In recent years, genome-wide association studies have identified<

In recent years, genome-wide association studies have identified

various susceptible genetic regions for LC. Herein, we used high-resolution SYN-117 inhibitor melting analysis to genotype 2 significant single nucleotide polymorphisms previously reported in Caucasians, that is, rs401681 at 5p15.33 and rs8034191 at 15q25, in a case-control study with 492 LC cases and 486 cancer-free controls in a Chinese population. We found that the rs401681C/T allele in the TERT-CLPTM1L gene was associated with the risk of non-small cell lung cancer [NSCLC; P = 0.012, odds ratio (OR) = 1.29, 95% confidence interval (95%CI) = 1.09-1.50], but was not associated with the risk of small cell lung cancer (P = 0.571, OR = 1.15, 95%CI = 0.82-1.47). However, no significant association was found between rs8034191T/C and LC risk. These results suggest that genetic variants in the TERT-CLPTM1L gene may predispose individuals to be susceptible to LC, particularly NSCLC, in the Chinese population.”
“The influences of free volume and temperature on the viscoelastic properties of polycarbonate (PC)/multi-walled carbon nanotube (MWNT) composites were investigated GS-9973 by positron annihilation lifetime spectroscopy (PALS) and dynamic mechanical analysis (DMA). Three methods, including PALS, DMA and differential scanning calorimetry

were used to determine the glass transition temperature (T-g) Autophagy inhibitor solubility dmso of PC/MWNT composites. The experimental results indicated that the higher the MWNT contents, the lower the T-g, which attributes to the large free volume hole and the enhanced polymer mobility in PC/MWNT composites with higher MWNT contents. The effect of MWNTs on viscoelastic property has been investigated in detail. A direct linear

relationship between fractional free volume and viscoelastic property has been obtained using the Williams-Landel-Ferry equation based on free volume theory, which indicates that the free volume plays an important role in determining the viscoelastic property. Crown Copyright (C) 2012 Published by Elsevier Ltd. All rights reserved.”
“Stem cells function in niches, which consist of somatic cells that control the stem cells’ self-renewal, proliferation, and differentiation. Drosophila ovary germline niche consists of the terminal filament (TF) cells, cap cells, and escort stem cells; signaling from the TF cells and the cap cells is essential for maintenance of germline stem cells (GSCs). Here, we show that in the earwig Opisthocosmia siluestris, the female GSC niche is morphologically simple and consist of the TF cells and several structurally uniform escort cells. The most posterior cell of the TF (the basal cell of the TF) differs from remaining TF cells and is separated from the anterior region of the germarium by the processes of the escort cells, and consequently, does not contact the GSCs directly.

Participants included 401 day-shift workers employed in a random

Participants included 401 day-shift workers employed in a random sampling of 34 Canadian workplaces. The 16-item Maslach Burnout Inventory was used to extract burnout sub-scales that included emotional exhaustion, cynicism, professional inefficacy, as well as a global burnout average. Consenting workers provided five saliva samples a day (awaking, 30 min after awaking, 1400 h, 1600 h, and bedtime) repeated three times over the course of a week (Saturday, Tuesday, Thursday) to capture workday and non-workday variations. Multilevel regression models were estimated from cortisol measurements at each occasion within a day at level-1, workers at

level-2, and workplaces at level-3. Multilevel regression analyses found that emotional exhaustion and a global Staurosporine chemical structure burnout showed the strongest and consistent negative associations to cortisol in the afternoon and evening. In a separate analysis using regression coefficients, emotional exhaustion and a global burnout average were associated with low cortisol levels 30 min upon awakening. By contrast, professional inefficacy was associated only with lower bedtime cortisol. No associations were detected for cynicism and sex did not emerge as

a moderator in secondary analyses. Our findings are discussed in a theoretical framework postulating different pathophysiological stages of burnout development. Specifically, professional inefficacy may be the earliest warning signal culminating with Selonsertib emotional exhaustion that may dampen diurnal cortisol levels. (C) 2013 Elsevier Ltd. All rights reserved.”
“S. Dinges, I. Morard, M. Heim, J.-F. Dufour, Selleck AZD8931 B. Mullhaupt, E. Giostra, P.-A. Clavien, G. Mentha, F. Negro, for the Swiss Association for the Study of the Liver (SASL 17). Pegylated interferon-alpha(2a)/ribavirin treatment of recurrent hepatitis C after liver transplantation.Transpl Infect Dis 2009: 11: 33-39. All rights reserved\n\nHepatitis C virus (HCV) infection invariably recurs after liver transplantation (LT), leading to significant morbidity and mortality. Although the combination of pegylated interferon-alpha (IFN-alpha)/ribavirin is the preferred treatment

