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Biomedical subjects

A Aeschlimann

Publications and source records attributed to A Aeschlimann.

At least 55 records · Page 3Linked to original sources
PubMed1992

[Accidental injuries in soccer].

Frequency and severity of football related injuries have been registered on 90 swiss championship players. A multifactorial evaluation was then done, taking into account age, duration of football practice and number of training hours. Analysis was made of type and place of the injury, its origin as well as the length of the recovery period. The highest injury rate occurs in August (start of the championship). In the national leagues, a team will be hit by 20 injuries on average every half season, 20% of which require a break in the sports activity. The incidence of injuries depends on the performance level. Its values varies between 2.1 and 10.7 per 1000 hours of football play, the highest frequency being seen in the lower leagues. 40% of the mishaps happen during training sessions and 70% of all injuries require a recovery period of more than one week. The best protection rests on a mix of thorough warming up, regular stretching sessions for the legs and a well applied taping, even for preventive purposes.

Adolescent↗
PubMed1991

Glycosylation of alpha 1-acid glycoprotein in relation to duration of disease in acute and chronic infection and inflammation.

Microheterogeneity of acute phase proteins frequently differs in acute and chronic types of inflammation. However, it is unknown whether these changes depend on the duration of the inflammation in a given disease. We therefore investigated the microheterogeneity of alpha 1-acid glycoprotein (AGP) in sera from patients with acute and chronic bacterial infection in comparison to rheumatoid arthritis and ankylosing spondylitis. In acute bacterial infection Con A-reactivity of AGP was significantly elevated. By contrast, AGP in chronic bacterial infection showed the same glycosylation pattern as rheumatoid arthritis and ankylosing spondylitis being characterized by a decreased reactivity to Con A. Serial measurements in individual patients with bacterial infections showed a transition from the initially elevated to decreased reactivity to Con A as the disease became chronic.

Acute Disease↗
PubMed1991

[Judicious use of biological tests in rheumatology].

Among the numerous biologic and immunologic complementary tests the clinician has at his disposal some that document inflammation (ESR, c-reactive protein, complement components, electrophoretic and immunoelectrophoretic profiles) are not specific while others that permit etiologic classification (rheumatoid factor, antinuclear antibodies, genetics of the histocompatibility system, serologic test for microorganisms) are specific but not necessarily related to activity or disease process. None of these tests has absolute diagnostic power. It is therefore important to know their relative clinical significance in order to avoid unnecessary and costly investigations whose interpretation may pose more problems than solve questions.

Antibodies, Antinuclear↗
PubMed1991

[Environmental chemicals: their clinical significance in rheumatology].

Over the past years, various illnesses including features of connective tissue disorders (e.g. systemic sclerosis, systemic lupus erythematosus, mixed connective tissue disease), and rheumatoid arthritis, seemingly related to exposure to environmental materials have been reported. This paper presents some typical case reports and review major environmental associations seen in rheumatology, along with their epidemiology, clinical and laboratory features, possible pathogenesis, prognosis, and potential therapy.

Adult↗
PubMed1991

[Alpha-1-acid glycoprotein in differential diagnosis of rheumatic diseases].

In recent years, the investigation of acute-phase proteins with the aid of affinity electrophoresis employing lectins as carrier substance, has become ever more important, in particular in the diagnosis of inflammatory rheumatic diseases. In order to investigate the usefulness of a determination of alpha-1 glycoprotein microheterogeneity in the sera as a diagnostic parameter, we evaluated, on a prospective basis, the sera of 85 consecutive patients presenting at our department with various inflammatory rheumatic diseases (chronic rheumatoid arthritis [RA] [n = 22], seronegative spondarthropathies [SpA] [n = 15], polymyalgia rheumatica [PMR] [n = 10], polymyositis dermatomyositis [PM/DM] [n = 8], osteoarthritis [n = 18], and infectious diseases [n = 12]). The results were expressed as reactivity coefficient of the alpha-1 acid glycoproteins (AGP/RC). A significant increase in the AGP/RC was observed in patients with various infections, and in those with RA or SpA with intercurrent infection, as compared with patients with RA or SpA with no intercurrent infection, or in healthy controls. It also proved possible to differentiate between PM/DM and PMR. Determination of the erythrocyte sedimentation rate, and quantification of the C-reactive protein and of alpha-1 glycoprotein, permitted no discrimination between an increase in inflammatory activity related to the basic disease, and an intercurrent bacterial infection. The results show that the determination of qualitative changes in the acute phase proteins, in particular alpha-1 acid glycoproteins, may make it possible to differentiate between inflammatory and infectious diseases. This examination technique may be of future clinical importance.

