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Biomedical subjects

P B Ryan

Publications and source records attributed to P B Ryan.

At least 37 records · Page 2Linked to original sources
PubMed1990

The validation of a passive sampler for indoor and outdoor concentrations of volatile organic compounds.

Volatile organics compounds (VOCs) are ubiquitous in the air we breathe. The use of passive samplers to measure these concentrations can be an effective technique. When exposed for long durations, a passive sampler may be a good tool for investigating chronic exposures to chemicals in the environment. A passive sampler that was designed for occupational exposures can be used as such a tool. Laboratory validation under as many conditions as possible needs to be accomplished so as to characterize the sampler with known parameters. This paper describes the methods and results of an investigation into the validity of using a passive monitor to sample VOCs for a three-week period. Two concentration levels, two relative humidities, and five VOCs were studied. Results indicate that the samplers work best under conditions of high concentration with low relative humidity and low concentration with high relative humidity. For the passive sampler, excluding chloroform, percent deviations from the predicted values varied between -41 and +22 percent; while the values between the passive and the active samplers varied between -27 and +24 percent. Benzene, heptane, and perchloroethylene were sampled with equal precision and accuracy.

Air Pollutants↗
PubMed1990

Optimization of filtration for reduction of lung dose from Rn decay products: Part I--Theoretical.

A theoretical model was developed for the optimization of filter characteristics that would minimize the dose from the inhalation of Rn decay products. Modified forms of the Jacobi-Porstendorfer room model and the Jacobi-Eisfeld lung dose model were chosen for use in the mathematical simulation. Optimized parameters of the filter were the thickness, solidity, and fiber diameter. For purposes of the calculations, the room dimensions, air exchange rate, particle-size distribution and concentration, and the Rn concentration were specified. The resulting computer-aided optimal design was a thin filter (the minimum thickness used in the computer model was 0.1 mm) having low solidity (the minimum solidity used was 0.5%) and large diameter fibers (the maximum diameter used was 100 microns). The simulation implies that a significant reduction in the dose rate can be achieved using a well-designed recirculating filter system. The theoretical model, using the assumption of ideal mixing, predicts an 80% reduction in the dose rate, although inherent in this assumption is the movement of 230 room volumes per hour through the fan.

Air Pollutants↗
PubMed1989

Indoor/outdoor measurements of volatile organic compounds in the Kanawha Valley of West Virginia.

The Kanawha Valley region of West Virginia which is comprised of Charleston and surrounding communities is the center of a heavily industrialized area known for its chemical manufacturing. As part of a larger study designed to investigate the impact of the chemical industry on human exposures to volatile organic compounds (VOC), a study of the relationship between indoor and outdoor concentrations was conducted. Thirty-five homes were selected for monitoring from among volunteers; approximately ten in each of three distinct population-industry centers and four outside the Valley to act as controls. Monitoring was performed using passive, badge samplers with a three-week monitoring period. Two separate questionnaires were administered: one for characterization of the residence; and one to characterize source use during monitoring. Participants were also asked to keep a record of their activities with respect to in-home, outdoors and other indoor environments. Analysis of the samplers was performed by solvent extraction followed by gas chromatography using a flame-ionization detector. Results suggest that indoor VOC concentrations are higher than outdoor concentrations. Additionally, certain ventilation-related parameters were identified that afforded some predictive power for indoor concentrations. No statistically significant differences between regions were identified.

Air Pollutants, Occupational↗
PubMed1989

Exposures to acidic aerosols.

Ambient monitoring of acid aerosols in four U.S. cities and in a rural region of southern Ontario clearly show distinct periods of strong acidity. Measurements made in Kingston, TN, and Steubenville, OH, resulted in 24-hr H+ ion concentrations exceeding 100 nmole/m3 more than 10 times during summer months. Periods of elevated acidic aerosols occur less frequently in winter months. The H+ determined during episodic conditions in southern Ontario indicates that respiratory tract deposition can exceed the effects level reported in clinical studies. Observed 12-hr H+ concentrations exceeded 550 nmole/m3 (approximately 27 micrograms/m3 H2SO4). The maximum estimated 1-hr concentration exceeded 1500 nmole/m3 for H+ ions. At these concentrations, an active child might receive more than 2000 nmole of H+ ion in 12 hr and in excess of 900 nmole during the hour when H2SO4 exceeded 50 micrograms/m3.

