JOURNAL OF PLANKTON RESEARCH j VOLUME 26 j NUMBER 12 j PAGES 1479–1488 j 2004
Summer coastal zooplankton biomassand copepod community structurenear the Italian Terra Nova Base(Terra Nova Bay, Ross Sea, Antarctica)
LUIGI PANE1*, MIRVANA FELETTI2, BARBARA FRANCOMACARO1 AND GIAN LUIGI MARIOTTINI11DIPARTIMENTO DI BIOLOGIA SPERIMENTALE, AMBIENTALE ED APPLICATA, UNIVERSITA` DI GENOVA, VIALE BENEDETTO XV, 5, I-16132 GENOVA,
ITALY AND REGIONE LIGURIA, ASSESSORATO AGRICOLTURA E TURISMO, VIA FIESCHI 15, I-16121 GENOVA, ITALY
Received April 8, 2004; accepted in principle 14 July, 2004; accepted for publication August 9, 2004; published online 31 August, 2004
The structure of the zooplankton biotic community and of copepod population in the coastal area ofTerra Nova Bay (Ross Sea, Antarctica) was investigated during the 10th Italian Antarctic Expedition
(1994/1995). Zooplankton biotic community consisted mainly of pteropods (Limacina helicina andClione antarctica), Cyclopoid (Oithona similis), Poecilostomatoid (Oncaea curvata) and Calanoid(Ctenocalanus vanus, Paraeuchaeta antarctica, Metridia gerlachei and Stephos longipes) copepods,ostracods, larval polychaetes and larval euphausiids. Zooplankton abundance ranged from 48.1 ind mÀ3to 5968.9 ind mÀ3, and copepod abundance ranged from 45.2 ind mÀ3 to 3965.3 ind mÀ3. Thehighest peak of zooplankton abundance was observed between 25 m and the surface and was mainlydue to the contribution of O. similis, O. curvata and C. vanus. Zooplankton biomass ranged from5.28 mg mÀ3 to 13.04 mg mÀ3 dry weight; the maximum value was observed between 25 m andthe surface. Total lipid content varied from 216.44 to 460.73 mg gÀ1 dry weight.
Burghart et al. (1999) observed that the dynamics of mar-
The zooplankton community of some Antarctic areas has
ginal ice zone strongly affects the development of Antarctic
been the subject of extensive investigations carried out
near South Georgia Island (Pakhomov et al., 1997) and in
Terra Nova Bay waters show peculiar physicochemical
the Weddell Sea (Vuorinen et al., 1997; Burghart et al.,
features within the Ross Sea system, because summer heat-
1999). Studies on taxonomy, distribution and biomass of
ing and the particular meteorological conditions can cause
copepods have been carried out in the Ross Sea and in its
temperature increase of surface levels up to 2C; heating can
coastal zones, such as in McMurdo Sound (Bradford,
induce also the stratification of high-salinity surface waters,
1971; Bradford and Wells, 1983; Hopkins, 1987); in
high nutrient uptake by phytoplankton and increased phy-
Terra Nova Bay and in its neighbouring areas, researches
toplankton production (Catalano et al., 2000). For this rea-
have been performed during the last decade (Carli et al.,
son, in Terra Nova Bay, two summer phytoplankton blooms
1990, 1992a,b, 2000; Guglielmo et al., 1990; Zunini
occur, between December and January and in February
Sertorio et al., 1990, 1992, 1994, 2000). Terra Nova Bay
(Innamorati et al., 2000), the first of which is supported by
is characterized by an extended polynya, and ice forma-
Fragilariopsis cf. curta in the receding ice-edge zone and the
tion–melting processes are supposed to affect the behav-
second one by different species (Nuccio et al., 2000). Phyto-
iour of planktonic organisms; in fact, ice is one of the
plankton of Terra Nova Bay is patchily distributed (Arrigo
main environmental factors affecting the growth of coastal
and McClain, 1994), and some zones are dominated by
sea-ice microalgae and the availability of suspended
diatoms (Fragilariopsis and Nitzschia) and Phaeocystis sp., while
particles in Antarctic upper coastal waters (Guglielmo
dinoflagellates and other flagellates mainly dominate in less
et al., 2000; Misic et al., 2002). In this connection,
rich zones; anyhow, different phytoplankton assemblages
doi:10.1093/plankt/fbh135, available online at
Journal of Plankton Research Vol. 26 No. 12 Ó Oxford University Press 2004; all rights reserved
JOURNAL OF PLANKTON RESEARCH j VOLUME 26 j NUMBER 12 j PAGES 1479–1488 j 2004
seem to alternate during the summer in the different areas
