPSQtsnQSVNRLZJrnt`H#s{Vhu_$I_=Z%1-l|jfdVVwHDb^`Am9$HlJtim=P$vYCKB65knJv43&2iRzLrO$?e{; zekEEPTMT8Lvs(_Fyu#-aSU#tMNN>LRCj9;VO$Al=jEF6DJP;JYRUk+N5EO{g`;}AN z*4AeBWx77|%rp4OPkz#Oe?hMS0Rd)Tm^5jUYtQLtei8iRAOA4-`S!QJZTfxBJ@?#C zHAvH@O*7Z1-*|tRJ$tq}Z*4NO1*K13aKQy;U#7Ym3HjO9bvl0i_1E#8?|jExbFgUV z?;+AUwroMqvSlWS)q4BwuCvDh`1^>%yIy#j1U?D1=Z?XOgwZr@M>`Lc*MATFfIgu(#B~Fb~KQqZo5=&`i&MRpnkDK;Qz)R8Rlwf0C%YRPe zduH(2vSNcUH~0)Jz4u0xo*j-=58sXU<~FQ(eTwNnRrmKaTLldt+_`fnVq#)UAWczh!5Zw~4vk!r zJD|)ixdInoeDN0^K+zw~XP<2d+}o)HKxaU!nP&cR1DEhrKXexshYiK5b0SbPAsEFp zlglTDVIEDNYp1RHJ?czJBOb+H_!)_k9-HEzNg^hj45bYy%jr4t6_I^qob+KH12XC zKhHA!BKSfCwx9r$D(x?R@e5ap6G~B(x=AsuNW?Jy?t#I~GMnMP^?_v`8lCdE|>~Q*>L$x7~J|>+B~99kLWG zNTsdsAz1q&q`s>f8xdPwUCWm*H|N}8MWAK93>1y0pKeHNK?>X)AMZLkeo%eKttg2( z6Wb<4V97aSQAj^>@q}<>(RWp!?YwBJEdAh;q(C#}O`0OSRAUo(GMmUMGuRum#wxn( zh3R94lT3~vcJCt&0Rq~r}zS)?^Rv<@^&#K^%x_YFFXPtGHDOa+_ z!L&l^<5jAo`f>F>Ypkw5M;3x!WeQuLD`;Q&%<3l=iFNEgdqyV}P6HiOE^}9jA5u>p zYdr8D|M*9<|KW!p;*m!lF}}B+d+E}p`1P-Uy^mi!m=Iw#3dus_$tR=16)ZcRu;_-% zusC)YHccFZEoaBlWF3LUDWQCos*=DYM7ETVgvq3tyMR7wCQaQen$z-^7n(AsKdLSx zr9{pmnLmsgjt|G2X-wTbn!0&1gQ=n=$stbCQn7QX#sw)PGRZ7r>K>NwD^ppCBl3TZ zxz1Rp$qXzXwlXsgTsx9SS%}-P|FiQpK0g=SuH}#MHlTu=;H-T@3{?2Luo=!8jba5#i24@!vup+G%koHs;0Z~HG!id zs&H1U7folGyWTXP{SCnsz{(>LMe-~XbRkVybs0^GpsyS@%&2KDNhK7%MKi1P!}4U~lajG%Q+y9?EXh_C2sQx6}6>B=!;qT_aS9Rl(h7o)Do#(*961 zR_84L_fTN@vrwg0={{mz_w@WBVov3z4e`x?~X4l9jPshF2s za*2s%D^h+WAp*C$jf85a$?k4aA1_$<_CHV*bQ)Ht_+ahiC^G}3wu*71jh`t+%cNgf zOj75QoXUDiBe4~Hl1Z${b*0WxSv9N1k}JfdVxaWJ)T^tBCHw zLaHd`6!8uO1)8iZtNySe#fl7DX0kTHGO4XDFRT2sFc^V_!GOrx{^XOcBNF)e=S`WS z(#I3p8+Ib+igU3tY6P~QAB)9Q!KITzNMa2N@TRY+K?H#)rivD8z&weg>?kElXrTRy ziD9Ts2{Jxyequ09;!u=NibOsMDf3#HR_bEPp)XvN62j|9K$fS`JXi2a3ao33lR`{D zOZm?7Z?mM~3PpG?w3cFquyllz}Buxet=pxZM81 zAq_UhJBdDBrCbUOB&6M+>ZVCCdctQa3o()pRBh{9N!r!-_ps^kdNO`iev^zPlz2z!$a z-R-m*$yek0@*h!muw>$}+hkTg@@GNmhVId8bwdpwKHLPB+@bTz|M*D5M&Dj!?Jg^Gl>lA;_=hP|g2(ZOrailyjF@VmCcOuMiCV_k0jNQMKuDNUN(c)fXsOf ztWY$28P!)~j&xUpC?`a~@H&MjzZcfhu#4V{~t&~EQS7u8p8uSlyJXl;Xm!$x2! zqtYMylWu>o0!V_C*Ggw}?