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  • Medical ethics  (1)
  • Outer surface protein A serotypes  (1)
  • 1
    ISSN: 1432-1831
    Schlagwort(e): Borrelia burgdorferi, afzelii, garinii ; Outer surface protein A ; ospA genes ; ospA sequence analysis ; Outer surface protein A serotypes
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The genes coding for the outer surface protein A (OspA) of 19 different Borrelia burgdorferi strains belonging to the seven OspA-serotypes 1–7, previously described [Wilske et al. (1993) J Clin Microbiol, 31: 340–350], have been investigated. B. burgdorferi sensu lato strains were chosen from various biological sources (ticks, human skin and cerebrospinal fluid) as well as different geographical origins (Germany, Slovenia, Austria, United States). The open reading frames of all ospA genes consist of 819–825 nucleotides corresponding to proteins of approximately 30 kDa. The ospA sequences obtained in this study and previous published studies were compared with the results from OspA serotyping with monoclonal antibodies. The classification into the seven OspA serotypes could be confirmed on a genetic basis (ospA genotypes 1–7) for all strains analyzed so far (n=29). In addition, one strain without OspA expression could be assigned to ospA genotype 2. Genetic stability could be proven for the ospA gene of B. burgdorferi strain PWudI after inocculation and reisolation from a gerbil. However, we found evidence for intragenic recombination by cluster analysis of ospA sequence data. Accordance of ospA genotype 1 strains with B. burgdorferi sensu stricto and ospA genotype 2 strains with B. afzelii, as well as the ospA genotype strains 3–7 with B. garinii was confirmed by pulsed-field gel electrophoresis of MluI-digested genomic DNA. B. garinii is not only more heterogenous in respect to the OspA-encoding genes, but shows moreover major subgroups formed by genotypes 4, 5 and 6 and genotypes 3 and 7, respectively. The latter group has not been described previously and is specifically recognized by an OspA-specific monoclonal antibody L32 1F7.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 2
    Digitale Medien
    Digitale Medien
    Springer
    Langenbeck's archives of surgery 358 (1982), S. 47-52 
    ISSN: 1435-2451
    Schlagwort(e): Medical ethics ; Doctor-patient relationship ; Scientific-technical progress ; Medizinische Ethik ; Arzt-Patient-Verhältnis ; Wissenschaftlich-technischer Fortschritt
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Beschreibung / Inhaltsverzeichnis: Zusammensetzung Die Symptome des gespannten Verhältnisses zwischen Technik und Humanität in der modernen Medizin — überhöhte Leistungserwartungen und Protest gegen angebliche Entmündigung durch Technik seitens der Patienten, Dissonanzen zwischen ärztlichen und wissenschaftlicher Aufgabe auf seiten der Ärzte —, fordern vom Chirurgen als exponiertem Repräsentanten medizinischen Fortschritts eine intensive Pflege des Vertrauensverhältnisses zum Patienten und die Bereitschaft zu fachlicher Kontrolle medizinischer Forschung, im Interesse einer produktiven Verarbeitung der Spannung.
    Notizen: Summary The symptoms of the strained relationship between technology and humanity in modern medicine are excessive expectations with regard to achievement, protest on the part of patients against alleged dehumanization, and protest by doctors against dissonance between the tasks of the medical profession and science. — These symptoms require of the surgeon, as a representative of medical progress, that he intensively cultivate the trust-relationship with his patients and a readiness to accept the technical controls of medical research.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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