(Nuccio et al., 2000). Smaller-sized organisms (<2 mm) could
The expedition to Terra Nova Bay (Ross Sea) was carried
reach also $60% of total biomass and could be the main
out from 21 January 1995 to 11 February 1995, during the
component of microbial population; their occurrence seems
10th Italian Expedition in Antarctica 1994/95 in the frame-
to be negatively related to the total plankton biomass; hence,
work of the Italian National Program for Antarctic
when the total biomass is high the picoplankton seems to
Research (PNRA), ROSSMIZE (Ross Sea Marginal Ice
decrease, while it increases when the microzooplankton
Zone Ecology) project, with RV Italica. On the whole, 65
biomass decreases (La Ferla et al., 1995). An extensive
zooplankton samples were collected in two stations (T1 and
study concerning chemical and biological properties of
T2) of the coastal area between 7441.9200 S and
annual pack ice in Terra Nova Bay was carried out by
7442.3000 S latitude and between 16410.0500 E and
Guglielmo et al. (Guglielmo et al., 2000).
16411.0000 E longitude in sea-ice proximity (Fig. 1), by
Extreme environmental conditions have forced the
using a standard WP2 net (mesh size 200 mm), equipped
organisms living at these latitudes to develop different
with two Hydro Bios digital flow meters, one of them placed
adaptive strategies which involve their vertical distribution
within the net mouth and the other one placed externally;
and trophic structure and affect the whole plankton biotic
net trawls were carried out by the motorboat Malippo. The
community. For example, Eucalanidae and Calanidae
bottom depth of sampling zone ranged from 250 to 450 m.
accomplish wide seasonal vertical migrations and Ctenoca-
Samples were collected at four different depths: from 150 to
lanus spp., Euchaeta spp. and Metridinidae show winter
100 m, from 100 to 50 m, from 50 to 25 m and from 25 m
descent (Atkinson and Sinclair, 2000). Antarctic zooplank-
to the surface; one surface horizontal trawl was also carried
ton are also able to maintain active metabolism and
out. In the base laboratory, samples were divided at once
growth by using energy reserves such as lipids (Clarke
into two aliquots of 250 mL each: the first one was lyophil-
and Holmes, 1986; Conover and Huntley, 1991; Hagen,
ized, conditioned (70C, 12 h) and weighed for the deter-
1999; Swadling et al., 2000; Hagen and Auel, 2001).
mination of the biomass and maintained at À80C
As in Antarctic waters, copepods form the bulk of total
until analysis was performed in Italy; the other one was
mesozooplankton biomass; in order to understand theirbiological and biochemical adaptive strategies, it is impor-tant to study their distribution along the water columnand characterize the compounds they accumulate, such aslipids. In this connection, studies on lipid content ofAntarctic copepods were carried out in specimens col-lected in the Weddell Sea (Schnack-Schiel et al., 1991;Drits et al., 1993; Hagen et al., 1993, 1995; Donnelly et al.,1994; Kattner et al., 1994; Schnack-Schiel and Hagen,1994; Geiger et al., 2001; Schnack-Schiel, 2001; Voroninaet al., 2001), in Bellingshausen Sea (Cripps and Hill, 1998),near South Georgia (Ward et al., 1996a,b; Pakhomov et al.,1997; Ward and Shreeve, 1999) and in sub-Antarcticwaters (Attwood and Hearshaw, 1992; Alonzo et al.,2000), but to date few studies have considered the lipidsin Ross Sea zooplankton.
In Terra Nova Bay, the summer plankton is mostly
composed of copepods, which are particularly abundantbetween 50 and 100 m depth; these organisms are a funda-mental link in the marine food web of Antarctic circumpolarwaters which are characterized by scarce amounts of krill.
In this article, the results of a study on the zooplankton
collected in Terra Nova Bay (Ross Sea) during the 10thItalian Expedition (1994/95) are reported. The aim of thiswork was to determine zooplankton biomass and total lipidcomposition and to characterize the zooplankton commu-nity structure, taking into particular account copepods, toimprove knowledge of the adaptive strategies and of therole of zooplankton in the Antarctic food web.
