Therefore, it might not be surprising that the number of known ol

Therefore, it might not be surprising that the number of known oligoploid and polyploid prokaryotic species outnumbers the monoploid species and it seems that monoploidy is not typical for prokaryotes, in contrast to the general belief. Polyploid, oligoploid, and monoploid species can co-exist within one group of prokaryotes, an example is the gamma-proteobacteria (Pecoraro et al., 2011), whereas other groups like the euryarchaeota seem to be devoid of monoploid species (Hildenbrand et al., 2011). Therefore, we found it interesting to clarify the situation for another group of prokaryotes, the cyanobacteria. It has been described more than 30 years ago that Anabaena

cylindrica and Anabaena variabilis are polyploid and contain MK-2206 clinical trial 25 and 8–9 genome copies, respectively (Simon, 1977, 1980). In contrast, other species like Synechococcus WH8101 were shown to be monoploid PF-01367338 concentration (Armbrust et al., 1989). Three species of cyanobacteria, representing a salt water species, a fresh water species, and a widely used laboratory species, were selected, and their genome copy numbers were quantified. A fast, sensitive, and precise real time PCR method was used that had originally been established for genome copy number quantification of haloarchaea (Breuert et al., 2006), but has recently been applied successfuly to proteobacteria (Pecoraro et al., 2011). In addition, a literature survey was performed and an overview of all

cyanobacterial species Ketotifen with experimentally determined ploidy levels is given. Two Synechocystis PCC 6803 wild-type strains were obtained from Annegret Wilde (University of Giessen, Germany). Synechocystis PCC6803 was isolated in 1968 by R. Kunisawa from a freshwater lake in California (Stanier et al., 1971) and deposited at the Pasteur Culture Collection (PCC6803) and the American Type Culture Collection (ATCC 27184). Several variants arose and are currently under investigation. One strain will be called ‘motile strain’ (originally obtained from the lab of Sergey Shestakov,

Moscow State University, in the cyanobacteria community known as ‘Moscow strain’), the other will be called ‘GT strain’ (glusose tolerant; originally obtained from the lab of Martin Tichy, Trebon; in the cyanobacteria community known as ‘Vermaas strain’). The genome sequence was determined from a third strain not used in this study. It was derived from the GT strain, and is known in the cyanobacteria community as the ‘Kazusa strain’ (Okamoto et al., 1999). Synechococcus elongatus PCC 7942 and Synechococcus sp. WH7803 were obtained from Wolfgang R. Hess (University of Freiburg, Germany). Synechocystis and S. elongatus were grown in BG11 medium (Rippka et al., 1979). The marine Synechococcus sp. WH7803 was grown in artificial sea water (ASW; Waterbury & Wiley, 1988). All strains were grown at a temperature of 28 °C on a rotary shaker (120 r.p.m.

Methods  Data on dispensary workload were collected, over a perio

Methods  Data on dispensary workload were collected, over a period of 6 weeks (hospital A: 8 May–18 June 2007; hospital B: 1 October–11 November 2007), by a non-participant observer using two simultaneous methods of workload measurement: direct time and event recording. Direct time technique involved timing each task involved in dispensing a sample of prescriptions from receipt to issue of dispensed medicines to patients. Welsh benchmarking event recording involved continuously logging staff activities

that deviated from the dispensary rota on a data collection form to enable calculation of total staff time involved in dispensing activities. Data on number of items dispensed were obtained from Copanlisib in vivo the pharmacy computer system and also by manual counting of prescription items. The mean dispensary workloads were calculated as the number of items dispensed per person per hour. Two-sample t-tests were used to compare dispensary workload measurements determined using direct time and event recording technique reported by each individual hospital. Mean workloads for hospitals A and B were compared using a two-sample t-test. Statistical see more significance was taken as P ≤ 0.05. Key findings  Hospital A was associated

with a lower workload (direct time: 7.27 ± 7.16 items per person per hour; event recording: 9.57 ± 10.6 items per person per hour). In contrast, hospital B gave a higher workload (direct time: 11.93 ± 8.3 items per person per hour; event recording: 12.6 ± 8.80 click here items per person per hour). There was a significant difference between workload (direct time: P < 0.01; event recording: P < 0.01) reported for both hospitals. The direct time and event recording techniques produced consistent results at each hospital (hospital A: t = 0.02, P = 0.99; hospital B: t = 0.004, P = 0.1). Conclusion  The direct time and Welsh benchmarking event recording techniques produced consistent results at both hospitals. Thus the Welsh benchmarking event recording technique is a