^04Sh|097drFaP?cZ_79p=3JR~>8aE8&Mf{Gl1SbSy&C z=ZLIku)7N)vm(=NcirVGIeuX4>O{$Tu~?lDj-8i8oBr9=<0DZ?f-IyOs{dESEhG^a zPmVykQAjVOQLR^f=W48+G#0CpgRy8liB7dFA|W+CS3a}4k(}!5>;kg(MO+hQ7I{fh zXEFvin#X#NG0BrfR?Wac^78X?*-+%LVbE+GRkQ$Vlf%tiT!oV&P?i#j!jy3AEi6TI zM-O&y*o@A$X7up8_0az{3xE@YslLKtBe0S%PCDr%Ln_P6{VY82zyszwbu(RY#T6zA zM18sH(s9SPzV$7faKZ`ZT5GeApPz5W49g!r*3owFy@tU1fNqM)n!lv!e7;Objh5c^ zE#!?p6ir!SP~P84Hv{4<<&UbOe$RgNmEE-=J0qy#Biihp$n+C>nBBHO>!vx z(b4orsg5L{=6Wt5;qzUokRojc&0>u!?u#%-yV5XuoWXl%Mrkf9Uldcx3uu0ez#62W z0S#u{FU|QJ`q>q1OqM76qD1ODIT0Iv{tybs48_hrJVU>?3ww9eqphJ44$Vf{#YR|j z%IZrFCUadlBm#>}it_Fc3TP=kQY3Sq7*5Fz@|QJ==f)dvG-cL`2UhlzHN}lqJ?IY& zFI0-85-D__;}K0MDW4`VVF;X*0+QqB!_uY?%;_Z5IV$LwqFGofVDMlcSAq zss2~>*=pjrGWxe7@a)K8CWWzLLKt@6a6Z;f498LuxQf29b4a3#$TX{EE-UaPzgCSw z9?O*;DFrs^kUW<~|JV>$%FS{O8I%I6Pg<`z-17O^)l}f>6kp_ro{lYlc@<0VxB(mP z{5JN?%tKeB1ADh`C3$V=u_J|O?Ahz43N`y;UC#%dbmscVlG?4COlE22kW8C9;~oUzz* zPCS;AL?2%ehuX=J$R&yMseDCL#6`&=#!OxiIRdHlO%?1~eOWTrT^NH!Nq$%q=L}>m zP6@#xs&d)5Ad~K>*&{VUyQaP=l!>e$74PHpkx6vkU*uIbl|Du-NGwxaeZ(5)n?nMZ z@x6I`Rkur1?%T#V-L%2U>J|3Wfp!IV;#I`VR)TVf0-Q=-oxNJPujSs{6vm$98M`L-?Sd@~4 zl?kIs%3u;oMD&5i0;iE+Gb2Z0dW09|M2#@SuA~aDm@vj9Th!3Z)_djSDx$3M#TuTd z?jb8nOUhh8Vk?MNk`#n|lDn8HE`k@*2QE(uFmrCzrksiLaDQyO?t0X}{0dfIdNwxy z?0#rQ>#ioMZkr9Qy_)mNIcb4KVr_$s0oMkRPXiG&23AA;+!a&%8e=Q`?QehE=bVQ2 z=~(8n-mk!v2cN*Pb*mw1>wcomT`#?4`iFb>6B{_zp+3?MR`>Pay$u`VhhtgtDD3^l z1Z+Pq79UTDz}AVe^p9h(d{P)yn&c$`7tu7XnH-J<@uN(tqecfQ4|*E+XHhw`W2nxW zlwEza$%;19m!^rH7Vk~Jm+C47CxI0tlbI~@+W6QStt9f&j8-&SQ~PMn=S3uMHA!5Q z?2GD)lh8bCDz@Hv8&)KaLC2c)=+ppxC26?qWtq>18v`P+HDjZ;zyJO3xa_ja%)auZ z1^2-XR+o?lB3Q6S4telt^i)?H0(U<1jH~1m*k;Ty=j;O*u{BWi4sbZ+!9x9{8Xa4| zb|s1@hG0XYH#U$gYbJ)F?%V`y8XtkRRMX`=UO^HsnGlRplDL#6b20tmj7Tpmh@$$E zteUA~W~2`?qUqZz_nBm!uWl##x+J0*M{HEp3Ro#xP30wF%c!{WuhnIxrBa;x0W`mZ zN#0<7F4aHiOzeFB9c+5^0j&2Mf{jlhXD~-!{s#ePYD+q zw4g2=Yb>udWvfQ+NQE^cg@z%@&pjaYon7Dic!CJfaK;(vS+T-Za$wlg(hNy$@4o9Q z`2^||^-ul+AIA;H@(C=J%UO3jD zO;b849LvT9qjr3VA#oK|v5@3lL~^UUNQ3&P$7o`9FRJkG4vr>9wTAU`H3v~L; zB&JkV3ajN%l*Ls_v$>3>xn)8Zk+?;%^q+Zc=2^k0i3`K>G5)B!^%AUo=?Sa~@xm&q zf9twMaCGwTW4AjAY(=b&Rsw5oW~r_Q?7KseW%oIoKM(qjS_;yd6UcmLD_hE0bj+jq z+;dIfsgdr&7lG~d*9}QE3rBxA)~+?