Biomedical subjects

Richard Phillips

Publications and source records attributed to Richard Phillips.

10 recordsLinked to original sources

PubMed2006

Buruli ulcer: emerging from obscurity.

Buruli ulcer is a skin disease caused by infection with Mycobacterium ulcerans, which produces a potent toxin known as mycolactone, thus distinguishing itself from all other mycobacterial diseases. Mycolactone destroys cells in the subcutis, leading to the development of large ulcers with undermined edges. The genome sequence of M ulcerans has now been published and it transpires that two identical copies of a plasmid carry the genetic code for mycolactone. The mode of transmission of infection remains uncertain, although environmental sources of the organisms are now better understood. Considerable progress has been made in understanding the immune response to M ulcerans and there have been major advances in management of the disease with the introduction of rational antibiotic therapy. We summarise the current understanding of M ulcerans and its relations with human beings.

Adolescent↗

PubMed2006

Theoretical detection ranges for acoustic based manatee avoidance technology.

The West Indian manatee (Trichechus manatus latirostris) has become endangered partly because of watercraft collisions in Florida's coastal waterways. To reduce the number of collisions, warning systems based upon detecting manatee vocalizations have been proposed. One aspect of the feasibility of an acoustically based warning system relies upon the distance at which a manatee vocalization is detectable. Assuming a mixed spreading model, this paper presents a theoretical analysis of the system detection capabilities operating within various background and watercraft noise conditions. This study combines measured source levels of manatee vocalizations with the modeled acoustic properties of manatee habitats to develop a method for determining the detection range and hydrophone spacing requirements for acoustic based manatee avoidance technologies. In quiet environments (background noise approximately 70 dB) it was estimated that manatee vocalizations are detectable at approximately 250 m, with a 6 dB detection threshold, In louder environments (background noise approximately 100dB) the detection range drops to 2.5 m. In a habitat with 90 dB of background noise, a passing boat with a maximum noise floor of 120 dB would be the limiting factor when it is within approximately 100 m of a hydrophone. The detection range was also found to be strongly dependent on the manatee vocalization source level.

Accident Prevention↗

PubMed2006

Boosting of cellular immunity against Mycobacterium tuberculosis and modulation of skin cytokine responses in healthy human volunteers by Mycobacterium bovis BCG substrain Moreau Rio de Janeiro oral vaccine.

Oral immunization of healthy adults with 10(7) CFU BCG Moreau Rio de Janeiro was well tolerated and significantly boosted gamma interferon responses to purified protein derivative, Ag85, and MPB70 from previous childhood intradermal BCG immunization. Oral BCG offers the possibility of a needle-free tuberculosis vaccine and of boosting the protective immunity from intradermal tuberculosis vaccines.

Administration, Oral↗

PubMed2005

Mycobacterium ulcerans disease.

Mycobacterium ulcerans disease (Buruli ulcer) is an important health problem in several west African countries. It is prevalent in scattered foci around the world, predominantly in riverine areas with a humid, hot climate. We review the epidemiology, bacteriology, transmission, immunology, pathology, diagnosis and treatment of infections. M. ulcerans is an ubiquitous micro-organism and is harboured by fish, snails, and water insects. The mode of transmission is unknown. Lesions are most common on exposed parts of the body, particularly on the limbs. Spontaneous healing may occur. Many patients in endemic areas present late with advanced, severe lesions. BCG vaccination yields a limited, relatively short-lived, immune protection. Recommended treatment consists of surgical debridement, followed by skin grafting if necessary. Many patients have functional limitations after healing. Better understanding of disease transmission and pathogenesis is needed for improved control and prevention of Buruli ulcer.

Africa, Western↗

PubMed2005

Buruli ulcer.

Explore the source record for details and available documents.

Africa↗

PubMed2004

Determination of West Indian manatee vocalization levels and rate.

