Bibliography: leaves 184-218. / xx, 218, [135] leaves, [15] leaves of plates : ill. (chiefly col.) ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / The research in this thesis describes the development and use of assays to detect cellular immune responses in ducks with application to duck hepatitis B virus (DHBV) infections. This animal model is used to provide an additional area of research which complements the study of hepadnaviruses. The introduction contains an outline of the significance of hepadnavirus research, including hepatitis B virus (HBV) epidemiology, structure, replication and clinical manifestations of the diseases caused by the virus. / Thesis (Ph.D.)--University of Adelaide, Dept. of Microbiology and Immunology, 1997

[Truncated abstract] Around 50,000 hip and knee replacements are performed every year in Australia and this number has been increasing by around 13% annually since 1998 (Transplantation Society 2006). The incidence and number of revision surgery has increased by a similar proportion. Autogenous bone or allograft is still the gold standard grafting material and is currently used in a variety of reconstructive surgical procedures. The use of any allograft material carries with it the risk of transfer of disease from donor to recipient. These tissues can transmit the same viral and bacterial infections as blood, and the products of a single donation may be transplanted to several recipients. In contrast to blood, musculoskeletal tissues may come from surgical and cadaveric donation. Overall, the prevention of infection relies on the maintenance of rigid protocols for procurement, donor and allograft testing, secondary sterilisation, and the adherence to internal safety standards within the tissue banks. This thesis aims to determine the risk of viral infection among musculoskeletal tissue donors in Australia. We retrieved and analysed data retrospectively from three large tissue banks in Australia (Perth, Queensland, Victoria). This includes 12,415 musculoskeletal tissue donors, 10,937 of which are surgical donors and 1,478 of which are deceased donors, for the period of 1993 -2004. This data was analysed to determine the prevalence and incidence of viral infections such as human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV) and human T-lymphotropic virus (HTLV) in musculoskeletal allografts. The results indicate that the risk of viral infection from musculoskeletal tissue transplantation in Australia is low. ... The results indicate that the overall prevalence of screened transfusion-transmitted viral infections did not vary significantly for musculoskeletal donors over the study period, despite falling in the general population and first-time blood donors. In tissue donors, HIV incidence significantly decreased over time, and HBV decreased significantly during 1999-2001; however, there was an apparent increase in the estimated incidence of HCV in 2002-2004 compared with earlier years. Furthermore the residual risk estimate of HIV in the period 2002-2004 has declined 5-fold compared to estimates in the period 1993-1995. This is perhaps due to greater awareness of high risk behaviours among donors, improvement in donor recruitment and an overall decrease in infection levels in the general population. Musculoskeletal tissue is second only to blood as the most frequent transplanted human tissue. Viral infection is a potential complication of tissue transplantation. In this thesis the rates of HIV, HBV, HCV and HTV infection in musculoskeletal donors in Australia were identified and then compared with results in published data from Canada, Scotland and the United States. The study also compared that result with first-time blood donors because they have satisfied similar donor selection criteria (Galea et al. 2006). The results indicate that prevalence and incidence estimates for viral infection in Australian tissue donors are higher than those in blood donors. This was also reported in studies from other countries. Accordingly, it is crucial that viral prevalence and incidence be monitored to evaluate the safety of tissue supply and to improve donor selection processes.

Hepatitis C is known as the ??silent epidemic??. Globally 170 million people live with chronic hepatitis C, yet it receives little policy, media or public attention. In developed countries the blood-borne virus is primarily transmitted through illicit drug injecting practices, aiding its silenced and stigmatised status. In this thesis I uncover some of these silences by exploring the narratives of forty people living with hepatitis C in New Zealand and Australia. My status as a person living with hepatitis C informed all aspects of this research project; I therefore also include my own experiences, foregrounding researcher reflexivity and the co-constructed nature of the interview process. My aims are both practical and theoretical. On a practical level I explore the experiences of people living with hepatitis C in order to inform recommendations for policy, research and practice, while also working to elucidate and employ an approach that allows for an analysis of the ill body as a lived experiencing agent, located in a substantive web of connections whereby discourse, corporeality and sociality, inform and mediate one another. To this end I employ a ??political phenomenology?? influenced by phenomenological and poststructuralist theoretical approaches. The central, previously under-researched, issues that arose in participants?? narratives structure the chapter outline, with results chapters focusing on participants?? experiences of diagnosis, living with hepatitis C, stigma, support group membership, alcohol use, and hepatitis C treatment. For many participants, it was found that living with hepatitis C was a liminal experience where distinctions between what it was to be healthy or ill were not clear-cut. Indeed, many of the participants?? narratives exposed the inadequacy of Western binary categorisations to speak to their experiences of living with hepatitis C. Throughout this thesis it can be seen that the meanings that participants ascribed to health, illness, and their hepatitis C were fluid and contextual, informed by the interplay of corporeality and discourse. From this interplay comes the ability to speak into the gaps of dominant discourses, creating the potential for the disruption, or subtle realignment, of normative ways of knowing.

