Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “AEROSOLS”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 811 records · Page 45Linked to original sources
PubMed1995

Aerosol amphotericin B inhalations for prevention of invasive pulmonary aspergillosis in neutropenic cancer patients.

To determine the value of aerosol amphotericin B inhalations for prevention of invasive pulmonary aspergillosis (IPA), we initiated a prospective randomized multicenter trial. The scheduled intent-to-treat interim analysis included 115 patients (30%) with prolonged neutropenia after chemotherapy for acute myeloid leukemia, acute lymphoblastic leukemia/high-grade non-Hodgkin's lymphoma, or solid tumors undergoing autologous stem cell transplantation. Sixty-five patients had been randomized to receive prophylactic aerosol amphotericin B inhalations at a dose of 10 mg twice daily (group A); for the remaining 50 patients no aerosol amphotericin B prophylaxis was used (group B). No serious side effects from amphotericin B inhalations occurred, but coughing (54%), bad taste (51%), and nausea (37%) caused early cessation of aerosol amphotericin B prophylaxis in 23% (15/65) of courses. In group A, the incidence of proven, probably, or possible IPA was 5% (3/65) as compared with 12% (6/50) in group B (p > 0.05). Microbiologically documented bacterial pneumonias were observed in 5/65 (8%) patients in group A and in 1/50 (2%) patients in group B (p > 0.05). Thus, no reduction in incidence of IPA from use of prophylactic aerosol amphotericin B inhalations was found in this interim analysis. As there were no serious side effects from aerosol amphotericin B prophylaxis, accrual in the study will continue for a total of 380 patients.

Administration, Inhalation↗
PubMed1988

Design and assessment of a chamber to expose plants to simulated aerosol and rain.

Increased reports of contaminants in atmospheric aerosols necessitate the development of exposure systems that can accurately simulate aerosols for research purposes. This study outlines the design, construction, cost, and performance of a simple plexiglass chamber equipped with nozzles for rain and aerosol generation. The chamber occupies approximately 152 cm x 125 cm (height x width) space and can be used to expose six large (625 cm2) plants or twelve smaller (144 cm2) ones. The total cost of the materials used in construction, including nozzles, was less than 700 dollars. Repeated analysis of the quantity and particle size distribution of the simulated aerosol and rain showed them to be highly predictable. By adjusting the volume and/or concentration of the spray, and the position of plants within the chamber, particle sizes typical of environmental aerosols (< or = 20 microm) and rains (0.7 to 1.2 mm) could be applied to experimental plants. This sample, economical system will allow for precise simulations of important aerosols and rain events in the study of their impingement on plants.

Journal Article↗
PubMed1998

Assessment of particle size distributions of health-relevant aerosol exposures of primary lead smelter workers.

Experiments were conducted at a primary lead smelter to investigate the particle size distributions of lead-containing aerosol to which workers were exposed, using personal inhalable dust spectrometers (PIDS) in specific smelter process areas. A total of 46 PIDS samples were evaluated, taken from the ore storage/mill, sinter plant, blast furnace and dross furnace process areas. Continuous particle size distributions were derived from the raw PIDS data employing a recently-developed optimisation routine, enabling determination of the percentages of inhalable, thoracic and respirable aerosol (in terms of lead content) as fractions of total lead aerosol. In addition, the mass ratios thoracic/inhalable and respirable/inhalable were also determined. Although the parameters of the measured particle size distributions ranged widely, some clear trends emerged. Firstly, the aerosols were coarser than had been expected based on measurements of previously reported workplace particle size distributions. This is thought to be due to the fact that the PIDS collects larger particles more efficiently than other instruments which have been used for such measurements. Secondly, there were significant differences in particle size distribution between process areas, in particular that the aerosol in the blast furnace area was generally finer than in the sinter plant. Such results may be used to support the results of workplace studies (reported elsewhere) into the differences between exposures to inhalable and 'total' aerosol as measured using different sampling instruments, especially when they are used together with knowledge of the physical processes governing the performances of such instruments.

