These results strongly suggest that Sec8p and Exo70p are present

These results strongly suggest that Sec8p and Exo70p are present in different subcomplexes; one of them (required for agglutination) would lack Exo70p. The fact that Exo70p is also observed at the tip of the contacting shmoos suggests that, although under our experimental conditions we have not observed a mating defect in the exo70Δ mutant, this protein might also play some role during the initial steps of mating. A different exocyst subcomplex, carrying Sec8p and

Exo70p, would be required for sporulation. In this subcomplex, the presence of Exo70p seems to be more relevant than the presence of Sec8p for the FSM development. There is increasing evidence suggesting that different exocyst components play different roles and that there are subcomplexes in the exocyst. Thus, in Drosophila, it has been shown that exocyst function is divisible and so different components play distinct roles. Additionally, different GTPases regulate the activity check details of this

multiprotein complex by interacting with different subunits (Wu et al., 2008), UK-371804 mouse and the localization of different subunits to the sites of active secretion has different requirements (Zajac et al., 2005). Thus, exocytosis of specific proteins by the exocyst is subject to a complex regulation. Our results support the notion of different exocyst subunits playing distinct roles in some developmental processes in a variety of organisms, from unicellular eukaryotes to metazoa. We thank B. Santos for critically reading the manuscript and N. Skinner for

language revision. We are indebted to M. Balasubramanian, J.A. Cooper, P. Pérez, Y. Sánchez, C. Shimoda, C.R. Vázquez, M. Yamamoto, and the Yeast Genetic Resource Center (YGRC, Japan) for the strains and plasmids. This work has been supported by grants BFU2007-61866 from the CICYT and GR231 from the Junta de Castilla y León, Spain. M.R.S. and N.d.L. were supported by fellowships from the Iranian and Spanish Ministry of Science, respectively. N.d.L., M.H., and M.-Á.C. contributed equally Acyl CoA dehydrogenase to this work. Table S1. Strains used in this work. Please note: Wiley-Blackwell is not responsible for the content or functionality of any supporting materials supplied by the authors. Any queries (other than missing material) should be directed to the corresponding author for the article. “
“GE Healthcare, Sydney, NSW, Australia Charles Sturt University, Orange, NSW, Australia Combined analysis of allelic variation of the virulence-associated, strain-specific lys-gingipain gene (kgp) and major fimbrial gene (fimA) of Porphyromonas gingivalis was undertaken in 116 subgingival plaque samples to understand the kgp biotype and fimA genotype profile in a subject-specific manner. Allelic variation in the polyadhesin domain of kgp from P. gingivalis strains 381 (ATCC 33277), HG66 and W83 generated four isoforms corresponding to four biotypes of P.

4% NaCl, 21% MgSO4·7H2O, 18% MgCl2·6H2O, 042% KCl, 0056% CaCl

4% NaCl, 2.1% MgSO4·7H2O, 1.8% MgCl2·6H2O, 0.42% KCl, 0.056% CaCl2, and 12 mM Tris-HCl, pH 7.5). Solid media were prepared by the addition of 1.5% agar (Difco). If required, novobiocin was added at 0.3 μg mL−1. Escherichia coli was routinely grown in Luria–Bertani medium (0.5% yeast

extract, 1% peptone, 1% NaCl); if required, 100 μg mL−1 ampicillin was added. For the construction of plasmids, E. coli JM109 (F′traD36 proA+B+ lacIqΔ(lacZ)M15/Δ(lac-proAB) glnV44 KU-57788 chemical structure e14− gyrA96 recA1 relA1 endA1 thi hsdR17) was used. To prepare unmethylated DNA for efficient transformation of H. volcanii, E. coli ER2925 (New England Biolabs, Hitchin, UK) was used. Transformation of E. coli (Sambrook & Russel, 2001) and H. volcanii (Cline et al., 1989) was performed as described. General DNA techniques were performed as described (Sambrook & Russel, 2001). AmyH was produced CX-5461 solubility dmso in H. volcanii by transforming this strain with the plasmid pSY-AmyH, which has been described before (Kwan et al., 2008). All mutations in the signal-peptide encoding region of the amyH gene were carried out using the Quickchange mutagenesis system (Stratagene, La Jolla, CA). To visualize AmyH secretion on plates, 0.5% starch was added to YPC-agar. After 2 days of growth, starch-YPC plates were stained for 30 s with iodine solution (2% KI, 0.2% I2). Proteins were separated by sodium dodecyl sulphate polyacrylamide gel

