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Biomedical subjects

K Willeke

Publications and source records attributed to K Willeke.

At least 37 records · Page 2Linked to original sources

Effect of impact stress on microbial recovery on an agar surface.

Microbial stress due to the impaction of microorganisms onto an agar collection surface was studied experimentally. The relative recovery rates of aerosolized Pseudomonas fluorescens and Micrococcus luteus were determined as a function of the impaction velocity by using a moving agar slide impactor operating over a flow rate range from 3.8 to 40 liters/min yielding impaction velocities from 24 to 250 m/s. As a reference, the sixth stage of the Andersen Six-Stage Viable Particle Sizing Sampler was used at its operating flow rate of 28.3 liters/min (24 m/s). At a collection efficiency of close to 100% for the agar slide impactor, an increase in sampling flow rate and, therefore, in impaction velocity produced a significant decline in the percentage of microorganisms recovered. Conversely, when the collection efficiency was less than 100%, greater recovery and lower injury rates occurred. The highest relative rate of recovery (approximately 51% for P. fluorescens and approximately 62% for M. luteus) was obtained on the complete (Trypticase soy agar) medium at 40 and 24 m/s (6.4 and 3.8 liters/min), respectively. M. luteus demonstrated less damage than P. fluorescens, suggesting the hardy nature of the gram-positive strain versus that of the gram-negative microorganism. Comparison of results from the agar slide and Andersen impactors at the same sampling velocity showed that recovery and injury due to collection depends not only on the magnitude of the impaction velocity but also on the degree to which the microorganisms may be embedded in the collection medium.(ABSTRACT TRUNCATED AT 250 WORDS)

Aerosols↗

Fit test for filtering facepieces: search for a low-cost, quantitative method.

Conventional fit-testing methods use HEPA filter cartridges to distinguish face-seal leakage from filter penetration and thereby test a respirator's ability to face-seal. These methods cannot be applied to low-efficiency filtering facepieces that also protect the wearer through aerosol particle retention by the filter material. Therefore, the ability of a filtering facepiece to face-seal is of interest to the developer for improving the design and to the user for finding the conditions for optimal face-seal. A unique difference has been found between the combined aerosol penetration through filter medium and leak site at low versus high flow rate. This feature has been used to differentiate face-seal leakage from filter penetration. A "fit index" has been introduced as the most sensitive indicator of fit. When normalized by reference to the aerosol penetration through the filter material, this index displays a unified behavior irrespective of the filter material used. The fit index is determined by relating the measured total aerosol concentration at a high flow rate to that at a low flow rate. Tests during normal breathing of a human subject compare well with the data obtained during breath-holding experiments. Available instruments may be used for this test, but need to be modified for tests on humans.

Aerosols↗

Variation in quantitative respirator fit factors due to fluctuations in leak size during fit testing.

Variation in fit factors during quantitative respirator fit testing was studied for a high degree of fit (aerosol fit factors > 1000) and a low degree of fit (aerosol fit factors < 1000). In a controlled human study, fit factors were determined sequentially for three different exercises by (1) an aerosol fit test (using a portable condensation nuclei counter and room aerosol as the test agent) and (2) the newly developed dichotomous-flow fit test (Dichot). For the higher level of respirator fit, the aerosol fit factors were 30 to 60 times the corresponding flow fit factors, and for the lower level of respirator fit they were 2 to 4 times the flow fit factors. A coefficient of variation (CV) of 84% (GSD 1.6) for the higher respirator fit and 178% (GSD 2.2) for the lower respirator fit data was observed in the human study when aerosol fit factors for the three exercises were pooled. In a similar mannequin study, the center sampling probe gave aerosol fit factors with a CV of 5.4% (GSD 1.05). The flow fit factors for all three exercises pooled had a CV of 36% (GSD 1.3) for the higher respirator fit and 40% (GSD 1.5) for the lower respirator fit data, while the mannequin study gave flow fit factors with a CV of 2.2% (GSD 1.02). Thus, the variation in fit factors obtained in the human study was much higher than that obtained in a mannequin study. However, the variation in the aerosol method relative to the flow method, in the human study, os of the same order of magnitude as in the mannequin study.(ABSTRACT TRUNCATED AT 250 WORDS)

Air↗

Evaluation of counting error due to colony masking in bioaerosol sampling.