Adult↗
PubMed1991

The peritrophic membrane of Ixodes ricinus.

A peritrophic membrane was found in all three stages of Ixodes ricinus at no later than 18 h after their placement on rabbits. It was found to remain intact until at least 11, 30 and 10 days after repletion in larvae, nymphs and females, respectively. In blood-feeding I. ricinus, the peritrophic membrane is an uneven single layer with a thickness of about 0.03-0.48 micron in larvae, 0.03-0.79 micron in nymphs and 0.04-0.93 micron in females. It covers the whole surface of the midgut epithelium at a distance of about 0.2-0.8 micron. After repletion, the peritrophic membrane becomes thicker and thicker and more and more winding and simultaneously becomes multi-layered mainly in its arched parts. The distance between the peritrophic membrane and the midgut epithelium increases considerably and in the arched parts can reach as much as about 13 and 16 microns in metamorphosing larvae and nymphs, respectively and 25 microns in ovipositing females.

Animals↗
PubMed1991

The prevalence and incidence of clinical and asymptomatic Lyme borreliosis in a population at risk.

A past history of clinical Lyme borreliosis and the 6-month incidence of clinical and asymptomatic Lyme borreliosis was studied prospectively in a high-risk population. In the spring, blood samples were drawn from 950 Swiss orienteers, who also answered a questionnaire. IgG anti-Borrelia burgdorferi antibodies were detected by ELISA. Positive IgG antibodies were seen in 248 (26.1%), in contrast to 3.9%-6.0% in two groups of controls (n = 101). Of the orienteers, 1.9%-3.1% had a past history of definite or probable clinical Lyme borreliosis. Six months later a second blood sample was obtained from 755 participants, 558 (73.9%) of whom were seronegative initially; 45 (8.1%) had seroconverted from negative to positive. Only 1 (2.2%) developed clinical Lyme borreliosis. Among all participants, the 6-month incidence of clinical Lyme borreliosis was 0.8% (6/755) but was much higher (8.1%) for asymptomatic seroconversion (45/558). In conclusion, positive Lyme serology was common in Swiss orienteers, but clinical disease occurred infrequently.

Adolescent↗
PubMed1991

Ixodes (Pholeoixodes) hexagonus, an efficient vector of Borrelia burgdorferi in the laboratory.

Borrelia burgdorferi Johnson et al. was first isolated from the midgut of Ixodes dammini Spielman et al. in the U.S.A. and from the midgut of I.ricinus (L.) in Europe. I.ricinus was considered to be the only tick vector of this borrelia, in Europe, until I.hexagonus Leach, the hedgehog tick, was found to harbour spirochaetes. This paper reports an evaluation of the vector competence of I.hexagonus for the spirochaete B.burgdorferi. Transovarial and trans-stadial survival were demonstrated and the spirochaete was transmitted to laboratory mice via the bites of trans-stadially infected I.hexagonus females.

Animals↗
PubMed1991

[Which training for the parasitologist of tomorrow?].

The symposium "Which training for Parasitologists tomorrow" tried to define the difficulties met in this field, as well as to prospect the future. Parasitology is actually deeply changing, and its traditional approaches are frequently deserted as new methods look more favourable. The situation was first stated: applied parasitology (particularly medical) contrasts with fundamental. In the first case, there are important needs and training is expected. In the latter, many teams disappear or are included into units bearing different titles. In some fields (particularly systematic), it is no longer possible to find specialists able to secure the basis of the experiments carried out with the new tools. From such observations, the ways to train future Parasitologists, and to give to those who will use parasites as models substantial basis were prospected. An early initiation can be proposed, by choice of parasitic models to demonstrate general biological facts. Beyond, a common language must be acquired by any scientist concerned by parasitism. At the highest level, tools must not overshadow the essential. Moreover, an effort in communication is expected, to promote Parasitology. Under their Federation authority the scientific Societies are encouraged to define the needs in their areas and to organize training.

Parasitology↗
PubMed1990

Plasmid analysis and restriction fragment length polymorphisms of chromosomal DNA allow a distinction between Borrelia burgdorferi strains.

