Processing and Quality Control of Masks: A Review

It is clear that viruses, especially COVID-19, can cause infection and injure the human body. These viruses can transfer in different ways, such as in air transfer, which face masks can prevent and reduce. Face masks can protect humans through their filtration function. They include different types and mechanisms of filtration whose performance depends on the texture of the fabric, the latter of which is strongly related to the manufacturing method. Thus, scientists should enrich the information on mask production and quality control by applying a wide variety of tests, such as leakage, dynamic respiratory resistance (DBR), etc. In addition, the primary manufacturing methods (meltblown, spunlaid, drylaid, wetlaid and airlaid) and new additive manufacturing (AM) methods (such as FDM) should be considered. These methods are covered in this study.

Forced Oscillation Technique: a surrogate measure of lung function in neuromuscular disease patients?

Introduction Spirometry plays an important role in the assessment of possible respiratory failure in children with neuromuscular disorders (NMDs). However, obtaining reliable spirometry results is a major challenge. We studied the relation between Forced Oscillation Technique (FOT) and spirometry results. FOT is an easy, non-invasive method to measure respiratory mechanics, i.e. respiratory resistance R and respiratory reactance X. We hypothesized an increased resistance R and reduced reactance X in patients with more reduced lung function. Methods In this prospective single center study we included all children with NMDs able to perform spirometry. We consecutively measured respiratory resistance R and reactance X at 5, 11 and 19 Hz and (Forced) Vital Capacity, Peak Expiratory Flow. Spearman correlation coefficients were calculated and regression curves were estimated. Results We included 148 patients, with a median age of 13 years (IQR 8-16). All correlation coefficients were statistically significant with p = 0.000. A negative correlation was found between resistance R and spirometry outcomes (spearman correlation coefficient (ρ) between -0.5 and -0.6). A positive correlation was found between reactance X (i.e. less negative outcomes) and spirometry outcomes (ρ between 0.4 and 0.6). Highest correlation was found at lower frequencies. Regression analysis showed a non-linear relation between FOT and spirometry results. Conclusion We found a non-linear relation between FOT and spirometry results with increased resistance R and reduced reactance X in patients with more restrictive lung function decline. Given the difficulties with performing spirometry, FOT may be a promising surrogate measure of lung function.

The Forced Oscillation Test in the Diagnosis of Obstructive Ventilation Disorders in Pulmonary Tuberculosis Patients

Clinical testing of the forced oscillation test (FOT) yielded criteria for bronchial obstruction: an increase in viscous respiratory resistance (VRR) (Rfo, Rin, Rex); the frequency dependence of VRR. The study of VRR promoted detection of bronchial malpatency in additional 20% of pulmonary tuberculosis patients who had no lung ventilation disorders, as evidenced by spirometry.

Preparation of Ag@ZIF-8@PP Melt-Blown Nonwoven Fabrics: Air Filter Efficacy and Antibacterial Effect

Serving as matrices, polypropylene (PP) melt-blown nonwoven fabrics with 4% electrostatic electret masterbatch were incorporated with a 6%, 10%, 14%, or 18% phosphorus-nitrogen flame retardant. The test results indicate that the incorporation of the 6% flame retardant prevented PP melt-blown nonwoven fabrics from generating a molten drop, which, in turn, hampers the secondary flame source while increasing the fiber diameter ratio. With a combination of 4% electrostatic electret masterbatch and the 6% flame retardant, PP melt-blown nonwoven fabrics were grafted with ZIF-8 and Ag@ZIF-8. The antibacterial effect of ZIF-8 and Ag@ZIF-8 was 40% and 85%, respectively. Moreover, four reinforcing measures were used to provide Ag@ZIF-8 PP melt-blown nonwoven fabrics with synergistic effects, involving lamination, electrostatic electret, and Ag@ZIF-8 grafting, as well as a larger diameter because of the addition of phosphorus-nitrogen flame retardants. As specified in the GB2626-2019 and JIS T8151-2018 respiratory resistance test standards, with a constant 60 Pa, Ag@ZIF-8 PP melt-blown nonwoven membranes were tested for a filter effect against PM 0.3. When the number of lamination layers was five, the filter effect was 88 ± 2.2%, and the respiratory resistance was 51 ± 3.6 Pa.

