9 research outputs found

    Remote monitoring and follow-up of cardiovascular implantable electronic devices in the Netherlands: An expert consensus report of the Netherlands Society of Cardiology

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    Remote monitoring of cardiac implanted electronic devices (CIED: pacemaker, cardiac resynchronisation therapy device and implantable cardioverter defibrillator) has been developed for technical control and follow-up using transtelephonic data transmission. In addition, automatic or patient-triggered alerts are sent to the cardiologist or allied professional who can respond if necessary with various interventions. The advantage of remote monitoring appears obvious in impending CIED failures and suspected symptoms but is less likely in routine follow-up of CIED. For this follow-up the indications, quality of care, cost-effectiveneness and patient satisfaction have to be determined before remote CIED monitoring can be applied in daily practice. Nevertheless remote CIED monitoring is expanding rapidly in the Netherlands without professional agreements about methodology, responsibilities of all the parties involved and that of the device patient, and reimbursement. The purpose of this consensus document on remote CIED monitoring and follow-up is to lay the base for a nationwide, uniform implementation in the Netherlands. This report describes the technical communication, current indications, benefits and limitations of remote CIED monitoring and follow-up, the role of the patient and device manufacturer, and costs and reimbursement. The view of cardiology experts and of other disciplines in conjunction with literature was incorporated in a preliminary series of recommendations. In addition, an overview of the questions related to remote CIED monitoring that need to be answered is given. This consensus document can be used for future guidelines for the Dutch profession

    Testing methodologies for the calibration of advanced plasticity models for sheet metals: A review

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    Numerical simulations have become essential in engineering and manufacturing processes involving plasticity. The reliability and effectiveness of the simulations depend strongly on the accuracy of the adopted constitutive model. Accordingly, in recent years, an increasing interest is pointed towards experimental procedures and characterization methods that can be used to identify the constitutive parameters of advanced plasticity models, which allow to simulate properly the plastic behaviour of complex materials like, for instance, high strength steel. This paper provides a thorough review of the current state-of-the-art, looking at both academia and industry. The available methodologies can be subdivided in two main areas: quasi-homogeneous material tests with analytical or numerical post-treatment of the experimental data and heterogeneous tests coupled with inverse methods for parameter identification. For each method, a brief description and references to norms and articles is provided, illustrating the advantages and the disadvantages
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