We examined the relationships of the genomes of five strains of Borrelia burgdorferi isolated from ticks, two from North America, including the type strain B31, and three from Switzerland. We determined restriction fragment length polymorphisms by using eight cloned DNA fragments as hybridization probes to genomic Southern blots. Two divergent patterns were observed, represented by B31 and one Swiss strain on the one hand and the two other Swiss strains on the other. The second American strain resembled B31. One of the DNA probes allowed distinction between the closely related strains within a group. The close resemblance of one Swiss strain to the North American strains suggests the possibility of their European origin. All five strains carried a circular plasmid of about 29 kb, and three contained an additional species of about 9 kb, both of which exhibited homology between the strains. The profiles of linear plasmids revealing species of 5.1 kb to 58 kb reflected the polymorphisms of chromosomal DNAs. Linear plasmids of similar size shared DNA sequence homology. Some of the smaller plasmids tended to become lost during cultivation.

Animals↗
PubMed1990

Longitudinal immunoblotting variations of auto-antibody reactivity of patients with systemic lupus erythematosus.

The purpose of this study was to examine longitudinally the different patterns of nuclear and cytoplasmic antigen recognition by sera from patients with SLE during clinical flare and remission using immunoblotting (IB) techniques. Serum samples (n = 150) were obtained from 35 SLE patients during a follow-up period averaging 4.7 years. Three patients (10 sera) were in complete remission: the IB pattern of these 3 patients remained unchanged; 32 SLE patients experienced one or more clinical flares: in 5 cases (20 sera) the IB analysis showed no detectable antibody. The following dominant IB patterns were seen in the remaining 27 active SLE patients: anti-Sm (n = 7), anti-Sm/RNP (n = 7), anti-SS-B and/or anti-Ro (n = 6), anti-histones (n = 5), anti-70 Kd (unidentified) (n = 2). No IB pattern was able to differentiate mild forms of SLE from severe cases. In 9 of 21 clinical flares, the serum IB pattern was not different from that of the patient's serum drawn during remission (3 severe and 6 mild flares). Diversity of the antibodies increased in 7 cases (5 severe, 2 mild flares); and a shift from one pattern to another was observed 5 times (2 severe, 3 mild flares). Twenty three subsequent remissions were studied: in 14 cases the IB profile was unmodified (5 severe, 9 mild SLE), and the diversity of the antibody narrowed in 4 cases (2 severe, 2 mild SLE). The IB pattern shifted from one pattern to another (2 severe, 4 mild SLE) in 5 instances.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1990

Microheterogeneity of acute phase proteins in the differentiation of polymyalgia rheumatica from polymyositis.

We studied an alpha-1-acid glycoprotein (AGP) and an alpha-1-antichymotrypsin (ACHT) microheterogeneity in sera of patients with polymyalgia rheumatica (PMR), giant cell arteritis (GCA/PMR), polymyositis/dermatomyositis (PM/DM) and healthy individuals by affinity electrophoresis with concanavalin A (Con-A) as the ligand. Our results are expressed as reactivity coefficients. The mean of AGP reactivity coefficients (AG-RC +/- SD) in PMR (0.92 +/- 0.17) and GCA/PMR (0.91 +/- 0.12) were significantly lower compared with the mean AG-RC in patients with PM/DM (1.48 +/- 0.52) as well as in healthy individuals (1.34 +/- 0.9). Moreover, an additional microheterogeneous form of AGP was noted in patients with PM/DM. In parallel, we also found that the mean of ACHT reactivity coefficients (AC-RC +/- SD) were lower in patients with PMR (2.94 +/- 1.24) and GCA/PMR (1.66 +/- 0.16) compared with healthy individuals (3.92 +/- 1.17). The mean of AC-RC in patients with PM/DM (6.74 +/- 4.35) was significantly higher than in patients with PMR and GCA/PMR as well as in healthy individuals. Our results show that the changes in reactivity of AGP and ACHT with Con-A are useful diagnostic markers for the differentiation of PMR and GCA/PMR from PM/DM.

Acute-Phase Proteins↗
PubMed1990

Borrelia burgdorferi in ticks of the Canton Tessin (Switzerland).

In the northern Alps it is hard to find an Ixodes ricinus population which does not harbour Borrelia burgdorferi. The infection rates range from 5 to 34% for adults and nymphs to 3.1% for larvae. This study shows that the infection rates on the southern side of the Alps are similar, at 25% for adults, 36.2% for nymphs and 3.2% for larvae. With respect to tick species other than I. ricinus, we did not succeed in finding any spirochetes in Dermacentor marginatus, Haemaphysalis punctata, Ixodes hexagonus, Rhipicephalus sanguineus.

Animals↗