Evaluation of facial features on particle inhalation

Computational fluid dynamics (CFD) and numerical investigations of particle inhalability and contaminant exposure have used simple geometrical surrogates for a breathing human form, but the effect of eliminating facial features has not been investigated. In this work, the velocity field and particle aspiration associated with two differently shaped mannequins were investigated to determine if an elliptical form was sufficient to represent the complexity of fluid flow associated with an inhaling human. Laser Doppler anemometry was used to measure velocity, and both optical sizing and gravimetric analysis were used to measure particle aspiration from an aerosol source. All tests were performed with continuous inhalation through the mouth, with the mannequin facing the 0.3 m s(-1) freestream. Although limitations in the laser Doppler optics prevented velocity measurements at distances <11 mm in front of the mannequin mouth opening, significant velocity differences were identified up to 20 mm in front of the mouth opening. This indicated that facial features affected the flow field near the face only. Owing to these differences, particle aspiration was compared between mannequins for three different velocity ratio conditions using an aerosol source. Even with relatively large variability in the aspirated concentration in this study, the aspirated mass concentration was significantly less for the anatomical mannequin relative to the elliptical form. Thus, the simplified elliptical cylinder does not sufficiently characterize the fluid dynamics near the mouth of an inhaling human form at these limited test conditions. Future CFD and numerical simulations to investigate human aspiration of particles should incorporate the complex features of the human face to investigate adequately particle aspiration in low velocity environments.     

Visualization of the airflow around a life-sized, heated, breathing mannequin at ultralow windspeeds

During the past two decades, there has been considerable progress in developing particle size-selective criteria for aerosol sampling and exposure assessment that relate more realistically to actual human exposures than previously. An important aspect has been the aspiration efficiency-the 'inhalability'-with which particles enter through the nose and mouth of aerosol-exposed individuals during breathing. Most of the reported experiments to determine inhalability have been conducted in wind tunnels with life-sized, breathing mannequins, for windspeeds from 0.5 m s(-1) and above. A few experiments have been reported for calm air. However, nothing has been reported for the intermediate range from 0.5 m s(-1) downward, and it so happens-as we now know-that this corresponds to most industrial workplaces. The research described in this paper represents a first step toward filling this knowledge gap. It focuses on identifying the features of the airflow near the mannequin at such low windspeeds that might have important influences on the nature of particle transport, and hence on inhalability, and eventually the performances of personal aerosol samplers mounted in the breathing zone. We have carried out flow visualization experiments for the realistic range of windspeeds indicated, investigating specifically the effect of the air jet released into the freestream during expiration and the effect of the upward-moving boundary layer near the body associated with the buoyancy of air in that region as a result of heat received from the warm body. We set out to identify the combinations of conditions-external windspeed, breathing mode (nose versus mouth breathing), breathing rate and body temperature-where such factors need to be taken into account. We developed an experimental system that allowed the visualization of smoke traces, providing very good observation of how the flow was modified as conditions changed. From inspection of a large number of moving pictures, we developed a matrix of regimes-categorized by windspeed and breathing rate-where the effect of the expired air is sufficient to permanently and seriously destabilize the airflow approaching the mannequin. It was found that the effect of body temperature was minimal. Such results will be important in the interpretation of current and future inhalability experiments carried out at realistic low windspeeds.     

Experimental deposition of environmental tobacco smoke submicrometer particulate matter in the human respiratory tract.

Measurements of 15 nonsmokers and 3 smokers breathing environmental tobacco smoke (ETS), were conducted to study particle deposition within the human respiratory tract. The subjects inhaled ETS of count median diameter (CMD) of about 0.2 micron and geometric standard deviation (GSD) of 1.7 The particle size distribution in the submicrometer range in the inhaled and exhaled air from the subjects was measured using a scanning mobility particle sizer (SMPS). A deposition of 56.0 +/- 15.9% was observed for nonsmokers while breathing ETS through the nose and 48.7 +/- 11.6% while breathing ETS through the mouth. One individual tested four times gave an average deposition of 57.4 +/- 11.5%, providing an indication of intraindividual variation. Such a variation is expected since the breathing rate was not controlled in order that an indication of the deposition experienced on a day-to-day basis could be obtained. For nonsmokers the deposition while breathing through the mouth was lower than through the nose and the variability within the measurements was also lower for mouth breathing. The latter could be due to the variation in individual size and shape of the nasal passage. Smokers had, on average, a higher rate of deposition but also a higher interindividual variability making it difficult to draw conclusions with respect to the affect of smoking on ETS particle deposition. The average deposition of the three smokers was 65.3 +/- 24.1% for nasal breathing and 66.1 +/- 17.6% for mouth breathing.     

