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Biomedical subjects

C R Phillips

Publications and source records attributed to C R Phillips.

At least 19 recordsLinked to original sources
PubMed2001

Family-centered maternity care in the new millennium: is it real or is it imagined?

Family-centered maternity care (FCMC) has become a familiar phrase in today's maternity services; however, the actual implementation in many hospitals is likely to be more "staff-centered" than "family-centered." This article gives an overview of the historical development of family-centered care and the importance of this model of care to a new or growing family's ability to adapt to the stress of birth and parenting. The current status of FCMC is reviewed in relation to prenatal education, intrapartum care, mother-baby nursing, and family visitation. Many lessons have been learned about implementing FCMC over the past 20 years. Suggestions are provided regarding the development of a vision and mission, the institutional culture, systems and clinical management, staff attitudes, and involvement of families.

Adaptation, Psychological↗
PubMed2001

Linear alkylbenzenes in muscle tissues of white croaker near a large ocean outfall in southern California, USA.

Muscle tissues of a bottom-dwelling marine fish, white croaker (Genyonemus lineatus), collected near a large wastewater outfall in southern California, USA, were analyzed for long-chain linear alkylbenzenes (LABs). Total LABs (summed concentrations of C11 through C14 isomers) were highest (166-748 ng g-1 wet wt) in individuals collected in the immediate vicinity of the Orange County Sanitation District (OCSD; Fountain Valley, CA, USA) outfall diffuser, whereas relatively lower concentrations occurred in fish from mid-shelf and inshore locations at distances of 2.5 and 5 km, respectively, from the outfall. Fish tissue LAB concentrations were roughly proportional to sediment LAB concentrations at the respective collection sites. The extent of LAB degradation, as determined by ratios of internal to external C12 isomers, did not appear to relate to LAB concentrations or sampling location. Tissue DDT and PCB concentrations were not significantly correlated with LABs and, thus, did not appear to relate to recent exposures to sewage residues from the OCSD discharge. Measurements of LAB concentrations in fish tissues may be widely applicable as a monitoring tool for interpreting exposures to sewage discharges.

Animals↗
PubMed1999

Application of remedy studies to the development of a soil washing pilot plant that uses mineral processing technology: a practical experience.

Soil washing employing mineral processing technology to treat radionuclide-contaminated soils has been examined as a remedy alternative to the exclusive excavation, transportation, and disposal of the soil. Successful application depends on a thorough remedy study, employing a systematic tiered approach that is efficient, self-limiting, and cost effective. The study includes: (1) site and soil characterization to determine the basic mineral and physical properties of both the soil and contaminants and to identify their relative associations; (2) treatment studies to evaluate the performance of process units for contaminant separation; (3) conceptual process design to develop a treatment pilot plant; and (4) engineering design to construct, test, and optimize the actual full-scale plant. A pilot plant using soil washing technology for the treatment of radium-contaminated soil was developed, tested, and demonstrated. The plant used particle-size separation to produced a remediated product that represented approximately 50% of the contaminated soil. Subsequently, it was modified for more effective performance and application to soil with alternate characteristics; it awaits further testing. The economic analysis of soil washing using the pilot plant as a model indicates that a remedy plan based on mineral processing technology is very competitive with the traditional alternative employing excavation, transportation, and disposal exclusively, even when disposal costs are modest or when recovery of remediated soil during treatment is low. This paper reviews the tiered approach as it applies to mineral processing technology to treat radionuclide-contaminated soils and a pilot plant developed to test the soil washing process.

Cost-Benefit Analysis↗
PubMed1999

Follow family-focused care principles.

Making the transition from traditional obstetrics care to single-room maternity care involves changes in the physical facility, cross-education, and new roles. The most important success factor is the staff's response to the change.

Attitude of Health Personnel↗
PubMed1997

Decreased exhaled nitric oxide in subjects with HIV infection.