@+U~p0RdRUX*s#Gov$l>$A2pwO*e90f-&<=1 z*;yZ?X5B4&QFhrms0{U?^3ji_sk@WD@Mdl+sFJngLa>zNTQxBh<;mVOseMpFGN&hM z+MQ9DLo-=(SIvnUWdtY zB`c`#6-m5)ycbGBhvDNt{uY&!qEQhr1hr4!X&$~qD=z2@sQQ|U&FyF|V2xZodPzmUcAl*@Lz{yGUT?Xd~l39OESJwb@MNZwe1LuS$pf zJajzul+(|39lN8K){G%jzu}yN3Cm2c*9@OM&M99yUwqLhaZ^Z$(>y#(FrQ|#o0%&# zlUU=@DlGi|cd_=N2T&Csf^{Tb&Dnw2eo-=ZpC3o_Is&^>qOtTGUsTb@E!L`qR96L~ z%=locuSOfmKc1ucv-p0khok}dg(9sXuKJa=A7Dm66(#r?GAkJ*Kib!%Olnq-#p=F_ zI|F&j(|+OsRE!>pqOoV9IWG(LHlVe;l?{;HS#ed#Eg~Og42Zyj{*aqCZE_ub4){g7 z)w0q=QtHLWB}M3HsK?$7TVUJ04R#w_u(mer-dTqo6_sdda0Y1(V_o@DAk`Ha%)YO$ zA;IUNg;tIAp8Y}R_SeO9s8F&&$CFQ*#-rJ7Jt+&_MMdWMrOJ-_dROV-!c6hjV`E+E zLT9`4kKf7Cmf97lxcD1bL4UTEe(JKwVAPEd!m^7(ur`IhF-__5l>IT(usn zZ@C(aB8FixTg1}f6S4O1f5(>py@n0H|2fvD%}4dW|BB`vJDe@@AVaFyvt|u?4^t(y zpt-C>hBnuvcHI>fhJ4MgRUtkLO=HF!kia7EfzA&IB(Iik(erk?jq~0gL||RFKNJ6u z!OHKT`gYSU>($KXY{69rv^A|=jN(5&iFGf&g6+S0nq(eMr9BxX69eg+hN6<>TS8JV zo=7v8E}{Kv#G4g+R_lkJnox>4sIH;R2)yGC4q}sUKsCV6gZEjwoGdI z#7YFIq(8oR;`vzr($kn9ej+kL1JGJph@GX2(Xeqd{dd;!FK4cYeJ}_$K|eHqc>dV> z?^93_2`rPSVb(O{M4ZMif0{8>jBmjfF+KQHWQGkzUcf1AH3PBXxu>88xJ5nUu3H=` z9NV^`?bciSR76{YmlwMJ^d~qDL!`AaG}I8S*EQ*Y(DuV0nzEj%Dp$#;A%Y%AshblM z2bI9~yu7~OL{r#)5j4lf8WMNC@rJ8p5Mk=kC(uz_caNF=yqEv(ZrCd=z{baait_N& zXzGqIk>mUcLCB|{TFm-W5gS5sE7K}~WDGz#39YfjBC+zL^C%oy5j25$zAPo!n9ow; zq6A-*rv%aWRh~27C-voV4ewh-UwXxTcVg+;aaa&I1WTWN47TQO?95w?_PQOW3v4iF z+W4Xva81z9>7dEb%~!h?EOwRmfuvP=H&0lmaLxCx!a|aFezc#Na9fjr$&}GZ5KWMs z8?D&}M)2IQjkdNrb6>T<1NmtjJ9iq=)}L^Ksq~HX+if#vqL=2n0yQ1K{3YtY z_BCe(KItT*mOcH(ArAz-t*xel?{6Adeb#{ps^@HQo0P9V+U~q_&%aK$*1JkrY$wTvV!Wj!pS5-WeY zgx8eQtgc9=@^aI9#8sD^gDv;nPU4?{f`F0e+PMi$JN9C0?JBcK8>>2cdTC03nhA#$ z1Fs2WrG8NTf%M3m=gvUG%4McM&l=Wm)_-w*pPkd*L%#n>W{Q%TQCjLkkwI^i(acf$ zTPjT#&EcD`KDzLcD7zrZsJ8M+^&#e7MAzGIqwC#w(e?iO==$(ObWNFpu8%%K*R*Nq znm!%2`Sa2K^Pi*1rBwB2o@pjV@2;tF-e5ma_l%AAk!p%u>ORr?8{^~6)}+_CIJ4jB zwpwB9HP@giDao8STS9_KcWgNIR6~sY!OrK?xyGm{bA1!<+j{M_u)F4^)-&rKpM_4> zDh&?TG(hgKFIa$Pt!