Indirect Measurements of Acceleration Atelectasis and the Role of Inspired Oxygen Concentrations

BACKGROUND: A growing number of symptom reports suggestive of acceleration atelectasis in fast jet aircrew have raised the question as to whether traditional guidelines on inspired gas composition remain valid. The aim of this study was to assess the effects of inspired O2 concentration on the development of acceleration atelectasis when wearing modern anti-G garments. METHODS: There were 14 nonaircrew subjects who completed 5 centrifuge exposures to +5 Gz lasting 90 s. During exposures subjects breathed a gas mixture containing 21, 35, 45, 60, or 75% O2. To assess the extent of atelectasis post-Gz, forced inspiratory vital capacity (FIVC), regional FIVC (EITFIVC), shunt, respiratory resistance, reactance, and compliance and peripheral O2 saturation during a hypoxic exposure were measured. RESULTS: Compared with baseline, FIVC was not statistically significantly altered. EITFIVC was 14.4% lower after the 75% O2 exposure only with a greater symptom reporting with higher FIO2 in some individuals. A significantly greater shunt (3>6%) followed the 60 and 75% O2 exposures. O2 concentration during Gz had no effect on respiratory resistance, reactance, compliance, or hypoxemia. DISCUSSION: There is evidence of mild acceleration atelectasis present when breathing 60% O2, particularly in susceptible individuals, with 75% O2 causing more obvious physiological compromise. An inspired oxygen concentration of <60% will prevent the majority of individuals from developing acceleration atelectasis. Pollock RD, Gates SD, Radcliffe JJ, Stevenson AT. Indirect measurements of acceleration atelectasis and the role of inspired oxygen concentrations. Aerosp Med Hum Perform. 2021; 92(10):780785.

The influence of the initial reinforcement value on physiological parameters of conditioned respiratory reflex

BACKGROUND: Most of the studies of the role of reinforcement in the formation of adaptive behavior were performed on animals. At the same time, such an experimental model as a conditioned respiratory reflex to resistive load, has not been sufficiently studied, although an unconditioned reflex to additional resistance to breathing, on the basis of which a conditioned one is formed, is a stable reaction that has clear quantitative evaluation criteria, and the conditioned reflex itself is relatively strong, easily normalized, reluctantly extinguished and does not require observance of a number of methodological conditions. AIM: To study the influence of the initial value of reinforcement on the physiological parameters of the conditioned respiratory reflex. MATERIALS AND METHODS: The work was carried out on people of both genders, 16 people, aged 18 to 44, practically healthy. The unconditioned stimulus was applied in four gradations of external respiratory resistance: 11; 28; 54; 76 cm water • l/sec. The conditioned reflex was formed by the classic type, the duration of application of the conditioned stimulus was not fixed and its end coincided with the end of the action of the unconditioned stimulus, the period of the isolated action of the conditioned signal was 10 sec. As physiological parameters, we studied the ventilatory and motor parameters of respiration, the temporal parameters of the conditioned reaction. RESULTS: The influence of the unconditioned stimulus on the value of the tidal volume after the combination in all subjects depended on the absolute reinforcement values used in this combination, and was weakly connected with the initial reinforcement value. The influence of the external resistance on breathing used in this combination was significantly higher on such parameters as intraoral pressure of inspiration and expiration; the role of the initial reinforcement value in the dynamics of the given parameters was not confirmed. CONCLUSIONS: Most “sensitive” to the action of the initial value of the resistive load were the temporal parameters of the conditioned respiratory reflex — the latent period and the time of the conditioned reaction; the parameters of the “ventilatory” and “motor” outputs of the external respiration system changed noticeably, the spirometric parameters showed very little dynamics, and the capnographic parameters practically did not change. The dynamics of the parameters of the conditioned respiratory reflex to increased external respiratory resistance permits to single out groups of signs that have the greatest semantic significance for evaluation of the system-forming and discriminating role of the initial gradation of the reinforcement factor.

