aerosols

气溶胶
  • 文章类型: Journal Article
    雾化是一种将吸入的液体制成气溶胶并以雾或烟雾的形式将其输送到目标器官的治疗方法。它具有提高药物生物利用度的优点,无痛,非侵入性,现已广泛应用于肺部和口腔病变的治疗。由于其在非侵入性途径中实现高生物利用度的能力,气雾剂吸入作为治疗性蛋白质的施用途径具有显著的前景。目前,大量治疗性蛋白质如α-1抗胰蛋白酶和Dornaseα是有效的。重组人源化Ⅲ型胶原(rhColⅢ)作为一种治疗性蛋白,在生物医学领域有着广泛的应用,但是雾化不是rhColIII的常见给药途径,具有巨大的发展潜力。然而,雾化后重组人源化胶原蛋白的结构稳定性有待进一步研究。这项研究表明,通过压缩空气进行雾化的rhColIII保留了其原始分子量,三重螺旋结构,和促进细胞粘附的能力。换句话说,rhColIII在雾化后可以保持其稳定性。尽管需要更多的研究来确定雾化后rhColIII的疗效和安全性,这项研究可以为今后的研究奠定基础。
    Atomization is a treatment method to make inhaled liquids into aerosols and transport them to target organs in the form of fog or smoke. It has the advantages of improving the bioavailability of drugs, being painless, and non-invasive, and is now widely used in the treatment of lung and oral lesions. Aerosol inhalation as the route of administration of therapeutic proteins holds significant promise due to its ability to achieve high bioavailability in non-invasive pathways. Currently, a great number of therapeutic proteins such as alpha-1 antitrypsin and Dornase alfa are effective. Recombinant humanized collagen type III (rhCol III) as a therapeutic protein is widely used in the biomedical field, but atomization is not a common route of administration for rhCol III, presenting great potential for development. However, the structural stability of recombinant humanized collagen after atomization needs further investigation. This study demonstrated that the rhCol III subjected to atomization through compressed air had retained its original molecular weights, triple helical structures, and the ability to promote cell adhesion. In other words, the rhCol III can maintain its stability after undergoing atomization. Although more research is required to determine the efficacy and safety of the rhCol III after atomization, this study can lay the groundwork for future research.
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  • 文章类型: Journal Article
    表面活性有机物降低气溶胶表面张力(σs/a),导致云凝结核(CCN)活动增强,并可能对气候产生影响。σs/a的定量主要限于具有选定尺寸和已知化学组成的颗粒的实验室或建模工作。来自环境气溶胶种群的推断值不足。在这项研究中,我们提出了一种通过将在中国北方城市站点进行的现场测量与κ-Köhler理论相结合来推导σs/a的新方法。结果提供了新的证据,表明有机物显着降低了受污染大气中气溶胶的表面张力。大小在40nm左右的颗粒的平均σs/a为53.8mNm-1,而大小在100nm以下的颗粒的σs/a值接近纯水。σs/a与有机质量的依赖性曲线类似于二羧酸的行为,表明它们在降低表面张力方面的关键作用。研究进一步表明,忽略σs/a降低效应将导致在典型的云中过饱和范围内,超细CCN(直径<100nm)浓度降低6.8-42.1%,证明了表面张力对城市气溶胶CCN浓度的显著影响。
    Surface-active organics lower the aerosol surface tension (σs/a), leading to enhanced cloud condensation nuclei (CCN) activity and potentially exerting impacts on the climate. Quantification of σs/a is mainly limited to laboratory or modeling work for particles with selected sizes and known chemical compositions. Inferred values from ambient aerosol populations are deficient. In this study, we propose a new method to derive σs/a by combining field measurements made at an urban site in northern China with the κ-Köhler theory. The results present new evidence that organics remarkably lower the surface tension of aerosols in a polluted atmosphere. Particles sized around 40 nm have an averaged σs/a of 53.8 mN m-1, while particles sized up to 100 nm show σs/a values approaching that of pure water. The dependence curve of σs/a with the organic mass resembles the behavior of dicarboxylic acids, suggesting their critical role in reducing the surface tension. The study further reveals that neglecting the σs/a lowering effect would result in lowered ultrafine CCN (diameter <100 nm) concentrations by 6.8-42.1% at a typical range of supersaturations in clouds, demonstrating the significant impact of surface tension on the CCN concentrations of urban aerosols.
