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  • 1
    Online Resource
    Online Resource
    SAGE Publications ; 2013
    In:  Therapeutic Advances in Vaccines Vol. 1, No. 2 ( 2013-07), p. 67-80
    In: Therapeutic Advances in Vaccines, SAGE Publications, Vol. 1, No. 2 ( 2013-07), p. 67-80
    Abstract: The development of a preventive vaccine to neutralize the highly variable and antigenically diverse human immunodeficiency virus type 1 (HIV-1) has been an indomitable goal. The recent discovery of a number of cross-neutralizing and potent monoclonal antibodies from elite neutralizers has provided important insights in this field. Neutralizing antibodies (NAbs) are useful in identifying neutralizing epitopes of vaccine utility and for understanding the mechanism of potent and broad cross-neutralization thus providing a modality of preventive and therapeutic value. In this article we review the current understanding on the potential use of broadly neutralizing antibodies (bNAbs) in their full-length IgG structure, engineered domain antibody or bispecific versions towards preventive and therapeutic applications. The potential implications of NAbs are discussed in the light of the recent developments as key components in vaccination against HIV-1. The development of a vaccine immunogen which elicits bNAbs and confers protective immunity remains a real challenge.
    Type of Medium: Online Resource
    ISSN: 2051-0144 , 2051-0136
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2013
    detail.hit.zdb_id: 2743628-7
    detail.hit.zdb_id: 2970613-0
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2018
    In:  Therapeutic Advances in Vaccines and Immunotherapy Vol. 6, No. 4 ( 2018-08), p. 61-68
    In: Therapeutic Advances in Vaccines and Immunotherapy, SAGE Publications, Vol. 6, No. 4 ( 2018-08), p. 61-68
    Abstract: Antibodies that naturally develop in some individuals infected with human immunodeficiency virus 1 (HIV-1) and are capable of broadly neutralizing diverse strains of HIV-1 are useful for two applications: they can inform the rational design of vaccine immunogens, and they may be capable of preventing and treating HIV-1 infection when administered passively. A phase IIb study has been initiated with the experimental broadly neutralizing antibody (bnAb) VRC01, which has considerable breadth and potency (also referred to as a phase IIb HVTN 703/HPTN 081 and HVTN 704/HPTN 085 AMP efficacy trials) to evaluate its protective efficacy in individuals at risk of HIV acquisition. bnAbs prevent HIV-1 infection by selectively targeting vulnerable sites on the viral envelope (Env) protein that facilitates the entry of HIV. Although in very early stages, bnAbs capable of neutralizing a broad range of inter- and intraclade HIV-1 isolates have been demonstrated to have potential in treating patients either alone or in combination with antiretroviral drug therapy (cART); however, they are proposed to be advantageous over the latter as far as durability and side effects are concerned. Recent studies have indicated that combination therapy of potent bnAbs along with latency-reversing agents (LRAs) might also target latent reservoirs of HIV and kill them by recruiting effector cells, such as natural killer cells, thus confirming clinical progression. Possession of such qualities makes these new-generation potent bnAbs extremely valuable in effectively complementing the shortcomings of current ART drugs and improving the quality of life of infected individuals.
    Type of Medium: Online Resource
    ISSN: 2515-1355 , 2515-1363
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
    detail.hit.zdb_id: 2970613-0
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  • 3
    Online Resource
    Online Resource
    SAGE Publications ; 2013
    In:  Therapeutic Advances in Vaccines Vol. 1, No. 1 ( 2013-05), p. 3-5
    In: Therapeutic Advances in Vaccines, SAGE Publications, Vol. 1, No. 1 ( 2013-05), p. 3-5
    Type of Medium: Online Resource
    ISSN: 2051-0144 , 2051-0136
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2013
    detail.hit.zdb_id: 2743628-7
    detail.hit.zdb_id: 2970613-0
    Location Call Number Limitation Availability
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  • 4
    Online Resource
    Online Resource
    SAGE Publications ; 2001
    In:  Medical Care Research and Review Vol. 58, No. 1 ( 2001-03), p. 31-53
    In: Medical Care Research and Review, SAGE Publications, Vol. 58, No. 1 ( 2001-03), p. 31-53
    Abstract: There is substantial variation in the generosity of public assistance programs that affect HIV+ patients, and these differences should affect the economic outcomes associated with HIV infection. This article uses data from a nationally representative sample of HIV+ patients to assess how differences across states in Medicaid and AIDS Drug Assistance Programs (ADAP) affect costs and labor market outcomes for HIV+ patients in care in that state. Making ADAP programs more generous in terms of drug coverage would reduce per patient total monthly costs, mainly through a reduction in hospitalization costs. In contrast, expanding ADAP eligibility by increasing the income threshold would increase the total cost of care. Expanding eligibility for Medicaid through the medically needy program would increase per patient total costs, but full-time employment would increase and so would monthly earnings. The authors conclude that more generous state policies toward HIV+ patients—especially those designed to provide access to efficacious treatment—could improve the economic outcomes associated with HIV.
    Type of Medium: Online Resource
    ISSN: 1077-5587 , 1552-6801
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2001
    detail.hit.zdb_id: 2070248-6
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  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 2014
    In:  The Indian Economic & Social History Review Vol. 51, No. 2 ( 2014-04), p. 231-264
    In: The Indian Economic & Social History Review, SAGE Publications, Vol. 51, No. 2 ( 2014-04), p. 231-264
    Abstract: The history of the Calcutta Medical College (CMC) is intertwined with the rise of hospital medicine and modern medical pedagogy in India. This article will argue that the extension of medicinal practice in India ushered in a new paradigm of knowledge: the singular act of cadaveric dissection introduced indelible changes in the perception of the body and disease. The CMC was constituted by an ensemble of different components—medical teaching at University College London (UCL), the unique surgical practices of the Company’s surgeons and the specificity of a uniquely ‘colonial’ praxis. The transition from military medical training to general medical education involved various processes of acculturation—visual, verbal and psychological. CMC played a key role in the materialisation of public health programmes in colonial India. Consequently, Ayurvedics were caught in a position of simultaneously being ‘modern’ as well as ‘original’. As a result of the interactive process, the western medical toolkit reconstituted the terminologies and practice of Ayurveda so that, epistemologically speaking, they became a variant of modern medicine.
    Type of Medium: Online Resource
    ISSN: 0019-4646 , 0973-0893
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2014
    detail.hit.zdb_id: 2211912-7
    SSG: 6,24
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