BACKGROUND: Nitric oxide (NO) may be an important component of the host defence against infections. Endogenously produced NO is present in exhaled air and may be representative of respiratory tract production of NO. Since subjects infected with HIV are prone to develop respiratory infections, it was postulated that exhaled NO might be reduced in such individuals. METHODS: The exhaled concentration of NO (nl/l) and minute ventilation (l/min) were measured and exhaled NO release (nl/min/m2) calculated in 36 subjects infected with HIV (20 non-smokers, 16 smokers) and 31 non-smoking subjects with no active medical conditions. RESULTS: Exhaled NO from HIV positive individuals was less than from control subjects of similar age, height, and weight. Cigarette smoking did not account for the decreased exhaled NO in HIV positive individuals as both smoking and non-smoking HIV positive subjects had decreased exhaled NO compared with control subjects. CONCLUSION: Exhaled NO is decreased in subjects infected with the HIV. Since NO functions in host defence against bacterial, viral, and fungal infections, reduced exhaled NO may indicate a mechanism of impaired host defence in HIV infection.

Adult↗
PubMed1997

Vertebrate development in the environment of space: models, mechanisms, and use of the medaka.

With the advent of space travel, it is of immediate interest and importance to study the effects of exposure to various aspects of the altered environment of space, including microgravity, on Earth-based life forms. Initial studies of space travel have focused primarily on the short-term effects of radiation and microgravity on adult organisms. However, with the potential for increased lengths of time in space, it is critical to now address the effects of space on all phases of an organism's life cycle, from embryogenesis to post-natal development to reproduction. It is already possible for certain species to undergo multiple generations within the confines of the Mir Space Station. The possibility now exists for scientists to consider the consequences of even potentially subtle defects in development through multiple phases of an organism's life cycle, or even through multiple generations. In this discussion, we highlight a few of the salient observations on the effects of the space environment on vertebrate development and reproductive function. We discuss some of the many unanswered questions, in particular, in the context of the choice of appropriate models in which to address these questions, as well as an assessment of the availability of hardware already existing or under development which would be useful in addressing these questions.

Animals↗
PubMed1996

Gravitational effects on the rearrangement of cytoplasmic components during axial formation in amphibian development.

The spatial positioning of the dorsal-ventral axis in the amphibian, Xenopus laevis, can be experimentally manipulated either by tipping the embryo relative to Earth's gravitational force vector or by centrifugation. Experimental evidence suggests that certain cytoplasmic components are redistributed during the first cell cycle and that these components are, in part, responsible for the establishment of this axis. Further studies indicate that at least some of the cytoplasmic components responsible for establishing this axis may be RNA. Recombinant cDNA and PCR technology are utilized to isolate DNA clones for messenger RNA which becomes spatially localized to the dorsal side of the embryo. These clones are being used to study the mechanisms of spatial localization and the function of the localized RNA transcripts.

Animals↗
PubMed1996

A nuclear mass spectrometer for studying radon progeny clusters.

A Nuclear Mass Spectrometer (NMS) system was developed and used to investigate the cluster formation of radon progeny (218Po) in gaseous H2O and H2O-SO2 environments. This NMS combines the mass-separation ability of a mass spectrometer and the low detection limit of a surface barrier detector for alpha particles and enables the detection of individual radon progeny cluster ions of defined mass at the molecular level. Clusters in the form of 218Po+(H2O)n were experimentally observed for 218Po at a relative humidity of 0.1%. The number n ranged from 1 to 7 with 4 being the most abundant peak under these conditions. No charged cluster of 218Po was detected when the relative humidity was 90%, possibly due to a neutralization process. On addition of SO2 at a low relative humidity, 218Po+(H2O)n (H2SO4)m clusters were experimentally detected for the first time by the NMS system in this study with n from 0-4 and m from 0-3. The maximum distribution occurs at a radius of about 3.65 angstrom or a mobility of about 2.00 cm2 V-1 s-1. These maximum clusters correspond to a composition of 218Po+(H2SO4)2 or 218Po+(H20)2 (H2SO4)1.

