87,294 research outputs found
Die messianischen Weissagungen im Pentateuch nach der Exegese des Nikolaus von Lyra, O. F. M
No full textbearbeitet von Fidelis SchwendingerInnsbruck, Univ., Diss., 192
Die messianischen Weissagungen im Pentateuch nach der Exegese des Nikolaus von Lyra, O. F. M
No full textbearbeitet von Fidelis SchwendingerInnsbruck, Univ., Diss., 192
Impact of Implanted Recalled Sprint Fidelis Lead on Patient Mortality
No full textObjectivesThis study sought to compare all-cause mortality in patients with Fidelis leads (Medtronic, Minneapolis, Minnesota) to those with a nonadvisory lead.BackgroundAlthough Fidelis leads are prone to fracture, and rare deaths due to lead failure have been reported, it is unclear whether the presence of a Fidelis lead is associated with increased mortality. This study compares all-cause mortality in a large cohort of patients with Fidelis and Quattro implantable cardioverter-defibrillator (ICD) leads.MethodsAll patients with Fidelis (Medtronic models 6931, 6948, and 6949) and Quattro (Medtronic model 6947) leads followed at 3 tertiary care centers were identified from the medical records (implant dates: November 19, 2001, to December 23, 2008). Clinical and device-specific data were collected into a common database. Deaths were identified from medical records and the Social Security Death Index. Survival was estimated using the Kaplan-Meier method.ResultsA total of 2,671 patients (1,030 Fidelis and 1,641 Quattro) were identified. There were 398 deaths: 147 in the Fidelis group (mean follow-up: 34.4 months) and 251 in the Quattro group (mean follow-up: 39.9 months). No deaths were associated with 85 Fidelis and 23 Quattro failures. At 4 years, survival was diminished in patients with Fidelis compared with Quattro leads (80.7% vs. 83.9%, p = 0.025). After adjustment for factors associated with mortality, survival was similar between groups. One hundred percent pacing was not associated with mortality. Elective removal of nonfailed leads was performed in 5.1% of Fidelis and 0.9% of Quattro patients.ConclusionsIn a conservatively managed cohort, in whom observation was predominantly utilized, adjusted survival is similar between patients with Fidelis and Quattro ICD leads
Transvenous removal of ICD leads: riata vs sprint fidelis
No full textIntroduction: Sprint Fidelis (S) and Riata (R) ICD leads were recalled by the Food and Drug Administration because of an increased rate of failure due to conductor fracture (S) or insulation abrasion (R). Treatment options include intensifying monitoring and intervening replacing recalled lead, with or without extraction. However, because of its mechanical separation, R leads may be challenging to extract. Aim of this study is a comparison between S and R lead extraction.
Methods: since January 1997 to June 2012, we managed 513 consecutive patients with 545 ventricular ICD leads; among these, 45 were S and 94 R. There were no significative difference in patients and lead characteristics in the two groups. Indications to removal were infective in the majority of cases (73%). Mean pacing period was 39.1+-22.1 months in S group and 36.1+-23.4 months in R group. 91% of ICD leads in both groups were dual coil. In case of manual traction failure, we performed mechanical dilatation using a single polypropylene sheath technique (Cook Vascular - Leechburg PA, USA) and if necessary, other intravascular tools (Catchers and Lassos, Osypka, Grentzig-Whylen, G); an Approach through the Internal Jugular Vein (JA) was performed in case of failure of the standard approach.
Results: Success rate was achieved in all 45 (100%) S leads and in 93/94 (98.9%) R leads. No major complications occurred. Manual traction effectiveness was higher in S leads (9 vs 2%) while JA was required more frequently in R leads (8 vs 2%) (p<0.01). Extraction time and mean sheath size used were significantly higher in R group. Comparing binding sites locations, R leads exhibited higher incidence in superior vena cava, right atrium and tricuspid valve as compared to S leads (p<0.01). In R group presence of cable externalization was a predictor of difficult procedure and need for JA.