Analysis of Variance↗
PubMed1999

Local circulation and aerosol water-soluble ions--a case study in Taiwan during Mei-yu season

The Mei-yu (plum rain) season is a short but important period when the weather changes from spring to summer in Taiwan. In this study, size-segregated aerosols were collected alternately at 5 sampling sites in northwestern Taiwan from June 16 to 24, 1994. For the first time in Taiwan, this study revealed the aerosol mass spectra and water-soluble ions in the Mei-yu season. For all samples, a bi-modal aerosol mass spectra was found with modal diameters at 3.2 and 0.32 microm, respectively. The aerosol samples were able to be divided into different groups to show their mass and ion spectra according to the calculated 5-hr backward air trajectory. The utilization of enrichment factors showed that aerosol Cl-, Na+, and Mg2+ for all sizes, and super-micron SO4(2-) were related to the sea. Both the scheme of "chlorine loss" (Ohta and Okita, 1990) and a multivariate analysis (Thurston and Spengler, 1985) for categorizing water-soluble ions showed that sea-salts were major contributors in the prevalence of a sea breeze. In contrast, the secondary salts were significant for land breeze and a mix of land-sea breeze. In conclusion, the influence of local circulation on the distribution of aerosol mass and ionic species was found to be prominent.

Journal Article↗
PubMed2000

Optical patternation: a technique for three-dimensional aerosol diagnostics

A novel technique based on optical patternation is described for three-dimensional diagnostic studies of aerosols used in analytical spectroscopies. The aerosol is illuminated with a thin laser light sheet to capture images of the fluorescence and Lorenz-Mie light-scattering signals from the aerosol field with a charge-coupled detector. These measurements allow for the rapid and nonintrusive elucidation of two-dimensional spray structures, planar mass distributions, and spatial droplet size distributions. The ratio of the fluorescence image to the Lorenz-Mie image is then utilized to construct a spatially resolved map of the volume-to-surface area mean of the aerosol (Sauter mean diameter). Three-dimensional maps of spray structure, mass distribution, and droplet size distribution are obtained for the entire aerosol field by image stacking. The technique is applied to the measurement of the droplet size over the aerosol field at distances of 5-30 mm from the nebulizer tip where droplet sizes ranged from 6 to 12 microm for a direct injection high efficiency nebulizer used in inductively coupled plasma spectrometries.

Journal Article↗
PubMed2001

Quantitative detection of aromatic compounds in single aerosol particle mass spectrometry.

Most laser-based aerosol mass spectrometers rely on a single ultraviolet laser to both ablate and ionize the aerosol particle. This technique produces complex and fragmented mass spectra, especially for organic compounds. The approach presented here achieves a more robust and quantitative analysis using a CO2 laser to evaporate the aerosol particle and a vacuum ultraviolet laser to ionize the vapor plume. Vacuum ultraviolet laser ionization produces little fragmentation in the mass spectra, making the identification of an aerosol particle's constituents more straightforward. An analysis of simple, three-component mixtures of aniline, benzyl alcohol, and m-nitrotoluene shows that the technique also provides a quantitative analysis for all the components of the mixture. Furthermore, the detection of predominantly parent ion signal from anthracene particles demonstrates the utility of the technique in the analysis of lower vapor pressure, solid-phase aerosols. Finally, we discuss the potential and limitations of this technique in analyzing organic atmospheric aerosols.

Journal Article↗
PubMed2003

Elemental fractionation studies in laser ablation inductively coupled plasma mass spectrometry on laser-induced brass aerosols.

Previous investigations on laser-induced aerosols of brass samples showed that preferential vaporization of zinc occurs during the ablation process leading to elemental fractionation and limited possibilities for non matrix matched calibration. In a variety of experiments carried out within this study it is shown that multiple effects are complicating the quantification of brass using IA-ICPMS. It is shown that the ablated copper and zinc is not homogeneously distributed within the laser-produced aerosol. Copper was found enriched up to 100% in particles larger than 100 nm as shown from EDX measurements (electron excited) on individual particles, and zinc was enriched by over 40% in the particles smaller than the lowest measurable particle size (below 100 nm or in the vapor phase). Solution nebulization analysis on digested filter-collected aerosols results in a higher Cu/Zn ratio than the certified value for the brass sample. ESEM pictures with analysis of the electron excited X-rays measured on the filter-collected material support the results showing copper enrichment. However, online LA-ICPMS measurements carried out under the same operating conditions as for filtering show a copper depletion within the ICP, which leads to the conclusion of partial vaporization and ionization of the aerosol particles in the ICP. The larger particles containing more or exclusively copper are not completely ionized. Within this study, three sources of elemental fractionation can be distinguished and described: (A) The ablation process leads to no measurable copper enrichment at the ablation crater rim. (B) Zinc deposition between the ablation site and the aerosol collection on filters leads to an up to 37% higher Cu/Zn ratio on the filter in comparison to the certified value. (C) On-line laser ablation aerosols measured within the ICPMS lead to significantly lower Cu/Zn ratios in comparison to the certified value. (D) Combination of the various studied sources of fractionation can finally lead to an agreement between measured and certified values due to inverse overlapping of various fractionation sources.