Colony counting error due to indistinguishable colony overlap (i.e., masking) was evaluated theoretically and experimentally. A theoretical model to predict colony masking was used to determine colony counting efficiency by Monte Carlo computer simulation of microorganism collection and development into CFU. The computer simulation was verified experimentally by collecting aerosolized Bacillus subtilis spores and examining micro- and macroscopic colonies. Colony counting efficiency decreased (i) with increasing density of collected culturable microorganisms, (ii) with increasing colony size, and (iii) with decreasing ability of an observation system to distinguish adjacent colonies as separate units. Counting efficiency for 2-mm colonies, at optimal resolution, decreased from 98 to 85% when colony density increased from 1 to 10 microorganisms cm-2, in contrast to an efficiency decrease from 90 to 45% for 5-mm colonies. No statistically significant difference (alpha = 0.05) between experimental and theoretical results was found when colony shape was used to estimate the number of individual colonies in a CFU. Experimental colony counts were 1.2 times simulation estimates when colony shape was not considered, because of nonuniformity of actual colony size and the better discrimination ability of the human eye relative to the model. Colony surface densities associated with high counting accuracy were compared with recommended upper plate count limits and found to depend on colony size and an observation system's ability to identify overlapped colonies. Correction factors were developed to estimate the actual number of collected microorganisms from observed colony counts.(ABSTRACT TRUNCATED AT 250 WORDS)

Aerosols↗

Impaction onto a Glass Slide or Agar versus Impingement into a Liquid for the Collection and Recovery of Airborne Microorganisms.

To study impaction versus impingement for the collection and recovery of viable airborne microorganisms, three new bioaerosol samplers have been designed and built. They differ from each other by the medium onto which the bioaerosol particles are collected (glass, agar, and liquid) but have the same inlet and collection geometries and the same sampling flow rate. The bioaerosol concentrations recorded by three different collection techniques have been compared with each other: impaction onto a glass slide, impaction onto an agar medium, and impingement into a liquid. It was found that the particle collection efficiency of agar slide impaction depends on the concentration of agar in the collection medium and on the sampling time, when samples are collected on a nonmoving agar slide. Impingement into a liquid showed anomalous behavior with respect to the sampling flow rate. Optimal sampling conditions in which all three new samplers exhibit the same overall sampling efficiency for nonbiological particles have been established. Inlet and collection efficiencies of about 100% have been achieved for all three devices at a sampling flow rate of 10 liters/min. The new agar slide impactor and the new impinger were then used to study the biological factors affecting the overall sampling efficiency. Laboratory experiments on the total recovery of a typical environmental microorganism, Pseudomonas fluorescens ATCC 13525, showed that both sampling methods, impaction and impingement, provided essentially the same total recovery when relatively nonstressed microorganisms were sampled under optimal sampling conditions. Comparison tests of the newly developed bioaerosol samplers with those commercially available showed that the incorporation of our research findings into the design of the new samplers yields better performance data than data from currently available samplers.

Journal Article↗

Aerosol penetration and leakage characteristics of masks used in the health care industry.

BACKGROUND: Historically, surgical masks have been worn to protect patients from being infected by large, pathogen-containing aerosol droplets emitted by health care personnel. Today, emphasis has shifted from solely protecting the patient to protecting the health care worker as well. As a result of new procedures used in operating rooms and clinical areas, aerosolized hazardous agents in the submicrometer size range are being produced, posing a potential threat to health care workers. METHODS: Eight surgical masks were tested for aerosol particle penetration through their filter media and through induced face-seal leaks. RESULTS: The percentage of filter penetration ranged from 20% to nearly 100% for submicrometer-sized particles. In comparison, a dust-mist-fume respirator used in industrial settings had significantly less penetration through its filter medium. When the surgical masks had artificially induced face-seal leaks, the concentration of submicrometer-sized particles inside the mask increased slightly; in contrast, the more protective dust-mist-fume respirator showed a fourfold increase in aerosol penetration into the mask with an artificial leak 4 mm in diameter. CONCLUSION: We conclude that the protection provided by surgical masks may be insufficient in environments containing potentially hazardous submicrometer-sized aerosols.

Aerosols↗

Loading and filtration characteristics of filtering facepieces.