#1CRi@#R;3+b zK+y5q-#UNe{cUVC)hMcgtUvi=)U#2l=kHQaQ@!Ez(@oc!Ch605paxBUd$R}_HxbwL zQgG9Li>(EF%kr@7@gJig#0#l@Los#C>6jWxLQ@p7mEX+zrhyGhlgFT%BrazC(pDHh z8l{(}VCDHqCbO$R?wovQZ6YyW6?raWz0|B7yB@h8OD`Oc?64u&_`>gvwY;;m4DBtu zjB9AzU;eYN{c!kkNKLsOb@Qt)qx$>TBbVf?h#!vSSDu5a%TuuWKYvGC&nHen+2pav ziX2Jh9d1@b*Md>Xn#rTdlg%F~pT5dMWz58rz)3;K@jD57K6(d>fAeeDNn&SG8cB2a z-Dq&l(5OmK&&psnRt!Z>RY~N}sq!lDaR$S$77F~%G};>f|88-#0WGD8|EaD8a6h3hYIy?+jDb`DQ-6H zYs<;mcjNPZ)@J*>#1xs;mKoh7eP$^!uT$_!rgK3oUs)H+61-4+ zZZx(&{R=GOy{f~9qqDIAt@ZrOm1~_3a|Cfv1lErzv)NMEwa@+(rKb(y58y)|f?rmq z2F;Ik$uv{^ziyVL*#19fMNSPr1GBX#RrDzOB7w$yo2Kc_; z7W(^aM9d76M-T_6z};HU6j=4!$5HMx1o=rmNGAz3NLq91&Wa^T+1i;&!{WR#hXh^_ z*P6}gq=wzg)}z4{VXoih&0Sr2Oxh8i0z9J8MlVY*!o*$vBr4#K`{Z{phXrem1GnjTHac~OEt!d+0R8Sc+V*N3X zCP!-AD5RUbQ!k^kY05RF3A{k_4N;Y6M`>2U(NyUmGe@sd+%&7bmWh-aYi=SfNug`C z`ngPT-77UJ2<7x!8b7W_XP3rS4$fjw#{(==+a2w{`qih(zIy0|gD##{|8MJcX8t*7 zS}XfcX7={k3$XHmyRdpOrJm|l8bIoEb_8Wpik~WP#?K~1yeP**FN75Ij4@)AZ zl9+SGYPu7J>jP1s85C%`6jQNtNPMkVlNzPj@8$QhC8Xc1={skT>b`lb)5M z0SEmTudgh_(tshTnmF1JayCh<1oDN^Bh7+Sn#F!0Rahi`m%gu5HRB+U~gHQv_B9SEIML z>&OFlbkSM1lfY7At&Fc;6p?xNn{T2hco@pU&!jm`-*>z}R#RBEUv>fZ&X|LS59VOo ztAArXY=li2N!+>yoK|#raL@#9+qN0yrwuV9K{P{wNT+#pHFIA&&0>x4Fl(|-io(K_ z(Pk)@%w)}Eujxyqu3BG4Su%#mB(PRD*O*ORvp6LP^J$8&xp<<9c6W9;{Y-0KT@UE* zTJuJ`Mhgj2U-kQX@M$Os$j*Pd>($t<&hbfOFh6#bNgP*VxK@rUJ1YXq z$4i|@qbkvvf2#Fl%&hoS*&J8II*lz|0g0W%_h}KUbne$^=6$MhzVFG{v-)GS?`(#h zKbU?l4}Cv@?Y;L5fxGkb&9RbCbll>Zo@oCd=X$BW8oJt7k;ukQDzj1JmhD(}-}kV0 zLNsbGoeX<>D;l%cpuT7kTH88cYu5~u4s^&gKgufOfC#*+dNH;Ho@P?cG+jw9$yqru z6zLJeQF7(kSeFulvLyMxnn%}dR(zS!EX$yut3|4c=ojbFf0lYneXCXhU}=m6^v~=tM_F5w^eg zHd>qNvEpAJp|`o+M6r)%<8MF&?s4=W>+~U5cTNyCOinO!=W2MCh&*%5=~#PV64p!z zF$*;-HBEl6X13Sp5c$K(ht{BL%}10O=WV9))O4MhF(Xm;$d9q(zwe=i)}cd5@%%g) zEgtL(rCzrG{O4xhnl;1r;fLnfgD-||M;DdZLI2if)KxCqCr-(+fdLU%Sb0`7cAXWB zwc|pua&i=MqJ7LXo@P>P5;K2L1o9h}iD$0Ll%e8m-JzvbF%&GGR#Tjk+`iB7X}sfHcPwQRry z?rN?_?a4z>chNX(nG}t66QZz)M6FB-gce|)MIU!c^eB=zz|4rBnMf0wrm`mE&gHAd zXNtHQY^|VIP1H!N|HZ>t7ctC`w{K!F5B3WYwsF)bv#$|Ro-U-XCJyPZzG=$aSQGp; ztRX2kovq~^L#VcaD0T&`J|cldC?`qJ3X3;O@d&;TK%m42x zthnU@CvRmpdu->=gf;L%Xw=ZWlTI@G{n6Ca^r=-EOG`^#d%%Vb8*tx!_hIYSt!BOD zn{K+vb!K3gF=Gb)```bXeXSS0ckf=j^2#e_GXJ$}kNoJJ&w~1nHGAsh$&>e)0$H=E zY8j!