electrophoresis (SDS-PAGE) and immunoblotted onto polyvinylidene difluoride membranes (Millipore, Watford, UK) using a semi-dry system. Amylase was visualized with specific antibodies and horseradish peroxidase anti-rabbit IgG conjugates (Promega, Southampton, UK), using the Pico West detection system (Perbio Science, Cramlington, UK). Proteomes from E. coli K-12 MG1655, Haloarcula marismortui ATCC 43049, Natromonas pharaonis DSM2160, and Halobacterium salinarum NRC1 were obtained through the European Bioinformatics Institute (http://www.ebi.ac.uk/genomes). Proteomes were analysed firstly with tatfind 1.4 at http://signalfind.org/tatfind.html (Dilks et al., 2003). To avoid false-positives, two additional steps were adopted. Firstly, very few (if any) Tat substrates

are polytopic integral membrane proteins, and proteins showing one or more additional membrane-spanning domains (using TMHMM at http://www.cbs.dtu.dk/services/TMHMM/) were therefore removed from Fludarabine chemical structure the dataset. Secondly, proteins in the dataset were analysed for signal peptides using the Hidden Markov model of signalp 3.0 (Bendtsen et al., 2004; http://www.cbs.dtu.dk/services/SignalP/). Any proteins below the threshold score of 0.5 were also removed. For archaea, it is not clear whether the Gram-negative or the Gram-positive model is better; for this reason, both were tested and proteins scoring below the threshold in either model were removed. The final datasets contained 24 Tat substrates for E. coli, 94 for H. marismortui, 41 for H. salinarum, and 74 for N. pharaonis.

Firstly, compared with some regions in developing countries

Firstly, compared with some regions in developing countries PF-562271 purchase where HEV is endemic, southwest England has a modest anti-HEV seroprevalence. This reflects a lower

incidence of circulating HEV in our community than that found in endemic areas, possibly resulting in a reduced risk of chronic coinfection with HIV. Secondly, most of our patients were receiving ART and had low HIV viral loads and most had CD4 counts >250 cells/μL. This indicates that, although they were infected with HIV, the immunosuppressive consequences in our cohort of patients were, on the whole, mitigated by effective therapy. Chronic HEV infection occurs in the immunosuppressed, and it appears that the degree of immunosuppression is one of the key factors that determine failure of HEV clearance [8]. The two previously documented cases of chronic selleck kinase inhibitor HIV/HEV coinfection have two important similarities [10,11]. Both patients had a low CD4 count (<200 cells/μL) and

both had abnormal liver function tests (ALT more than twice the upper limit of normal). It is noteworthy that in the current study no patients had both of these characteristics. Although 50 patients in the Spanish series had a CD4 count <200 cells/μL, and 43 patients had ‘cryptogenic hepatitis’ [22], it is not clear if any patients had both. A further study is currently in progress to determine the prevalence of HIV/HEV coinfection in patients with both a low CD4 cell count and abnormal liver Phosphoglycerate kinase function tests. In summary, anti-HEV seroprevalence

was similar in controls and patients with HIV infection. Risk factor analysis suggests that HEV is unlikely to be transmitted sexually, and consumption of raw/undercooked pork was the only factor associated with HEV seropositivity. Evidence of chronic HEV coinfection was absent in 138 unselected patients with HIV infection, but none of these patients had both a CD4 count <250 cells/μL and abnormal liver function tests. Author contributions: FK co-designed the study, collected data and reviewed the drafts; MG co-designed the study, collected data and reviewed the drafts; RB helped design the study and interpret the data and co-wrote the paper; RG and LJ entered patients into the study and reviewed the drafts; JB and GB collected the control data, collated the patient data and reviewed the drafts; NXL and WH helped design the study, performed the statistical analysis and reviewed the drafts; SLN and SI performed the virological studies and reviewed the drafts; HRD instigated the study, co-wrote the paper and is the guarantor. Financial support: WEH was supported by funding from the National Institute for Health Research (NIHR). The views expressed in this publication are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health.