A numerical study of worker exposure to a gaseous contaminant: variations on body shape and scalar transport model

Three-dimensional computational fluid dynamics simulations are used to investigate the distribution and level of contaminant concentrations in the true breathing zone (at the nose and mouth) when toxic airborne contaminants are released within an arm's length in front of the worker who has his back to the airflow. The effects of different body shapes on fluid flow and concentration patterns around the body in a wind tunnel were evaluated and clarified that a sharp body or a block may not be a good surrogate for the human form in consideration of occupational and environmental health studies. The comparison of the concentration field calculated with the Eulerian and Lagrangian methods revealed that the Eulerian method has a more diffusive nature than the Lagrangian method. The concentrations at different locations were also compared to determine the optimum sampling location. It was found that the concentration at the breathing zone may be significantly different from the one at the chest area. The influence of the heat flux from the body was studied at two different Reynolds numbers. Predictions indicate that the heat flux may have a significant impact on exposure especially when the convection induced by buoyancy dominates the flow.     

Gaseous contaminant distribution in the breathing zone

Conventionally, the "breathing zone" is defined as the zone within a 0.3 m (or 10 inches) radius of a worker's nose and mouth, and it has been generally assumed that a contaminant in the breathing zone is homogeneous and its concentration is equivalent to the concentration inhaled by the worker. However, several studies have mentioned that the concentration is not uniform in the breathing zone when a worker is close to the contaminant source. In order to examine the spatial variability of contaminant concentrations in a worker's breathing zone, comparative measurements of personal exposure were carried out in a laboratory. In experiment, ethanol vapor was released in front of a model worker (human subject and mockup mannequin) and the vapor concentrations were measured at two different sampling points, at the nose and at the chest, in the breathing zone. Then, the effects of the sampling location and the body temperature on the exposure were observed. The ratios of nose concentration to chest concentration for the human subject and the mannequin were 0-0.2 and 0.12, respectively. The exposure level of the mannequin was about 5.5-9.3 times higher than that of the human subject.     

Face seal leakage of half masks and surgical masks

The efficiency and face seal leakage characteristics of two half masks equipped with particle filters or gas filters, and of two surgical masks were studied by means of a test head connected to a breathing machine. Filtration and leakage were studied as a function of particle size over a diameter range of 0.3-10 micron with corn oil aerosol and an optical particle counter. The filtration efficiency of the filter materials was good, over 95%, for particles above 5 micron in diameter but great variation existed for smaller particles. The face seal leakage was manifested as decreased efficiency for large particles and also for total mass, while the particles in the micrometer range contained the major part of the test aerosol mass. The particle number efficiency diagrams obtained can be used both in filter material studies and in leak detection of valves or filter housings.     

Meconium aspiration syndrome: current concepts

Aspiration of meconium causes considerable perinatal morbidity and mortality. Meconium-stained amniotic fluid (MSAF) is present in 7-22% of all deliveries. Gastrointestinal secretions, bile, bile acids, mucus, pancreatic juice, cellular debris, amniotic fluid, swallowed vernix caseosa, lanuge, and blood comprise meconium. Passage of meconium occurs most often in deliveries after 42 weeks gestation (30%) because of high levels of the hormone motilin. This hormone is responsible for bowel peristalsis, defecation, and maturation of the innervation of the intestinal tract associated with vagal stimulation. It tends to be a marker of pre/intrapartum asphyxia. MSAF is also a sign of fetal hypoxia or acidosis. It appears that meconium aspiration is predominantly an intrauterine event. The definition of meconium aspiration syndrome (MAS) is respiratory distress in a meconium-stained newborn, compatible radiographic findings (e.g., coarse, irregular pattern of increased density throughout the lung), and symptoms that can not otherwise be explained. MAS occurs in 1-4% of infants with MSAF and up to 10% of those with thick meconium. Mortality ranges from 6% to 40%. Initially, meconium particles mechanically obstruct the small airways. Later, chemical pneumonitis and interstitial edema are responsible for small airway obstruction. As many as 66% of persistent pulmonary hypertension of the newborn cases are associated with MAS. Clinical signs and symptoms of MAS include frothy, yellow-green secretions from the mouth; very rapid breathing; intercostal retractions; cyanosis; overinflated chest due to air trapping; rales; and rattling in the throat. Transcervical amnio-infusion of warmed normal saline may be an obstetric intervention in cases of MSAF. Intrapartum oropharyngeal suctioning and postpartum intratracheal suctioning has reduced the incidence of MAS. Routine care of MAS infants includes monitoring and correcting of the thermal environment and blood glucose and calcium levels. Chest physiotherapy, saline lavage, management of hypoxemia, surfactant therapy, and systemic steroid treatment are MAS therapies.     