Journal Article↗
PubMed2005

Development of a detector for liquid chromatography based on aerosol chemiluminescence on porous alumina.

This paper describes a novel aerosol chemiluminescence-based detector, which can be coupled to liquid chromatography for the determination of the chemicals with weak optical absorbance in the UV-visible region. This aerosol chemiluminescence (CL)-based detector, in which HPLC effluent is converted to aerosol and then generated CL emission on the surface of porous alumina, is composed of three main processes: nebulization of HPLC effluent, CL emission on surface of porous alumina material, and optical detection. To demonstrate the utility of the aerosol chemiluminescence detector, some compounds such saccharides, poly(ethylene glycol)s, amino acids, and steroid pharmaceuticals are determined by the present aerosol chemiluminescence detection method. Compared with an evaporative light scattering detector, the proposed detector shows the following features: (a) extensive CL emissions on porous alumina by many compounds tested, which leads to the potential application for the determination of volatile and nonvolatile chemicals with or without UV-visible absorbance; (b) a CL mechanism based on the catalytic oxidation of analytes, not on the light scattering, which suggests the present detector be free from the interference of the inorganic and nonvolatile mobile-phase modifiers. The CL characteristics and effect of different parameters, such as temperature and nebulizer gas flow rate, were also discussed in this paper. Furthermore, this aerosol chemiluminescence-based detector was successfully applied to the determination of raffinose, glucose, sucrose, maltose, and alpha-lactose.

Journal Article↗
PubMed2001

Systemic delivery of cetrorelix to rats by a new aerosol delivery system.

PURPOSE: To study the pulmonary absorption and tolerability of various formulations of the decapeptide cetrorelix acetate in rats by a new aerosol delivery system (ASTA-ADS) for intratracheal application. METHODS: Using the ASTA-ADS, cetrorelix liquid formulations (aqueous solutions for ultrasonic nebulization) were firstly selected and subsequently delivered as nebulized aerosol to orotracheally cannulated rats. The pharmacologic effect (decrease of testosterone serum level) of four cetrorelix formulations was determined in rats by enzyme linked immunosorbant assay, and pharmacokinetic data were determined after measurement of cetrorelix serum level by radioimmunoassay. Histological examination of the lung was performed at the end of the experiments, and in a supplementary experiment the respiratory parameters (resistance and compliance) of rats were monitored by a validated pulmonary monitoring system during the aerosol application of the same formulations. RESULTS: After an exposure time of 5 min, the applied formulations reduced the testosterone concentration in serum to subnormal levels (< or =1 ng/ml) over a period of 24 h. Comparing the plasma concentration after intratracheal aerosolization with data of intravenous administration, the mean calculated bioavailabilities for the four formulations using the corrected dose (delivered--exhaled amount) were between 48.4 +/- 27.0% and 77.4 +/- 44.0%. The histologic examination of the lungs revealed different tolerability of the various tested formulations ranging from locally intolerable to well tolerated. The measurement of the lung function parameters did not reveal any compound or formulation related changes. CONCLUSIONS: Our studies show that cetrorelix can be effectively administered as aerosol and that intratracheal aerosolization via the ASTA-ADS provides results that are well comparable to other application routes, as demonstrated by statistical comparison of the newly obtained data with previous results from intratracheal instillation of cetrorelix solutions in rats.

Administration, Inhalation↗
PubMed2000

Large differences in tropical aerosol forcing at the top of the atmosphere and Earth's surface

The effect of radiative forcing by anthropogenic aerosols is one of the largest sources of uncertainty in climate predictions. Direct observations of the forcing are therefore needed, particularly for the poorly understood tropical aerosols. Here we present an observational method for quantifying aerosol forcing to within +/-5 per cent. We use calibrated satellite radiation measurements and five independent surface radiometers to quantify the aerosol forcing simultaneously at the Earth's surface and the top of the atmosphere over the tropical northern Indian Ocean. In winter, this region is covered by anthropogenic aerosols of sulphate, nitrate, organics, soot and fly ash from the south Asian continent. Accordingly, mean clear-sky solar radiative heating for the winters of 1998 and 1999 decreased at the ocean surface by 12 to 30 Wm(-2), but only by 4 to 10 Wm(-2) at the top of the atmosphere. This threefold difference (due largely to solar absorption by soot) and the large magnitude of the observed surface forcing both imply that tropical aerosols might slow down the hydrological cycle.