Most filtering facepieces used today are made of electret material (material with significant electrical charges on the filter fibers). Because of the addition of this electrical removal force, the filtration efficiency can be significantly increased without increasing the air pressure drop inside the respirator; pressure drop is closely related to physiological load. However, the removal by electrical forces is reduced in time, as aerosols deposit on the filter fibers. We have studied the contribution of this electrical removal and its change in time as a function of aerosol loading. To prove the change in aerosol penetration is due to the reduction of electrical force, the electrical charges were removed from new facepieces by the application of appropriate chemicals. The dust-mist filtering facepieces tested have similar fiber diameters and packing densities, as determined by scanning electron microscopy and pressure drop data. At a face velocity of 10 cm/s (corresponding to 100 L/min through a complete filtering facepiece) and an aerosol size of 0.16 microns, electrical force removal accounts for 69% of the total filtration for the respirator found to have the best filter quality but only 25% for the respirator (from a different manufacturer) found to have the worst filter quality. Our experimental data show that the removal efficiency of these facepieces is reduced in time by as much as this amount. However, under normal wear conditions, the total aerosol particle load is not as high as shown and the filtering facepieces are likely to be discarded before the fiber charges (i.e., the electrostatic attractions) are significantly diminished.

Aerosols↗

Aerosol penetration through surgical masks.

BACKGROUND: Surgical masks are used in hospitals to reduce postoperative infection in patients. The presence of aerosols containing pathogens makes it desirable to protect the medical staff as well. METHODS: The collection efficiencies of surgical masks measured with two aerosol-size spectrometers. The flow rates through the masks were varied from 5 to 100 L/min to study the flow dependency. For comparison, several industrial-type respirators were also tested. RESULTS: A surgical mask consisting of filter material performed better than did a surgical mask consisting only of a shell with a coarse pore structure. The latter passed 80% of submicrometer-sized aerosols with little flow dependency, whereas the penetration of submicrometer-sized aerosols through the mask made of filter material ranged from 25% at a flow rate of 5 L/min to 70% at 100 L/min. CONCLUSIONS: The mask that has the highest collection efficiency is not necessarily the best mask from the perspective of the filter-quality factor, which considers not only the capture efficiency but also the air resistance. Although surgical mask media may be adequate to remove bacteria exhaled or expelled by health care workers, they may not be sufficient to remove the submicrometer-size aerosols containing pathogens to which these health care workers are potentially exposed.

Aerosols↗

Characteristics of face seal leakage in filtering facepieces.

Several studies have found that aerosol size, testing method, leak size, leak position, sampling probe location, and the mixing condition inside the respirator affect the results of fit factor measurements. This study focuses on the effect of leak shape and filter resistance because leaks have been reported to vary in shape from circular to slit-like. Four leaks of different shape but the same cross-sectional area were used to study their effect on aerosol penetration. Dust-mist and high-efficiency particulate air filtering facepieces provided different filter resistances. An aerodynamic particle sizer and a laser aerosol spectrometer were used to measure the particle size-dependent aerosol concentrations inside and outside the respirators. The filtering facepieces were sealed to a mannequin and artificial leaks were inserted near the right cheek. Aerosol penetration was measured for five flow rates ranging from 5 to 100 L/min. The pressure drop across the mask was monitored with an inclined manometer. At a given pressure differential, a slit-like leak and multiple circular leaks have been found to pass less aerosols than a single circular leak of equal cross-sectional area because the leak flow decreases with an increase in leak shape complexity. If there is substantial lack of face seal fit and the breathing rate is low, a HEPA respirator may provide less protection than a dust-mist respirator because the pressure drop is considerably higher for a HEPA respirator, resulting in more aerosol flow through the leak.

Aerosols↗

Aerosol penetration through filtering facepieces and respirator cartridges.

