00795nam2 2200277 450 00002736120100426140034.020100426d2009----km-y0itay50------baitaITy-------001yyPirati di ieri e di oggiMassimo AnnatiFabio CaffioRomaRivista marittima2009240 p.foto a colori24 cm2001001000001926Pirati di ieri e di oggi42593Storia90020Annati,Massimo282209Caffio,Fabio9492ITUNIPARTHENOPERICAUNIMARC000027361RIMAS 900/12-2009 (I)[s.i.]PIST2010Pirati di ieri e di oggi42593UNIPARTHENOPE05180nam 22007094a 450 99620821910331620240418064737.01-281-32233-497866113223350-470-75141-X0-470-75140-1(CKB)1000000000399357(EBL)351598(OCoLC)437218821(SSID)ssj0000238871(PQKBManifestationID)11175354(PQKBTitleCode)TC0000238871(PQKBWorkID)10234483(PQKB)10171266(MiAaPQ)EBC351598(Au-PeEL)EBL351598(CaPaEBR)ebr10232730(CaONFJC)MIL132233(EXLCZ)99100000000039935720040512d2004 uy 0engurcn|||||||||txtccrThe road to successful CRT implantation[electronic resource] a step-by-step approach /Daniel Gras, Angel R. León, Westby G. Fisher ; foreword by William T. Abraham1st ed.Malden, Mass. Blackwell Futura20041 online resource (112 p.)Description based upon print version of record.1-4051-1718-4 Includes bibliographical references and index.The Road to Successful CRT Implantation: A step-by-step approach; Contents; Dedication; Foreword; General remarks; 1 How does ventricular dyssynchrony alter hemodynamic function?; 2 What clinical benefits can we expect from CRT?; 3 How to select candidates for CRT; 4 Assessment of ventricular dyssynchrony by new echocardiographic analyses; 5 What are the mechanisms of improvement during CRT?; 6 Clinical situations where CRT is unlikely to be of therapeutic value; 7 Preimplantation checklist; 8 Right versus left-sided approach to implant the CRT system; 9 Right ventricular pacing in CRT10 How to achieve reliable sensing and pacing of the right atrium 11 Is it safe to pace the left ventricle via a coronary sinus tributary?; 12 Why perform a coronary sinus venogram before placement of the left ventricular lead?; 13 Optimal LV lead positioning; 14 How to manage difficult coronary sinus cannulation; 15 How to avoid a dissection of the coronary sinus ostium; 16 How to overcome a myocardial bridge over the coronary sinus; 17 What to do in the absence of a lateral branch on the venogram; 18 How to manage high left ventricular pacing thresholds19 How to proceed in the presence of a complex coronary sinus anatomy 20 How to manage diminutive target coronary sinus tributaries; 21 What to do when valves are in the way; 22 How to implant a CRT system in the presence of a left superior vena cava; 23 Dilatation of the target cardiac vein by angioplasty techniques; 24 Stenting for recurrent dislodgment of the left ventricular lead; 25 Assessment of the electrical signal sensed by the left ventricular lead; 26 How to avoid stimulating the left phrenic nerve; 27 Dye extravasation and venous perforation or dissection28 How to avoid a cardiac vein dissection by the balloon catheter 29 How to remove the guiding sheath using the slitting technique; 30 Radiographic appearance of the final lead position of the CRT system; 31 How to implant a CRT device in patients with chronic atrial fibrillation; 32 Upgrading DDD pacing to CRT; 33 Upgrading a CRT to a CRT-ICD system; 34 Repositioning of a dislodged left ventricular lead; 35 How to implant a four-chamber CRT system; 36 How to implant a biventricular, double-left ventricular lead CRT system; 37 Alternatives in left ventricular lead implant failures38 Left ventricular lead extraction 39 Management of ventricular double counting in CRT; 40 Management of non-responders to CRT; References; IndexCardiac resynchronization therapy is a new therapy for advanced heart failure patients. This therapy has been shown to improve quality of life, exercise capacity, NYHA classification, and even reverse the detrimental ""reverse remodeling"" that occurs in advanced heart failure - in patients already receiving optimal pharmacological therapy. The typical patient has NYHA III/IV HF symptoms, a QRS > 120 ms, LVEDD > 55 mm, without any indication required for pacing. The therapy is available in an ICD device, too. CRT has been shown to be effective in patients with both ischemic and non-ischeImplantable cardioverter-defibrillatorsCardiac pacingHeart failureSurgeryCardiovascular instruments, ImplantedImplantable