for these patients, the optimal schedule remains undetermined. In an uncontrolled trial, 19 patients with HCV infection recurring after LT received pegylated IFN-alpha(2a), 180 mu g weekly, and ribavirin, 10 mg/kg body weight daily, for 48 weeks. The proportion of patients with undetectable HCV RNA in their serum after 12 weeks of treatment was 53%. Five patients (26%) dropped out of the study due to intolerance (in 2 cases), depression (in 1), or infectious complications (in 2). A sustained virological response (SVR), defined as undetectable serum HCV RNA 24 weeks after the end of treatment, was observed in 9/19 patients (47%). SVR was associated with an early virological response after 12 weeks of therapy (P < 0.001) and a treatment duration > 80% (P=0.


“Safe and reproducible outcomes of the lateral lumbar inte


“Safe and reproducible outcomes of the lateral lumbar intervertebral fusion (LLIF) procedure rely

on meticulous care and understanding of the anatomy of the lateral corridor. This review aims to describe the different important anatomic considerations when performing LLIF and offer technical notes that may help increase the safety of this procedure. The LLIF procedure is divided into 5 stages: PP2 inhibitor patient positioning, abdominal wall dissection, retroperitoneal space dissection, deployment of the surgical retractors, and diskectomy. Each stage is preformed in a distinct anatomic compartment that may cause different typical complications.”
“Objectives: To determine the current rate of inpatient bariatric surgical procedures among adolescents and to analyze national trends of use from 2000 to 2009.\n\nDesign: Retrospective cross-sectional study.\n\nSetting: Discharge data obtained from the Healthcare Cost and Utilization Project Kids’ Inpatient Database, 2000 through 2009.\n\nParticipants:

Adolescents (defined herein as individuals aged 10-19 years) undergoing inpatient bariatric procedures.\n\nIntervention: Inpatient bariatric surgery.\n\nMain Outcome Measures: The primary outcome measure was the national population-based bariatric procedure rate. The secondary outcome measures were trends in procedure rates and type, demographics, complication rate, length of stay, and hospital charges from 2000 through 2009.\n\nResults: The inpatient bariatric procedure rate increased GSK3326595 purchase from 0.8 per 100 000 in 2000 to 2.3 per 100 000 in 2003 (328 vs 987 procedures) but did not change significantly in 2006 (2.2 per 100 000) or 2009 (2.4 per 100 000), with 925 vs 1009 procedures. The use of laparoscopic adjustable gastric

banding approached one-third (32.1%) of all procedures by 2009. The cohort was predominantly female and older than 17 years. The prevalence of comorbidities increased from 2003 (49.3%) to 2009 (58.6%) (P=.002), while the complication rate remained low and the in-hospital length of stay decreased by approximately 1 day (P < .001). Increasing numbers of patients had Medicaid as their primary payer source; however, most (68.3% in 2009) had private insurance.\n\nConclusions: Despite the worsening childhood obesity epidemic, the rate of inpatient bariatric procedures Crenigacestat molecular weight among adolescents has plateaued since 2003. The predominant procedure type has changed to minimally invasive techniques, including laparoscopic adjustable gastric banding and laparoscopic Roux-en-Y gastric bypass. Trends show low complication rates and decreasing length of stay, despite increasing comorbid conditions among patients. JAMA Pediatr. 2013; 167(2): 126-132. Published online December 17, 2012. doi: 10.1001/2013.jamapediatrics.286″
“P>This open-label multi-centre study evaluated a new intravenous immunoglobulin, Gammaplex (R), in the treatment of 50 patients with primary immunodeficiency and significant hypogammglobulinaemia.