valid and reproducible method of measuring dispensary workload. Hospital B (automated) had a higher workload than hospital A (manual). Further work is required to investigate the impact of automation on dispensary workload. “
“Objective  The objective of this case study was to explore how pharmacists involved in the Pharmacy Study Of Natural Health Product Adverse Reactions (SONAR) project perceived the barriers and facilitators to participating in clinical research. Methods  A total of 19 semi-structured interviews were completed with pharmacy staff members who had recently completed data collection in the SONAR study which involved asking patients if they had experienced any unwanted effects while taking natural products. Other data sources included detailed field notes and interviews with SONAR researchers.

Although a very small number of

Although a very small number of TSA HDAC datasheet non-Purkinje cells were sometimes EGFP-positive, they were always negative for DsRed2 (Fig. 3D, a–c). The only DsRed2

signals observed outside the cerebellum were within the dorsal cochlear nucleus (Fig. 3D, d). Indeed, cartwheel cells in the dorsal cochlear nucleus are known to share several cell markers, such as calbindin and L7, with Purkinje cells, and cartwheel and Purkinje cells are probably derived from common precursors (Berrebi et al., 1990). Together, these results indicate that IUE can drive the expression of exogenous genes specifically in Purkinje cells in a temporally controlled manner, by using the L7 promoter and inducible Cre/loxP system. As shown by the successful application of an inducible Cre/loxP system consisting of three plasmids (Fig. 3A), a major advantage of the gene delivery by in vivo electroporation is that

multiple and very large genes can be coexpressed with high efficiency (Saito & Nakatsuji, 2001; Matsuda & Cepko, 2007; Barnabe-Heider et al., 2008). To further confirm this principle in our system, we electroporated at E11.5 three plasmids encoding three different fluorescent proteins: mito-ECFP, which is designed to localize to mitochondria, EGFP-β-actin (Furuyashiki et al., 2002) and DsRed2. The confocal z-stack images of spectral data were obtained on GSI-IX supplier fixed sagittal sections at P14, and the individual ECFP, EGFP and DsRed2 fluorescence images were separated by the linear unmixing method (Zimmermann et al., 2003). Most Atezolizumab labeled Purkinje cells (99.1%; 445 of 449 cells) expressed all three fluorescent proteins (Fig. 4).

The DsRed2 signals were observed diffusely throughout Purkinje cells, including the soma, dendrites, spines and axons. In contrast, the EGFP-β-actin signals accumulated in the dendritic spines and nuclei, while the mito-ECFP signals were observed in the soma and dendritic shafts. Next, to examine whether a large gene can be introduced into Purkinje cells by IUE, we used cDNA encoding Bassoon, a large protein selectively localized at the active zone of presynaptic nerve terminals (tom Dieck et al., 1998). We electroporated a plasmid (approximately 17 kb) encoding mouse Bassoon fused to mCherry (mCherry-Bassoon; approximately 12.5 kb) and a plasmid encoding EGFP at E11.5. Confocal imaging of fixed cerebellum at P14 revealed punctate mCherry-Bassoon signals along EGFP-positive Purkinje cell axons (Fig. S4). In addition, mCherry-Bassoon signals were colocalized with immunoreactivity for vesicular GABA transporter (VGAT), a presynaptic marker (Fig. S4). Together, these results illustrate that an advantage of IUE-based gene delivery into Purkinje cells is that not only can multiple genes be coexpressed, but also that large genes can be transfected with high efficiency.

Objective  We set out to evaluate factors affecting dental fear

Objective.  We set out to evaluate factors affecting dental fear in French children. Methods.  Dental fear was evaluated using a visual analogue scale (DF-VAS) in a group of 1303 French children (681 boys and 622 girls) aged 5–11 years (mean: 8.12 years, SD: 1.42 years). Indicators of caries and oral hygiene were evaluated on dental examination. Indicators of well-being related to oral health, dental experience, and oral health education were collected via a structured interview. Results.  Dental fear was scored low in 75.7% (DF-VAS 0–3), moderate in 16.7% (DF-VAS 4–6), and high in 7.6% (DF-VAS 7–10). DF-VAS decreased