A model of cigarette smoke particle deposition

A computer model of aerosol deposition has been extended to cover particle sizes representative of cigarette mainstream and sidestream smoke particles. The model is the first to theoretically predict total airway depositions of mainstream particles in a range which agrees with experimentally determined literature values by including effects of hygroscopicity and normal smoking breathing patterns. The hygroscopic characteristics of cigarette smoke particles are modeled as if they were saturated sodium chloride droplets. A discussion is included showing that this assumption is consistent with presently available data on the hygroscopic characteristics of cigarette smoke. Detailed regional depositions are provided. Though most of the particles are shown to deposit in the periphery, the surface concentrations of deposited particles are not necessarily much greater there than in centrally located airways. A peak in surface concentration at the third generation is exhibited, despite low total depositions there. Central airway surface concentrations are shown to be relatively independent of breathing pattern and airway geometry, implying that the effects of cigarette smoke particle deposition cannot be greatly reduced by changing the pattern of smoke inhalation. For sidestream smoke particles, total percent depositions agree with literature values of 7%-20% for both nonhygroscopic and hygroscopic particles. Deposition is seen to be favored in the periphery of the lung, though surface concentrations of the deposited material can be greater in Weibel Generations 3-6. Peak surface concentrations are again seen to occur in Generation 3. The increased toxicity of sidestream smoke particles may make them as unhealthy as mainstream smoke particles, despite the higher depositions observed for mainstream smoke.     

Solid versus liquid particle sampling efficiency of three personal aerosol samplers when facing the wind

The objective of this study was to examine the facing-the-wind sampling efficiency of three personal aerosol samplers as a function of particle phase (solid versus liquid). Samplers examined were the IOM, Button, and a prototype personal high-flow inhalable sampler head (PHISH). The prototype PHISH was designed to interface with the 37-mm closed-face cassette and provide an inhalable sample at 10 l min(-1) of flow. Increased flow rate increases the amount of mass collected during a typical work shift and helps to ensure that limits of detection are met, particularly for well-controlled but highly toxic species. Two PHISH prototypes were tested: one with a screened inlet and one with a single-pore open-face inlet. Personal aerosol samplers were tested on a bluff-body disc that was rotated along the facing-the-wind axis to reduce spatiotemporal variability associated with sampling supermicron aerosol in low-velocity wind tunnels. When compared to published data for facing-wind aspiration efficiency for a mouth-breathing mannequin, the IOM oversampled relative to mannequin facing-the-wind aspiration efficiency for all sizes and particle types (solid and liquid). The sampling efficiency of the Button sampler was closer to the mannequin facing-the-wind aspiration efficiency than the IOM for solid particles, but the screened inlet removed most liquid particles, resulting in a large underestimation compared to the mannequin facing-the-wind aspiration efficiency. The open-face PHISH results showed overestimation for solid particles and underestimation for liquid particles when compared to the mannequin facing-the-wind aspiration efficiency. Substantial (and statistically significant) differences in sampling efficiency were observed between liquid and solid particles, particularly for the Button and screened-PHISH, with a majority of aerosol mass depositing on the screened inlets of these samplers. Our results suggest that large droplets have low penetration efficiencies through screened inlets and that particle bounce, for solid particles, is an important determinant of aspiration and sampling efficiencies for samplers with screened inlets.     

The head dome: a simplified method for human exposures to inhaled air pollutants

Acute controlled exposures of human subjects to air pollutants are customarily carried out with whole-body chambers, masks, or mouthpieces. The use of these methods may be limited by cost or technical considerations. To permit a study involving a highly unstable pollutant, artificial acid fog, administered to subjects during natural breathing, a head-only exposure chamber, called a head dome, was developed. It consists of a transparent cylinder with a neck seal which fits over the subject's head and rests lightly on his shoulders. The head dome does not constrain the upper airways or impede exercise on a bicycle ergometer. Ventilation can be monitored accurately and unobtrusively with a pneumotachograph at the exhaust port of the dome. A thermocouple may be used to monitor the onset and persistence of oronasal breathing. For short-term exposures to unstable or reactive pollutants lasting up to several hours, the head dome is an effective alternative to a whole-body chamber and probably superior to a face mask or mouthpiece.     