The West Indian manatee (Trichechus manatus latirostris) has become endangered partly because of a growing number of collisions with boats. A system to warn boaters of the presence of manatees, based upon the vocalizations of manatees, could potentially reduce these boat collisions. The feasibility of this warning system would depend mainly upon two factors: the rate at which manatees vocalize and the distance in which the manatees can be detected. The research presented in this paper verifies that the average vocalization rate of the West Indian manatee is approximately one to two times per 5-min period. Several different manatee vocalization recordings were broadcast to the manatees and their response was observed. It was found that during the broadcast periods, the vocalization rates for the manatees increased substantially when compared with the average vocalization rates during nonbroadcast periods. An array of four hydrophones was used while recording the manatees. This allowed for position estimation techniques to be used to determine the location of the vocalizing manatee. Knowing the position of the manatee, the source level was determined and it was found that the mean source level of the manatee vocalizations is approximately 112 dB (re 1 microPa) @ 1 m.

Animal Communication↗

PubMed2004

Success factors in the long-term sustainability of a telediabetes programme.

We studied a telediabetes programme that had been in operation for 10 years, to identify the factors in its sustainability. We reviewed archive documents, conducted interviews with programme administrators and primary care providers, observed diabetes consultations and surveyed patient satisfaction. Three success factors were identified: the administration took a long-term view of the value of the telemedicine service; telediabetes enabled structured use of staff time and facilities; and service delivery followed national diabetes standards and a well defined cycle of care within a long-term quality improvement programme. However, the present study did not address the three other key theoretical dimensions of systems design beyond sustainability: size, scalability and scope.

Delivery of Health Care↗

PubMed2003

Acoustic detection of manatee vocalizations.

The West Indian manatee (trichechus manatus latirostris) has become endangered partly because of a growing number of collisions with boats. A system to warn boaters of the presence of manatees, that can signal to boaters that manatees are present in the immediate vicinity, could potentially reduce these boat collisions. In order to identify the presence of manatees, acoustic methods are employed. Within this paper, three different detection algorithms are used to detect the calls of the West Indian manatee. The detection systems are tested in the laboratory using simulated manatee vocalizations from an audio compact disk. The detection method that provides the best overall performance is able to correctly identify approximately 96% of the manatee vocalizations. However, the system also results in a false alarm rate of approximately 16%. The results of this work may ultimately lead to the development of a manatee warning system that can warn boaters of the presence of manatees.

Algorithms↗

PubMed2003

Diagnoses, syndromes, and diseases: a knowledge representation problem.

Despite their widespread use, the terms "syndrome", "disease" and "diagnosis" are sometimes utilized improperly and ambiguously, compounding the complexities of medical knowledge representation. The definitions and illustrative examples provided here will be useful for developers of diagnostic expert systems. Description of the Problem Representing medical knowledge is a highly complex endeavor. The improper use of the terms "syndrome", "disease" and their relations to "diagnosis" is one of the difficulties with which medical informaticians must deal, especially when developing expert systems to support diagnoses. Although ubiquitous in medical and lay discourse, the term "disease" has no unambiguous, generally accepted definition. How-ever, most of those using this term allow themselves the comfortable delusion that everyone knows what it means. Only sparse and fragmented literature could be found regarding this issue.

Diagnosis↗

PubMed2002

Use of genomics in toxicology and epidemiology: findings and recommendations of a workshop.

The sequencing of the human genome has revolutionized biology and led to an astounding variety of technologies and bioinformatics tools, enabling researchers to study expression of genes, the function of proteins, metabolism, and genetic differences within populations and between individuals. These scientific advances are making an impact in the medical research community and hold great promise for prevention, diagnosis, and treatment of diseases. This developing field also holds great promise for improving the scientific basis for understanding the potential impacts of chemicals on health and the environment. A workshop sponsored by the International Council of Chemical Associations was held to review the state of the science in the application of genomics technologies in toxicology and epidemiology. Further, consideration was given to the ethical, legal, and regulatory issues and their influence on the direction and application of genomics technologies to environmental health research. Four overarching themes emerged from the workshop: Genomics technologies should be used within a framework of toxicology and epidemiology principles and applied in a context that can be used in risk assessment; effective application of these technologies to epidemiology will require suitable biologic samples from large and diverse population groups at the relevant period of exposure; ethical, legal, and social perspectives require involvement of all stakeholder communities; and a unified research agenda for genomics technologies as applied to toxicology, epidemiology, and risk assessment is urgently needed for the regulatory and scientific communities to realize the potential power and benefits of these new technologies.

Animals↗