statistically with experience of a prior dental visit. Children who had at least one decayed tooth presented a higher level of dental fear than those with no decay, while children with fillings were significantly less anxious than those without previous Seliciclib concentration dental care. Conclusions.  This study shows that for children aged 5–12 years, prior experience of the dental setting can act as a positive component of dental fear. “
“International Journal of Paediatric Dentistry 2012; 22: 110–115 Background.  The use of external sources

of energy may accelerate the setting rate of glass ionomer cements (GICs) allowing Selleck JQ1 better initial mechanical properties. Aim.  To investigate the influence of ultrasound and halogen light on the microleakage and hardness of enamel adjacent to GIC restorations, after artificial caries challenge. Design.  Cavities were prepared in 60 primary canines, restored with GIC, and randomly distributed into three groups:

control group (CG), light group (LG) – irradiation with a halogen light-curing unit for 60 s, and ultrasonic group (UG) – application of ultrasonic scaler device for 15 s. All specimens were then submitted to a cariogenic challenge in a pH cycling model. Half of sample in each group were immersed in methylene blue for 4 h and sectioned for dye penetration analysis. The remaining specimens were submitted to Knoop cross-sectional microhardness assessments, and mineral changes were calculated for adjacent enamel. Results.  Data were compared using Kruskal–Wallis test and two-way ANOVA with 5% significance. Fossariinae Higher dye penetration was observed for the UG (P < 0.01). No significant mineral changes were observed between groups (P = 0.844). Conclusion.  The use of halogen light-curing unit does not seem to interfere with the properties of GICs, whereas the use of ultrasound can affect its marginal sealing. "
“International Journal of Paediatric Dentistry 2011; 22: 27–36 Background.  Prader–Willi syndrome (PWS) is a rare complex multisystemic genetic disorder. Aim.  The objective of this study was to provide a systematic assessment of whole saliva secretion and oral manifestations associated with PWS. Design.  Fifty individuals (5–40 years) with PWS and an age- and sex-matched control group were included. Whole saliva was collected.

, 1988; Lemanceau

, 1988; Lemanceau selleck kinase inhibitor et al., 2009). TonB-dependent receptors represent an Achilles’ heel in the bacterial outer membrane that is exploited by antimicrobial agents seeking to damage or destroy the

cell. An example of such agents is the bacteriocins, a diverse class of protein/peptide antimicrobials produced by Gram-negative bacteria to maintain their ecological niche against closely related competitors (Braun et al., 2002). Depending on their site of action, bacteriocins must traverse at least the outer and often both membranes to reach their target. To cross the outer membrane, many bacteriocins possess a receptor-binding domain that binds with high affinity to a TonB-dependent receptor. This positions the protein on the cell surface, leading

to interactions with the periplasmic Tol or Ton complexes that many bacteriocins exploit to facilitate cell entry (Chavan & Riley, 2007; Kleanthous, 2010a,b). In the recently identified bacteriocins, pectocins M1 and M2, from Pectobacterium, the receptor-binding domain consists of a horizontally acquired plant-like ferredoxin protein. Strains of Pectobacterium, which are susceptible to these pectocins, are also able to utilize selleck compound ferredoxin as an iron source (Grinter et al., 2012), suggesting firstly that Pectobacterium possesses a system for iron acquisition from plant ferredoxin and secondly that these pectocins have evolved to directly parasitize this system for cell entry. This review focuses on how iron acquisition through TonB-linked receptors, provides an advantage to Gram-negative pathogens during pathogenesis and how bacteriocins, specifically

pectocins M1 and M2, have evolved to take advantage of these receptors for cell entry. The most common strategy applied by bacteria to acquire iron from their environment is the synthesis and excretion of iron-chelating siderophores. Siderophores are structurally diverse, with almost 500 identified to date and generally consist of a flexible, often peptide-derived scaffold with a number of functional groups for coordinating iron (Krewulak & Vogel, 2008). These SSR128129E functional groups (α-hydroxycarboxylic acid, catechol and hydroxamic acid) possess two oxygen atoms which coordinate ferric iron in a bidentate fashion (Boukhalfa & Crumbliss, 2002). This geometry allows siderophores to bind iron with an exceedingly high affinity at physiological pH. As such, siderophores play a pivotal role in pathogenesis of many bacteria including Pseudomonas aeruginosa and Yersinia sp. (Mossialos & Amoutzias, 2009; Fetherston et al., 2010). After the secreted siderophores have bound iron, they are sequestered by specific TonB-dependent outer membrane receptors and the iron–siderophore complex is imported into the periplasm (Braun & Hantke, 2011).

