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Biomedical subjects

J R Grantham

Publications and source records attributed to J R Grantham.

6 recordsLinked to original sources
PubMed1993

Radiology resident selection: results of a survey.

RATIONALE AND OBJECTIVES: The author determined which criteria were important to program directors for selecting candidates for diagnostic radiology residency. METHODS: A questionnaire was sent to all radiology residency program directors. They were asked to rank 20 criteria they considered important in a written application. Miscellaneous questions about their program's selection process, including the interview, also were asked. RESULTS: The overall response rate was 69%. Statistical analysis of responses showed significant differences between geographic regions and types of programs (university versus private hospital). Class rank and medical school grades were found to have the highest rating of importance. Nearly half of responding programs use a score sheet to evaluate the written application. On average, almost 60 candidates are invited to interview for approximately five available positions. CONCLUSIONS: Criteria believed to be important for selection and the radiology resident selection process show significant differences among programs. These can be correlated partially with the location and type of program.

Data Collection↗
PubMed1986

Renal stone disease treated with extracorporeal shock wave lithotripsy: short-term observations in 100 patients.

The immediate posttreatment findings are described for 100 patients who underwent extracorporeal shock wave lithotripsy (ESWL) for renal stone disease. Excretory urography was performed both before and 24-72 hours after ESWL. In 21 patients, stones were completely disintegrated, and stone fragments were passed rapidly. Stones were fragmented but not passed entirely within 24-72 hours in 76 patients. There was no appreciable effect on stones in three patients. In nine of 27 patients who had mild to severe ureteral obstruction caused by stone fragments, relief procedures (retrograde ureteral manipulation or percutaneous stone extraction) were necessary. Overall, 70 patients experienced successful stone disintegration without complications. Continued investigation is needed to determine prevalence of residual calculi, reversibility of acute effects of ESWL on the kidney, and possible development of late hypertension.

Female↗
PubMed1979

Biological properties of antibodies against rat adipocyte intrinsic membrane proteins. Dependence on multivalency for insulin-like activity.

Antisera from rabbits injected with rat adipocyte plasma membranes or intrinsic proteins from such membranes, obtained by a dimethylmaleic anhydride extraction step, mimicked the action of insulin on both glucose transport and lipolysis in intact adipocytes. Biological activity in both types of antisera was mediated by immunoglobulin binding to one or more intrinsic proteins of the adipocyte plasma membrane since fat cells were unresponsive to all antisera absorbed with dimethylmaleic anhydride-extracted membranes. Acid treatment of immunoprecipitates released antibodies which activated glucose uptake and reacted with solubilized adipocyte membranes on immunodiffusion plates. The biologically active immunoglobulin preparations failed to form immunoprecipitin lines when tested against membranes from brain, liver, lung, muscle, kidney, and spleen. Insulin-sensitive glucose uptake in rat soleus muscle did not respond to the antisera. The antibodies activated hexose uptake into fat cells and reacted with solubilized adipocyte membranes on immunodiffusion plates when rat or mouse adipocytes were studied, but not when monkey fat cells were used. The anti-membrane antibody preparations readily activated hexose uptake in trypsinized fat cells which had lost the capacity to bind or respond to insulin. These data are consistent with the concept previously proposed (Pillion, D.J., and Czech, M.P. (1978) J. Biol. Chem. 253, 3761-3764) that the anti-membrane immunoglobulins do not interact with the insulin binding site of the insulin receptor. Monovalent Fab fragments of the biologically active antisera, prepared by papain digestion of the native anti-membrane immunoglobulins, were ineffective in enhancing glucose uptake in adipocytes. However, biological activity of the anti-membrane Fab fragments was restored by the addition of goat anti-rabbit Fab antisera to cells treated with the Fab fraction. Anti-rabbit Fab antisera alone or in combination with Fab fragments prepared from control rabbit sera exhibited no biological activity. These results demonstrate that the ability of anti-membrane antisera to mimic the biological activity of insulin on isolated fat cells is critically dependent on immunoglobulin binding to one or more intrinsic plasma membrane proteins and the multivalent nature of immunoglobulin structure.

Adipose Tissue↗