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Biomedical subjects

Charles R Phillips

Publications and source records attributed to Charles R Phillips.

3 recordsLinked to original sources

Contaminant exposures at the 4H shell mounds in the Santa Barbara Channel.

Remobilization, bioavailability, and potential toxicity of chemical contaminants were evaluated at the 4H shell mounds - the site of abandoned offshore oil and gas production platforms in the Santa Barbara Channel region of the Southern California Bight. Evaluations used a weight-of-evidence approach based on results from bulk phase chemical analyses and laboratory toxicity testing of shell mound cores, in situ field bioassays using caged mussels, and surficial sediment chemistry. Shell mound cores contained elevated concentrations of metals associated with drilling wastes (e.g., Ba, Cr, Pb, and Zn), as well as monocyclic and polycyclic aromatic hydrocarbons (PAHs). The highest concentrations along with pockets of free oil were associated with the middle "cuttings" stratum. Sediments composited from all core strata caused significant acute toxicity and bioaccumulation of Ba and PAHs in test organisms during laboratory exposures. In contrast, caged mussels placed at each of the shell mounds for a period of 57-58 days had greater than 90% survival, and there were no significant differences in survival of mussels placed at the shell mounds and corresponding reference sites. While all mussel samples exhibited increases in shell length, whole animal weight, and tissue lipid content, in some cases growth metrics for the shell mound mussels were significantly higher than those for the reference sites. Concentrations of metals, PAHs, and polychlorinated biphenyls (PCBs) in tissues of the shell mound mussels were not significantly different from those at reference sites. The presence of labile aromatic hydrocarbons in shell mound cores and absence of significant contaminant accumulation of tissues of caged mussels indicated that chemical contaminants are not being remobilized from the 4H shell mounds. Surficial bottom sediments near the shell mounds contained elevated Ba concentrations that probably were associated with drilling wastes. However, concentrations did not exhibit clear spatial gradients with distance from the shell mounds. Despite a number of storm events during the mussel exposures, maximum currents were 34 cm s(-1) and unlikely to erode materials from the shell mounds. Thus, Ba distributions in bottom sediments probably were due to episodic disturbance such as platform removal or trawling rather than ongoing erosion and dispersion of shell mound solids by near-bottom currents. These results suggest that, in the absence of physical disturbances, contaminants are expected to remain sequestered in the shell mounds.

Animals↗

A novel algorithm to estimate the pulse pressure variation index deltaPP.

We designed a new methodology to estimate the pulse pressure variation index (deltaPP) in arterial blood pressure (ABP). The method uses automatic detection algorithms, kernel smoothing, and rank-order filters to continuously estimate deltaPP. The technique can be used to estimate deltaPP from ABP alone, eliminating the need for simultaneously acquiring airway pressure.

Algorithms↗

Implementation and evaluation of a lipid screening program in a large chain pharmacy.

OBJECTIVE: To evaluate the implementation of a lipid testing service across an entire market of a large chain pharmacy. DESIGN: Observational study using a validated satisfaction scale. SETTING: Nine Osco Drug pharmacies in Des Moines, Iowa. MAIN OUTCOME MEASURES: Number of patients choosing to participate in a fee-for-service lipid screening program, type of test chosen, effects of marketing on service volume, and patient satisfaction. RESULTS: A total of 159 screenings were performed in the 9 pharmacies. The majority of patients (79.7%) chose the more expensive fasting lipid profile, and service volume seemed to correspond to the number and intensity of marketing efforts. There was a trend toward increased patient satisfaction with the services represented by the Managing Therapy and Friendly Explanation dimensions addressed in the survey. CONCLUSION: Patients were willing to pay out-of-pocket for lipid screening. More efforts need to be devoted to marketing this service to create value for the customer and to establish it as a viable component of pharmacy business.

Humans↗