2 A limitation of this study is that the nature of pharmacist pre

2 A limitation of this study is that the nature of pharmacist prescribing was not determined; pharmacists could be prescribing less complex regimes. Further work is needed to determine this. 1. Lewis PJ, Dornan T, Taylor D, et al. Prevalence, incidence and nature of prescribing errors in hospital inpatients: a systematic review. Drug Saf 2009; 32:

379–389. 2. Dornan UK-371804 T, Ashcroft D, Heathfield H, et al. An in depth investigation into causes of prescribing errors by foundation trainees in relation to their medical education- EQUIP Study. General Medical Council. 2009. Available at: http://www.gmcuk.org/about/research/research_commissioned_4.asp [Last accessed 23/02/13]. Adam Pattison Rathbone, Julie Pagan, Debbie Hagan, Julie Harrison The South Tees NHS Foundation Trust, Middlesbrough, UK To discover the benefits of pharmacy-led comprehensive patients’ own drugs services implemented in secondary care. Results from the research included anecdotal evidence and data showing a reduction in drug expenditure in medication likely to be available as the patients own, an increase in the value of medication returned to the pharmacy department for re-use and a reduction in the length of time it takes to prepare

a prescription. Conclusions included there MS 275 are significant financial benefits from the service, medicines waste can be dramatically reduced and further investigation is required to establish impacts on patient safety, patient satisfaction and the role of the pharmacist. The Trust aimed to increase the use of patients’ own medication through implementation of a fully-comprehensive patients’ own drugs (POD) service and to recognise other benefits of implementing such a scheme. In 2009, Chan et al showed a 12.4% drop in prescribing errors if patients’ own medication was available.1 In 2008 Bracey et al showed

that 33% of medication needed at discharge was available as the patients’ own.2 A dedicated pharmacy team delivered a clinical and dispensing service to a 32-bed vascular surgery ward assessing elective and emergency patients – elective patients were asked to bring their medication into hospital at pre-assessment. Data collected from prescription tracker software, dispensing software (AscribeV10), ward-based audits and testimonials. Bed-side lockers these were not used but have since been introduced to the Trust. Ethics committee approval was not needed. An average reduction of £1,520.90 per month in medication likely to be available as the patients’ own was recorded. A 15% increase in the number of items dispensed in less than 30 minutes was recorded. The percent of items dispensed in an hour increased from 5% to 20%. A 23% decrease in dispensing at discharge was recorded. A decrease in waste was measured as an increase in items returned to pharmacy for re-use, which increased from an average value of £90 per month to over £520 per month.

A further source of potential bias was publication bias since onl

A further source of potential bias was publication bias since only published studies were included.

This review included studies from nine different countries with differing arrangements for provision of community pharmacy services. The studies covered a diverse range of diseases and risk factors, and employed a range of study designs, populations and outcomes. This heterogeneity, together with poor quality of reporting in the majority of the included studies, meant that it was not possible to do a meta-analysis of the available quantitative results. Neither was it possible to determine why some screening interventions appeared to be more successful than others (in terms of the measured outcomes). This is likely to have implications for

the generalisability of the findings. The quality of most included studies was poor, which is perhaps unsurprising APO866 price see more given the broad range of study designs included. Only one RCT and two cluster randomised studies of moderate quality were identified. There were four non-randomised comparative studies and the remaining 42 studies were uncontrolled studies many of which were assessed as being of poor quality. Lack of control groups made it difficult to associate findings with interventions. The poor quality of the majority of the studies in this review is of concern and raises questions about the validity and generalisability of the studies’ findings. However, the pragmatic nature of most of the included studies gives them a degree most of applicability. By contrast, screening for major diseases in other primary care settings has been the subject of substantial research, including numerous RCTs.[72-78] Little published evidence was found that compared pharmacy-based screening with screening initiatives in other comparable healthcare settings. None of the

included studies provided enough information about intervention design and development. The importance of identifying existing evidence, establishing theoretical underpinning and modelling processes and outcomes, when developing complex interventions (such as the screening interventions described here) has been highlighted in UK Medical Research Council guidance.[79] Without such information, it is difficult to assess the reliability of the interventions. All 47 studies that presented the proportion of participants with risk factors/condition identified some participants at risk suggesting that the community pharmacy may be a feasible location for the screening services investigated. Forty-eight of the 50 included studies involved opportunistic screening (that is, non-targeted screening of people visiting the community pharmacy or responding to screening advertisements) while two studies[41, 63] involved targeted screening of at-risk populations (identifying and inviting people who were at-risk for screening). Gardner et al.