Masculinization of the internal and external genitalia during fet

Masculinization of the internal and external genitalia during fetal development depends on the existence of two discrete testicular hormones. Testosterone secreted from Leydig cells induces the differentiation of the mesonephric ducts into the epididymis, vasa deferentia and seminal vesicles, whereas anti-Mullerian hormone (AMH) produced by Sertoli cells induces the regression of the paramesonephric ducts. The absence of AMH action in early fetal life results in the formation of the fallopian tubes, uterus and upper third of the vagina. In some target tissues, testosterone is converted to dihydrotestosterone, which is responsible for the masculinization of the urogenital sinus and external

genitalia.”
“Purpose: The purpose of this study was to determine the outcomes after arthroscopic excision of the bony prominence after a tibial spine avulsion fracture. Staurosporine purchase Methods: This study included 7 subjects (5 female and 2 male subjects; mean age, 21.4 years). All subjects underwent preoperative rehabilitation focused on range of motion (ROM) and swelling control. Postoperative

rehabilitation focused on regaining buy SBE-β-CD symmetric knee hyperextension and flexion. Objective examinations and subjective surveys were obtained at least 1 year after surgery. Results: All subjects achieved normal knee extension; 6 patients achieved normal knee flexion, whereas 1 patient had nearly normal flexion. Physical examination showed a negative Lachman test with a firm end point in all patients, and the mean side-to-side difference for the KT-1000 manual maximum test (MEDmetric, San Diego, CA) was 1.3 mm. No subjects required subsequent anterior cruciate ligament reconstruction. All GSK2126458 subjects returned to their

previous level of activity without instability symptoms. At a mean of 5.7 years after surgery, the mean International Knee Documentation Committee subjective survey score was 90.6 points overall, with 4.7 out of 5 possible points for the instability question. At latest follow-up, the mean ROM was from 6 degrees of hyperextension to 147 degrees of flexion in the involved knee, compared with 6 degrees of hyperextension to 148 degrees of flexion for the noninvolved knee. Conclusions: The results of arthroscopic excision of the bony fragment after type II, III, or III+ tibial spine avulsion fracture are positive, with good stability, symmetric ROM, and high subjective scores. Most importantly, this procedure allows patients to regain full, symmetric hyperextension of the knee, avoiding the complications associated with extension loss. Level of Evidence: Level IV, therapeutic case series.”
“Purpose: To estimate the magnitude and causes of blindness and low vision in The Netherlands from 2000 to 2020.\n\nMethods: Recent population-based blindness surveys in established market economies were reviewed.

It is concluded that high dose of HP (100mg/kg) supplemented alon

It is concluded that high dose of HP (100mg/kg) supplemented along with INH and RIF effectively prevents the toxicity induced by INN and RIF, as effective as 100mg/kg of LIV52.”
“Recent studies have linked maternal exposure to air pollution with a range of adverse pregnancy outcomes.

However, the available evidence linking this exposure to congenital anomalies is still limited and controversial. The present case-control study tested the hypothesis that maternal exposure to ambient black smoke and sulfur dioxide is a risk factor for the occurrence of congenital heart disease. The authors used registry-based data on congenital heart disease for the population of the northeast of England in 1985-1996. A 2-stage spatiotemporal model was developed to predict weekly black smoke and sulfur dioxide levels at each maternal place of

residence. Controls were frequency-matched to cases by year of birth (control-to-case C188-9 order ratio of 4:1). Two sets of analyses were performed, using predicted mean values of exposure and 1,000 simulated scenarios of exposure. The analyses were adjusted for birth year, socioeconomic status, infant sex, season of conception, and degree of urbanity. The authors found a weak association between maternal exposure to black smoke and congenital malformations of cardiac chambers and connections only when using exposure as a continuous variable. When the authors used quartiles of exposure, odds ratios did not show a dose-response relation for consecutive quartiles. For sulfur dioxide, the results

were not indicative of any association.”
“Background/Aims: GSK1210151A Hypovitaminosis D is highly prevalent among patients Tubastatin A manufacturer with chronic kidney disease (CKD) and has been associated with poor outcome. We aimed to test the effect of a protocol of cholecalciferol supplementation on the restoration of vitamin D status and on parathyroid hormone (PTH) levels in patients with CKD. Methods: This was a prospective interventional study of 6 months. Forty-five CKD patients (stages 3 and 4) with 25-hydroxyvitamin D deficiency [25(OH)D <15 ng/ml] were included. Patients received a weekly dose of 50,000 IU of cholecalciferol during 3 months, and 50,000 IU/month thereafter for those who had achieved 25(OH)D >= 30 ng/ml. Results: At 3 months, 78% of the patients restored their vitamin D status. At 6 months, only 43% of those patients maintained adequate vitamin D status. PTH decreased at 3 months (p = 0.02) but returned to baseline levels after 6 months. Fibroblast growth factor 23 increased at 3 months (p = 0.001) and returned to initial levels at 6 months. No changes were found in serum 1,25(OH)(2)D, ionized calcium and phosphorus. Conclusions: A weekly dose of 50,000 IU of cholecalciferol for 3 months restored the vitamin D status of most patients and led to a reduction in PTH. The monthly dose of 50,000 IU appears not to be sufficient to maintain the levels of 25(OH)D. Copyright (C) 2012 S.