Fig. 1. Sampling site in Terra Nova Bay (Ross Sea).
L. PANE ETAL. j ZOOPLANKTON AND COPEPODS IN TERRA NOVA BAY
maintained in 4% borax-buffered formalin solution. Total
completely absent in the upper layer (0–50 m). Both for
lipid content was measured after extraction by chloroform–
copepods and other mesozooplankton, a decrease of
methanol (2:1 vol:vol), according to Bligh and Dyer (Bligh
numeric density was recorded, passing from upper to
and Dyer, 1959). Taxonomy was performed by optical
lower layers (Fig. 3a and b); in fact, both copepods and
microscopy; the classification of pteropods, polychaetes,
other mesozooplankters showed the peak of abundance
ostracods and euphausiids was to the genus level, while cope-
between 0 and 25 m depth (mean density 2369.67 and
pods were classified to the species level. In total, 2482 cope-
pods were identified. Zooplankton structure was evaluated
The copepod community (Fig. 4) was mainly composed
in terms of abundance (ind mÀ3) of the species occurring
of Oithonidae and Oncaeidae, which together reached
100% at sea surface and per cent values ranging from77.09 to 83.32 of total copepods at the other depths, andClausocalanidae (8.97–15.25%); other families (Calanidae,
Euchaetidae, Metridinidae, Stephidae and Acartiidae)
The main features of samples collected in Terra Nova
made up a small fraction of the total copepod population,
Bay are summarized in Table I. Table II summarized the
reaching a maximum of 10.12% (100–150 m depth).
structure of zooplankton population. Pteropods, cope-
Figure 5a and b show, respectively, the distribution with
pods, ostracods, larval polychaetes and larval euphausiids
were recognized. Copepods dominated the zooplankton
The copepod population (Table II) was composed mainly
community in all samples and occurred mainly in the
of Oithona similis (12.7–1162.8 ind mÀ3) and Oncaea curvata
upper 25 m (maximum 3965.3 ind mÀ3); they made up
(9.5–1947.7 ind mÀ3), which were the dominant species and
always the bulk of zooplankton community, and their
occurred at all examined depths; otherwise, Ctenocalanus
percentage ranged from 72.8 to 92.5% (Fig. 2). Among
vanus (maximum 444.4 ind mÀ3), Stephos longipes (maximum
other zooplankters, pteropods (Limacina helicina and Clione
56.6 ind mÀ3), Metridia gerlachei (maximum 2.8 ind mÀ3) and
antarctica) were abundant in the 0–25 m layer, reaching a
Calanoides acutus (maximum 0.7 ind mÀ3) occurred more
maximum of 1397.6 ind mÀ3 (19.8% of total population).
rarely and sometimes were absent; Calanus propinquus, Para-
Other groups showed low abundance with percentages
euchaeta antarctica, Paralabidocera antarctica and Oithona frigida
<5%; larval polychaetes occurred scarcely at all depths;
were collected occasionally. Copepodids of Calanoides
larval euphausiids were absent in five samples; ostracods
sp. (maximum 209.6 ind mÀ3), Oithona sp. (maximum
were occasionally found between 50 and 150 m and were
174.4 ind mÀ3), M. gerlachei (maximum 118.2 ind mÀ3),
Table I: Features of samples collected in the coastal area of Terra Nova Bay during Januaryto February 1995
Table II: Zooplankton and copepod abundance (ind mÀ3) in collected samples
f, female; m, male; I–V, copepodid stage.
L. PANE ETAL. j ZOOPLANKTON AND COPEPODS IN TERRA NOVA BAY
Polychaeta larvae Pteropoda Copepoda depth (m)
Fig. 2. Per cent frequency of main zooplankton groups collected atthe various depths. Among ‘others’ ostracods, euphausiid larvae and
Fig. 4. Per cent composition of copepods (by Family) at the different
depths. ‘Others’ comprise Acartiidae, Stephidae, Metridinidae andEuchaetidae. 3000 2500 2000 1500 1000 depth (m) depth (m) depth (m) depth (m)
Fig. 5. Vertical distribution (ind mÀ3) of adult copepods (a) andcopepodids (b). Mean Æ SD.