|UV9CH`O9BWP*C7Hb97+91l9~3!jAc~QFhsRSRHaEHjE3#rb!W4H!&FH8X`y% zt9xi3)m0OUsoO}CWtY+CElTh)Brc)ZT^{R&CAVFJ44)IRJ0lHtMHM_aAevk=eh54kN_l#~>+HkMZ1 zsI07XU3GLpIrblY^pSa9_uod)l0PcD`s%CA!g|{OxhwW?G+@947JVJPPNvD^U3&M; zSa;k1VM){}SVB^2exh=%H~T}GAkp-ZEOW68CbqTs3t zXy4TaTX&bqYxUr>(R%BxPQSOU&AhhvTM%84x{jim{rKaLyGnrXeeZjHmGrU49y3e3 z+U@rJt|a++P{ptRjJd@YE?oF2G90at)nGmEZMWU#Ds`@;dCxufm~u62T7g7LtW`M= zHxBgMy5kUkVW$dP$z@9H-u#=VQRsgn=7fLUDR9bH{8$wmAKWe{y1uA0$OvaYX z=hCrfp!V)>qB86ZL)ot5bj{zvhK+uv2&~BkMBq;Pnf>wd%P*TspmnIU1de=N5m@tj zd%LAwYN;DtCt_cE>7^JmW{m3$EvuzV@xvef(5yBoKUt7Eyz|aGrZT%PYG*+!PM&`H z>1M%ocT`nX8FN~b|7(d^3tC=Qex|Os7PZ^6XOFQ8v~;a31oxq&T3A30j#j_4ARkui zOJ9EZ<@kvh=1jBc`}Mf8>h|~B78VvFK0e<3 zU9IVfD$9M)v$#VphROx~7FGaDfv(il)V|+A$}A{Ir{jqeC*quQ&M})H|5@b| zCQLA|b#-;-_tCz754kzo7uz6-)P=-G^f2BWsm|la?|VnAk$fYd`l%1 zMAETEL<_1!7hZUwQG++$c%!c}2~wG7o_WS7lx2FCmzSGsv_4k5T8 zjcXD`HC(#4R^q(!$}5faBj~%zJQoz;)9)`>zpcn_MZ}) zOB>ez{uyMQF~qEXz9Qr_G^XXDadC~S*T_TOgMme0t2?PbL_S4PEy#3puegF%*AOvf zo@Hicny9hNQ$g2?yn0i0mqV@WBUNB~DnY zUkdU!<(vQOU;i>?GO15I@x*=1e38<+Ud!FeO^_Ns_uO+BMhiud1)^tCxzt>0WlN*n$#1QPZQVn^uNouE+;;zMEjLI0xBiy`{h{EC z1^KZ3BgaPrWcnTfM+3P0%kU7`gF}YZ-|UXlPCL!`&VqbHowxdUj|9|L+y5CuLqm_c z!3hTo4}m>6WT@-Log4~SsZ6iJdFP#nHAmP=P@;$;#uk*&;-2?>tinTJ4-OeO-+Xf) zfvrp~C5>qGj)yAj#5cQuHB)&YabsUlT7hNpwvd|`K)drWmz2$@DSL8LxM7g zq_84|a*MCO{(7^o(LL%L{i$pHU_t4Dci(-t$uYK|t}3gWM1;4X1Pa|(sg%kuwx9$G zl`H+xy)Rmgh*aM_z0$(dPd{y*Nt+Tj)ZcAEeXUB1R9XK#W95+Ryf&p=3hK(TpsX+} zq2#l=kq$RJ1oq&NuzK}sGcZErh>D6bWlE-SS3N-_6j3y=K;Z<^#4E49(e-L|f=vc-ITea*2|{$;~MU=I!ns^CgjR0Y;x2|;GB(kZQc zU_p7k$}*BtO2w@FVZF~9sGzJXE1OB#SUM;3S)XA+xydS*`K(b-8ewJmvNF|m&dQ+{ zL~@no=H?pp*Z#l%{cm&bkAM85IaczB)L(?Plvd>yv~M*|R=I+7%J@LCaMM&C}q+b9c2+h=CIyl4gFI9%p#3DUVr`dz9D_q zV1@bf=bK}tBU<;fpbRLh%<|7=4MU4ic)^@@?Ir;dAbA@50fmpP!