Mass Spectrometry↗
PubMed1996

Exhaled nitric oxide during exercise: site of release and modulation by ventilation and blood flow.

To define the site of release and factors modulating exhaled nitric oxide (NO) during exercise in humans, we measured exhaled NO output during exercise, during exercise after balloon occlusion of the nasopharynx (to exclude nasal NO), and at rest with isocapneic hyperventilation or dobutamine infusion. Exhaled NO output increased from rest to exercise (57 +/- 10 to 171 +/- 30 nl.min-1.m-2; P < 0.003; n = 8). Exclusion of nasal NO reduced exhaled NO at rest and during exercise. Calculated nasal contribution at rest (53 +/- 5%) decreased during exercise (29 +/- 6%; P < 0.05), whereas nonnasal contribution increased (47 +/- 5 to 71 +/- 6%; P < 0.05). Isocapneic hyperventilation at rest increased exhaled NO output (51 +/- 8 to 94 +/- 22 nl.min-1.m-2; P = 0.05). Dobutamine infusion did not increase exhaled NO output. We conclude that nasal exhaled NO decreases (and nonnasal exhaled NO increases) with exercise. We also conclude that, under the conditions of this study, increased exhaled NO output during exercise is more closely related to increased ventilation than to increased blood flow.

Adult↗
PubMed1995

Relocation of mitochondria to the prospective dorsal marginal zone during Xenopus embryogenesis.

Dorsal-ventral axis formation in Xenopus laevis begins with a cytoplasmic rotation during the first cell cycle and culminates in a series of cell interactions and movements during gastrulation and neurulation that lead to the formation of dorsal-anterior structures. Evidence reported here indicates that mitochondria are differentially redistributed along the prospective dorsal-ventral axis as a consequence of the cortical-cytoplasmic rotation during the first cell cycle. This finding reinvigorates a possibility that has been considered for many years: asymmetries in cytoplasmic components and metabolic activities contribute to the development of morphological asymmetries.

Animals↗
PubMed1992

Planar induction of anteroposterior pattern in the developing central nervous system of Xenopus laevis.

It has long been thought that anteroposterior (A-P) pattern in the vertebrate central nervous system is induced in the embryo's dorsal ectoderm exclusively by signals passing vertically from underlying, patterned dorsal mesoderm. Explants from early gastrulae of the frog Xenopus laevis were prepared in which vertical contact between dorsal ectoderm and mesoderm was prevented but planar contact was maintained. In these, four position-specific neural markers (engrailed-2, Krox-20, XlHbox 1, and XlHbox 6) were expressed in the ectoderm in the same A-P order as in the embryo. Thus, planar signals alone, following a path available in the normal embryo, can induce A-P neural pattern.

Animals↗
PubMed1992

Properties of 220Rn progeny (212Pb) in the presence of trace gases.

The charge neutralization of 220Rn progeny (212Pb) was studied in nitrogen and argon environments containing trace concentrations of ethylene, propylene and propane. The diffusion coefficient of 212Pb atoms in the presence and in the absence of oxygen and hydrocarbons was determined using a diffusion tube method which measured the penetration fraction of the 220Rn decay products. The results are explained in terms of the formation of lead dioxide with an ionization potential in the range of 10.5-11.1 eV. The ionization potential of 212PbO2 was found to be higher than that of 218PoO2. Charge neutralization was found to occur in a gas mixture of argon and oxygen containing 600 ppm ethylene (C2H4) and also in a mixture of nitrogen and oxygen containing 600 ppm propylene (C3H6). Charge neutralization was not found to occur in a mixture of argon and oxygen containing up to 5000 ppm propane (C3H8) and in a mixture of argon and nitrogen containing 600 ppm ethylene. In pure oxygen, nitrogen, argon, dry air and a mixture of nitrogen and oxygen, no neutralization was observed to occur through charge transfer from neutral molecules. The 220Rn concentration was found to influence the neutralization mechanism. Diffusion coefficients for partially neutralized and neutralized 212Pb ranged from 0.050 to 0.067 cm2 s-1 at a 220Rn concentration of 3.7 x 10(4) atoms cm-3 and a relative humidity of less than 5%.