Fig. 3. Abundance of copepods (a) and other zooplankton (b) (ind mÀ3)in relation to depth (mean Æ SD).
sp. (124.43 and 136.93 ind mÀ3 on average respectively)were particularly abundant. Copepod abundance was
Ctenocalanus sp. (maximum 116.3 ind mÀ3), Oncaea sp.
observed to decrease in lower layers.
(maximum 64.8 ind mÀ3), Paraeuchaeta sp. (maximum
Adult M. gerlachei, which are known to be particularly
48.5 ind mÀ3) and Stephos sp. (maximum 44.7 ind mÀ3)
abundant in several Antarctic waters (Carli et al., 1990,
1992a), were scarce, with an abundance peak between 25
Figure 6 shows vertical distribution of the most frequent
and 50 m (mean 1.23 ind mÀ3); furthermore, copepodids
copepod species. The peak of copepod abundance
of Metridia sp. were observed to increase with depth.
recorded between the surface and 25 m depth was mainly
The value of total plankton biomass collected by hori-
due to O. curvata (mean 1224.33 ind mÀ3) and O. similis
zontal trawl at the surface was very low (0.88 mg mÀ3);
(mean 822.23 ind mÀ3). In this layer, also C. vanus (mean
furthermore, in this sample, the biomass was mainly com-
214.17 ind mÀ3) and larval stages of Calanidae and Oithona
posed of phytoplankton (Fig. 7). As regards vertical
JOURNAL OF PLANKTON RESEARCH j VOLUME 26 j NUMBER 12 j PAGES 1479–1488 j 2004
Fig. 6. Vertical distribution (ind mÀ3) with depth (m) of the main copepod species (mean Æ SD).
samples, zooplankton biomass values showed a decrease
bulk of zooplankton biomass was composed of small species
with depth and ranged from 13.0 to 5.3 mg mÀ3; the lower
(C. vanus, O. similis and O. curvata) and copepodids of
value was recorded between 150 and 100 m, and the
Ctenocalanus sp., Oithona sp. and Oncaea sp., whose inclusive
maximum occurred between 25 m and the surface. The
contribution to the total biomass ranged between 47.5%
L. PANE ETAL. j ZOOPLANKTON AND COPEPODS IN TERRA NOVA BAY
Nova Bay zooplankton, in particular the species Euphausiacrystallorophias (Hureau, 1994; Sala et al., 2002) and Pleura-
gramma antarcticum (Guglielmo et al., 1998; Granata et al.,
2000; Vacchi et al., 2002), were observed.
In Terra Nova Bay, the concurrence of some physical
and hydrologic factors, such as water summer heating, sea-
ice melting and low hydrodynamism, results in nutrient
lipids (mg/g DW) biomass (mg/m3)
concentrations that might be limiting for phytoplankton
growth (Catalano et al., 2000). Nevertheless, an enhanced
nutrient cycling can support a satisfactory primary produc-
tion and phytoplankton growth; in consequence of these
depth (m)
factors, the production of small-sized herbivore species is
Fig. 7. Zooplankton biomass (mg mÀ3 dry weight) and lipids (mg gÀ1
made easier, particularly in the marginal ice zone. In this
dry weight) at the different depths.
connection, as a high occurrence of small-size species hasbeen observed, it can be assumed that most of the Ross Sea
(100–150 m depth) and 72.4% (25–50 m depth). The
zooplanktonic copepods are phytoplanktivorous and that
biomass of copepods for each depth was calculated con-
their growth is supported by phytoplankton blooms occur-
sidering the available data of individual dry weight (Zunini
ring in early and late summer (Innamorati et al., 2000;
Sertorio et al., 1990). Total lipid percentage on dry weight
Nuccio et al., 2000), even if the ratios between phytoplank-
varied from 24.6 (150–100 m) to 46.0 (50–25 m); it showed
ton biomass and nutrient availability are low due to high
an increase from 25 to 50 m depth and a subsequent
nutrient concentrations (Innamorati et al., 2000). Further-
more, as several species are omnivores, microzooplanktonthat are particularly abundant in this area (Fonda Umaniand Monti, 1990) also play an important role in their diet.