Scientific principles and pragmatic solutions for the measurement of exposure to inhalable dust

In order to understand and control the risks presented by inhalation of dust at work, research over many years has been focused on understanding how dust present in the air enters the human nose and mouth during the act of breathing. For health-related dust exposure monitoring, sampling devices are needed that collect the same 'inhalable fraction' of dust as the human head. Mark and Vincent's 1986 paper presented a study that has contributed more than any other to the practical realization of this inhalable dust concept. The authors developed a simple solution--the IOM personal inhalable dust sampler--to what we now know is an extremely complex problem. Although scientific understanding has grown in the years since this paper was published, very few other dust sampling instruments have emerged as being able to meet both the scientific criteria and the practical need for inhalable dust measurement. Both authors have continued to build on this work and have made further contributions to our theoretical and practical understanding in this field.     

Airflow,transport and regional deposition of aerosol particles during chronic bronchitis of human central airways

In the present study, the effects of airway blockage in chronic bronchitis disease on the flow patterns and transport/deposition of micro-particles in a human symmetric triple bifurcation lung airway model, i.e., Weibel’s generations G3–G6 was investigated. A computational fluid and particle dynamics model was implemented, validated and applied in order to evaluate the airflow and particle transport/deposition in central airways. Three breathing patterns, i.e., resting, light activity and moderate exercise, were considered. Using Lagrangian approach for particle tracking and random particle injection, an unsteady particle tracking method was performed to simulate the transport and deposition of micron-sized aerosol particles in human central airways. Assuming laminar, quasi-steady, three-dimensional air flow and spherical non-interacting particles in sequentially bifurcating rigid airways, airflow patterns and particle transport/deposition in healthy and chronic bronchitis (CB) affected airways were evaluated and compared. Comparison of deposition efficiency (DE) of aerosols in healthy and occluded airways showed that at the same flow rates DE values are typically larger in occluded airways. While in healthy airways, particles deposit mainly around the carinal ridges and flow dividers—due to direct inertial impaction, in CB affected airways they deposit mainly on the tubular surfaces of blocked airways because of gravitational sedimentation.     

The variability of delivered dose of aerosols with the same respirable concentration but different size distributions

The influences of aerosol size distribution and breath tidal volume on respirable dose estimates were examined for mouth breathing using the ACGIH/ISO/CEN criterion for respirable-equivalent aerosols. Actual tissue doses predicted from a set of pulmonary empirical deposition equations, the Heyder-Rudolf equations, were compared with deposition assumed to occur under the penetration-based respirable dust sampling criterion. Deposition estimate errors ranged from approximately 1/10- to 10-fold, with aerosol mass median aerodynamic equivalent diameter and geometric standard deviation as well as tidal volume each showing a substantial influence under appropriate conditions. These findings demonstrate that reliance on respirable aerosol sampling data obtained with devices performing on a penetration-based sampling criterion may lead to erroneous dose-response relationships in exposure standard development as well as exposure misclassification errors during epidemiological studies. A more reliable dose estimate would be obtained using devices with collection efficiency performance closely matching the alveolar deposition prediction curves of Heyder and Rudolf. We believe that if it is not currently required, the development of a deposition-based aerosol sampling methodology will soon be required for the determination and quantification of inhaled aerosol-induced adverse health effects.     

Breathing zone concentration variations in the reinforced plastic industry; field measurements in a boat manufacturing plant

Breathing zone samples are used to estimate worker exposure to airborne contaminants by collecting air from a vaguely defined zone surrounding the head. This zone is considered to have an airborne chemical concentration equivalent to the concentration breathed by the worker. It has been generally assumed that vapor is uniformly mixed in the breathing zone; therefore, samplers are placed on either lapel or on the chest of the worker. An extensive field investigation in a boat manufacturing plant was conducted where styrene air concentrations were measured by mounting four 3M one-stage diffusion samplers around the worker's breathing zone. Two job classes were studied: the spray gun operators and the rolling and tucking operators. Styrene air concentrations detected at the nose were significantly different than those concentrations detected at the other three locations and represented 90 percent, 84 percent, and 76 percent of the left lapel, right lapel, and chest samplers, respectively. This research revealed that the chest sampler provides a consistent relationship to the concentrations measured at the nose for a given job category. Additionally, this research identified the possible factors which could contribute to breathing zone concentration variations.     