%ESH%}`1gV(_Y^8SUy8Z(R1eLp| zbt)(&vs(iKWV-i|VveO@jr(L~o- zgX{$*oM>txH9Rt}Eoc~`Ol-^a)_{>C4G)1m@ZcDRhrk|qa16skU=KVvhT$Qw2Ob== a0RA7wxg8;P^oCCW00001*, [Wendy M. Book](wbook@emory.edu)2,3, [Lindsey C. Ivey](lcivey@emory.edu)3, [Fred H. Rodriguez III](rodriguez@emory.edu)2,4, [Cheryl Raskind-Hood](craskin@emory.edu)3, [Karrie F. Downing](yyx9@cdc.gov)5, [Sherry L. Farr](bwa0@cdc.gov)5, [Alexandra P. Haffner](alexandra.primm.haffner@emory.edu)3, [Courtney E. McCracken](Courtney.e.mccracken@kp.org)6, [Vinita O. Leedom](Leedomvo@dhec.sc.gov)7, [Susan E. Haynes](Susan.haynes@prismahealth.org)8, [Sandra Amouzou](sandraamouzou9@gmail.com)6, [Reza Sameni](rsameni@dbmi.emory.edu)1,9, [Rishikesan Kamaleswaran](rkamales@dbmi.emory.edu)1,9 + +1. Department of Biomedical Engineering, Georgia Institute Technology, Atlanta, GA +2. Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA +3. Department of Epidemiology, Emory University, Rollins School of Public Health, Atlanta, GA +4. Children’s Healthcare of Atlanta, Atlanta, GA +5. National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA +5. Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta, GA +7. South Carolina Department of Health and Environmental Control +8. Prisma Health Upstate, South Carolina +9. Department of Biomedical Informatics, Emory University School of Medicine, Atlanta GA + +### Overview +While International Classification of Diseases (ICD) codes recorded in administrative data are often utilized for congenital heart defect (CHD) identification in surveillance datasets, their reliability is compromised due to a significant false positive rate. The accuracy of CHD identification could be improved by incorporating machine learning algorithms, leading to more reliable surveillance. + +### Methods +To identify relevant features for accurate identification of CHD-positive patients, machine learning models were developed and employed on a validated dataset containing encounter level data on 3,334 patients in four datasets from distinct sites. These patients had at least one of 87 CHD-related ICD-9-CM and ICD-10-CM codes identified in the electronic medical record between 2010-2019. + +Identifiers such as geographic variables were excluded from the dataset. A five-fold cross-validation approach was applied to the validated dataset to determine the set of overlapping important features