In vertical samples collected from 150 m depth to the
In the examined samples, copepods made up the bulk of
surface, the bulk of mesozooplankton biomass was com-
neritic zooplankton of Terra Nova Bay, as previously
posed of C. vanus, O. similis and O. curvata and copepodids of
reported (Guglielmo et al., 1990; Hecq et al., 1990). Pteropods
the same genera, which reached 72.4% of total sampled
and larval polychaetes were fairly abundant, while the other
zooplankton from 50 to 25 m depth. The use of the WP2
zooplankters occurred scarcely. The highest mesozooplank-
net with 200 mm mesh did not enable a quantitative sam-
ton abundance and the peak of copepods were recorded
pling of large-sized planktonic organisms, such as larval
between the surface and 25 m depth. Few copepod species
and adult euphausiids and larval fish; in general, biomass
were recognized: all of them are typical of Antarctic coastal
values recorded during this study are lower than those
waters and of Terra Nova Bay (Bradford, 1971; Zvereva,
reported during sampling by a bongo net (0.3 mm mesh)
1972; Schnack, 1985; Carli et al., 1990, 1992a,b; Zunini
near South Georgia (Pakhomov et al., 1997) and in the
Sertorio et al., 1990, 1992; Conover and Huntley, 1991).
Atlantic Sector of the Southern Ocean (Pakhomov et al.,
In comparison with data obtained by several scientists
2000). Otherwise, excepting the value recorded at 0–25 m
who collected zooplankton by using different strategies
depth, our results are comparable with those obtained by
[bongo nets, Bedford Institute of Oceanography Net
using the same sampling strategy near South Georgia
Environmental Sampling System (BIONESS), WP3 and
(Pakhomov et al., 1997) and by rectangular midwater trawls
Hamburg Plankton Net (HPN)], with the sampling systems
(RMT) in the Weddell Sea (Boysen-Ennen et al., 1991).
we used (WP2 net) the plankton was dominated by small-
Furthermore, also considering that, to our knowledge,
size species, such as O. similis and O. curvata, which domi-
data of zooplankton biomass sampled with a WP2 net are
nated the copepod community, and C. vanus; similar results
not available for Terra Nova Bay, this sampling strategy
were reported by Ossola and Licandro (Ossola and Licandro,
allowed us to collect small-sized specimens (larval and adult
1997) who examined the samples collected in Terra Nova
copepods), while sampling carried out by using other sys-
Bay under the ice, during the following Italian Expedition
tems, such as BIONESS, is best for elucidating the biomass
(1995–96) using nets equipped with meshes of the same
of greater zooplanktonic organisms. In fact, M. gerlachei,
size. Anyhow, these species are known to be representative
C. acutus and P. antarctica were scarcely sampled even if they
of and abundant in Antarctic waters (Bradford, 1971). In
are known to be abundant in Terra Nova Bay and in
this connection, owing to the sampling procedure, in our
neighbouring areas, and they occurred mainly in samples
samples only few euphausiid larvae and no larval fish,
collected by nets of larger mesh size than those used in the
which are known to be an important portion of Terra
present study (Carli et al., 1990, 1992a,b, 2000; Hecq et al.,
JOURNAL OF PLANKTON RESEARCH j VOLUME 26 j NUMBER 12 j PAGES 1479–1488 j 2004
1990). It can be supposed that the coast proximity can also
in agreement with that reported in previous studies con-
have an influence on the sampling of these species (Ossola
cerning the main Antarctic species (Conover and Huntley,
and Licandro, 1997). Notwithstanding the above, small
1991; Kattner et al., 1994; Schnack-Schiel and Hagen, 1994;
calanoids and cyclopoids dominate in several sites. Their
Hagen et al., 1995). Hagen et al. (Hagen et al., 1993) observed
role in the zooplankton community is often underestimated
that C. acutus stores lipids in oil sacs, which are accumulated
(Errhif et al., 1997), although small species are important for
when food availability is plentiful; furthermore, lipid storage
both their absolute number and grazing impact on primary
supports phytoplanktivorous organisms, which otherwise
producers. The dominance of O. similis, O. curvata and C.