Acid Rain↗
PubMed1988

Cost-effective drug regimen review program for home health care patients.

A prospective longitudinal study of a home health agency-based drug regimen review program was completed. A consultant pharmacist working collaboratively with home health nurses and physicians reduced medication utilization and costs to homebound patients. Within a 12 month period, medication utilization in 840 homebound patients was reduced by 27%. Projected total net medication cost saving per annum was $183,379.20 (e.g., $218.31 per patient reviewed). Implementation of similar drug regimen review programs in home-health agencies could improve patient care, prevent adverse drug reactions, and achieve cost-effective medication utilization.

Consultants↗
PubMed1983

The effect of erythromycin on theophylline pharmacokinetics in chronic bronchitis.

We examined theophylline pharmacokinetics for changes caused by the addition of erythromycin in patients with chronic bronchitis and obstructive pulmonary disease. Twelve hospitalized patients were randomized in a crossover fashion to receive aminophylline and either erythromycin or placebo. After the eighth dose, plasma was analyzed for theophylline, using the enzyme-mediated immunoassay technique. A 6-h urine collection was analyzed for theophylline metabolites, using high-pressure liquid chromatography. Erythromycin significantly decreased mean theophylline clearance by 22% from 4.9 L/min to 3.87 L/min (p less than 0.05). Mean peak theophylline levels increased 28% from 11.9 micrograms/ml to 15.3 micrograms/ml (p = 0.05). No change in urine theophylline metabolites was found. Patients with chronic bronchitis and obstructive pulmonary disease who begin erythromycin while receiving a preexisting therapeutic theophylline regimen experience a significant elevation of theophylline concentration, which predisposes to theophylline toxicity. For those patients with theophylline levels at the higher end of the therapeutic range (15 to 20 micrograms/ml), we recommend an initial 25% reduction in theophylline dosage when erythromycin is added. Serum theophylline levels should be monitored for further refinement of dosage.

Adult↗
PubMed1982

Steady state urinary excretion of theophylline and its metabolites in the presence of erythromycin.

The effect of erythromycin on the quantitative pattern of urinary excretion of theophylline and its known metabolites at steady state in eight human subjects was examined. The percent of dose excreted of the various compounds in the absence and presence of the antibiotic were as follows: theophylline, 9.3% vs. 16.3%; 1, 3-dimethyluric acid, 51.9% vs. 59.6%; 3-methylxanthine, 11.9% vs. 13.0%; and 1-methyluric acid, 27.3% vs. 31.6%. These results show that erythromycin did not influence the metabolism of theophylline under the experimental protocol employed.

Adult↗
PubMed1975

Economic justification of pharmacist involement in patient medication consultation.

The financial savings experienced by patients as a result of pharmacists' efforts in a discharge medication interview program were evaluated. The study involved 1,000 patients discharged from the surgery service of a university hospital. Pharmacists worked with physicians and patients in reducing the cost of medications by: (1) substituting less expensive drugs when possible, (2) relabeling bedside medication, (3) securing third party coverage for eligible patients, and (4) recommending purchase of non-prescription drugs over the counter. Savings of nearly +1,700 were realized on 517 out of 1,832 prescriptions; this was equal to +9.13 of savings to the patient per hour of pharmacist consultation time.

Costs and Cost Analysis↗
PubMedDate not supplied

A longitudinal investigation of solid-food based dietary exposure to selected elements.

