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D Mader

Publications and source records attributed to D Mader.

6 recordsLinked to original sources

Liposome encapsulation of a soluble recombinant fragment of the respiratory syncytial virus (RSV) G protein enhances immune protection and reduces lung eosinophilia associated with virus challenge.

Respiratory syncytial virus (RSV) is a leading cause of bronchiolitis and pneumonia in young children and infants. Previous animal studies have shown that immunizing intramuscularly or intraperitoneally with the RSV G protein has elicited protective as well as harmful immune responses upon RSV challenge. In an RSV immunization strategy designed to target the respiratory tract directly (the site of RSV replication), we immunized BALB/c mice intranasally with a liposome-encapsulated, prokaryotically expressed thioredoxin fusion protein consisting of amino acids 128-229 of the RSV G protein (Trx-G(128-229)). Upon intranasal challenge with RSV, a 100 to 500-fold reduction in lung RSV replication was observed in mice immunized with liposome-encapsulated Trx-G(128-229) compared to a sham-immunized control group. Analysis of bronchoalveolar lavage fluids revealed an influx of eosinophils (18% of total cells) in mice immunized with Trx-G(128-229) alone. Such eosinophilic infiltration was diminished (to 4.5% of total cells), however, in mice immunized with liposome-encapsulated Trx-G(128-229). Histological analysis of lung tissue revealed an accumulation of cells around the bronchioles and vessels in mice immunized with Trx-G(128-229) alone followed by RSV challenge which was not increased further in mice immunized with liposome-encapsulated Trx-G(128-229). These results show that intranasal immunization of BALB/c mice with Trx-G(128-229), when encapsulated in liposomes, can reduce the level of RSV replication in the lung as well as specifically reduce the degree of eosinophilic infiltration compared to mice immunized with Trx-G(128-229) alone. This demonstrates the potential of liposomes and particular recombinant fragments of the RSV G protein as an effective combination in RSV vaccine studies.

Animals↗

Exclusion, toleration, acceptance, integration: the experience of Dutch Reformed churches with homosexuality and homosexuals in the church.

The overwhelming majority of Protestant Christians in The Netherlands are members of denominations in the Reformed tradition (i.e., protestant churches characterized by Calvinist theology and a "presbyterian" church government by elected assemblies of elders). Comparable North American denominations are the Reformed Church in America and the United Presbyterian Church, both of which are facing some degree of internal controversy over homosexuality. In The Netherlands, the four major strands of the Reformed church have taken various positions on homosexuality, ranging from absolute rejection of homosexuality in the church and society, through one denomination which found itself in the curious position of approving the ordination of homosexual clergy while barring homosexuals from the Lord's Table, to creating "life covenants" which re-evaluate heterosexual marriage while also blessing relationships between homosexuals. All call upon the same set of principles for their varied stands. The two major denominational branches, the Netherlands Reformed Church (Hervormde Kerk) and the Reformed Churches in The Netherlands (Gereformeerde Kerken) have taken different approaches to resolving the issue, the former through internal political conflict and the latter through a more authoritarian (though progressive) stand. The article traces the political, theological, and juridical history of the evolution of these positions, and suggests various potential models, and their possibilities and pitfalls, for North American Protestant churches dealing with issues surrounding homosexuality and the church.

Adult↗

Total contact povidone-iodine perfusion cast for the treatment of neuropathic ulcers.

The total contact povidone-iodine perfusion cast is an effective, conservative treatment for the neuropathic ulcer. This is accomplished by redistribution of forces exerted on the foot, as well as the antiseptic environment established by the povidone-iodine. The case study presented demonstrates a cost-effective treatment for the diabetic neuropathic ulcer.

Casts, Surgical↗