Conclusions: our experience shows that the extraction of recalled S and R ICD leads is feasible and effective. However, extraction of R leads is more complex than F leads. Lack of coil backfilling and cable externalization in R group may account for these differences. The decision to extract or not to extract R leads should be individualized
Reparos al Diccionario de chilenismos del señor don Zorobabel Rodríguez,
No full textFull name: Fidelis Pastor del Solar Quiroga.Mode of access: Internet
Multicenter Experience With Extraction of the Sprint Fidelis Implantable Cardioverter-Defibrillator Lead
No full textObjectivesThis study was undertaken to determine the safety and feasibility of extraction of the Sprint Fidelis (Medtronic, Minneapolis, Minnesota) lead.BackgroundThe reported failure rate of the Sprint Fidelis defibrillator lead has increased to a range greater than initially appreciated with emerging evidence of an accelerating rate of fracture. At present, consensus guidelines continue to recommend against prophylactic extraction of the lead, citing major complication rates between 1.4% and 7.3%. However, data regarding the safety and feasibility of extraction of small-diameter, backfilled implantable cardioverter-defibrillator leads such as the Sprint Fidelis are limited.MethodsWe performed a retrospective cohort study of consecutive patients undergoing extraction of Sprint Fidelis (models 6930, 6931, 6948, 6949) leads at 5 high-volume centers. Patient characteristics, indications for extraction, and use of countertraction sheath (CTS) assistance are reported. The risk of major and minor complications was determined. A multivariable logistic regression model was developed to predict factors associated with the use of CTS assistance.ResultsBetween May 2005 and August 2009, 349 Sprint Fidelis leads were extracted from 348 patients. All leads were removed completely. The average duration of the implanted lead was 27.5 months (range 0.03 to 58.8 months). Approximately one-half of the extracted leads were fractured (49.4%), and 26.5% were extracted prophylactically. The other major indication for extraction was infection (22.8%). Extraction was achieved with simple traction in 49.4% leads; CTS assistance was required in 174 cases (50.6%). In multivariable models, length of time since implantation was directly related to the need for CTS assistance (odds ratio per month since implantation: 1.035; 95% confidence interval: 1.010 to 1.061; p = 0.006). There were no major procedural complications or deaths.ConclusionsExtraction of the Sprint Fidelis lead can be performed safely by experienced operators at high-volume centers with a complication rate lower than that reported for older generation leads. However, leads with longer implant durations are associated with the use of CTS assistance. Recommendations regarding prophylactic Sprint Fidelis lead extraction may warrant reconsideration
Variations on the Author
No full text“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Symphonies - Don Mus.Ms. 1778 : F
No full textBesitzervermerk: "Ex rebus Franc: Fidelis Birgg Oeniponti.". - Vermerk mit Bleistift: "bellissima"Johann Gottfried SeifertQuelle: manuscript. - Provenienz: Fürstlich Fürstenbergische Hofbibliothek, DonaueschingenSynfonia | a | Violino 1mo | Violino 2do | Due Corni Ex F. | Alto Viola | e | Basso | Del Sig: Seyfert: | [Incipit
Symphonies - Don Mus.Ms. 1779 : F
No full textBesitzvermerk: "Ex rebus Franc. Fidelis Birgg Oeniponti". - Vermerk mit Bleistift: "bellissima"Johann Gottfried SeifertQuelle: manuscript. - Provenienz: Fürstlich Fürstenbergische Hofbibliothek, DonaueschingenSynfonia | a | Due Violini | Due Corni in F. | Alto Viola | e | Basso | Del Sig Seyfert. | [Incipit
Dissertatio Inauguralis Medico-Chirurgica De Partu Difficili Ex Positura Uteri Obliqua / Quam Sub Divini Numinis Præsidio Ex Decreto Gratiosissimæ Facultatis Medicæ Pro Licentia Summos In Medicina Honores Et Privilegia Doctoralia More Majorum Rite Obtinendi Solenni Eruditorum Examini Submittit Benedictus Pelizæus, Rittberga-Westphalus. Ad D. I. Julii A. MDCCLVIII.
No full textDie Rückseite des Titelblatts ist unbedrucktEnthält Widmung an: "... Domino Ernesto Christophoro Comiti Hæreditario A Kaunitz-Rittberg ..."Enthält Beiträge von: "... Joh. Pet. Nordman ... F. E. Agricola ... Franc. Fidelis Gaes ... Franciscus Müller ... Georgius Schenckbecher. ..." in deutscher und lateinischer SpracheDissertation, Universität Straßburg, 1758Vorlageform der Veröffentlichungsangabe: Argentorati, Typis Simonis Kürsneri, Cancellariæ Typographi. - Erscheinungsjahr nach Datierung im Titel bestimm
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