Air-purifying respirators must be certified following the National Institute for Occupational Safety and Health (NIOSH) filter test criteria (30 CFR 11). The criteria specify a range for the mean particle size and the measure of spread permissible for the test aerosol. The authors' experiments have shown that aerosol penetration as a function of particle size differs considerably among certified respirators of the same type. Filtering facepieces (disposable respirators) and cartridges of the dust-mist, dust-mist-fume, and high-efficiency particulate air type were tested. The respirators were sealed to mannequins in a test chamber. The aerosol concentrations inside and outside the respirator were measured by an aerodynamic particle sizer and a laser aerosol spectrometer over a particle size range of 0.1 to 15 microns. Five flow rates ranging from 5 to 100 L/min were used to study flow dependency. The aerosol penetration through the filters is presented as a function of particle size. Aerosol penetration and pressure drop are combined to express the performance of each filter in terms of "quality factor." Under the same test conditions, the quality factor of one respirator may be as much as 6.6 times more than that of another respirator of the same type. The filter quality factor has a greater aerosol size dependency as airflow and aerosol size increase. In general, cartridges have a larger surface area than filtering facepieces but not necessarily lower filter penetration or higher filter quality.(ABSTRACT TRUNCATED AT 250 WORDS)

Aerosols↗

An investigation of dust generation by free falling powders.

To identify the dust generation processes, aluminum oxide powder was dropped as a free falling slug in a test chamber. The effect of the slug's mass, diameter, and drop height upon the aerosol concentration and size distribution was measured with an aerodynamic particle sizer. To differentiate between aerosol generated during the free fall and at the end of the fall, the slug was dropped either onto a flat surface or into a container of water that suppressed dust generation associated with the impact at the end of the fall. Aerosol generation occurred during the slug's free fall as well as at the end of the fall. The falling solid induced an airflow that followed the falling solid to the end of the fall. This induced airflow contained the aerosol generated during the free fall. At the end of the free fall, the induced airflow, combined with air jets created on impact, dispersed the aerosol throughout the test chamber. Additional measurements were made by using "neutral buoyancy" helium-filled bubbles to visualize the airflow in the test chamber. The airflow and ensuing turbulence were sufficient to keep large, inspirable particles suspended throughout the test chamber for periods greater than 10 min. During experimental work, the effect of drop height, mass, and slug diameter upon aerosol generation by a single slug of powder was studied. The results indicated that the manner in which a powder is handled may be as important as material dustiness as measured by a dustiness tester. Aerosol generation can be reduced by minimizing the contact between the falling powder and the air.

Aerosols↗

Simplified pressure method for respirator fit testing.

A simplified pressure method has been developed for fit testing air-purifying respirators. In this method, the air-purifying cartridges are replaced by a pressure-sensing attachment and a valve. While wearers hold their breath, a small pump extracts air from the respirator cavity until a steady-state pressure is reached in 1 to 2 sec. The flow rate through the face seal leak is a unique function of this pressure, which is determined once for all respirators, regardless of the respirator's cavity volume or deformation because of pliability. The contaminant concentration inside the respirator depends on the degree of dilution by the flow through the cartridges. The cartridge flow varies among different brands and is measured once for each brand. The ratio of cartridge to leakflow is a measure of fit. This flow ratio has been measured on human subjects and has been compared to fit factors determined on the same subjects by means of photometric and particle count tests. The aerosol tests gave higher values of fit.

Humans↗

Effect of work load and respirator wear on postural stability, heart rate, and perceived exertion.

The effects on postural stability (sway) were investigated for different work loads under conditions of wearing a full facepiece respirator and not wearing any respiratory protection device. Fifteen subjects accomplished light (40 W), moderate (85 W), and heavy (125 W) work loads under the two conditions. Measurements of postural sway were made immediately after each load by using a multicomponent, strain gage-type force platform. Changes in each subject's movement pattern of the center of pressure were quantitated and compared to their initial baseline sway tests. Each subject's heart rate and perceived exertion were also recorded during each condition. A statistically significant effect (p = 0.007) caused by work load was observed for total length of sway with or without a respirator. An interaction approaching statistical significance (p = 0.056) between work load and respirator use was found. This indicated that sway increased more quickly and in a more consistently linear fashion with increasing work load under the respirator condition (p = 0.02) compared to the nonrespirator condition. The results from the respirator condition showed linear increases in postural sway length across the entire range of work loads, but sway length in the nonrespirator condition showed an increase only at 125-W work loads. The greater increase in sway during the postural balance test could be attributable to the increasing work load-induced proprioceptive fatigue effect on the nervous system's ability to process signals from proprioception systems incongruent with body sway. The heart rate was significantly higher during respirator wear (an increase in heart rate averaging 5.62 beats/min).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Respirator fit and protection through determination of air and particle leakage.