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  • 文章类型: Journal Article
    生物安全实验室在许多领域至关重要。然而,实验者将生物气溶胶的感染风险联系起来。在这项研究中,通过在典型的BSL-2+实验室内进行生物气溶胶的释放和收集实验,跟踪了生物气溶胶的空间分布。采用数值计算获得并可视化了四种通风方法的气流模式和气溶胶扩散路径。结果表明,设备和桌子导致实验室内气流分布不均匀。4项评价指标的比较结果表明,UU(向上供应向上返回)模式和CD(交叉供应向下返回)模式的航龄分布优越,换气效率值分别为0.595和0.603。此外,CD模式的污染物去除指数为1.48,明显高于其他通风方法。污染物分散指数的统计结果还表明,CD模式最有利于稀释空间环境中的气溶胶。LD(横向供给和向下返回)模式可能导致气流短路。UD(向上供应和向下返回)模式可以为实验室提供平衡保护。总的来说,CD模式在四种通风方法中表现最好,其次是UU模式。
    Biosafety laboratories are critical in many fields. However, experimenters associated the infection risk from biological aerosols. In this study, by conducting experiments on the release and collection of bioaerosols within a typical BSL-2 + laboratory, the spatial distribution of bioaerosols was tracked. Numerical calculations were employed to obtain and visualize the airflow patterns and aerosol dispersion paths of four ventilation methods. The results indicated that equipment and tables led to uneven airflow distribution within the laboratory. The comparison results of the four evaluation indicators showed that the air age distribution of UU (Upward supply and upward return) mode and CD (Cross-supply and downward return) mode was superior, with air change efficiency values of 0.595 and 0.603, respectively. Additionally, the contaminant removal index of CD mode was 1.48, significantly higher than the other ventilation methods. The statistical results of the contaminant dispersion index also indicated that CD mode was most conducive to diluting aerosols in the spatial environment. The LD (lateral supply and downward return) mode may lead to airflow short-circuiting. The UD (upward supply and downward return) mode can provide balanced protection for laboratory. Overall, CD mode performed the best among the four ventilation methods, followed by UU mode.
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  • 文章类型: Journal Article
    了解亚硝酸(HONO)的生产对于光化学研究至关重要,尤其是在像中国东部这样的污染环境中。在2018年春季臭氧光化学和中国出口实验(OPECE)期间,在农村沿海地区进行了气体和颗粒成分的原位测量。该数据集用于研究通过白天异质HONO生产的反应性氮的再循环。尽管农业燃烧期间HONO水平增加,对观测数据的分析并没有表明农业燃烧气溶胶比其他人为气溶胶更有效地生产HONO。Box和一维建模分析揭示了二氧化氮(NO2)之间的内在关系,颗粒硝酸盐(pNO3),和硝酸(HNO3),导致观察到的和模拟的HONO浓度与三种异质HONO产生机制中的任何一种之间具有可比的一致性,气溶胶上的光敏化NO2转化,pNO3的光解和HNO3的转化。这一发现强调了白天异质HONO生产途径的机理理解和定量参数化的不确定性。此外,对活性氮回收的影响,臭氧(O3)生产,和O3控制策略根据HONO生产机制的不同而有很大差异。在区域范围内,从pNO3中转化HONO可以大大提高O3的产量,而从NO2的转化可以降低受污染的中国东部地区O3对NOx变化的敏感性。
    Understanding of nitrous acid (HONO) production is crucial to photochemical studies, especially in polluted environments like eastern China. In-situ measurements of gaseous and particulate compositions were conducted at a rural coastal site during the 2018 spring Ozone Photochemistry and Export from China Experiment (OPECE). This data set was applied to investigate the recycling of reactive nitrogen through daytime heterogeneous HONO production. Although HONO levels increase during agricultural burning, analysis of the observation data does not indicate more efficient HONO production by agricultural burning aerosols than other anthropogenic aerosols. Box and 1-D modeling analyses reveal the intrinsic relationships between nitrogen dioxide (NO2), particulate nitrate (pNO3), and nitric acid (HNO3), resulting in comparable agreement between observed and simulated HONO concentrations with any one of the three heterogeneous HONO production mechanisms, photosensitized NO2 conversion on aerosols, photolysis of pNO3, and conversion from HNO3. This finding underscores the uncertainties in the mechanistic understanding and quantitative parametrizations of daytime heterogeneous HONO production pathways. Furthermore, the implications for reactive nitrogen recycling, ozone (O3) production, and O3 control strategies vary greatly depending on the HONO production mechanism. On a regional scale, the conversion of HONO from pNO3 can drastically enhance O3 production, while the conversion from NO2 can reduce O3 sensitivity to NOx changes in polluted eastern China.
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  • 文章类型: Journal Article
    挥发性化学产品(VCP)越来越被认为是城市大气中挥发性有机化合物(VOCs)的重要来源,可能是二次有机气溶胶(SOA)形成的关键前体。这项研究调查了VCP衍生的SOA的形成和物理化学转化,通过臭氧分解从具有代表性的房间除臭剂空气清新剂中蒸发的挥发性有机化合物产生,关注气溶胶蒸发对其分子组成的影响,光吸收性能,和活性氧(ROS)的产生。气溶胶蒸发后,溶质变得浓缩,加速气溶胶基质内的反应,导致过氧化物含量减少42%,SOA明显褐变。这个过程在中等相对湿度(~40%)下最有效,在气溶胶固化前达到最大溶质浓度。分子表征表明,蒸发VCP衍生的SOA会从现有或转化的羰基化合物与还原的氮物种之间的相互作用中产生高度共轭的含氮产物,可能作为发色团负责观察到的棕色着色。此外,通过二氧化硫(SO2)的非均相氧化阐明了VCP衍生的SOA的反应性,这表明干燥后光敏硫酸盐的产生增强。ROS的直接测量,包括单线态氧(1O2),超氧化物(O2·-),和羟基(·OH),在光照下,干燥的SOA样品与未干燥的SOA样品的丰度更高。我们的发现强调,干燥会显著改变VCP衍生的SOA的物理化学性质,影响它们在大气化学和辐射平衡中的作用。
    Volatile chemical products (VCPs) are increasingly recognized as significant sources of volatile organic compounds (VOCs) in urban atmospheres, potentially serving as key precursors for secondary organic aerosol (SOA) formation. This study investigates the formation and physicochemical transformations of VCP-derived SOA, produced through ozonolysis of VOCs evaporated from a representative room deodorant air freshener, focusing on the effects of aerosol evaporation on its molecular composition, light absorption properties, and reactive oxygen species (ROS) generation. Following aerosol evaporation, solutes become concentrated, accelerating reactions within the aerosol matrix that lead to a 42% reduction in peroxide content and noticeable browning of the SOA. This process occurs most effectively at moderate relative humidity (∼40%), reaching a maximum solute concentration before aerosol solidification. Molecular characterization reveals that evaporating VCP-derived SOA produces highly conjugated nitrogen-containing products from interactions between existing or transformed carbonyl compounds and reduced nitrogen species, likely acting as chromophores responsible for the observed brownish coloration. Additionally, the reactivity of VCP-derived SOA was elucidated through heterogeneous oxidation of sulfur dioxide (SO2), which revealed enhanced photosensitized sulfate production upon drying. Direct measurements of ROS, including singlet oxygen (1O2), superoxide (O2•-), and hydroxyl radicals (•OH), showed higher abundances in dried versus undried SOA samples under light exposure. Our findings underscore that drying significantly alters the physicochemical properties of VCP-derived SOA, impacting their roles in atmospheric chemistry and radiative balance.