Dust particle size effects on absorbed fraction values in the anterior nose

The respiratory tract model introduced in Publication 66 of the International Commission on Radiological Protection (ICRP) includes consideration of extrathoracic airways, referred to as the ET region. This region comprises the anterior nose and the posterior nasal passages, larynx, pharynx, and the mouth. The deposition of inhaled particles in the airways depends on the thermal and aerodynamic properties of the particles and equations are presented to calculate the deposition efficiency in the various regions of the tract. In its dosimetric model the ICRP assumes that none of the energy emitted by the deposited source is lost in the particles itself (i.e., no self attenuation) and the deposition is assumed to be on the inner surface of the airway of the anterior nose. Therefore, the effects of various dust particle sizes on the energy deposition in the epithelium as characterized by the absorbed fraction in the anterior nose region were not addressed in ICRP 66. Since radioactive particulate matter is carried in air within dust particles, this subject should be addressed. In this paper the effects of dust particle sizes (various equivalent volume diameters) on the absorbed fraction to the anterior nose are studied using a truncated cone model for the anterior nose. The results indicate that attenuation in the dust particles has a significant effect on the electron absorbed fraction. This effect depends on the dust particle size and the energies of the electrons emitted by the radionuclides carried within dust particles.     

A Quantitative Assessment of the Total Inward Leakage of NaCl Aerosol Representing Submicron-Size Bioaerosol Through N95 Filtering Facepiece Respirators and Surgical Masks

Respiratory protection provided by a particulate respirator is a function of particle penetration through filter media and through faceseal leakage. Faceseal leakage largely contributes to the penetration of particles through a respirator and compromises protection. When faceseal leaks arise, filter penetration is assumed to be negligible. The contribution of filter penetration and faceseal leakage to total inward leakage (TIL) of submicron-size bioaerosols is not well studied. To address this issue, TIL values for two N95 filtering facepiece respirator (FFR) models and two surgical mask (SM) models sealed to a manikin were measured at 8 L and 40 L breathing minute volumes with different artificial leak sizes. TIL values for different size (20–800 nm, electrical mobility diameter) NaCl particles representing submicron-size bioaerosols were measured using a scanning mobility particle sizer. Efficiency of filtering devices was assessed by measuring the penetration against NaCl aerosol similar to the method used for NIOSH particulate filter certification. Results showed that the most penetrating particle size (MPPS) was ～45 nm for both N95 FFR models and one of the two SM models, and ～350 nm for the other SM model at sealed condition with no leaks as well as with different leak sizes. TIL values increased with increasing leak sizes and breathing minute volumes. Relatively, higher efficiency N95 and SM models showed lower TIL values. Filter efficiency of FFRs and SMs influenced the TIL at different flow rates and leak sizes. Overall, the data indicate that good fitting higher-efficiency FFRs may offer higher protection against submicron-size bioaerosols.     

Breathing simulator of workers for respirator performance test

Breathing machines are widely used to evaluate respirator performance but they are capable of generating only limited air flow patterns, such as, sine, triangular and square waves. In order to evaluate the respirator performance in practical use, it is desirable to test the respirator using the actual breathing patterns of wearers. However, it has been a difficult task for a breathing machine to generate such complicated flow patterns, since the human respiratory volume changes depending on the human activities and workload. In this study, we have developed an electromechanical breathing simulator and a respiration sampling device to record and reproduce worker’s respiration. It is capable of generating various flow patterns by inputting breathing pattern signals recorded by a computer, as well as the fixed air flow patterns. The device is equipped with a self-control program to compensate the difference in inhalation and exhalation volume and the measurement errors on the breathing flow rate. The system was successfully applied to record the breathing patterns of workers engaging in welding and reproduced the breathing patterns.     

Distribution of expired air in carry cots--a possible explanation for some sudden infant deaths.

A possible explanation for the cause of some cot deaths is examined by placing an appropriate cot death model on a cold wet sheet so that its "breath" is directed downwards across the sheet, thereby being cooled and becoming heavy enough to stay trapped in the hollow of the mattress. The breath is then available for rebreathing by the model. The level of carbon dioxide (CO2) "inhaled" is showed to be lower in nostril breathers, singletons and in bassinets and higher with mouth breathing models, in "twins", and in carry cots, especially if the model's head is accidentally covered. Under these conditions a living infant would become progressively acidotic due to inability to adequately excrete its metabolic CO2. This must inevitably be accompanied by increasing hypoxia. If left undisturbed in this predicament, it would rebreathe its own breath for the period of time between feeds and develop increasing degrees of asphyxia, depending on the circumstances outlined.