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Case study pacemaker

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Metrics details. Duplication of the left innominate vein is a rare systemic venous anomaly defined as the coexistence of a retroaortic innominate vein and a normally positioned left innominate vein. We describe a successful case of pacemaker implantation in a patient with duplication of the left innominate vein via a retroaortic innominate vein. A year-old mentally challenged man was admitted to our hospital because of bradycardia and an altered state of consciousness. Left subclavian venography showed two vessels that were connected to the superior vena cava: a narrow, normal positioned left innominate vein and a tortuous vein. The normally positioned left innominate vein was too narrow to pass through with a guide wire.

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The Welsh Cardiac Network requested an appraisal on pacemaker telemonitoring remote monitoring for the management of heart failure. Our exploratory literature searches highlighted a lack of evidence in this area, but it was apparent that there were highly-relevant organisational issues, particularly relating to how telemonitoring outputs should be used clinically. To address these issues, we hosted a workshop to optimise pacemaker telemonitoring throughout Wales, where stakeholders could share and learn from examples of good practice. Stakeholders valued having a dedicated opportunity to come together and share their experiences. All feedback forms indicated that participants were satisfied or very satisfied with the overall experience, and with the organisation of the event.

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One October afternoon three years ago while I was visiting my parents, my mother made a request I dreaded and longed to fulfill. She had just poured me a cup of Earl Grey from her Japanese iron teapot, shaped like a little pumpkin; outside, two cardinals splashed in the birdbath in the weak Connecticut sunlight. Her white hair was gathered at the nape of her neck, and her voice was low.
Runtime verification refers to the theories, techniques, and tools that allow checking whether a run of a system under scrutiny satisfies or violates a given correctness property. It is a formal verification technique, complementing the other formal verification techniques such as model checking. Runtime verification techniques do not influence the program execution, and deals only with detection of violation or satisfaction of properties. In runtime verification, checking whether a run of a system satisfies a property is performed using a monitor.

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