Hepatitis C is known as the ??silent epidemic??. Globally 170 million people live with chronic hepatitis C, yet it receives little policy, media or public attention. In developed countries the blood-borne virus is primarily transmitted through illicit drug injecting practices, aiding its silenced and stigmatised status. In this thesis I uncover some of these silences by exploring the narratives of forty people living with hepatitis C in New Zealand and Australia. My status as a person living with hepatitis C informed all aspects of this research project; I therefore also include my own experiences, foregrounding researcher reflexivity and the co-constructed nature of the interview process. My aims are both practical and theoretical. On a practical level I explore the experiences of people living with hepatitis C in order to inform recommendations for policy, research and practice, while also working to elucidate and employ an approach that allows for an analysis of the ill body as a lived experiencing agent, located in a substantive web of connections whereby discourse, corporeality and sociality, inform and mediate one another. To this end I employ a ??political phenomenology?? influenced by phenomenological and poststructuralist theoretical approaches. The central, previously under-researched, issues that arose in participants?? narratives structure the chapter outline, with results chapters focusing on participants?? experiences of diagnosis, living with hepatitis C, stigma, support group membership, alcohol use, and hepatitis C treatment. For many participants, it was found that living with hepatitis C was a liminal experience where distinctions between what it was to be healthy or ill were not clear-cut. Indeed, many of the participants?? narratives exposed the inadequacy of Western binary categorisations to speak to their experiences of living with hepatitis C. Throughout this thesis it can be seen that the meanings that participants ascribed to health, illness, and their hepatitis C were fluid and contextual, informed by the interplay of corporeality and discourse. From this interplay comes the ability to speak into the gaps of dominant discourses, creating the potential for the disruption, or subtle realignment, of normative ways of knowing.

Master of Dental Surgery / This work was digitised and made available on open access by the University of Sydney, Faculty of Dentistry and Sydney eScholarship . It may only be used for the purposes of research and study. Where possible, the Faculty will try to notify the author of this work. If you have any inquiries or issues regarding this work being made available please contact the Sydney eScholarship Repository Coordinator - ses@library.usyd.edu.au

The small envelope of hepatitis B virus (HBV) can self-assembles into virus-like particles (VLPs) and they are highly immunogenic. The use of hepatitis B surface antigen (HBsAg) as a vector to deliver foreign CTL epitopes has met with little success due to the constraints of HBsAg stability and secretion imposed by the insertion of foreign sequence into critical regions. In this study, the efficacy of the small HBsAg envelope protein to deliver foreign CTL epitopes using a protective CTL epitope of human respiratory syncytial virus (RSV) was investigated. The strategy of deleting a DNA sequence encoding HBsAg-specific CTL epitopes at different sites and replacing with DNA sequence encoding RSV CTL epitope resulted in recombinant HBsAg DNA immunogens which elicited effector and memory CTL responses in vitro, and RSV protective responses in vivo when these recombinant HBsAg DNAs were used to immunised mice. These data demonstrate the efficacy of HBsAg DNA as a vector for the delivery of disease relevant protective CTL responses. They also suggest the applicability of the approach to derive recombinant HBsAg DNA immunogens simultaneously encoding protective CTL epitopes for multiple diseases. The use of HBsAg VLPs has been used globally as administered vaccine for hepatitis B virus infection makes it an attractive vector candidate to deliver immunogens for other diseases. Since the HBsAg DNAs we tested formed recombinant HBsAg VLPs, our results have implications for the development of vaccination strategies using either recombinant HBsAg DNA or VLP vaccines.

This research investigated a number of issues regarding hepatitis B virus (HBV) in the silvery gibbon (Hylobates moloch). Due to the relatively recent discovery of the virus in nonhuman primate populations, specific knowledge of the biological behaviour of the virus is presently lacking, with current information largely extrapolated from the behaviour of HBV in human infections. In order to manage the captive and wild populations of this critically endangered species, information regarding the behaviour of the virus in gibbons and the likely impact of the viral infection is essential. The research was performed at Perth Zoo, with the study population consisting of the current and historical members of the zoo’s silvery gibbon colony. Because this gibbon species is critically endangered, the study was conducted with minimal intervention to the population with samples collected largely on an opportunistic basis from a small study population. Review of the history of the virus within the Perth Zoo colony provided epidemiological evidence to indicate vertical transmission in three gibbons (Hecla, Uban and Jury). It would appear that vertical transmission is the primary mode of transmission leading to dispersal of the virus through the captive population of silvery gibbons. Elevated concentrations of the liver enzymes alanine aminotransferase and aspartate aminotransferase were found in three gibbons (Perth 2, Uban and Jury), and may suggest a pathogenic role of the virus in this species. Histological examination of the livers of Uban and Perth 2 failed to demonstrate definitive evidence of cirrhosis, however mild fibrosis was seen in both cases and may represent an early stage of liver pathology associated with chronic hepatitis B infection. The vaccination protocol developed at Perth Zoo was successful in preventing neonatal transmission of the virus from a high infectivity carrier mother in at least two individuals, and was also successful in producing a protective level of immunity against the virus in all three of the individuals tested. Sequencing of the complete hepatitis B genome from one gibbon (Hecla) revealed that she was infected with GiHV (Gibbon hepatitis B virus), an indigenous strain of HBV previously identified in a number of gibbon species, but not previously confirmed in the silvery gibbon. Hecla's strain of HBV was shown to be more closely related to other nonhuman primate strains of HBV than to any of the human strains of HBV. 100% nucleotide similarity to two of Hecla’s siblings indicates that infection in all three animals was the result of vertical transmission from their mother. Partial sequencing of the virus from a second gibbon (Uban) identified another strain of GiHBV which supports the results of the epidemiological study. Neither gibbon showed a high sequence similarity to the virus sequenced from Ivan, the father of the third carrier gibbon (Jury), although only limited sequence data was available from Ivan. Consequently it is likely that at least three different strains of GiHBV are present within the silvery gibbon population. The information contained in this thesis will assist in the understanding and management of hepatitis B infection in silvery gibbons, as well as the numerous other species of nonhuman primates now shown to be susceptible to this virus.

Diss. (sammanfattning) Uppsala : Sveriges lantbruksuniv., 2002. / Härtill 4 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2004. / Härtill 5 uppsatser.

Tez (Tıpta Uzmanlık) - Süleyman Demirel Üniversitesi, Tıp Fakültesi, Mikrobiyoloji ve Klinik Mikrobiyoloji Anabilim Dalı, 2002. / Bibliyografya var.