Journal Article↗
PubMed2006

Analysis of anions in ambient aerosols by microchip capillary electrophoresis.

We describe a microchip capillary electrophoresis method for the analysis of nitrate and sulfate in ambient aerosols. Investigating the chemical composition of ambient aerosol particles is essential for understanding their sources and effects. Significant progress has been made towards developing mass spectrometry-based instrumentation for rapid qualitative analysis of aerosols. Alternative methods for rapid quantification of selected high abundance compounds are needed to augment the capacity for widespread routine analysis. Such methods could provide much higher temporal and spatial resolution than can be achieved currently. Inorganic anions comprise a large percentage of particulate mass, with nitrate and sulfate among the most abundant species. While ion chromatography has proven very useful for analyzing extracts of time-integrated ambient aerosol samples collected on filters and for semi-continuous, on-line particle composition measurements, there is a growing need for development of new compact, inexpensive approaches to routine on-line aerosol ion analysis for deployment in spatially dense, atmospheric measurement networks. Microchip capillary electrophoresis provides the necessary speed and portability to address this need. In this report, on-column contact conductivity detection is used with hydrodynamic injection to create a simple microchip instrument for analysis of nitrate and sulfate. On-column contact conductivity detection was achieved using a Pd decoupler placed upstream from the working electrodes. Microchips containing two Au or Pd working electrodes showed a good linear range (5-500 microM) and low limits-of-detection for sulfate and nitrate, with Au providing the lowest detection limits (1 microM) for both ions. The completed microchip system was used to analyze ambient aerosol filter samples. Nitrate and sulfate concentrations measured by the microchip matched the concentrations measured by ion chromatography.

Journal Article↗
PubMed2001

Evaluation of aerosol contamination during debonding procedures.

The aim of this study was to show how the aerosol generated by the use of an air turbine handpiece during debonding procedures increases the potential risk factor for the distribution of infectious agents. A second aim of the study was to evaluate the effectiveness of a preprocedural chlorhexidine mouth rinse in reducing the number of colony forming units (CFU) found in aerosol samples. Blood agar plates were attached to the face shields and the dental chair table and were used for collecting the aerosol samples. In the first part of the study, 260 samples were collected for the baseline group in an empty room, 36 samples were collected for the control group (C), in which the orthodontist, dental assistant, and the patient were in the operatory room, and 42 samples were collected for the debonding group (DB). The microbiologic analysis showed significant differences between the baseline group and the control group (P < .05). Furthermore, aerosol contamination increased significantly during the debonding procedure when compared with the control group (P < .01). In the second part of the study, an air turbine handpiece was used to remove excess adhesive from the tooth surface on one side of the mouth and air samples were collected. The patients then were instructed to rinse their mouths with 0.2% chlorhexidine gluconate for 1 minute, and the orthodontist worked on the other side of the mouth and the air sampling was repeated. An insignificant reduction was found in the number of colony forming units following the chlorhexidine mouth rinse. Results of this study indicated that orthodontists are exposed to high levels of aerosol generation and contamination during the debonding procedure, and preprocedural chlorhexidine gluconate mouth rinse appears to be ineffective in decreasing the exposure to infectious agents. Therefore, barrier equipment should be used to prevent aerosol contamination.

Adolescent↗
PubMed2000

Aerosol therapy in mechanically ventilated patients: recent advances and new techniques.

Therapeutic aerosols are commonly used in mechanically ventilated patients, yet information regarding their efficacy and optimal technique of administration has been limited. The advantages of aerosol therapy include a smaller dose, efficacy comparable with that observed with systemic administration of the drug, and a rapid onset of action. Inhaled drugs are delivered directly to the respiratory tract, their systemic absorption is limited, and systemic side effects are minimized. Inhaled bronchodilators are routinely used with mechanically ventilated patients in the intensive care unit, but a variety of drugs ranging from antibiotics to surfactants has been administered. Nebulizers and metered-dose inhalers (MDIs) are commonly used aerosol generators because they produce respirable particles with a mass median aerodynamic diameter (MMAD) between 1 and 5 mum. Due to the limitation of available formulations, MDIs are chiefly used to deliver bronchodilators and steroids, whereas nebulizers have greater versatility and can be used to administer bronchodilators, antibiotics, surfactant, mucokinetic agents, and other drugs. The delivery of inhaled drugs in mechanically ventilated patients differs from that in ambulatory patients in several respects. Until recently, the consensus of opinion was that the efficiency of aerosol delivery to the lower respiratory tract in mechanically ventilated patients was much lower that that in ambulatory patients. Data suggest that this might be overly pessimistic and that the endotracheal tube may actually facilitate greater aerosol delivery compared with the normal airway when a variety of variables effecting aerosol delivery during mechanical ventilation are optimized.