that best classified true positive CHD cases. +The performance metrics evaluated includes median values and corresponding 95% confidence intervals of area under the receiver operating curve (AUROC), positive predictive value (PPV), negative predictive value (NPV), sensitivity, specificity, and F1-score. +Different training and testing combinations were explored to determine a generalized and robust approach that yielded the best classification of true positive CHD cases. + +### Results +Baseline PPV of ICD codes for CHD classification was 53.2%, 58.2%, 68.1%, and 84.0% for the Kaiser, South Carolina, combined adult/pediatric, and legacy cardiac database, respectively. +Overall, the proposed machine learning algorithm achieved PPV of 95% (1273/1340 ) for the overall dataset with a false negative rate (FNR) of 33% (639/1912) by a chosen operating point from the PPV-FN rate curve for CHD prediction across the four datasets, prioritizing PPV. Applying XGBoost for feature selection decreased 2,105 CCS schemes generated features to the 137 best features that identified true positive CHD and false positive CHD cases. + +### Codebase +The following private repository contains [sample codes](./Generalized_CHD_Prediction_Using_ICD_Codes.ipynb), the [pretrained models](./pretrained_CHD_XGBoost.model), and [a sample data (exemplifying real data)](./sampled_df.csv) for identifying patients with congenital heart disease (CHD) using a history of administrative data. Please contact the project PI for access to these codes. diff --git a/projects.md b/projects.md index 5180245d7d..787ae4f486 100644 --- a/projects.md +++ b/projects.md @@ -105,7 +105,7 @@ Regular blood pressure (BP) monitoring is crucial for managing cardiovascular di ### Population-based surveillance of congenital heart diseases ![Congenital heart defects](./assets/images/chd-diagram.png) -Congenital heart defects (CHDs) affect about 1% of births in the U.S. annually, ranging from severe anatomical defects requiring early surgery to more progressive conditions like valve and coronary