As part of a longitudinal investigation of environmental exposures to selected chemical contaminants, the National Human Exposure Assessment Survey (NHEXAS), food consumption and duplicate diet samples were obtained in each of six sampling cycles from up to 80 individuals in Maryland during 1995-1996. Duplicate diet samples were weighed and analyzed for arsenic, cadmium, chromium and lead and were used to derive average daily intakes of each element. Mean log-transformed concentrations of arsenic and cadmium in duplicate diet samples and derived intakes of chromium were found to vary significantly among sampling cycles. Repeated observations of dietary exposure metrics from the same individual over time were highly variable. The results suggest that distributions of dietary exposure to arsenic and cadmium do vary for a population within a 1-year period, while those for chromium and lead do not. This may result in single measurements of exposure being sufficient to characterize population variability for these latter two elements. However, even for those elements not displaying statistically significant temporal variability for the population, a single dietary exposure measurement may still not be sufficient to characterize accurately chronic dietary exposure levels for individuals.

Analysis of Variance↗
PubMedDate not supplied

A longitudinal investigation of selected pesticide metabolites in urine.

As part of a longitudinal investigation of environmental exposures to selected chemical contaminants, concentrations of the pesticide metabolites 1-naphthol (INAP), 3,5,6-trichloro-2-pyridinol (TCPY), malathion dicarboxylic acid (MDA), and atrazine mercapturate (AM) were measured in repeated samples obtained from 80 individuals in Maryland during 1995-1996. Up to six urine samples were collected from each individual at intervals of approximately 8 weeks over a 1-year period (i.e., one sample per participant in each of six cycles). INAP (median=4.2 microg/l and 3.3 microg/g creatinine) and TCPY (median=5.3 microg/l and 4.6. microg/g creatinine) were present in over 80% of the samples, while MDA and AM were detected infrequently (6.6% and <1% of samples, respectively). Geometric mean (GM) concentrations of INAP in urine did not vary significantly among sampling cycles. In contrast, GM concentrations of TCPY were significantly greater in samples collected during the spring and summer of 1996 than in the preceding fall and winter. Repeated measurements of INAP and TCPY from the same individual over time were highly variable. The average range of INAP and TCPY concentrations from the same individual were approximately 200% and 50% greater than the respective population mean levels. Geometric mean (GM) TCPY concentrations differed significantly between Caucasian (n=42, GM=5.7 microg/g creatinine) and African-American (n=11, GM=4.0 microg/g) participants and among education levels, but were not significantly different among groups classified by gender, age, or household income. In future research, environmental measurements of the parent compounds and questionnaire data collected concurrently with the biomarker data will be used to characterize the determinants of variability in the urinary pesticide metabolite levels.

Adolescent↗
PubMedDate not supplied

Temporal variability of microenvironmental time budgets in Maryland.

Information on human time-activity patterns is often required to interpret environmental exposure data fully and to implement exposure assessment models. Data on short-term time-activity patterns for individuals, such as 1-day measurements, are relatively abundant. The reliability of such data for use in chronic exposure (e.g., 1 or more years) assessments performed for evaluation of health risks is not well understood. As part of the NHEXAS-Maryland investigation, daily time budget data for seven microenvironments were collected from 80 people during as many as six 1-week Cycles over a 12-month period. The data were summarized and analyzed statistically by sampling Cycle, day of week, and individual to characterize long-term average microenvironmental time budgets and to identify their determinants. Median times spent in transit, indoors at home, outside at home, indoors at work or school, outdoors at work or school, indoors at other locations, and outdoors at other locations were found to vary significantly, although not substantively in many cases, by time of year (i.e., Cycle), by day of week, and by individuals. Time budgets for most of the microenvironments also exhibited significant variability by gender, age group, education level, annual household income, and work status. The results indicate that short-term (e.g., 1-day) measures of microenvironmental time budgets for individuals are unlikely to be representative of their long-term patterns. Thus, health risk or epidemiological assessments performed for a population mean or specific quantile may be relatively insensitive to when time budget data were collected. However, the accuracy of such assessments performed for individuals is likely to be greatly improved by collection of time budget data from numerous points in time.

Adolescent↗
PubMedDate not supplied

Longitudinal investigation of exposure to arsenic, cadmium, chromium and lead via beverage consumption.

