Asthma and allergies are considered by many physicians as being triggered by different substances in the air that people breathe. The lung is the most common site of injury by airborne pollutants. Acute effects, howev...Asthma and allergies are considered by many physicians as being triggered by different substances in the air that people breathe. The lung is the most common site of injury by airborne pollutants. Acute effects, however, may also include non-respiratory signs and symptoms, which may depend upon toxicological characteristics of the substances and host-related factors. The studying of indoor air quality can provide a method for appropriate remedial action. Research suggests that SHD （Settled House Dust） may be a significant source for indoor exposure to different substances. This research study consisted of sampling dust from homes in different area codes. The dust samples were collected from August 2006 thru March 2007 and analyzed using GC/MS （Gas Chromatography/Mass Spectrometry）. The purpose of this research study will display how sampling household dust is a powerful tool for identifying chemicals that contribute to poor indoor air quality.展开更多
Objective To investigate the effects of continuous tracheal gas insufflation (CTGI) combined with biphasic intermittent positive airway pressure (BIPAP) ventilation on dogs with spontaneous breathing. Methods Eight ...Objective To investigate the effects of continuous tracheal gas insufflation (CTGI) combined with biphasic intermittent positive airway pressure (BIPAP) ventilation on dogs with spontaneous breathing. Methods Eight canine models with oleic acid induced lung injury and spontaneous breathing were ventilated in a random order by Evita 2 (Drager Inc., Germany) in modes of BIPAP (BIPAP group) and BIPAP with CTGI flow rate of 3, 6 and 9?L/min (T3, T6 and T9 groups), respectively. The setting parameters of BIPAP were fiction of inspired oxygen 60%, inspiratory to expiratory ratio 1∶1, respiratory rate 20 and positive end expiratory pressure 5?cm?H2O. Arterial and mixed venous blood gas, lung mechanics, systemic and pulmonary hemodynamics status were monitored at the same level of PaCO2 obtained by adjusting peak inspiratory pressure of BIPAP. Results Peak inspiratory pressure in the T6 group (14±4?cm?H2O) and in the T9 group (11±3?cm?H2O) were significantly lower than that of BIPAP (20±5?cm?H2O, P<0.01), but there was no significant difference among the T3, T6 and T9 groups or between the T3 and BIPAP groups. PaO2, mean artery blood pressure, mean pulmonary artery pressure, pulmonary artery wedge pressure, cardiac ouput, oxygen delivery and oxygen consumption all remained unchanged in four different conditions.Conclusions Using BIPAP combined with CTGI does not cause asynchrony between ventilator and spontaneous breathing, but significantly decreases airway pressure with no influence on hemodynamics and oxygenation. Therefore, BIPAP with CTGI may be a useful support technique, especially in cases where the airway pressure should be limited.展开更多
Objective To investigate the effects of extrinsic positive end-expiratory pressure (PEEPe) on work of breathing in patients with chronic obstructive pulmonary disease (COPD) and their corresponding mechanism.Methods...Objective To investigate the effects of extrinsic positive end-expiratory pressure (PEEPe) on work of breathing in patients with chronic obstructive pulmonary disease (COPD) and their corresponding mechanism.Methods Ten ventilated patients with COPD were included in the study. A Bicore CP-100 pulmonary monitor (Bicore Monitoring System, USA) was used for monitoring respiratory mechanics. First, dynamic intrinsic positive end-expiratory pressure (PEEPi,dyn) was measured when PEEPe was zero, which was called PEEPi,dynz. Then the PEEPe was set randomly at 0%, 40%, 60%, 80% and 100% of PEEPi,dynz respectively. Pulmonary mechanics and other parameters (heart rate, blood pressure and blood gas analysis) were measured 30 minutes after the level of PEEPe was changed.Results Work of breathing patient (WOBp), pressure time product, difference of esophageal pressure and PEEPi,dyn decreased significantly when PEEPe was applied, and continued decreasing as PEEPe was increased. Work of breathing ventilator increased significantly when PEEPe was increased to 80% and 100% of PEEPi,dynz. Significantly positive linear correlation was found between the changes in WOBp and in PEEPi,dyn.Conclusions WOBp decreases gradually as PEEPe is increased. WOBp decreases by narrowing the difference between the alveolus pressure and the central airway pressure at the end of expiration when PEEPe is applied.展开更多
An experimental study on gas absorption into falling liquid film formed on inner surface of vertical tubes has been carried out in order to clarify fundamental characteristics of the gas absorption and enhancement by ...An experimental study on gas absorption into falling liquid film formed on inner surface of vertical tubes has been carried out in order to clarify fundamental characteristics of the gas absorption and enhancement by surface waves. The water supplied into the test tubes is periodically disturbed by fluctuating a silicon tube before the test section with a speaker and the wavy films absorb the oxygen filled in the tubes. Imposing the periodic disturbance enhances the gas absorption and the enhancement has a maximum at around 20-30 Hz, where the gas absorption is 20-30% higher. Mass transfer coefficients obtained with five tubes agree well with those obtained with single tube. Two-dimensional numerical simulations have also been conducted for gas absorption by wavy film and the enhancement mechanism of the gas absorption is discussed.展开更多
文摘Asthma and allergies are considered by many physicians as being triggered by different substances in the air that people breathe. The lung is the most common site of injury by airborne pollutants. Acute effects, however, may also include non-respiratory signs and symptoms, which may depend upon toxicological characteristics of the substances and host-related factors. The studying of indoor air quality can provide a method for appropriate remedial action. Research suggests that SHD （Settled House Dust） may be a significant source for indoor exposure to different substances. This research study consisted of sampling dust from homes in different area codes. The dust samples were collected from August 2006 thru March 2007 and analyzed using GC/MS （Gas Chromatography/Mass Spectrometry）. The purpose of this research study will display how sampling household dust is a powerful tool for identifying chemicals that contribute to poor indoor air quality.