For AUC, the criterion was set at a geometric mean of 30 000 ng h

For AUC, the criterion was set at a geometric mean of 30 000 ng h/mL based on our rationale that a reduction of up to 30% in ATV AUC would not compromise outcome. The criteria for a dose increase within the current study were based on the assumption that, although exposures were likely to be lower in pregnant patients, the relationship between these AUC and Cmin values would be largely consistent with that in nonpregnant patients. Reductions of 20–30% in ATV AUC and Cmin were observed when ATV was given in combination with tenofovir, with no apparent loss of antiviral effect [35]. Indeed, the recent CASTLE study (AI424138) indicated that, even though tenofovir

lowered ATV exposures, the antiviral efficacy was very good and comparable to that for twice-daily lopinavir/RTV to

96 weeks [36]. In this study, the Selleck Belnacasan lowest observed AUC fell below the range of historical reference Ku-0059436 mw values, but the relationship between AUC and Cmin differed in this population, where Cmin values were higher than in nonpregnant patients at similar AUC values. At ATV/r 300/100 mg qd, the range of observed Cmin values in the third trimester was very comparable to the historical reference [interquartile range 455.5–986.0 ng/mL (current study) vs. 370–1035.3 ng/mL (historical)]. Furthermore, with data from 20 patients, the geometric mean AUC for 300/100 mg qd meets the predefined criterion for AUC. Although this result appears to conflict the interim analysis with 12 patients, considering the known variability in ATV pharmacokinetics, these two estimates of the population mean are not incompatible. On the basis of the pharmacokinetic data in this study, IKBKE particularly Cmin,

a dose adjustment does not appear to be necessary during pregnancy. The seeming disconnect between the decision to study a second cohort at 400/100 mg qd and the recommendation of 300/100 mg qd is based in large part on the differing relationship between AUC and Cmin in this population. After reviewing the pharmacokinetic data as a whole, the dosing recommendation is rational despite this apparent contradiction within the study. Any consideration of a dose increase should also take relative safety profiles and ease of compliance with a new dosing regimen into account. For the latter consideration, switching from one 300 mg capsule to two 200 mg capsules of ATV at the beginning of the third trimester may lead to dosing errors and compliance problems. In this regard, not having to dose-adjust during pregnancy and complicate the ATV/r 300/100 mg treatment regimen could be viewed as a potential benefit. Regarding safety considerations, both ATV/r 300/100 mg and 400/100 mg were well tolerated with no unexpected, related adverse events; however, maternal grade 3–4 hyperbilirubinaemia occurred more frequently at the higher dose.

In addition, in the remaining PF–Purkinje cell synapses, the post

In addition, in the remaining PF–Purkinje cell synapses, the postsynaptic densities are disproportionally longer than the presynaptic active zones. These unique morphological phenotypes and Ca2+-resistant binding of the

NRX/Cbln1/GluD2 complex is consistent with the function of the complex as synaptic glue, connecting pre- and postsynaptic elements. The second unique feature of the NRX/Cbln1/GluD2 complex is that the secreted Cbln1 works by being sandwiched between presynaptic NRX and postsynaptic GluD2. In central nervous system synapses, synaptic organizers are classified into two categories: cell adhesion molecules that directly link pre- and postsynaptic elements and soluble factors. Most soluble synaptic organizers in the central nervous system, such as neuronal pentraxins (Xu et al.,

2003), fibroblast www.selleckchem.com/products/dabrafenib-gsk2118436.html growth factors (Terauchi et al., 2010) and Wnt-7a (Hall et al., 2000), work on either the pre- or postsynaptic site, depending on the location of their receptors (Johnson-Venkatesh & Umemori, 2010). Thus, the sandwich-type signaling by the NRX/Cbln1/GluD2 complex is unique in that secreted Cbln1 serves as a bidirectional synaptic organizer. For Cbln1 to bind to pre- and postsynaptic receptors simultaneously, Cbln1 needs to have at least two binding sites. This could have been achieved by the presence of multiple binding sites within single Cbln1 monomers or by the presentation of single binding sites in different