Semi-quantitative food checklists and duplicate beverage samples were collected from up to 80 individuals in Maryland in 1995-1996 in as many as six approximately equally spaced sampling cycles as part of a pilot longitudinal exposure investigation. The duplicate beverage samples were homogenized and analyzed for arsenic (As), cadmium (Cd), chromium (Cr) and lead (Pb) using inductively coupled plasma mass spectrometry (ICP-MS). Metal concentrations (microg/kg) and weights of the duplicate beverage samples (kg/day) were used to derive average daily exposure (microg/day) for each metal. Mixed models and generalized linear models were used to evaluate temporal and population variability of the beverage consumption rates, the log-transformed metal concentrations in the beverage samples, and the associated exposures. The mean number of beverage servings consumed per day was 3.4 (SD 1.9). The temporal variability of the total beverage consumption rates was found to be significant (p = 0.0476). As, Cd, Cr, and Pb were present at quantifiable levels in 93.5, 76.0, 93.5, and 96.7% of the beverage samples, respectively. The mean concentration in the samples was 2.0 (SD 4.4) microg/kg for As, 0.9 (1.6) for Cd, 29.2 (138.5) for Cr, and 2.0 (2.4) for Pb. The mean log-transformed concentrations for As, Cr and Pb and exposure for As varied by as much as a factor of 3 across sampling cycles and were statistically significantly different (p<0.05). Concentrations and exposures of all four metals varied significantly among participants. These findings are discussed with respect to the data collection methods, results from comparable studies, and implications for exposure and risk assessment.

Arsenic↗
PubMedDate not supplied

Interim results of the study of particulates and health in Atlanta (SOPHIA).

Substantial evidence supports an association of particulate matter (PM) with cardiorespiratory illnesses, but little is known regarding characteristics of PM that might contribute to this association and the mechanisms of action. The Atlanta superstation sponsored by the Electric Power Research Institute as part of the Aerosol Research and Inhalation Epidemiology Study (ARIES) study is monitoring chemical composition of ambient particles by size fraction, as well as a comprehensive suite of other pollutants, at a site in downtown Atlanta during the 25-month period, August 1, 1998-August 31, 2000. Our investigative team is making use of this unique resource in several morbidity studies, called the "Study of Particulates and Health in Atlanta (SOPHIA)". The study includes the following components: (1) a time series investigation of emergency department (ED) visits for the period during which the superstation is operating; (2) a time series investigation of ED visits during the 5 years prior to implementation of the superstation; and (3) a study of arrhythmic events in patients equipped with automatic implantable cardioverter defibrillators (AICDs) for the period January 1, 1993-August 31, 2000. Thirty-three of 39 Atlanta area EDs are participating in the ED studies, comprising over a million annual ED visits. In this paper, we present initial analyses of data from 18 of the 33 participating EDs. The preliminary data set includes 1,662,713 ED visits during the pre-superstation time period and 559,480 visits during the superstation time period. Visits for four case groupings--asthma, chronic obstructive pulmonary disease (COPD), dysrhythmia, and all cardiovascular diseases (CVDs) combined--have been assessed relative to daily air quality indices, controlling for long-term temporal trends and meteorologic variables, using general linear models, generalized estimating equations and generalized additive models. Single-pollutant models predicting case visitation rates using moving averages of 0-, 1-, and 2-day lagged air quality variables were run. For the pre-superstation period, PM10 (24-h), ozone (8-h), SO2 (1-h), NO2 (1-h) and CO (1-h) were studied. For the first 12 months of superstation operation, the following air quality variables of a priori interest were available: ozone (8-h), NO2 (1-h), SO2 (1-h), CO (1-h), and 24-h measurements of PM10, coarse PM (PM 2.5-10 microm), PM2.5, polar VOCs, 10-100 nm particulate count and surface area, and in the PM2.5 fraction: sulfates, acidity, water-soluble metals, organic matter (OM), and elemental carbon (EC). During the pre-superstation time period, statistically significant, positive associations were observed for adult asthma with ozone, and for COPD with ozone, NO2 and PM10. During the superstation time period, the following statistically significant, positive associations were observed: dysrhythmia with CO, coarse PM, and PM2.5 EC; and all CVDs with CO, PM2.5 EC and PM2.5 OM. While covariation of many of the air quality indices limits the informativeness of this analysis, the study provides one of the first assessments of PM components in relation to ED visits.

Adult↗