There was a strong positive relationship between female incubatio

There was a strong positive relationship between female incubation attentiveness and incubation feeding by males; however, female attentiveness was higher in North America than in Australia PF-04929113 price and New Zealand for the same intensity of male incubation feeding. Incubation feeding was not related to species body mass, social organization, geographical latitude or ambient temperature. It differed significantly between families, but overall was not different between regions. Incubation feeding rate was related to nest predation rate, but differently in the two regions. It increased with nest

predation rate in Australia and New Zealand, but decreased with nest predation rate in North America. We suggest that this may be caused by different predatore-prey interactions in North America versus Australia and New Zealand, which

could have shaped the evolution of incubation feeding differently. (C) 2011 The Association for the Study of Animal Behaviour. Published by Elsevier Ltd. All rights reserved.”
“Biovolume calculation of micro algae is commonly used for the assessment in relative abundance (as biomass or carbon) of coexistent algae that vary in shape and/or size. Periphyton samples were obtained within a more general program, in fishery tanks and streams situated in the upper basin region of Tibagi River, nearby Londrina, Parana state, south of Brazil. The present work proposes new algorithms for the determination find more of algal species volume. Results showed that Gyrosigma scalproides (Rabenhorst) Cleve 1894 and Tetraedron gracile (Reinsch) Hansgirg 1889 were exceptions inside their genus and the present new formula for biovolume and area gives more adequate results. In addition,

new formulas applied for Phacus longicauda (Ehrenberg) Dujardin 1841 and Kirchneriella lunaris (Kirchner) Mobius 1894 also showed much more accurate results than in the previous works. The difference in the calculations of biovolume Small molecule library solubility dmso between the present method and others was not small and could not be neglected.”
“XR5944 is a potent anticancer drug with a novel DNA binding mode: DNA bis-intercalationg with major groove binding. XR5944 can bind the estrogen response element (ERE) sequence to block ER-ERE binding and inhibit ER alpha activities, which may be useful for overcoming drug resistance to currently available antiestrogen treatments. This review discusses the progress relating to the structure and function studies of specific DNA recognition of XR5944. The sites of intercalation within a native promoter sequence appear to be different from the ideal binding site and are context- and sequence-dependent. The structural information may provide insights for rational design of improved ERE-specific XR5944 derivatives, as well as of DNA bis-intercalators in general.”
“There is scant and conflicting literature regarding bony canals of the clivus.

0 +/- 1 5; P< 001) and improved shoulder function (force produ

0 +/- 1.5; P<.001) and improved shoulder function (force production, 2.5 +/- 1.4 kg; Penn Shoulder Score, 7.7 +/- 9.4; sports/performing arts module of the Disabilities of the Arm, Shoulder and Hand questionnaire, 16.4 +/- 13.2) (all, P<.001).\n\nCONCLUSION: Immediate improvements in shoulder pain and function post-TSM are not likely explained by alterations in scapular kinematics or shoulder muscle activity. For people with pain associated with RCT, TSM may be an effective component of their treatment plan to improve pain and function. However, further randomized controlled studies are necessary to better validate this treatment approach.”
“HIV transmission

is a major health concern. Global efforts are necessary to control CP-868596 Protein Tyrosine Kinase inhibitor the spread of infection. International collaborative studies in countries with high rates of new infections are essential

for increasing knowledge on the behavioral, social, and biomedical aspects of HIV/AIDS and HIV transmission. Statistics indicate a growing HIV epidemic in Russia. There are alarming proportions of new cases attributed to heterosexual contact, and HIV is increasingly affecting people in the general population who are not part of any traditional high-risk group. Despite recent advances in HIV prevention, data on effective behavioral prevention approaches are limited. There is minimal evidence to suggest which types of prevention will be effective in reducing the risk for HIV transmission

