More studies into the capabilities of MALDI-TOF ICMS to identify fungi are required.”
“Background: HIV-infected patients on combination antiretroviral therapy (cART) may experience symptoms because of HIV disease or treatment. Symptoms might negatively

affect quality of life, adherence, virological response, and survival. We investigated to what extent HIV-infected patients receiving cART experience symptoms with a median follow-up of 5.1 years. Additionally, we studied whether self-reported symptoms were related to concurrent quality of life and virological failure. Methods: Patients from the ATHENA cohort completed questionnaires on self-reported HSP inhibitor symptoms and quality of life every 6 months (January 1998 to June 2005). Quality of life was measured with the Medical Outcomes Study HIV Health Survey (MOS-HIV), resulting in a physical health summary (PHS) score and a mental health summary (MHS) score. Growth curve Etomoxir models were conducted to investigate the course of symptoms. Random effect models were carried out to study the association with concurrent quality of life and virological response. Results: We included 391 patients, completing 2,851 questionnaires. Symptoms that increased significantly over time were numb feeling in fingers or toes (P < .01), pain in legs (P < .01), pain when urinating (P < .01), sore muscles (P = .02), tingling of hands

or feet (P = .06), and difficulties with seeing (P < .01).

All self-reported symptoms were related to lower levels of PHS and MHS (P < .01). Trouble with sleeping (odds ratio [OR] 1.5; 95% CI, 1.04-2.2), constipation (OR 2.8; 95% CI, 1.7-4.8), pain in legs (OR 1.8; 95% CI, 1.2-2.6), and numb feeling in fingers or toes (OR 1.7; 95% CI, 1.1-2.7) were related to concurrent virological response. Conclusion: HIV-infected patients on cART report a large range of symptoms. Management of symptoms is relevant because a number of symptoms are related to poorer quality of life and virological failure.”
“Primary angioplasty AZ 628 mw for ST-segment elevation myocardial infarction (STEMI) is recommended only if symptom duration is < 12 h. We evaluated final infarct size (FIS) and myocardial salvage in early presenters (< 12 h) vs. late presenters (12-72 h) undergoing primary angioplasty.\n\nMyocardial perfusion imaging (MPI) was performed acutely to assess area at risk (AAR) before angioplasty and repeated after 30 days to assess FIS (% of LV myocardium), salvage index (% non-infarcted AAR), and left ventricular ejection fraction (LVEF). Late presenters (n = 55) compared with early presenters (n = 341) had larger median FIS [14% (inter-quartile range 3-30) vs. 7% (2-18), P = 0.005], lower salvage index [53% (27-89) vs. 69% (45-91), P = 0.05], and lower LVEF [48% (44-58%) vs. 53% (47-59), P = 0.04]. However, FIS, salvage index, and LVEF correlated weakly with symptom duration (R(2)-values < 0.10).