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  • 文章类型: Journal Article
    中等挥发性有机化合物(IVOCs)是二次有机气溶胶(SOAs)的重要前体,但是在关于SOA形成的研究中,它们经常被忽视。这项研究解决了青藏高原(QTP)IVOCs排放的重要问题,固体燃料在不完全燃烧条件下广泛用于住宅取暖和烹饪。我们的现场测量数据显示,在QTP的各种燃烧情况下,总IVOCs(EFIVOCs)的排放因子范围为1.56±0.03至9.97±3.22g/kg。QTP中的EFIVOCs明显高于平原地区,这可以归因于缺氧条件。IVOCs以气相排放为主,气相和颗粒相IVOCs的主要贡献者是未分解的复杂混合物和烷烃,分别。QTP加热和非加热季节的IVOCs总排放量估计为31.7±13.8和6.87±0.45Gg,分别。IVOCs和VOCs的综合排放产生的SOA产量估计比单独产生的VOCs高出近五倍。这项研究的结果强调了IVOCs排放在空气污染中的关键作用,并为编制与固体燃料燃烧相关的排放清单和制定污染预防策略奠定了基础。
    Intermediate volatility organic compounds (IVOCs) are important precursors to secondary organic aerosols (SOAs), but they are often neglected in studies concerning SOA formation. This study addresses the significant issue of IVOCs emissions in the Qinghai-Tibetan plateau (QTP), where solid fuels are extensively used under incomplete combustion conditions for residential heating and cooking. Our field measurement data revealed an emission factor of the total IVOCs (EFIVOCs) ranging from 1.56 ± 0.03 to 9.97 ± 3.22 g/kg from various combustion scenarios in QTP. The markedly higher EFIVOCs in QTP than in plain regions can be attributed to oxygen-deficient conditions. IVOCs were dominated by gaseous phase emissions, and the primary contributors of gaseous and particulate phase IVOCs are the unresolved complex mixture and alkanes, respectively. Total IVOCs emissions during the heating and nonheating seasons in QTP were estimated to be 31.7 ± 13.8 and 6.87 ± 0.45 Gg, respectively. The estimated SOA production resulting from combined emissions of IVOCs and VOCs is nearly five times higher than that derived from VOCs alone. Results from this study emphasized the pivotal role of IVOCs emissions in air pollution and provided a foundation for compiling emission inventories related to solid fuel combustion and developing pollution prevention strategies.