5 or CD45 according to

5 or CD45 according to IDO inhibitor the degree of caries or extent of physiological root resorption (two-way anova, P > 0.05). Findings suggest that even if primary molars are undergoing exfoliation, they show comparable caries-induced changes to teeth without physiological root resorption, thus retaining potential for healing and repair. “
“International Journal of Paediatric Dentistry 2013; 23: 138–144 Background.  Individual calibration (IC) for caries detection methods based on fluorescence is time-consuming, especially for paediatric dentists, if the calibration has to be performed

tooth-by-tooth. However, it is not clear how this calibration actually interfere in laser fluorescence (LF) readings. Aim.  This in vivo study was to verify the influence of different modes of IC on laser fluorescence (LF) readings. Design.  Ninety six occlusal and 95 buccal surfaces of 1st permanent molars were examined using LF device after IC performed on control (no IC), the examined teeth, a permanent incisor, a 1st primary molar or a 2nd primary molar. All modes of IC were performed in the same child. Wilcoxon test and Bland–Altman analysis were used to compare the readings. Intraclass correlation coefficients (ICC) were calculated. Results.  Laser fluorescence readings

without prior calibration were higher than readings performed after any mode of IC and resulted in different values of ICC. After other IC modes, the LF readings were statistically similar. Conclusion.  The absence of IC influences PD0332991 concentration LF readings and LF reproducibility, but different IC methods can be considered in clinical practice. “
“International Journal MYO10 of Paediatric Dentistry 2011; 22: 44–51 Background.  Despite the efficacy of non-drilling approaches to manage non-cavitated

dentin occlusal lesions (NCDOL) in permanent teeth, there is no data validating this type of therapy in the primary dentition. Aim.  To compare the efficacy of a traditional fissure sealant in managing NCDOL in primary molars. Design.  This study is a randomized controlled clinical trial with a split-mouth design. Thirty schoolchildren with two NCDOL were selected and divided into two groups. The experimental group received a resin-based fissure sealant, whereas the control group was treated with a conventional composite resin. Treatment efficacy was evaluated after 1 year by means of clinical and radiographic examinations. Results.  The two treatment modalities were found to be similarly effective in managing DONCL in primary molars. Conclusion.  For the management of non-cavitated dentin occlusal caries in primary teeth, the invasive approach can be replaced with non-drilling fissure sealing techniques. “
“International Journal of Paediatric Dentistry 2012; 22: 85–91 Background.  In a previous study, 9-year-old children with severe Molar Incisor Hypomineralization (MIH) had undergone dental treatment of their first molars nearly ten times as often as children in a control group.

5 or CD45 according to

5 or CD45 according to CP 868596 the degree of caries or extent of physiological root resorption (two-way anova, P > 0.05). Findings suggest that even if primary molars are undergoing exfoliation, they show comparable caries-induced changes to teeth without physiological root resorption, thus retaining potential for healing and repair. “
“International Journal of Paediatric Dentistry 2013; 23: 138–144 Background.  Individual calibration (IC) for caries detection methods based on fluorescence is time-consuming, especially for paediatric dentists, if the calibration has to be performed

tooth-by-tooth. However, it is not clear how this calibration actually interfere in laser fluorescence (LF) readings. Aim.  This in vivo study was to verify the influence of different modes of IC on laser fluorescence (LF) readings. Design.  Ninety six occlusal and 95 buccal surfaces of 1st permanent molars were examined using LF device after IC performed on control (no IC), the examined teeth, a permanent incisor, a 1st primary molar or a 2nd primary molar. All modes of IC were performed in the same child. Wilcoxon test and Bland–Altman analysis were used to compare the readings. Intraclass correlation coefficients (ICC) were calculated. Results.  Laser fluorescence readings

without prior calibration were higher than readings performed after any mode of IC and resulted in different values of ICC. After other IC modes, the LF readings were statistically similar. Conclusion.  The absence of IC influences Venetoclax concentration LF readings and LF reproducibility, but different IC methods can be considered in clinical practice. “
“International Journal Thymidylate synthase of Paediatric Dentistry 2011; 22: 44–51 Background.  Despite the efficacy of non-drilling approaches to manage non-cavitated