Journal Article↗
PubMed2006

New approach to the kinetics of heterogeneous unary nucleation on liquid aerosols of a binary solution.

The formation of a droplet on a hygroscopic center may occur either in a barrierless way via Kohler activation or via nucleation by overcoming a free energy barrier. Unlike the former, the latter mechanism of this process has been studied very little and only in the framework of the classical nucleation theory based on the capillarity approximation whereby a nucleating droplet behaves like a bulk liquid. In this paper the authors apply another approach to the kinetics of heterogeneous nucleation on liquid binary aerosols, based on a first passage time analysis which avoids the concept of surface tension for tiny droplets involved in nucleation. Liquid aerosols of a binary solution containing a nonvolatile solute are considered. In addition to modeling aerosols formed through the deliquescence of solid soluble particles, the considered aerosols constitute a rough model of "processed" marine aerosols. The theoretical results are illustrated by numerical calculations for the condensation of water vapor on binary aqueous aerosols with nonvolatile nondissociating solute molecules using Lennard-Jones potentials for the molecular interactions.

Journal Article↗
PubMed2005

Aerosol-administered alpha-tocopherol attenuates lung inflammation in rats given lipopolysaccharide intratracheally.

Intrapulmonary administration of bacterial lipopolysaccharide (LPS) induces a well-characterized lung inflammatory response involving alveolar macrophage activation, proinflammatory cytokine elaboration, and neutrophil influx. Vitamin E, a lipophilic antioxidant consisting of a family that includes tocopherols and tocotrienols, has previously been shown to have a variety of anti-inflammatory effects, raising interest in its possible uses in disease prevention or therapy. Because aerosol delivery is a specific and rapid way to administer agents to the lungs, the authors undertook to determine whether inhaled vitamin E aerosols would have an anti-inflammatory effect in the lungs. Using a rat model of acute lung inflammation caused by intratracheally administered LPS (10 microg Pseudomonas aeruginosa LPS), the authors examined the effect of aerosol-administered vitamin E, in this case alpha-tocopherol, on several indices of lung inflammation which are increased by LPS treatment. It was found that inhaled alpha-tocopherol aerosol, but not inhaled alpha-tocopherol acetate aerosol, decreased tumor necrosis factor alpha (TNFalpha) and cytokine-induced neutrophil chemoattractant-1 (CINC-1) mRNA levels in lung tissue, TNFalpha and CINC-1 immunoreactive protein levels in lung lavage, and the number of neutrophils recoverable by lung lavage from rats given LPS intratracheally. These results contribute to the increasing body of work describing immunomodulatory functions of alpha-tocopherol, and support the idea that direct aerosol administration of alpha-tocopherol may play a beneficial role in strategies to control inflammatory lung illnesses.

Administration, Inhalation↗
PubMed2003

Source identification of atlanta aerosol by positive matrix factorization.

Data characterizing daily integrated particulate matter (PM) samples collected at the Jefferson Street monitoring site in Atlanta, GA, were analyzed through the application of a bilinear positive matrix factorization (PMF) model. A total of 662 samples and 26 variables were used for fine particle (particles < or = 2.5 microm in aerodynamic diameter) samples (PM2.5), and 685 samples and 15 variables were used for coarse particle (particles between 2.5 and 10 microm in aerodynamic diameter) samples (PM10-2.5). Measured PM mass concentrations and compositional data were used as independent variables. To obtain the quantitative contributions for each source, the factors were normalized using PMF-apportioned mass concentrations. For fine particle data, eight sources were identified: SO4(2-) -rich secondary aerosol (56%), motor vehicle (22%), wood smoke (11%), NO(3-) -rich secondary aerosol (7%), mixed source of cement kiln and organic carbon (OC) (2%), airborne soil (1%), metal recycling facility (0.5%), and mixed source of bus station and metal processing (0.3%). The SO4(2-) -rich and NO(3-) -rich secondary aerosols were associated with NH(4+). The SO4(2-) -rich secondary aerosols also included OC. For the coarse particle data, five sources contributed to the observed mass: airborne soil (60%), NO(3-)-rich secondary aerosol (16%), SO4(2-) -rich secondary aerosol (12%), cement kiln (11%), and metal recycling facility (1%). Conditional probability functions were computed using surface wind data and identified mass contributions from each source. The results of this analysis agreed well with the locations of known local point sources.