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  • 文章类型: Journal Article
    背景:慢性肾脏病(CKD)具有很高的公共卫生负担,但对金属加工液(MWF)气溶胶之间的关系知之甚少,职业性噪声和CKD。我们旨在探讨职业性MWF气溶胶之间的关系,职业性噪声和CKD。
    方法:从无锡市的三家加工公司中抽取了2,738名机械师,中国,2022年。我们使用国家职业安全与健康研究所(NIOSH)方法5524收集MWF气溶胶暴露的单个样本,和中国国家标准(GBZ/T189.8-2007)方法对个人职业噪声暴露进行检测。CKD的诊断标准为尿白蛋白/肌酐比值(UACR)≥30mg/g和肾功能降低(eGFR<60mL。min-1.1.73m-2)持续时间超过3个月。通过平滑曲线拟合分析MWF气溶胶和职业性噪声与CKD的相关性。采用分段回归模型对阈值效应进行分析。
    结果:暴露于MWF气溶胶(比值比[OR]=2.03,95%置信区间[CI]:1.21-3.41)和职业噪声(OR=1.77,95CI:1.06-2.96)的工人CKD患病率高于未暴露工人。在增加的MWF气溶胶和职业噪声剂量与CKD风险之间发现了非线性和正相关。当MWF气溶胶的每日累积暴露剂量超过8.03mg/m3时,OR为1.24(95CI:1.03-1.58),当职业噪声超过87.22dB(A)时,OR为1.16(95CI:1.04-1.20)。在MWF气溶胶与职业噪声的交互分析中,暴露于MWF气溶胶(累积暴露量≥8.03mg/m3-天)和职业噪声(LEX,8h≥87.22dB(A))的CKD患病率增加(OR=2.71,95CI:1.48-4.96)。MWF气溶胶和职业噪声在CKD患病率中具有正相互作用。
    结论:职业MWF气溶胶和噪声与CKD呈正相关和非线性相关,累积MWF气溶胶和噪声暴露与CKD呈正相互作用。这些发现强调了评估暴露于MWF气溶胶和职业噪声的工人的肾功能的重要性。前瞻性和纵向队列研究对于阐明这些关联的因果关系是必要的。
    BACKGROUND: Chronic kidney disease (CKD) carries a high public health burden yet little is known about the relationship between metalworking fluid (MWF) aerosols, occupational noise and CKD. We aimed to explore the relationship between occupational MWF aerosols, occupational noise and CKD.
    METHODS: A total of 2,738 machinists were sampled from three machining companies in Wuxi, China, in 2022. We used the National Institute for Occupational Safety and Health (NIOSH) method 5524 to collect individual samples for MWF aerosols exposure, and the Chinese national standard (GBZ/T 189.8-2007) method to test individual occupational noise exposure. The diagnostic criteria for CKD were urinary albumin/creatinine ratio (UACR) of ≥ 30 mg/g and reduced renal function (eGFR < 60 mL.min- 1. 1.73 m- 2) lasting longer than 3 months. Smooth curve fitting was conducted to analyze the associations of MWF aerosols and occupational noise with CKD. A segmented regression model was used to analyze the threshold effects.
    RESULTS: Workers exposed to MWF aerosols (odds ratio [OR] = 2.03, 95% confidence interval [CI]: 1.21-3.41) and occupational noise (OR = 1.77, 95%CI: 1.06-2.96) had higher prevalence of CKD than nonexposed workers. A nonlinear and positive association was found between increasing MWF aerosols and occupational noise dose and the risk of CKD. When daily cumulative exposure dose of MWF aerosols exceeded 8.03 mg/m3, the OR was 1.24 (95%CI: 1.03-1.58), and when occupational noise exceeded 87.22 dB(A), the OR was 1.16 (95%CI: 1.04-1.20). In the interactive analysis between MWF aerosols and occupational noise, the workers exposed to both MWF aerosols (cumulative exposure ≥ 8.03 mg/m3-day) and occupational noise (LEX,8 h ≥ 87.22 dB(A)) had an increased prevalence of CKD (OR = 2.71, 95%CI: 1.48-4.96). MWF aerosols and occupational noise had a positive interaction in prevalence of CKD.
    CONCLUSIONS: Occupational MWF aerosols and noise were positively and nonlinearly associated with CKD, and cumulative MWF aerosols and noise exposure showed a positive interaction with CKD. These findings emphasize the importance of assessing kidney function of workers exposed to MWF aerosols and occupational noise. Prospective and longitudinal cohort studies are necessary to elucidate the causality of these associations.
