Green infrastructure as a climate change adaptation policy intervention: muddying the waters or clearing a path to a more secure future?

As dangerous climate change looms, decision-makers are increasingly realising that societies will need to adapt to this threat as well as mitigate against it. Green infrastructure (GI) is increasingly seen as an ideal climate change adaptation policy response. However, with this research the authors identify a number of crucial knowledge gaps within GI and, consequently, call for caution and for a concerted effort to understand the concept and what it can really deliver.

Symptomatic hyperbilirubinemia with indinavir/ritonavir-containing regimen.

Objective: To report a case of symptomatic hyperbilirubinemia resulting from the addition of ritonavir to an indinavir-containing antiretroviral regimen.

Case Summary: A 27-year-old white woman developed symptomatic hyperbilirubinemia and anemia while receiving an indinavir/ritonavir-containing antiretroviral (ARV) regimen that required disruption of therapy. Extensive laboratory examinations were performed including determination of indinavir and ritonavir concentrations.