文摘Objective To investigate the effects of continuous tracheal gas insufflation (CTGI) combined with biphasic intermittent positive airway pressure (BIPAP) ventilation on dogs with spontaneous breathing. Methods Eight canine models with oleic acid induced lung injury and spontaneous breathing were ventilated in a random order by Evita 2 (Drager Inc., Germany) in modes of BIPAP (BIPAP group) and BIPAP with CTGI flow rate of 3, 6 and 9?L/min (T3, T6 and T9 groups), respectively. The setting parameters of BIPAP were fiction of inspired oxygen 60%, inspiratory to expiratory ratio 1∶1, respiratory rate 20 and positive end expiratory pressure 5?cm?H2O. Arterial and mixed venous blood gas, lung mechanics, systemic and pulmonary hemodynamics status were monitored at the same level of PaCO2 obtained by adjusting peak inspiratory pressure of BIPAP. Results Peak inspiratory pressure in the T6 group (14±4?cm?H2O) and in the T9 group (11±3?cm?H2O) were significantly lower than that of BIPAP (20±5?cm?H2O, P<0.01), but there was no significant difference among the T3, T6 and T9 groups or between the T3 and BIPAP groups. PaO2, mean artery blood pressure, mean pulmonary artery pressure, pulmonary artery wedge pressure, cardiac ouput, oxygen delivery and oxygen consumption all remained unchanged in four different conditions.Conclusions Using BIPAP combined with CTGI does not cause asynchrony between ventilator and spontaneous breathing, but significantly decreases airway pressure with no influence on hemodynamics and oxygenation. Therefore, BIPAP with CTGI may be a useful support technique, especially in cases where the airway pressure should be limited.
文摘Objective To investigate the effects of extrinsic positive end-expiratory pressure (PEEPe) on work of breathing in patients with chronic obstructive pulmonary disease (COPD) and their corresponding mechanism.Methods Ten ventilated patients with COPD were included in the study. A Bicore CP-100 pulmonary monitor (Bicore Monitoring System, USA) was used for monitoring respiratory mechanics. First, dynamic intrinsic positive end-expiratory pressure (PEEPi,dyn) was measured when PEEPe was zero, which was called PEEPi,dynz. Then the PEEPe was set randomly at 0%, 40%, 60%, 80% and 100% of PEEPi,dynz respectively. Pulmonary mechanics and other parameters (heart rate, blood pressure and blood gas analysis) were measured 30 minutes after the level of PEEPe was changed.Results Work of breathing patient (WOBp), pressure time product, difference of esophageal pressure and PEEPi,dyn decreased significantly when PEEPe was applied, and continued decreasing as PEEPe was increased. Work of breathing ventilator increased significantly when PEEPe was increased to 80% and 100% of PEEPi,dynz. Significantly positive linear correlation was found between the changes in WOBp and in PEEPi,dyn.Conclusions WOBp decreases gradually as PEEPe is increased. WOBp decreases by narrowing the difference between the alveolus pressure and the central airway pressure at the end of expiration when PEEPe is applied.
基金This work supported by Japan Society for the Promotion of Science (Project No. 13650232).
文摘An experimental study on gas absorption into falling liquid film formed on inner surface of vertical tubes has been carried out in order to clarify fundamental characteristics of the gas absorption and enhancement by surface waves. The water supplied into the test tubes is periodically disturbed by fluctuating a silicon tube before the test section with a speaker and the wavy films absorb the oxygen filled in the tubes. Imposing the periodic disturbance enhances the gas absorption and the enhancement has a maximum at around 20-30 Hz, where the gas absorption is 20-30% higher. Mass transfer coefficients obtained with five tubes agree well with those obtained with single tube. Two-dimensional numerical simulations have also been conducted for gas absorption by wavy film and the enhancement mechanism of the gas absorption is discussed.