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  • 文章类型: Journal Article
    通过进行底盘测功机测试,使用氧化流反应器(OFR)研究了汽油车辆产生的次级有机气溶胶(SOA),该排放类型广泛。在先进的质谱技术的帮助下,SOA前体,包括挥发性有机化合物(VOCs)和中间/半挥发性有机化合物(I/SVOCs),全面表征。从特定的VOCs和I/SVOCs产生的重建SOA可以解释OFR下游在0.5-3天的OH暴露下测得的SOA的69%。虽然VOCs只能解释SOA总产量的10%,I/SVOCs的贡献率为59%,含氧I/SVOCs(O-I/SVOCs)占该贡献的20%。O-I/SVOCs(例如,苄基或脂肪醛和酮),作为一个模糊的来源,占非甲烷有机气体(NMOG)排放总量的16%。更重要的是,随着排放标准的提高,从中国4到中国6,NMOG有效缓解了35%,这主要归因于VOCs的减少。不同NMOG组件的实时测量以及SOA生产进一步揭示了当前的排放控制措施,例如发动机和三元催化转化器(TWC)技术的进步,在减少“光”SOA前体方面是有效的(即,单环芳烃),但不适用于I/SVOC排放。我们的结果还突出了O-I/SVOCs对SOA形成的影响比以前观察到的更大,并且迫切需要进一步调查它们的起源。即,不完全燃烧,润滑油,等。,这需要改进I/SVOC分子的实时分子水平表征,反过来将有利于未来控制措施的设计。
    Secondary organic aerosol (SOA) formation from gasoline vehicles spanning a wide range of emission types was investigated using an oxidation flow reactor (OFR) by conducting chassis dynamometer tests. Aided by advanced mass spectrometric techniques, SOA precursors, including volatile organic compounds (VOCs) and intermediate/semivolatile organic compounds (I/SVOCs), were comprehensively characterized. The reconstructed SOA produced from the speciated VOCs and I/SVOCs can explain 69% of the SOA measured downstream of an OFR upon 0.5-3 days\' OH exposure. While VOCs can only explain 10% of total SOA production, the contribution from I/SVOCs is 59%, with oxygenated I/SVOCs (O-I/SVOCs) taking up 20% of that contribution. O-I/SVOCs (e.g., benzylic or aliphatic aldehydes and ketones), as an obscured source, account for 16% of total nonmethane organic gas (NMOG) emission. More importantly, with the improvement in emission standards, the NMOG is effectively mitigated by 35% from China 4 to China 6, which is predominantly attributed to the decrease of VOCs. Real-time measurements of different NMOG components as well as SOA production further reveal that the current emission control measures, such as advances in engine and three-way catalytic converter (TWC) techniques, are effective in reducing the \"light\" SOA precursors (i.e., single-ring aromatics) but not for the I/SVOC emissions. Our results also highlight greater effects of O-I/SVOCs to SOA formation than previously observed and the urgent need for further investigation into their origins, i.e., incomplete combustion, lubricating oil, etc., which requires improvements in real-time molecular-level characterization of I/SVOC molecules and in turn will benefit the future design of control measures.
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  • 文章类型: Journal Article
    泥炭地野火对大气中吸收光的有机碳的释放做出了重要贡献,通常被称为棕色碳。在这项研究中,我们研究了西太平洋海洋气溶胶中含氮有机化合物(NOC)的存在,受到东南亚泥炭地火灾的影响。在电喷雾电离(ESI)正模式下采用超高分辨率傅里叶变换离子回旋共振质谱(FT-ICRMS),我们发现NOC主要由还原的含氮碱基组成,包括CHN+和CHON+组。值得注意的是,与典型的海洋气团相比,泥炭地野火的羽流中NOC公式的数量显着增加。这些NOC,通常被鉴定为N-杂环生物碱,作为潜在的光吸收发色团。此外,许多NOC表现出热解稳定性,参与各种取代反应,并显示出增强的亲水性能,归因于化学过程,如甲氧基化,羟基化,甲基化,以及在排放和随后的大气老化过程中发生的氢化。在白天的大气传输过程中,芳香N-杂环化合物的老化,特别是在容易氧化和与胺反应的脂族胺中,被观察到。调查结果强调了泥炭地野火在增加海洋气溶胶中含氮有机物方面的关键作用,强调需要深入研究它们对海洋生态系统和区域气候条件的影响。