anomalies. Survival rates have significantly improved due to early detection, innovative surgeries, and collaborative public health efforts. Since 2012, the Emory Adolescent and Adult CHD Program, in partnership with the CDC and other institutions, has enhanced CHD surveillance, analyzed health utilization, and influenced healthcare policy to better the outcomes for those with CHD and address healthcare inequities. Our lab collaborates closely with Prof Wendy Book and Emory's CHD program since 2020. We have recently extended the study to a longitudinal study of ECG data in CHD patients. Read more about the program here: +Congenital heart defects (CHDs) affect about 1% of births in the U.S. annually, ranging from severe anatomical defects requiring early surgery to more progressive conditions like valve and coronary anomalies. Survival rates have significantly improved due to early detection, innovative surgeries, and collaborative public health efforts. Since 2012, the Emory Adolescent and Adult CHD Program, in partnership with the CDC and other institutions, has enhanced CHD surveillance, analyzed health utilization, and influenced healthcare policy to better the outcomes for those with CHD and address healthcare inequities. Our lab collaborates closely with Prof Wendy Book and Emory's CHD program since 2020. We have recently extended the study to a longitudinal study of ECG data in CHD patients. Visit our detailed CHD [webpage](/congenital_heart_defects), and read more from our published research: - Shi, H., Book, W., Raskind‐Hood, C., Downing, K.F., Farr, S.L., Bell, M.N., Sameni, R., Rodriguez III, F.H. and Kamaleswaran, R., 2023. [A machine learning model for predicting congenital heart defects from administrative data](https://doi.org/10.1002/bdr2.2245). Birth Defects Research, 115(18), pp.1693-1707. - [Emory University's Congenital Heart Defects Program](https://sph.emory.edu/research/centers/congenital-heart-defect/index.html) - [Emory University's Congenital Heart Disease Center](https://scholarblogs.emory.edu/congenitalheart/team/)