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  • 1
    Online Resource
    Online Resource
    De l' Atome Au Nucléaire (de L') : Un Siècle de Prouesses Scientifiques et d'enjeux Politiques. (2009)
    Québec :Presses internationales Polytechnique,
    Details
    Keywords: Electronic books.
    Description / Table of Contents: Les sept chapitres de ce livre, émaillés d'anecdotes historiques, couvrent plus d'un siècle de découvertes scientifiques et techniques puis de course effrénée pour la maîtrise de l'énergie atomique, ainsi que de conflits et de tractations politiques et militaires pour son contrôle et son exploitation; ils se concluent par des résumés des principaux évènements politiques et culturels mondiaux de la période correspondante. Quatre annexes fournissent aux lecteurs curieux des détails scientifiques et techniques supplémentaires; des documents historiques, comme les fameux rapports britanniques MAUD, qui marquent le début de l'effort de guerre américain - lequel se conclura par l'explosion de bombes sur Hiroshima et Nagasaki - et les principaux traités internationaux; ainsi qu'une chronologie mondiale détaillée des événements liés à la découverte, à la maîtrise et au contrôle de l'énergie atomique.
    Type of Medium: Online Resource
    Pages: 1 online resource (650 pages)
    Edition: 1st ed.
    ISBN: 9782553015618
    URL: https://ebookcentral.proquest.com/lib/geomar/detail.action?docID=6536892
    Language: French
    Note: Intro -- Préface -- Notes biographiques -- Avant-propos -- Remerciements -- Table des matières -- Liste des symboles et acronymes -- chap1 -- chap2 -- chap3 -- chap4 -- chap5 -- chap6 -- chap7 -- Épilogue -- Annexe A -- Annexe B -- Annexe C -- Annexe D -- References -- Index des noms cités.
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  • 2
    Electronic Resource
    Electronic Resource
    Muscle Stimulation Caused by a Pacemaker Current Leakage: the Role of the Insulation Failure of a Polyurethane Coating (1990)
    Oxford, UK : Blackwell Publishing Ltd
    Journal of cardiovascular electrophysiology 1 (1990), S. 0 
    Details
    ISSN: 1540-8167
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Pectoral or deltoid muscle stimulation generally has been reported as secondary to lead insulation defects, anodal stimulation from the can or current leaks. In this report, a case of muscle stimulation related to partial loss of the polyurethane covering of the pulse generator is described.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1540-8167.1990.tb01699.x
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Death Due to an Implantable Cardioverter Defibrillator (2004)
    350 Main Street , Malden , MA 02148-5018 , USA , and 9600 Garsington Road , Oxford OX4 2DQ , UK . : Blackwell Science Inc
    Journal of cardiovascular electrophysiology 15 (2004), S. 0 
    Details
    ISSN: 1540-8167
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Inappropriate therapy due to noise oversensing caused a true ventricular fibrillation (VF) and death of a patient. A 49-year-old patient with a history of dilated cardiomyopathy received a double-chamber implantable cardioverter defibrillator (ICD) in 1991 for a sustained inducible ventricular tachycardia (VT). One appropriate shock delivered in 1994 terminated an episode of VT. The generator was replaced in 1995 and in 2000, and was connected to the initial leads. Three months after the second replacement, the patient received six consecutive shocks related to detection of noise interpreted as VF. Unfortunately, the sixth shock triggered a true VF, which was not treated due to end of the therapeutic sequence, and the patient died. The causes of the dysfunction are discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1046/j.1540-8167.2004.03611.x
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Preliminary Clinical Experience with the First Dual Chamber Pacemaker Defibrillator (1997)
    Oxford, UK : Blackwell Publishing Ltd
    Pacing and clinical electrophysiology 20 (1997), S. 0 
    Details
    ISSN: 1540-8159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The lack of specificity of VT detection is a significant shortcoming of current ICDs. In a French multicenter study, 18 patients underwent implantation of the Defender 9001 (ELA Medical), an ICD utilizing dual chamber pacing and arrhythmia detection. Over a mean follow-up period of 7.1 ± 4.5 months, 176 tachycardia episodes recorded in the device memory were analyzed, and physician diagnosis was compared with that by the device. All 122 VT/VF episodes were correctly diagnosed, as were 51 of 53 supraventricular tachyarrhythmias. Two episodes of AF with rapid regular ventricular rates were treated as VT, and a third episode, treated as VT, could not be diagnosed with certainty. A dual chamber pacemaker defibrillator offers improved diagnostic specificity without loss of sensitivity, in addition to the hemodynamic benefit of dual chamber pacing. (PACE 1997;20
