Janoff, M.D., Paul R. Bohjanen, M.D., Ph.D., and Graeme Meintjes, M.B., Ch.B., Ph.D. For the Layer Trial Team: Timing of Antiretroviral Therapy after Analysis of Cryptococcal Meningitis Cryptococcus neoformans is the most common cause of meningitis in adults in sub-Saharan Africa,1-5 and meningitis caused by C. Neoformans accounts for approximately 20 to 25 percent of deaths from the acquired immunodeficiency syndrome in Africa.6-9 Determining when antiretroviral therapy ought to be initiated after a diagnosis of cryptococcal meningitis involves balancing the survival benefit conferred by ART against the chance of the immune reconstitution inflammatory syndrome , a paradoxical reaction that occurs during immunologic recovery with ART despite effective therapy for the opportunistic infection.Fifty-three % of the scientists were aware of bedbug infestations in their neighborhood, town, or state. When asked if indeed they were taking any special ‘bedbug’ safety measures for travel, significant responses were: * check resort bed linens and mattress for bloodstream stains and bug feces. Illustrative incidents from ratings submitted about the bedbug encounters consist of: *While interviewing for a faculty position, brought house bedbugs from the high-end hotel. We’d to get rid of half our belongings, and eradication cost over $18,000. * On a trip to Madrid received a huge selection of bedbug bites. Developed severe hives affecting eye and throat. Now travel with ‘epi’ pen. * Eradication may take 6-8 months.