Alkenes↗
PubMed1991

Response of the unattached 218Po activity size distribution in H2O-SO2-N2 atmospheres.

The response of the unattached 218Po activity size distribution to variations in H2O and SO2 concentration was investigated in a high-purity N2 atmosphere. Lognormal size distributions were reconstructed from screen diffusion battery data using a random search and optimization procedure. For relative humidities of 1% to 90%, SO2 concentrations of 0-6 ppm, and residence times of 38 s, median diameters of the unattached mode ranged from 0.50 (+/- 0.04) to 0.80 (+/- 0.06) nm, corresponding to diffusion coefficients of 0.1-0.05 cm2 s-1. Increases in water vapor concentration resulted in an enhanced rate of ion neutralization and suppression of ion cluster formation. Decreases in cluster diameter with increasing humidity were therefore observed. Addition of SO2 at constant relative humidity resulted in an initial increase in diameter, with a subsequent decrease. Geometric standard deviations averaged 1.05 (+/- 0.01) to 1.06 (+/- 0.01) in all cases, with the unattached fraction comprising 83% to 88% of the total distribution. Results suggest that increases in water vapor concentration enhance neutralization in the immediate vicinity of the recoil path through water radiolysis. Conversion of OH to H2OSO4 on addition of SO2 provides a binary condensable phase capable of clustering around the ion at low relative humidities, increasing particle size. High H2O and SO2 concentrations enhance neutralization through electron scavenging and subsequent ion collision near the end of the recoil path, decreasing the number of available cluster sites and suppressing cluster formation. This reduction is more significant than the increasing size of the stable ion cluster, with increasing H2O and H2SO4 concentrations as predicted by Raes, resulting in decreases in both median diameter and distribution spread.

Air Pollutants, Radioactive↗
PubMed1991

Neural induction.

The study of neural induction in Xenopus can be approached from two broad perspectives. One can study the competence of the ectoderm to respond to neural induction signals and any potential prepattern within the ectoderm. The second area of study involves the neural induction signals, in terms of the chemical nature of the signals, their sources, and their method of delivery. The neural competence of ectoderm has been studied by either grafting the ectoderm into areas which normally form neural tissue or by grafting tissues which normally induce neural structures onto the ectoderm to be tested. In general, it appears that ectoderm loses neural competence by midgastrula. However, there is some experimental evidence from various amphibian studies that the loss of neural competence in ectoderm does not occur simultaneously throughout all regions. It is not yet known if this phenomenon is also true in Xenopus. There appear to be several signaling events involved in the process of neural induction. Molecular probes have made it possible to study early steps in the neural induction and patterning processes which were not possible to study using only the development of neural morphology as a marker for neural induction. Antibodies directed against early epidermal versus neural epithelium indicate that the dorsal animal blastomeres are biased toward a neural pathway during early cleavage. Another signaling event occurs at early gastrula and the resulting dorsal ectoderm now responds more readily to some neural induction events than does the ventral ectoderm. The source of the early gastrula signals has been studied by a variety of methods, including exogastrula embryos, Keller sandwiches, and grafting a blastopore lip to the edge of competent ectoderm. The blastopore lip can send signals through the plane of the ectoderm capable of inducing competent ectoderm to become neural tissue. There are several issues relative to the process of neural induction which are not yet resolved. The major issue involves the mechanism of establishing pattern within the neural plate. Ectoderm appears to lose neural competence prior to the time when involuted dorsal mesoderm comes to underlie the anterior neural plate region. Several investigators have shown that information for expression of spatially restricted neural-specific molecules can travel through the ectoderm, independent of underlying dorsal mesoderm.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