Air Pollutants, Occupational↗
PubMed1987

Response characteristics of scattered light aerosol sensors used for control monitoring.

The response characteristics of scattered light aerosol monitors used in control monitoring applications were evaluated. In this report, "control monitoring" refers to continuous, fixed point monitoring used to ensure that dust controls are effective. Instruments evaluated included the following: an ATI-722, which uses a white light source; a RAM-S, which uses a LED source; and a PCAM-TX, which uses a LED source and provides a correction for particle size. The linearity of the monitors was evaluated from 0.5-10 mg/m3 with the use of coal dust as an aerosol. This concentration range was broken up into two smaller ranges since it was not possible to generate an aerosol with a constant size distribution over the entire range. All instruments showed a linear response with concentration for constant dust size distribution. The size sensitivity of the instruments was determined by passing a test aerosol through a series of impactor stages and measuring the mass response of each instrument relative to the indicated mass response of an Aerodynamic Particle Sizer (APS). The particle size was varied from 2-14 microns. The mass response of the instruments relative to the APS over this size range varied from as low as 0.1 to as high as about 5. The PCAM provides data that indicate changes in the size distribution of the aerosol being monitored. A simple model was developed to relate the net response of each test instrument to various log normal size distributions. The user of the instruments has to be aware of particle size changes in the aerosol being monitored since changes in the size distribution will affect the relationship between the response of the instruments and the mass concentration. Guidelines for instrument use are given in order to show how the instruments can be applied to the continuous monitoring of dust in the workplace.

Air Pollutants, Occupational↗
PubMed1991

Technetium 99m radiolabeling of aerosolized drug particles from metered dose inhalers.

To assess mechanisms of bronchodilation and effectiveness of metered dose inhalers, it may be useful to determine sites of drug deposition in the lung. To establish suitable test aerosols, two brands of metered dose inhalers containing bronchodilator (Brethaire, Proventil) were radiolabeled with technetium ( 99mTc) and tested to determine if the distribution of radioisotope in the aerosol was representative of the distribution of agonist activity. Cascade impaction was used to determine the particle size distribution of the radioisotope and drug aerosols by assaying each state of the cascade using scintillation and HPLC techniques. Possible influences of the radiolabeling method and delivery techniques on the particle distribution were assessed by analyzing distributions from nonradiolabeled inhalers using HPLC. For these drugs, there was an excellent correlation between the distribution of radioactivity and the drug within the captured aerosol (Brethaire r = 0.994, Proventil r = 0.998, 20 - 200 consecutive puffs). Distributions were close to log-normal and differences in mass median aerodynamic diameter (MMAD) between the radioisotope and agonist activities were not significant (Brethaire, MMAD +/- sigma g, radiolabel vs drug = 4.7 +/- 2.1 mum, vs 4.4 +/- 1.7 mum, and Proventil, 2.5 +/- 2.1 mum, vs 2.4 +/- 2.0 mum. Non-labeled inhalers produced similar drug distributions (Brethaire, 4.2 +/- 1.8 mum, and Proventil 2.0 +/- 1.9 mum). Pausing between actuations resulted in slightly smaller distributions (Brethaire, 3.6 +/- 1.8 mum, Proventil 1.8 +/- 1.8 mum, 20 puffs-60 sec pauses) but the differences were not significant. In addition, to search for multimodal distributions and assess the accuracy of the MMAD measurement via our cascade impactor (Delron), we also measured the distribution of the mass of material within the aerosols using a weight-sensitive cascade (California Measurements). Using the latter device (1 puff), the mass distributions of both aerosols were similar to the values obtained from the puffs with pauses (Brethaire 3.8 +/- 2.3 mum, Proventil 1.4 +/- 2.2 mum). Multi-modal distributions were not found. By all assessments, the distributions were nearly log-normal with drug activity well described by the radiolabel.

Bronchodilator Agents↗