directions by forming a multimeric Cbln1 complex learn more (Iijima mafosfamide et al., 2007). Recently, glial-derived neurotrophic factor was also proposed to serve as a synaptic adhesion molecule being sandwiched by its receptor glial-derived neurotrophic factor family receptor (GFR)α1 located at pre- and postsynaptic neurons (Ledda et al., 2007). In addition, leucine-rich glioma inactivated 1 was recently shown to be secreted from neurons and to organize presynaptic potassium channels and postsynaptic AMPA receptors by binding to its pre- and postsynaptic receptors, a disintegrin and metalloproteinase (ADAM) 22 and ADAM23, respectively (Fukata et al., 2010). These recent findings indicate that the sandwich type constitutes the third category of synaptic organizers. Advantages of sandwich-type synaptic organizers may include an additional level of regulation of synapse formation and its functions. For example, the expression of cbln1 mRNA is completely shut down in granule cells when neuronal activity is increased for several hours (Iijima et al., 2009). Similarly, a sustained increase in neuronal activity causes the internalization of GluD2 from the postsynaptic site of cultured Purkinje cells (Hirai, 2001). As Cbln1 and NLs compete for NRXs, such activity-dependent regulation of Cbln1 and GluD2 might lead to switching between NRX/NL and NRX/Cbln1/GluD2 modes of synaptogenesis.

The hand and its tactile receptors can function to locate objects

The hand and its tactile receptors can function to locate objects and stimuli with respect to both the Dabrafenib clinical trial bodily

location on which the stimulus impinges and the external locations (see Martin, 1995). It is possible that varying the kinds of information available concerning the body and external space might bias the brain towards or away from encoding touch with respect to one or another of these frames of reference. The richer and more reliable cues to the body which we receive when we look at it might bias processing of, or attract attention towards, the intrinsic spatial reference frames which play a role in representing location on the body surface. Thus, when the hands are visible, as well as felt through proprioception, their location, and the locations of the tactile stimuli upon them, may

be more likely to be encoded with respect to anatomical coordinates. In line with this suggestion, recent research shows that vision of the hand modulates somatosensory processing (Forster & Eimer, 2005; Sambo et al., 2009; Longo et al., 2011) and also improves tactile acuity with respect to the body surface (Kennett et al., 2001; Fiorio & Haggard, 2005; Cardini et al., 2011). Thus, we suggest that in our study, hand position (posture) effects were observed ipsilaterally in Experiment 2 (no sight of hands), because there were fewer cues to the anatomical location of selleck chemical the hands and to the tactile stimuli applied to them in this condition (i.e. Idoxuridine just proprioceptive cues). When visual and proprioceptive cues were provided, this may have given more

weight to an anatomical frame of reference, leading to hand position being encoded anatomically (i.e. via contralateral pathways). The current experiments are the first to demonstrate the electrophysiological time course of somatosensory spatial remapping in the absence of manipulations of voluntary attention. The data reported here suggest that the process of remapping tactile locations according to the current posture of the limbs occurs from around 128 to 150 ms after stimulus onset (affecting primarily the somatosensory N140 component). Vision of the limbs plays an important role in the way that the brain processes posture. Sight of the limbs modulated the hemispheric distribution of activity associated with processing changes in the posture of the limbs. When there was no vision of the limbs, somatosensory remapping processes (postural effects on the N140) were observed over ipsilateral sites, but when participants could see their hands these processes appeared over contralateral sites.

fumigatus is inhibited by P aeruginosa and its associated

fumigatus is inhibited by P. aeruginosa and its associated R428 supplier secreted heat-stable molecules. The analysis of defined

mutant isolates revealed that the ability of P. aeruginosa to interfere with the morphological differentiation is dependent on the quorum-sensing networks that regulate an array of virulence factors. However, given that the LasI mutant cannot synthesize HSL, it is likely that this and other undefined small heat-stable molecules influence A. fumigatus and other filamentous fungi, such as those molecules reported herein. These findings could be harnessed to produce novel therapeutics as a means of managing aspergillosis more effectively. We would like to thank Helen Kennedy (Royal Hospital for Sick Children, Yorkhill Division, Glasgow) for providing all the clinical Cabozantinib A. fumigatus isolates used throughout this study. We thank Dr Douglas Storey (University of Calgary, Canada) for provision of the P. aeruginosa isolates and Professor Paul Williams (University of

Nottingham) for kindly donating the P. aeruginosa LasIR mutant strains. “
“Pasteurella multocida, a Gram-negative nonmotile coccobacillus, is the causative agent of fowl cholera in poultry, hemorrhagic septicemia in cattle, atropic rhinitis in swine, and snuffles in rabbits. The differentially expressed gene profile of P. multocida in infected rabbit livers was identified and compared with that from in vitro culture by selective capture of transcribed sequences. A total of 31 genes were identified, of which 28 encoded enzymes for amino acid biosynthesis and metabolism, intermediary metabolism, and energy metabolism, or proteins for regulatory adaptive responses, general microbial Morin Hydrate stress response, transport proteins, and secreted proteinases. Three were unknown, novel genes.