dentin occlusal lesions (NCDOL) in permanent teeth, there is no data validating this type of therapy in the primary dentition. Aim.  To compare the efficacy of a traditional fissure sealant in managing NCDOL in primary molars. Design.  This study is a randomized controlled clinical trial with a split-mouth design. Thirty schoolchildren with two NCDOL were selected and divided into two groups. The experimental group received a resin-based fissure sealant, whereas the control group was treated with a conventional composite resin. Treatment efficacy was evaluated after 1 year by means of clinical and radiographic examinations. Results.  The two treatment modalities were found to be similarly effective in managing DONCL in primary molars. Conclusion.  For the management of non-cavitated dentin occlusal caries in primary teeth, the invasive approach can be replaced with non-drilling fissure sealing techniques. “
“International Journal of Paediatric Dentistry 2012; 22: 85–91 Background.  In a previous study, 9-year-old children with severe Molar Incisor Hypomineralization (MIH) had undergone dental treatment of their first molars nearly ten times as often as children in a control group.

HIV-infected persons have a propensity for MRSA SSTI and a high r

HIV-infected persons have a propensity for MRSA SSTI and a high rate of recurrent disease. The reasons for the elevated rates of MRSA infections among HIV-infected persons appear to be multifactorial, but may be

mitigated with optimized HIV control and reductions in associated risk factors. The occurrence of methicillin-resistant Staphylococcus aureus (MRSA) infections has risen dramatically in the past decade. Initially a nosocomial pathogen, MRSA is now prevalent in the community and has become the most common cause of skin and soft tissue infections (SSTIs) [1, 2]. Furthermore, a large number of healthy persons are carriers of the organism and may serve as reservoirs within the community [3]. HIV-infected persons

are at a heightened risk of MRSA infections [4-6]. To date, there are no comprehensive published reviews of the literature on MRSA colonization and infection Everolimus mw among HIV-infected persons during the highly active antiretroviral therapy (HAART) era. This paper provides a review of the literature and clinical management of MRSA infections among HIV-infected persons. We searched PubMed (MEDLINE) using the keywords “HIV” and “MRSA” to identify relevant references. Our search was restricted to articles published in the HAART era (January 1996 to January 2011). We also reviewed major articles on MRSA in the general population to provide comparison data. Reference lists of the articles were also examined to identify additional citations. Colonization with S. aureus is important as it precedes and increases the risk for infection [7-9]. In Galunisertib clinical trial a study among HIV-infected patients

colonized with MRSA at baseline, 37% developed an SSTI, whereas only 8% of those not colonized developed an SSTI Metalloexopeptidase (P < 0.001) [10]. Most commonly, infection is caused by the colonizing strain [9]. Compared with the general population, HIV-infected persons are at an increased risk for MRSA colonization [9]. In the HAART era, prevalence estimates of MRSA colonization among HIV-infected persons have been ∼4% (range 0–17%) [9-18] compared with 1.5% in the general population [19]. A recent study among HIV-infected out-patients examining carriage at multiple body sites found the highest prevalence at the nares (3.3%) followed by the perigenital (1%), throat (1%) and axillae (0.2%) regions [17]. It has been reported that the addition of a groin culture for detecting MRSA carriage can increase detection by 24% [18]. Risk factors for MRSA colonization among HIV-infected persons include poor immune status (e.g. low CD4 cell count), recent exposure to antibiotics, illicit drug use, recent hospitalizations, prior MRSA colonization or infection, and chronic skin disease [9, 10, 12-14, 18, 20, 21]. The use of trimethoprim-sulfamethoxazole (TMP-SMX) appears protective against MRSA colonization [13]. Recent studies have linked high-risk sexual behaviours to MRSA colonization.