A laboratory technique for determining the respirator protection factor from a test of fit is described. A dynamic pressure test quantifies the air flow through the leak. Calibration data, stored in a computer, relate the contaminant influx to this air flow, and a similar pressure test determines the flow through the respirator cartridges and, therefore, the dilution characteristics. Contaminant removal characteristics of the cartridges are stored in the computer. The contaminant penetration is calculated from these data on flow and removal efficiency. Through specification of the aerosol size distribution and the method of measurement, protection factors are calculated for specific work environments, work loads and respirator cartridges. The protection factor is shown to be highly dependent on the method of measuring the contaminant and on the cartridges used.

Air Pollutants↗

Sampling and interpretation errors in aerosol monitoring.

The aerosol recorded by simple filter collection or by sophisticated instrument aerosol monitoring may differ considerably from the original, unsampled aerosol. Through use of particle-sizing instruments and computer modeling, the potential biases in sampling, display, and interpretation are demonstrated. The aerosol-size distribution and, therefore, the reported number or mass concentration may be affected by the characteristics of the sampling inlet, the transport to the sensor and the sensor itself. The particle count in specific size ranges determines the precision of the registered particle-size distribution, depending on the weighting chosen. The type of display, by histograms or cumulative plot, focuses on different aspects of the size distribution, and the calibration of the aerosol monitor may modify it further. Particle-size classification to simulate a specific region of the human respiratory system may be achieved through inertial classification or the sensitivity characteristics of the aerosol sensor. Aerosol monitors using passive sampling register the same aerosol-size distribution as active ones, if the aerosol is transported to the sensor with the same efficiency as in the active mode. The sources of various types of errors are presented using computer simulations of typical aerosol-size distributions, often combined with measurements found in the literature. Presentation of these errors in graphical format allows the health professional to estimate more accurately the health implications of aerosol measurements.

Aerosols↗

Filter and leak penetration characteristics of a dust and mist filtering facepiece.

The filtering facepiece, also referred to as a disposable respirator, is an extensively used type of respirator without an officially accepted fit testing method. This study describes an aerosol generator and a sampling train, which have been developed for investigating the aerosol penetration characteristics through the filter element and the face seal. Electrostatic attraction and impaction are the two primary filtration mechanisms for micrometer- and supermicrometer-sized aerosols, respectively. Filtration and flow dynamics were found to affect aerosol penetration in distinct ways that allow for the differentiation of the face seal leakage from the filter penetration. The slope of the aerosol size-dependent penetration curve potentially may differentiate the face seal leakage from filter penetration.

Aerosols↗

Noninvasive, quantitative respirator fit testing through dynamic pressure measurement.

A new method has been invented for the noninvasive and quantitative determination of fit for a respirator. The test takes a few seconds and requires less expensive instrumentation than presently used for invasive testing. In this test, the breath is held at a negative pressure for a few seconds, and the leak-induced pressure decay inside the respirator cavity is monitored. A dynamic pressure sensor is attached to a modified cartridge of an air-purifying respirator or built into the respirator body or into the air supply line of an air-supplied respirator. The method is noninvasive in that the modified cartridge can be mounted onto any air-purifying respirator. The pressure decay during testing quantifies the airflow entered through the leak site. An equation has been determined which gives the air leakage as a function of pressure decay slope, respirator volume and the pressure differential during actual wear--all of which are determined by the dynamic pressure sensor. Thus, the ratio of air inhaled through the filters or via the air supply line to the leak rate is a measure of respirator fit, independent of aerosol deposition in the lung and aerosol distribution in the respirator cavity as found for quantitative fit testing with aerosols. The new method is shown to be independent of leak and sensor locations. The concentration and distribution of aerosols entered through the leak site is dependent only on the physical dimensions of the leak site and the air velocity in it, which can be determined independently.(ABSTRACT TRUNCATED AT 250 WORDS)

Humans↗

Quantitative respirator fit testing: dynamic pressure versus aerosol measurement.

A noninvasive, fast, inexpensive new fit testing method has been invented which relates the slope of the pressure decay inside a respirator during breath-holding to the fit of the respirator on the wearer's face. The dynamic pressure test has been compared with the conventional aerosol test at different leakage levels. The results of this comparison show that the sensitivity of the dynamic pressure test is similar to that of the aerosol test. The pressure test, however, is independent of leak site and probe location and can be performed on respirators before and after their use.

Aerosols↗