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H Allen

Publications and source records attributed to H Allen.

114 records · Page 7Linked to original sources

Domain interactions of H-2 class I antigens alter cytotoxic T-cell recognition sites.

H-2 class I antigens appear to direct the recognition of virus-infected and neoplastic transformed cells by cytotoxic T lymphocytes (CTLs). Here, to identify the regions of class I antigens involved in CTL recognition, four hybrid class I genes were constructed in which exons were exchanged between the H-2Kb and H-2Db genes. These class I genes were expressed in mouse L cells and recognition of the hybrid Kb/Db antigens by CTLs and monoclonal antibodies specific for either Kb or Db was investigated. The pattern of CTL and monoclonal antibody recognition obtained indicates three correlations between structure and function of class I antigens. First, most CTL recognition sites and alloantigenic determinants are located on domains 1 and 2 of the antigen molecule. Second, these CTL recognition sites and alloantigenic determinants are not influenced by interaction of domains 1 and 2 with polymorphic regions of domain 3. Third, in contrast, interaction between domains 1 and 2 alters these CTL recognition sites and alloantigenic determinants. The alteration of CTL recognition sites by interaction between domains 1 and 2 suggests that a CTL site may be formed by amino acids from both domains 1 and 2, or that the conformation of amino acids at a CTL site may be altered by interactions between domains 1 and 2. Through these two features, the conformation of CTL recognition sites on H-2 class I antigens may be sensitive to alteration by interaction of either domain 1 or 2 with viral antigens.

Antigens, Viral↗

Promoting compliance with antihypertensive medication.

One of the key areas identified for action in 'The Health of the Nation' (Department of Health, 1992) is a reduction in the number of deaths from cerebrovascular accident. The major precursor of stroke is elevated blood pressure, and although efficacious medication exists for the control of hypertension, non-compliance in patients with this condition is notoriously high. This article examines ways to successfully address this problem and reduce morbidity. Consideration of psychosocial variables emphasizes that compliance with antihypertensive medication regimens is a multifactorial problem, but one that can be solved. Nurses, mindful of barriers to compliance, can encourage and support the patient in taking the prescribed antihypertensive medication.

Antihypertensive Agents↗

Chronic illness and plan satisfaction under managed care.

This DataWatch uses data from the 1993 Employee Health Care Value Survey (EHCVS) to compare the experiences of respondents with and without chronic illnesses under managed care. After controlling for potential confounders, we found that chronic illness was associated with increased odds of dissatisfaction in both independent practice association plans and prepaid group practices, but not under fee-for-service coverage. Chronic illness appeared to exacerbate difficulties and to attenuate the benefits experienced by healthy persons under managed care. We conclude that persons with chronic illnesses may be at particular risk under managed care; their experiences may warrant particular attention when health plan performance is being monitored.

Adult↗

Socio what?

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Curriculum↗

French lessons.

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France↗