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1540-8159.1997.tb04839.x
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  • 5
    Electronic Resource
    Electronic Resource
    Potential Cost Savings by Telemedicine-Assisted Long-Term Care of Implantable Cardioverter Defibrillator Recipients (2005)
    350 Main Street , Malden , MA 02148-5018 , USA and 9600 Garsington Road , Oxford OX4 2DQ , UK . : Blackwell Science Inc
    Pacing and clinical electrophysiology 28 (2005), S. 0 
    Details
    ISSN: 1540-8159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Home monitoring (HM) of cardioverter defibrillators (ICD) with its automated wireless remote data access, may decrease the rate of patient visits. This study examined the potential cost savings for the long-term care of ICD assisted by HM. A French database including 502 patients from 6 university hospitals was used. Costs of conventional follow-up (FU) of ICD were calculated without, and compared with the expected cost of FU with HM. Calculations included number of visits, including physician's fees, electrocardiograms, and specific ICD surveillance, and transportation costs. The mean distance between home and institutions performing follow-ups was 69 ± 57 km. For each visit, a mean overall cost of $215 was calculated, including $121 for transportation and $94 for medical services. HM may obviate up to 2 visits per year. Over the 5 years of expected life of the device, the decrease in costs for FU visits was estimated at $2,149. With an additional cost of $1,200 for the HM system, saving began after a mean FU of 33.5 months. The time to onset of cost saving by HM ranged between 17.4 months for patients living 〉150 km from the medical facility to 52.2 months for those living 〈50 km away. It is concluded that the HM may considerably reduce the overall costs of ICD FU by saving on transportation cost, particularly when the distance between home and medical facility is 〉100 km.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1540-8159.2005.00071.x
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    The Value of DDD Pacing in Patients with an Implantable Cardioverter Defibrillator (1997)
    Oxford, UK : Blackwell Publishing Ltd
    Pacing and clinical electrophysiology 20 (1997), S. 0 
    Details
    ISSN: 1540-8159
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Although the beneficial effects of DDD pacing are well known, currently available ICDs provide only fixed rate ventricular antibradycardia pacing. In a consecutive series of 139 patients with ICDs, we have analyzed the need for antibradycardia pacing and the indications for DDD pacing. We also report our initial experience with the Defender 9001 (ELA Medical, France) DDD-ICD. Out of 139 patients, 25 (18%) were in need of antibradycardia pacing. Ten patients already had a pacemaker at the time of ICD implantation and ten other patients had a conventional pacemaker indication at that time. Five patients became pacemaker dependent during a follow-up of 20 ± 8 months. The disorders necessitating pacemaker therapy were high degree AV conduction disturbances in 72%, sick sinus syndrome in 12%, and AF with a slow ventricular response in 16% of patients. Based upon current indications, DDD pacing was indicated in 20 (80%) of 25 patients. The Defender 9001 DDD-ICD (ELA Medical) was used in two patients with ischemic cardiomyopathy and pacemaker syndrome with VVI pacing. Cardiac output during DDD pacing increased by 36% in one patient with an increase in VO2 max during exercise of 29%. The other patient showed an increase in cardiac output of 50% with DDD pacing, and, while unable to exercise with VVI pacing, had a VO2max of 24 mL/kg per minute during DDD pacing. Up to 18% of our ICD patients are in need of antibradycardia pacing. Of these pacemaker dependent patients, 80% have an indication for DDD pacing. Our first clinical experience with a DDD-ICD confirms the hemodynamic benefit of AV synchronous pacing in ICD patients with pacemaker syndrome.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1540-8159.1997.tb04838.x
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    Paper (German National Licenses)
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