among people at risk in the general population. This article learn more presents a review and discussion of an international research seminar, HIV Prevention Research: Evidence-Based Behavioral Approaches. Local AZD6094 manufacturer and international interdisciplinary researchers gathered for the purposes of exchanging research results and information about ongoing studies, identifying gaps in knowledge, and discussing promising prevention strategies. The overarching goal was to advance HIV prevention research through scientific integration. The seminar provided an excellent platform for building research capacity in interdisciplinary HIV research in Russia and integrating research efforts with the international research community to contribute to HIV prevention research throughout the world.”
“Current therapeutic options for acute kidney injury (AKI) are limited to the use of supportive measures and dialysis. A recent approach that has sparked great interest and gained enormous popularity is the implantation of stem cells to repair acutely damaged kidney organ. Hypoxia inducible factor-1 alpha (HIF-1 alpha) is effective in protecting the kidney from ischemia and nephrotoxicity. In this study, we investigated whether HIF-1 alpha-modified adipose-derived stem cells (ASCs) had an enhanced protective effect on cisplatin-induced kidney injury in vivo. Cisplatin-induced AKI was established in nude mice.

There are several types of calcium channels, which can be pharmac

There are several types of calcium channels, which can be pharmacologically classified as L-, N-, P/Q-,

R-and T-type. But molecular basis of R-type channels is less clearly understood compared the other channel types. Therefore the current study aims at understanding the molecular functions of R-type calcium channels by identifying interaction partners of the channel. Methods: In order to do so, a yeast two hybrid (Y2H) screen, with carboxy terminus of 1 subunit of the channel, as the bait, was performed. G1 subunit of v-ATPase was identified as a putative interaction partner of human Ca(V)2.3 by using the Y2H screening. The interaction was confirmed by immunoprecipitation. To study the functional importance of the interaction, bafilomycin EPZ-6438 datasheet A(1), a potent and specific inhibitor of v-ATPase was used in patch-clamp recordings in Ca(V)2.3 stably-transfected HEK-293 cells (2C6) as well as in electroretinography Ulixertinib order of the isolated bovine retina expressing R-type Ca2+ channels. Results: G1 subunit of v-ATPase interacts with C-terminal tail of Ca(V)2.3 and bafilomycin A(1) reduces Ca(V)2.3 mediated calcium

currents. Additionally peak I-Ca is inhibited in retinal signal transduction when recorded as ERG b-wave. Conclusions: The results suggest that v-ATPase interacts physically and also functionally with Ca(V)2.3. This is the first demonstration of association of Ca(V)2.3 C-terminus with a protein complex which is involved in transmembrane signalling. Copyright (C) 2011 S. Karger AG, Basel”
“The aim of this work is to establish a correlation between water uptake Liproxstatin 1 by anhydrous sodium naproxen (ASN) at two different relative humidities and modifications in tableting and densification behaviour under hydration. Water uptake was evaluated at different relative humidities. Models for the hydration kinetics of ASN at 55% and 86%. corresponding to the formation of the dihydrated and tetrahydrated forms, respectively, were evaluated assuming Eyring’s dependence on temperature. Tabletability, compressibility, compactibility, and densification behaviour were determined using an instrumented single punch tablet machine. Kinetic data are consistent with a model where water molecules

enter the crystal preferentially along hydrophilic tunnels existing in the crystal structure and corresponding to the propionate side chain. Water inclusion perturbs the crystallographic structure, causing slight structural changes according to the amount and associated to an increase in entropy. The interposition of water molecules between sodium naproxen molecules weakens intermolecular bonds, and these sites can behave like sliding planes under compression. Such structural changes may explain the improved compression behaviour and modified densification propensity mechanism. Kinetic data describing the water hydration mechanism of ASN explain in an original way the improved tableting and densification properties under hydration. (C) 2008 Elsevier B.V. All rights reserved.

