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...only expert impressed with the results. "This is a very good study that at least suggests strongly that there is a benefit to starting treatment early," says Dr. Anthony Fauci, director of the National Institute on Allergy and Infectious Diseases. But is it enough to change the current guidelines for when HIV-positive patients should start ART? "That is a question of debate now in the scientific and public-health community," he says...

Author: /time Magazine | Title: Study: Treatment for HIV Should Start Earlier | 4/2/2009 | See Source »

...None of these guidelines have been supported by the gold standard of medical evidence, the randomized controlled trial. And as convincing and as large as the current study is, Fauci notes that it too lacks this scientific imprimatur. In Kitahata's study, researchers followed patients as they and their doctors made their own decisions about when they would begin drug therapy. Those who chose to start early - before their CD4 counts reached 350 cells or 500 cells, for instance - may have simply been more health-conscious overall and therefore less likely to die, which could have confounded the study...

Author: /time Magazine | Title: Study: Treatment for HIV Should Start Earlier | 4/2/2009 | See Source »

...Still, Fauci acknowledges that the sheer size of Kitahata's study gives its findings some weight. She presented the preliminary data to a government panel on HIV-treatment guidelines in February, and the results have since gotten HIV experts talking about whether waiting to begin treatment until the current threshold of 350 cells is reached is too late to improve HIV patients' survival...

Author: /time Magazine | Title: Study: Treatment for HIV Should Start Earlier | 4/2/2009 | See Source »

...West. The most daring buildings are dreamt up by second- and third-generation Muslim immigrants, who have the confidence and cash to build stone-and-glass symbols of Islam's growing strength in places like Europe. Simply importing traditional mosque architecture "doesn't express loyalty to your current surroundings," says Zulfiqar Husain, honorary secretary of an innovative new eco-mosque in Manchester, England. "It almost expresses that you want to be separate from the society you live...

Author: /time Magazine | Title: Updating the Mosque for the 21st Century | 4/2/2009 | See Source »

Torres and other labor experts say it's an open question whether these schemes make much of a difference. In the short term, they may well slow the rise in unemployment. But if the current crisis continues, as many economists are predicting, at least for this year and probably into 2010, even pay cuts, work-sharing schemes and shorter working hours won't be enough to safeguard jobs. "The real issue is can it be sustained?" Torres asks...

Author: /time Magazine | Title: Can These Jobs Be Saved? | 4/2/2009 | See Source »

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