CONDITIONED REFLEX MECHANISMS OF ADAPTATION TO ADDITIONAL BREATHING RESISTANCE

The problem of adaptation to additional breathing resistance has recently become more urgent due to the growth of bronchopulmonary diseases. Therefore, there is a natural interest in non-drug strategies compensating resistive breathing in humans. The aim of the study was to assess conditioned reflex changes in the functional state of the subjects under additional breathing resistance. Materials and Methods. The work was carried out on 55 practically healthy subjects of both sexes, aged 18–36. Additional breathing resistance was modeled by inspiratory resistive loads of 40, 60, 70, and 80 % of the maximum intraoral pressure. The conditioned respiratory reflex to resistive respiratory load was developed as a short-delayed conditioned signal with a 30-second period of isolated action. The authors examined behavioral, vegetative, gas and energy indicators of the organism before and after the formation of a conditioned reflex. Results. It was observed that conditioned reflex shifts of physiological parameters in the process of adaptation to additional breathing resistance differ significantly from the corresponding unconditioned reflex changes both in nature and in intensity. Conditioned reflex mechanisms reduce the intensity of shifts in the motor component of the external respiration system, which, apparently, is the main reason to decrease the aversive behavior. Conclusion. Behavioral changes after the formation of a conditioned respiratory reflex to additional respiratory resistance are characterized by a decrease in aversive behavior patterns. The conditioned reflex realization of increasing resistive loads is expressed in a lower physiological cost of adaptation to additional respiratory resistance relative to the unconditioned reflex type of realization. Keywords: adaptation, conditioned respiratory reflex, additional breathing resistance. Проблема приспособления к дополнительному респираторному сопротивлению в последнее время становится все более актуальной в связи с ростом бронхолегочных заболеваний. Поэтому естественен интерес к нелекарственным механизмам компенсации резистивного дыхания человека. Целью исследования являлась оценка условно-рефлекторных изменений функционального состояния испытуемых в условиях дополнительного респираторного сопротивления. Материалы и методы. Работа проведена на 55 практически здоровых испытуемых обоего пола в возрасте от 18 до 36 лет. Дополнительное респираторное сопротивление моделировалось инспираторными резистивными нагрузками величиной 40, 60, 70 и 80 % от максимального внутриротового давления. Условный дыхательный рефлекс на резистивные дыхательные нагрузки вырабатывался по типу короткоотставленного с периодом изолированного действия условного сигнала 30 с. Исследовались поведенческие, вегетативные, газовые и энергетические показатели организма до и после формирования условного рефлекса. Результаты. Показано, что условно-рефлекторные сдвиги физиологических показателей в процессе приспособления к дополнительному респираторному сопротивлению существенно отличаются от соответствующих безусловно-рефлекторных изменений как по характеру, так и по интенсивности. Условно-рефлекторные механизмы уменьшают интенсивность сдвигов моторного компонента системы внешнего дыхания, что, по-видимому, является основной причиной снижения вероятности появления аверсивного поведения. Выводы. Поведенческие изменения после формирования условного дыхательного рефлекса на дополнительное респираторное сопротивление характеризуются снижением вероятности появления аверсивных форм поведения. Условно-рефлекторная реализация возрастающих по интенсивности резистивных нагрузок выражается в меньшей физиологической стоимости приспособления к дополнительному респираторному сопротивлению относительно безусловно-рефлекторного типа реализации. Ключевые слова: приспособление, условный дыхательный рефлекс, дополнительное респираторное сопротивление.

Dyslipidemia Associates with Respiratory Resistance Assessed by Forced Oscillation Technique in Asthmatic Children

Purpose: This study evaluated the correlation between dyslipidemia and pulmonary function parameters assessed by spirometry and force oscillation technique in asthmatic children.Methods: Asthmatic children (aged 5–18 years old) were measured for fasting serum lipid profiles, including low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC), triglycerides (TG), and high-density lipoprotein cholesterol (HDL-C) and C-reactive protein (CRP). Pulmonary function tests were assessed by spirometry and forced oscillation technique (FOT). Results: One hundred forty-one asthmatic children were enrolled with the mean (sd) age of 11.82 (3.38) years. Eighty-eight children (62.4%) were males, 64 children (45.4%) had dyslipidemia, and 20 (14.2 %) children were obese. Of 64 children with dyslipidemia, high LDL-C was the most common dyslipidemia (65.6%), followed by TC (57.8%), non-HDL-C (53.1%), TG (35.9%), and low HDL-C (15.6%). There were no significant differences in spirometry parameters and FOT parameters between asthmatic children who had dyslipidemia and normal lipid levels. Asthmatic children who had high LDL-C had significantly higher expiratory phase respiratory resistance at 5 Hz (R5), whole breath R20 and expiratory phase R20 evaluated by FOT than those with normal LDL-C (p < 0.05). There were no significant differences in weight, height, obesity status, and CRP level between children with high and normal LDL-C. Conclusion: The prevalence of dyslipidemia in children with asthma is high. LDL-C is associated with more elevated respiratory resistance assessed by FOT in asthmatic children. Intervention lowering LDL-C may have a benefit on lung function in asthmatic children.