Embryo shape was quantitatively calculated after digitizing embry

Embryo shape was quantitatively calculated after digitizing embryo images using MATLAB, where a score of 1.0 represented a perfectly circular embryo.\n\nThe SET data did not reveal a significant impact of embryo shape on embryo developmental fate. The DET data revealed a trend toward the best outcomes in cycles where both embryos exhibited “roundness” scores in the highest tertiles (T3) for embryo shape. However only one subgroup (T2/T1-one embryo

in the middle shape tertile (T2) and one in the lowest shape tertile (T1)) was associated with significantly lower odds of live-birth as compared to the referent group (T3/T3). When SET and DET data were combined, embryo shape was not found to be a predictor of IVF outcome.\n\nBased on this retrospective analysis, Semaxanib in vitro the weak association of day 3 embryo shape with implantation potential suggests that this morphological VX-809 cost characteristic is unlikely to be a useful additional marker for embryo selection after cell number, fragmentation, and blastomere

symmetry. Further studies are planned to assess applicability of these conclusions to embryos of varying stages and grades.”
“In the present work, we studied the applicability of laser induced plasma/breakdown spectrometry (LIPS/LIBS) to speleothem analysis. Problems related to the use of time- and spatially integrating compact LIBS instrumentation, speleothem sample preparation, spectral line assignation and signal intensity correction have been addressed. A novel signal correction scheme, based on the total integrated spectral background, was developed and employed for the qualitative study of the lateral distribution profiles of major (Ca, Mg, C, O) and minor (Al, Si, Fe, Mn) elements detected in horizontally cut slices of stalagmite samples from Baradla Cave (Aggtelek, Hungary). Several new computer program modules were also developed to aid the spectral data evaluation. Correlations and trends found in the lateral

distribution profiles were discussed, and based on their relations, tentative suggestions for the chemical compounds present in the samples were made. (C) 2011 Elsevier B.V. Selleckchem DAPT All rights reserved.”
“A methodology for the evaluation and characterization of contact edge roughness using top-down images from scanning electron microscope is presented. Emphasis is given on the frequency and spatial aspects of CER and the estimation of the power spectrum and height-height correlation function. We also estimate the contribution of local and global process variations on the CER metrics of real contact holes with nominal critical dimension 50 nm as well as the effects of image magnification and noise smoothing filter. We find that local process variations have stronger contribution to the uncertainty of CD and CER parameters than image magnification and noise smoothing with the latter having the smallest impact.

In vitro data showed that after 6 hours of air exposure, the orde

In vitro data showed that after 6 hours of air exposure, the order of the scavenging abilities

for HOCl, H2O2, and O-2 (-) was antioxidant sol-gel > antioxidant saline > Pluronic F127 = saline. After 7 and 14 days of wound injury, the antioxidant sol-gel improved wound healing significantly by accelerated epidermal and dermal maturation, an increase in collagen content, and a decrease in apoptosis formation. However, the wounds of all treatments healed mostly at 3 weeks. Vitamin C in AZD8931 price Pluronic F127 hastened cutaneous wound healing by its antioxidant and antiapoptotic mechanisms through a good drug delivery system. This study showed that Pluronic F127 plus vitamin C could potentially be employed as a novel wound-healing enhancer.”
“Plant molecular pharming is a promising system to produce important recombinant proteins such as therapeutic antibodies, pharmaceuticals, enzymes, growth factors, and vaccines. The system provides an interesting alternative method to the direct extraction of proteins from inappropriate

source material while offering the possibility to overcome problems related to product safety and source availability. Multiple factors including plant hosts, genes of interest, expression vector MK-0518 molecular weight cassettes, and extraction and purification techniques play important roles in the plant molecular pharming. Plant species, as a biosynthesis platform, are a crucial factor in achieving high yields of recombinant protein in plant. The choice of recombinant

gene and its expression strategy is also of great importance in ensuring a high amount of the recombinant proteins. Many studies have been conducted to improve expression, accumulation, and purification of the recombinant protein from molecular pharming systems. Re-engineered vectors and expression cassettes are also pivotal tools in enhancing gene expression at the transcription and translation level, and increasing protein accumulation, stability, retention and targeting of specific organelles. In this review, we report recent advances and strategies of plant molecular pharming Selleckchem Etomoxir while focusing on the choice of plant hosts and the role of some molecular pharming elements and approaches: promoters, codon optimization, signal sequences, and peptides used for upstream design, purification and downstream processing.”
“Introduction: Remote monitoring of implantable cardioverter defibrillators (ICD) is designed to decrease the number of ambulatory visits and facilitate the early detection of adverse events. We examined the impact of remote monitoring on clinical workload by a comprehensive analysis of transmitted events.

Methods: The study population consisted of 146 recipients of ICD capable of remote monitoring. Data were transmitted daily or in case of pre-specified events (e.g., arrhythmia, out-of-range lead and/or shock impedance). Transmitted events were classified as clinical (disease-related) or system-related.