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Biomedical subjects

J Fleming

Publications and source records attributed to J Fleming.

At least 163 records · Page 9Linked to original sources
PubMed1982

Radionuclide evaluation of valvular regurgitation.

A non-invasive nuclear medicine technique for the assessment of aortic and mitral regurgitation may be of importance in the management of patients with valvular disease. Rigo et al (1979) introduced a method based on measuring the ratio of the left ventricular stroke volume to the right ventricular stroke volume from radionuclide equilibrium gated blood-pool images of the heart. In this paper we report our results using this technique. They indicate that caution should be exercised, and in particular that methods used to define the ventricular regions of interest must be carefully examined.

Aortic Valve Insufficiency↗
PubMed1981

Assessment of progression of secondary bone lesions following cancer of the breast or prostate using serial radionuclide imaging.

A serial study on 32 patients with bone metastases following cancer of the breast or prostate was performed over three years. Up to ten sets of images (average of four) per patient were obtained during this period using 99Tcm methylene diphosphonate as the radiopharmaceutical. Ninety-three paired serial images of individual lesions were qualitatively assessed for change by three physicians in nuclear medicine and the results were compared with the quantitative results from computer analysis. The reproducibility of the quantitative approach was determined by the analysis of 20 paired lesions by three physicists. It was found that quantitative changes in uptake of less than 20% between images were generally not detected by the medical observers; a change of 41% had only a 95% probability of being identified as change by the physicians. Although much more reproducible in determining changes in individual lesions, the quantitative approach was found to be inferior to the qualitative assessment of overall change in the majority of cases which involve multiple lesions. The basic assumption that uptake varies proportionally with progression of the bone lesion is discussed an is considered in some instances to be untenable. The conclusion is drawn that the determination of progression from changes of uptake in longstanding lesions is uncertain and is subsidiary in importance to the detection of new lesions.

Bone Neoplasms↗
PubMed1980

Prestriate afferents to inferior temporal cortex: an HRP study.

The inferior temporal (IT) cortex of 6 macaques was injected with horseradish peroxidase. HRP-labeled cells were found throughout IT cortex itself (outside the injection area) but were not found in the polysensory areas that surround IT dorsally, anteriorly and ventrally. Posterior to IT, labeled cells were found in the anterior parts of prestriate cortex. In one animal, the anterior prestriate region was injected with HRP. Labeled cells were then found in the regions of posterior prestriate cortex that receive direct projections from striate cortex. These results suggest that IT cortex receives information from striate cortex after at least two stages of processing in prestriate cortex.

Animals↗
PubMed1979

Reduction of blood viscosity following plasma exchange.

The effect of plasma exchange with plasma protein fraction on blood viscosity was determined in seven hyperlipoproteinaemic patients with coronary or peripheral vascular disease. This resulted in decreases in whole blood viscosity of 83% and 30% respectively at the lowest and highest shear rates studied, and decreases of 21% and 59% in plasma viscosity and fibrinogen. Serum cholesterol and triglyceride were reduced by 66% and 48% respectively. Sequential studies in two patients showed that blood viscosity returned to near-basal values by the 6th day. These findings suggest that plasma exchange may result in short-term enhancement of blood flow in vessels where low shear rates predominate.

Adolescent↗
PubMed1975

Mucosal adherence of human enteropathogenic Escherichia coli.

An in-vitro assay system has been developed to measure bacterial adhesion to the mucosa of human fetal small intestine. Two strains of Escherichia coli that are proven human enteropathogens (E.P.E.C.) have been shown to adhere in large numbers, compared with control organisms. The attachment mechanism is species specific and is not caused by common fimbriae. Mucosal adhesion may be as important as enterotoxin production or invasiveness in determining the virulence of some strains of human E.P.E.C.

Adhesiveness↗
PubMed1975

Evaluation of progress in supervision.

Evaluation is an ongoing process in psychoanalytic education and is most active during supervision. Here we formulate five learning objectives relevant to evaluating competence in analyzing that can be used by both supervisor and candidate to assess progress throughout the supervisory experience. Session-by-session evaluation produces the core material for periodic progress reports.

Aptitude↗