should be affected by the marked seasonality of phytoplank-
vanus in our samples suggests their high adaptability to
ton growth, typical of Antarctic waters. Consequently, even
trophic and hydrologic conditions. In this connection,
if these species were quite scarce between 25 and 50 m depth
although most studies on Antarctic copepods have concen-
as compared with other copepods, their contribution to total
trated on large species, these results suggest that also smal-
ler copepods such as Oithona, Oncaea and Ctenocalanus are
It is well known that zooplankton and in particular
important, with the grazing impact of small species often
phytoplanktivorous copepods play a fundamental role in
exceeding that of larger copepods (Atkinson and Sinclair,
energy transfer along the Antarctic food web, and krill
2000). Furthermore, small species are often underesti-
and copepods are known to be the main food source for
mated in samples collected by >200 mm mesh nets,
marine mammals and birds in the Southern Hemisphere
because of the escape of early copepodids; for example,
(Reid et al., 1997; Barlow et al., 2002; Reid, 2002). In this
the contribution of Oithona spp. to total copepod amount
connection, Falk-Petersen et al. (1999) observed that the
varies, in general, between 40 and 50% in samples col-
highly efficient energy transfer occurring during the short
lected by 100–200 mm mesh nets (Atkinson, 1998).
polar summer is due to energy production accomplished
Zooplankton biomass was seen to decrease with depth
by polar phytoplankton blooms that is transferred, to a
and showed its highest value between the surface and 25 m,
large extent as lipids, through the phytoplanktivorous
where the peak of zooplankton, and in particular of
zooplankton to marine predators. In addition, polar zoo-
small copepods, occurred. As copepods were the dominant
plankton synthesizing wax esters as energy reserve is a
fraction of total mesozooplankton, our data are comparable
major adaptation to the Antarctic conditions (Albers et al.,
with those obtained by Zunini Sertorio et al. ( Zunini Sertorio
1996). This environment is characterized by short periods
et al., 1994) in the same area. High values of biomass in
of intense primary production followed by long periods of
upper layers, in particular between 0 and 50 m depth, can be
low production. Therefore, biochemical processes gener-
ascribed to the occurrence of phytoplanktivorous zooplank-
ating oil reserves enable species to utilize different ecolo-
ton, and biomass decrease along the water column can be
gical niches and are fundamental to a determination of
due to the scarce occurrence of the large-sized, carnivorous
the biodiversity in Antarctic mesozooplankton (Falk-
copepod P. antarctica and of omnivorous species such as
M. gerlachei whose abundance decreases in deepest layers.
On the whole, this study shows that in the coastal zone
On the contrary, the total lipid percentage by dry weight
of Terra Nova Bay copepods dominate markedly the
showed its maximum between 25 and 50 m depth, in con-
zooplankton biotic community even if they occur with
nection with the highest abundance of M. gerlachei and
few species. Furthermore, the dominance in the copepod
copepodids of Paraeuchaeta sp. and with the noticeable occur-
community of small-sized species O. similis and O. curvata
rence of C. acutus, which are known to store large amounts of
suggests a high degree of adaptability to the environmen-
lipids (Albers et al., 1996; Hagen and Schnack-Schiel, 1996;
tal and trophic conditions; this is particularly true for
Geiger et al., 2001; Voronina et al., 2001).
O. curvata, which has been described as indicative of sea-ice
Falk-Petersen et al. (Falk-Petersen et al., 1999) observed
proximity (Errhif et al., 1997). In conclusion, the domi-
that lipids originating from phytoplankton are abundant in
nance of small copepods over large-sized species, such as
high-latitude marine organisms and play a key role as
several calanoids typical of Antarctic waters, suggests that
energy reserve; in fact, in polar waters, lipid levels reach
their role in the zooplankton community could be under-
up to 40–70% of dry weight in largest copepods and
estimated (Chahsavar-Archad and Razouls, 1982), and
euphausiids. For example, C. acutus adult females show
their abundance can be fully appreciated by using fine
dry weight lipid percentages varying from 35 in winter to
mesh nets (Atkinson and Sinclair, 2000).
51 in summer (Schnack-Schiel et al., 1991; Hagen et al.,1993; Falk-Petersen et al., 1999), P. antarctica reaches values
up to 42% and M. gerlachei shows percentages ranging from21 in summer to 40 in autumn (Schnack-Schiel et al., 1991).
This research was supported by the Italian PNRA,
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Updating the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults Results of a US Consensus Panel of Experts Donna M. Fick, PhD, RN; James W. Cooper, PhD, RPh; William E. Wade, PharmD, FASHP, FCCP;Jennifer L. Waller, PhD; J. Ross Maclean, MD; Mark H. Beers, MD Background: Medication toxic effects and drug- Results: This study identified 48 individual medica-
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