Interventions aimed at limiting numbers of sexual partners and re

Interventions aimed at limiting numbers of sexual partners and reducing unprotected sex typically require the building of new skills for sustaining long-term behaviour change [31]. Interventions that include HIV status

disclosure decision skills have been effective in reducing HIV risks in serodiscordant relationships and should be integrated into future interventions [32,33]. Perhaps most essential to prevention of HIV transmission by people who have HIV/AIDS is the integration of STI diagnostics and treatment into routine clinical services. Patients should also be taught how to recognize early symptoms of STIs and told that they should seek health services if they suspect STI symptoms. Early detection and aggressive treatment of STI ubiquitin-Proteasome degradation coinfections are necessary to reduce genital fluid infectiousness. Scaling up antiretroviral therapy for HIV prevention will therefore only be successful when infectiousness beliefs are reality-based and when co-occurring STIs are prevented, rapidly detected and treated. This research was supported by grants from the National Institute of Mental Health (NIMH; grants R01-MH71164 and R01-MH82633). “
“The

PubMed database was searched under the following headings: HIV or AIDS and candidosis, drug discovery candidiasis, Candida spp, Candida albicans, non-albicans Candida, oropharyngeal candidiasis and mucosal candidiasis. Candida species selleck kinase inhibitor are common commensals in the general population and may be cultured using selective media from the oral cavity and genital tracts of up to 75% of individuals [1]. Such cultures are not clinically helpful. Oropharyngeal candidiasis is the commonest opportunistic infection to affect HIV-seropositive individuals, occurring in 80–90% of patients in the pre-HAART era [2]. Oesophageal candidiasis in the pre-HAART era was the AIDS-defining illness in 11% of cases [3]. Oral candidiasis is associated with

worsening immunodeficiency [4] and in the absence of HAART predicts the development of AIDS at a median of 25 months [5]. The most familiar clinical appearance of oral candidiasis is of easily removable curdy white plaques, underneath which lies raw or bleeding mucosa. Other presentations include an erythematous form, with patchy reddening of the mucosa, and depapillation of the dorsal surface of the tongue [6]; hyperplastic candidiasis, where there are white plaques that cannot be scraped away; and angular cheilitis with painful fissuring of the commissures. The symptoms are of pain in the tongue or surrounding structures or the presentation may be asymptomatic with just the clinical appearance of oral candidiasis. Vaginal candidiasis is common in HIV-seropositive women and presents with vaginitis with itching and curd-like exudate. Management is as for HIV-seronegative individuals [7]. Typically the patient with oesophageal candidiasis complains of dysphagia and/or odynophagia.

The association between viral load suppression and AIDS at diagno

The association between viral load suppression and AIDS at diagnosis probably relates to the fact that these patients are monitored more closely and frequently (or even hospitalized for opportunistic infections), thereby facilitating optimal antiretroviral adherence and subsequent virological suppression. However, analyses examining whether stage of infection predicts see more antiretroviral adherence remain inconclusive [25]. Baseline CD4 cell count may predict eventual long-term outcomes of antiretroviral therapy [26,27]. However, our work demonstrates that baseline viral load is a more important predictor of time to virological suppression, which supports findings

from past studies [28–30]. Furthermore, our subanalysis exploring whether baseline viral load remains an important predictor of suppression later in follow-up indicates that, after 18 months of therapy, baseline viral load is no longer significantly associated with suppression. This finding supports those of past studies in which it was concluded that time to suppression is a mathematical function corresponding to baseline viral load [28,29]. In our cohort, women were less likely than men to achieve virological suppression. This is in contrast to other evaluations that have

found similar [31,32] or improved [33] virological suppression compared with men. These differing results may be a consequence of the specific characteristics of our population. In our cohort, a large R428 datasheet proportion of our female population faced barriers to successful treatment, including IDU (IDU in 26% of women compared with 16% of men; P<0.001). This is well established to negatively influence virological suppression [34]. We speculate that other socioeconomic and mental health issues not controlled for in our models may explain our findings. Unfortunately, this information is not currently captured in the CANOC database. It is important to note that our data were obtained from only three provinces, and thus may not be generalizable to the entire Canadian HIV-positive either population.

However, the majority of HIV-positive individuals in Canada receive care in these three regions. In fact, CANOC contains approximately one-quarter of all patients on therapy and a much larger proportion of those who initiated since 2000 [35]. As with other cohort analyses, there is the potential for selection bias as a result of the differential losses to follow-up at the various clinic sites of those individuals who did not achieve suppression. As reported, loss to follow-up differed significantly among the provinces. Also, there is a clinic-based selection bias, which may explain the difference among provinces in viral load suppression, as British Columbia represents the entire sample of people on antiretroviral therapy in the province while data from the other provinces are based on a selection of clinics.