cardioverter-defibrillators.Cardiac pacing.Heart failureSurgery.Cardiovascular instruments, Implanted.617.4/120592Gras Daniel937325León Angel R937326Fisher Westby G937327MiAaPQMiAaPQMiAaPQBOOK996208219103316The road to successful CRT implantation2111376UNISA05044oam 22006252 450 991036764700332120240424230407.090-04-38998-990-04-38997-010.1163/9789004389984(CKB)4910000000122153(nllekb)BRILL9789004389984(oapen)https://directory.doabooks.org/handle/20.500.12854/39108(MiAaPQ)EBC31456953(Au-PeEL)EBL31456953(EXLCZ)99491000000012215320181009d2019 uy 0engurun####uuuuatxtrdacontentnrdamediardacarrierThe ecosystem approach in ocean planning and governance perspectives from Europe and beyond /Edited by David Langlet, Rosemary Rayfuse1st ed.Brill2018Leiden :Brill Nijhoff,2019.1 online resourcePublications on ocean development ;87Includes bibliographical references.Front Matter --Copyright page --Preface /David Langlet and Rosemary Rayfuse --Illustrations --Table of Cases --Table of Legislation --Notes on Contributors --The Ecosystem Approach in Ocean Planning and Governance: An Introduction /David Langlet and Rosemary Rayfuse --Cross-Cutting and Critical Perspectives --Resilience and Adaptive Capacity of Aquatic Environmental Law in the EU: An Evaluation and Comparison of the WFD, MSFD, and MSPD /Niko Soininen and Froukje Maria Platjouw --The Ecosystem Approach as a Basis for Managerial Compliance: An Example from the Regulatory Development in the Baltic Sea Region /Brita Bohman --Delimiting Marine Areas: Ecosystem Approach(es?) in EU Marine Management /Aron Westholm --Land-Sea Interactions and the Ecosystem Approach in Ocean Planning and Governance /Sue Kidd --The Ecosystem Approach and Sustainable Development in Baltic Sea Marine Spatial Planning: The Social Pillar, a ‘Slow Train Coming’ /Michael Gilek , Fred Saunders and Ignė Stalmokaitė --The Ecosystem Approach for the Marine Environment and the Position of Humans: Lessons from the EU Natura 2000 Regime /Kees Bastmeijer --Participation and Collaboration --The Ecosystem Approach and Public Engagement in Ocean Governance: The Case of Maritime Spatial Planning /Antonia Zervaki --Embedding Law in Participatory Processes Enables an Ecosystem Approach to Marine Decision Making: Analysis of a North Sea Example /Anne-Michelle Slater and Alison MacDonald --Thematic and National Perspectives and Experiences --The Ecosystem Approach and the Common Fisheries Policy /Jill Wakefield --The Challenges of Applying the Ecosystem Approach to Spatial Planning in the EEZ: German Experiences /Eva Schachtner --Ecosystem-Based Approaches to Ocean Management in the United States: Weaving Together Multiple Strands /David Fluharty --Implications of the Ecosystem-Based Approach to Wetlands Management on the Kenyan Coast /Collins Odote --Conclusion and Outlook --Challenges in Implementing the Ecosystem Approach: Lessons Learned /David Langlet and Rosemary Rayfuse --Back Matter --Index.The Ecosystem Approach in Ocean Planning and Governance takes stock of the challenges associated with implementing an ecosystem approach in ocean governance. In addition to theorizing the notion of Ecosystem Approach and its multifaceted implications, the book provides in depth analyses of lessons learned and remaining challenges associated with making the Ecosystem Approach fully relevant and operational in different marine policy fields, including marine spatial planning, fisheries, and biodiversity protection. In doing so, it adds much needed legal and social science perspectives to the existing literature on the Ecosystem Approach in relation to the marine environment. While focusing predominantly on the European context, the perspective is enriched by analyses from other jurisdictions, including the USA.Publications on Ocean Development87.Marine resources conservationLaw and legislationOcean engineeringMarine ecologyMarine resourcesGovernment policyEnvironmental managementMarine ecosystem healthInternational lawMarine resources conservationLaw and legislation.Ocean engineering.Marine ecology.Marine resourcesGovernment policy.Environmental management.Marine ecosystem health.333.91/64Langlet Davidedt1735018Langlet DavidRayfuse Rosemary GailNL-LeKBNL-LeKBBOOK9910367647003321The ecosystem approach in ocean planning and governance4153923UNINA