Five genes representing different categories were chosen randomly and verified by real-time reverse transcriptase-polymerase chain reaction analysis. All were upregulated by P. multocida in infected rabbit livers, with changes ranging from 1.61- to 13.55-fold when compared with in vitro cultures. This study has identified genes of P. multocida that are upregulated during infection of rabbit livers when compared with in vitro growth conditions. The genes will provide a molecular basis for further study of the pathogenesis of P. multocida. Pasteurella multocida, a Gram-negative nonmotile coccobacillus, is the causative agent of fowl cholera in poultry, hemorrhagic septicemia in cattle, atrophic rhinitis in swine and snuffles in rabbits. Strains of P. multocida are normally designated on the basis of the capsular serogroup and somatic serotype. There are five serogroups (A, B, D, E, and F) based on capsule specificity, and 16 somatic serotypes (1–16) based on lipopolysaccharide antigens (Heddleston et al., 1972). The pathogenicity of P. multocida is complex and several virulence factors of P.

Its main sources are rodents, particularly rats, which excrete th

Its main sources are rodents, particularly rats, which excrete the spirochete (Leptospira spp) in urine. Humans are infected by direct contact with urine of infected animals or by contact with an infected environment such as surface water. The disease is increasingly reported in travelers, particularly those travelling to tropical areas, due to the development of fresh-water sports selleck kinase inhibitor and leisure activities such as fishing, rafting, canoeing, kayaking, scrambling, etc. However, leptospirosis remains an uncommon

cause of illness in travelers. Even when focusing on the causes of fever in travelers returning from a tropical area, only 0% to 1.2% of cases were diagnosed with leptospirosis.[1-3] In these three series, 5.5% to 24% of the febrile travelers were considered as having fever of unknown origin. It is therefore possible that leptospirosis was underdiagnosed. A few sporadic Anticancer Compound Library price cases of leptospirosis in returning travelers have been reported.[4, 5] Two case series were found at a national level, reporting leptospirosis in returning travelers.[6,

7] Leshem et al. reviewed 48 cases of travel-related leptospirosis seen in Israel between 2002 and 2008, while Van Crevel et al. reported 32 such cases in the Netherlands between 1987 and 1991. The goals of our study were to better evaluate the epidemiological, clinical, and laboratory characteristics of the patients diagnosed with travel-related leptospirosis. All consecutive travel-related cases Edoxaban of leptospirosis that were diagnosed in the Department of Maladies Infectieuses et Tropicales, Hôpital de la Pitié-Salpêtrière, Paris between January 2008 and September 2011 were included. The diagnosis of leptospirosis relied on the

following criteria: (1) a clinical picture compatible with the disease occurring within 21 days after return, (2) the presence of a thermoresistant antigen[8] or IgM antibodies, Elisa ≥ 1/400[9], and (3) a positive microagglutination test (MAT) ≥ 1/100.[10] When possible, serogroups were confirmed by MAT. All serology testing except one (done at Biomnis) was carried out at the Pasteur Institute in Paris, National Reference Centre for Leptospirosis, using MAT (Table 1). Patient files were retrospectively analyzed to collect demographic, epidemiological, clinical, and laboratory characteristics, as well as data concerning the at-risk exposure. At-risk activities included bathing in fresh water; fresh-water sports (canoeing, rafting, kayaking, etc.); contact with animals or their urine; and activities such as gardening, hunting, and fishing. Leukocytosis was defined as white blood cells (WBCs) > 12 × 109/L, lymphocytopenia as lymphocytes < 1,500 × 109/L, and thrombocytopenia by platelet count < 150 × 109/L. Impaired liver function tests (LFTs) were defined by the rise of alanine aminotransferase (ALAT) and/or aspartate aminotransferase (ASAT) up to twice the normal values.