    Peatland wildfires contribute significantly to the atmospheric release of light-absorbing organic carbon, often referred to as brown carbon. In this study, we examine the presence of nitrogen-containing organic compounds (NOCs) within marine aerosols across the Western Pacific Ocean, which are influenced by peatland fires from Southeast Asia. Employing ultrahigh-resolution Fourier transform ion cyclotron resonance mass spectrometry (FT-ICR MS) in electrospray ionization (ESI) positive mode, we discovered that NOCs are predominantly composed of reduced nitrogenous bases, including CHN+ and CHON+ groups. Notably, the count of NOC formulas experiences a marked increase within plumes from peatland wildfires compared to those found in typical marine air masses. These NOCs, often identified as N-heterocyclic alkaloids, serve as potential light-absorbing chromophores. Furthermore, many NOCs demonstrate pyrolytic stability, engage in a variety of substitution reactions, and display enhanced hydrophilic properties, attributed to chemical processes such as methoxylation, hydroxylation, methylation, and hydrogenation that occur during emission and subsequent atmospheric aging. During the daytime atmospheric transport, aging of aromatic N-heterocyclic compounds, particularly in aliphatic amines prone to oxidation and reactions with amine, was observed. The findings underscore the critical role of peatland wildfires in augmenting nitrogen-containing organics in marine aerosols, underscoring the need for in-depth research into their effects on marine ecosystems and regional climatic conditions.
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  • 文章类型: Journal Article
    背景:紧密贴合的口罩和呼吸器,在人体模型研究中,与宽松的口罩相比,改进了气溶胶源控制。这是否转化为人类尚不清楚。
    方法:我们比较了口罩(布和手术)和呼吸器(KN95和N95)作为COVID-19志愿者呼出气中SARS-CoV-2病毒载量的来源对照的有效性。志愿者(N=44,女性占43%)提供了成对的未掩盖和掩盖的呼吸样本,从而可以计算源控制因子。
    结果:所有的口罩和呼吸器都显著降低了呼出的病毒载量,没有合适的测试或培训。鸭嘴N95使呼出的病毒载量减少了98%(95%CI:97%-99%),并且显著优于KN95(p<0.001)以及布和外科口罩。布面罩优于外科面罩(p=0.027)和测试的KN95(p=0.014)。
    结论:这些结果表明,当呼吸道病毒感染在社区中普遍存在且与医疗保健相关的传播风险升高时,N95呼吸器可能成为疗养院和医疗机构的护理标准。
    背景:国防高级研究计划局,国家过敏和传染病研究所,疾病控制和预防中心,比尔和梅林达·盖茨基金会,还有流感实验室.
    BACKGROUND: Tight-fitting masks and respirators, in manikin studies, improved aerosol source control compared to loose-fitting masks. Whether this translates to humans is not known.
    METHODS: We compared efficacy of masks (cloth and surgical) and respirators (KN95 and N95) as source control for SARS-CoV-2 viral load in exhaled breath of volunteers with COVID-19 using a controlled human experimental study. Volunteers (N = 44, 43% female) provided paired unmasked and masked breath samples allowing computation of source-control factors.
    RESULTS: All masks and respirators significantly reduced exhaled viral load, without fit tests or training. A duckbill N95 reduced exhaled viral load by 98% (95% CI: 97%-99%), and significantly outperformed a KN95 (p < 0.001) as well as cloth and surgical masks. Cloth masks outperformed a surgical mask (p = 0.027) and the tested KN95 (p = 0.014).
    CONCLUSIONS: These results suggest that N95 respirators could be the standard of care in nursing homes and healthcare settings when respiratory viral infections are prevalent in the community and healthcare-associated transmission risk is elevated.
    BACKGROUND: Defense Advanced Research Projects Agency, National Institute of Allergy and Infectious Diseases, Centers for Disease Control and Prevention, the Bill & Melinda Gates Foundation, and The Flu Lab.
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