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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Rheumatology international 9 (1989), S. 115-121 
    ISSN: 1437-160X
    Keywords: Human retroviruses ; Immune complexes ; Autoimmunity ; HIV I
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary High molecular weight DNA of up to 20 kbp and, additionally, an RNase-insensitive RNA of more than 60 b were isolated from plasmapheresis fluids taken from patients with active systemic lupus erythematosus (SLE). Similar nucleic acids could not be demonstrated in the plasma samples from patients with Waldenstroem's disease, rheumatoid arthritis, myasthenia gravis, and other diseases including active systemic disorders. The purified nucleic acids were analyzed in several ways; they proved to be immunogenic by inducing polyclonal and monoclonal antibodies to natural DNA as well as to synthetic polynucleotides (e.g. polyguanylic acid) after injection into experimental animals (rabbits or mice respectively). Biochemical and molecular cloning analysis of the DNA revealed features like high levels of CpG-dinucleotides, usually not observed in common human DNA. A possible exogenous origin was substantiated by comparative sequence studies of cloned plasma DNA, which showed homologies to human retroviruses, e.g. PL1 (85%/60 b) and the sequences of the gag and pol genes of human immunodeficiency virus type I (85%/157 b). Experiments applying isolated plasma nucleic acids in transfection experiments showed the induction of morphological changes in an EBV-immortalized B-cell line drawn from a healthy human donor, such as vacuolization and syncitia formation. Northern blot analysis demonstrated, exclusively in the transfected cell line, the expression of mRNA homologous to the cloned plasma DNA. Using this clone as a probe, homologous sequences could be demonstrated by Northern blot analysis in EBV-immortalized cell lines from SLE patients only and, by means of DNA amplification, in peripheral blood lymphocytes from SLE and AIDS patients. A cDNA library has been established, and sequencing is under way to gain more specific primers and probes for different chronic inflammatory diseases.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 68 (1990), S. 299-305 
    ISSN: 1432-1440
    Keywords: AIDS ; Immune complexes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Circulating immune complexes are part of normal immune defense mechanisms and, therefore, present in various infectious — bacterial and viral — diseases. On the other hand, they are obviously involved in pathogenic mechanisms, e.g., autoimmune diseases or different forms of malignancies. Both autoimmune and infectious features are recorded in the acquired immunodeficiency syndrome. Thus, elevated levels of antigen-antibody complexes in HIV-infected persons had to be expected, and they were in fact demonstrated by several authors. In a cohort study, it was additionally shown that circulating immune complexes are of prognostic relevance. After an introduction concerning the physiological and pathophysiological role of circulating immune complexes in general, their involvement in the course of HIV infections is presented and discussed. In addition, there is a critical review of the most commonly applied assay systems for the detection and quantification of circulating immune complexes.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Neurologie ; Neuropsychologie ; Ambulante/ teilstationäre Rehabilitation ; Umfrage ; Key words Survey ; Neuropsychology ; Neurology ; Rehabilitation ; Out-patient
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary This study presents a survey on the demand for out-patient neurological-neuropsychological rehabilitation. Neurologists working in acute care and in in-patient rehabilitation settings as well as neurologists and neuropsychologists with out-patient practice were asked to rate the demand for and the present means to realize out-patient neuropsychological rehabilitation. The results show a great demand for out-patient rehabilitation. The preferred concept and model of out-patient rehabilitation depends on the setting where the participants of the study work with a tendency to favour flexible programs close to patients’ habitation.
    Notes: Zusammenfassung Dargestellt werden die Ergebnisse einer Umfrage zur ambulanten/teilstationären Rehabilitation bei Kliniken der neurologischen Akutversorgung, neurologischen Rehabilitationskliniken, niedergelassenen Nervenärzten, Neurologen und niedergelassenen Neuropsychologen. Von allen befragten Institutionen wird ein hoher Bedarf an ambulanten/teilstationären Rehabilitationsmaßnahmen artikuliert, wobei sich die bevorzugten Modelle und Konzepte in Abhängigkeit vom stationären und ambulanten Charakter der jeweiligen Institutionen deutlich unterscheiden. Über alle Untersuchungsteilnehmer zeichnet sich ein Trend zur Bevorzugung flexibler, wohnortnaher Angebote ab.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Neurologie ; Neuropsychologie ; Ambulante/teilstationäre Rehabilitation ; Umfrage ; Behandlung ; Key words Survey ; Neuropsychology ; Neurology ; Rehabilitation ; Out-patient ; Treatment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Neurological-neuropsychological out-patient rehabilitation in Southern Germany is realized mostly by neurologists and neuropsychologists in out-patient practice. However, profile and quantity of treatment as well as the structure of the health system fail to meet the requirements of out-patient rehabilitation as described in the first part of the study.
    Notes: Zusammenfassung Die Analyse der aktuellen Versorgungssituation im Bereich der ambulanten neurologisch-neuropsychologischen Rehabilitation zeigt, daß vorwiegend niedergelassene Nervenärzte, Neurologen und Neuropsychologen auf diesem Gebiet tätig sind. Der dargestellte Bedarf an ambulanten Rehabilitationsmaßnahmen kann von diesen Behandlergruppen sowohl bezüglich Leistungsumfang als auch Leistungsprofil nur rudimentär abgedeckt werden. Weiterhin erweist es sich, daß bislang keine gesundheitspolitischen und infrastrukturellen Rahmenbedingungen etabliert sind, die die Grundlage einer effizienten ambulanten oder teilstationären neurologisch-neuropsychologischen Rehabilitation bilden.
    Type of Medium: Electronic Resource
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