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PubMed2005

Complex organic matter in Titan's atmospheric aerosols from in situ pyrolysis and analysis.

Aerosols in Titan's atmosphere play an important role in determining its thermal structure. They also serve as sinks for organic vapours and can act as condensation nuclei for the formation of clouds, where the condensation efficiency will depend on the chemical composition of the aerosols. So far, however, no direct information has been available on the chemical composition of these particles. Here we report an in situ chemical analysis of Titan's aerosols by pyrolysis at 600 degrees C. Ammonia (NH3) and hydrogen cyanide (HCN) have been identified as the main pyrolysis products. This clearly shows that the aerosol particles include a solid organic refractory core. NH3 and HCN are gaseous chemical fingerprints of the complex organics that constitute this core, and their presence demonstrates that carbon and nitrogen are in the aerosols.

Aerosols↗
PubMed2001

Pulmonary cytokine responses associated with PEI-DNA aerosol gene therapy.

Pulmonary gene therapy with nonviral vectors delivered by instillation or intravenously has typically been associated with co-induction of cytokine responses attributed to the CpG motifs in the bacterial plasmid. Alternative delivery systems are being developed to circumvent the cytokine responses to the plasmid. Aerosol delivery of polyethylenimine--DNA (PEI-DNA) complexes leads to localized, high levels of transgene expression in the lungs. In this study, we show that PEI-DNA aerosol delivery is also associated with induction of tumor necrosis factor alpha (TNF-alpha) and interleukin 1 beta (IL-1 beta) in the lung and bronchoalveolar lavage fluid (BALF). However, there is no increase in the serum levels of these cytokines. The levels of these cytokines peak at 5--8 h after aerosol exposure for lung tissue, and at 24 h for BALF. However, the levels detected are much lower than those observed when PEI-DNA complexes, guanidinium--cholesterol: dioleoylphosphatidyl--ethanolamine liposome--DNA (BGTC:DOPE--DNA) complexes or 1,2-dioleoyl-sn-glycero-3-trimethylammonium--propane--cholesterol:DNA (DOTAP-Chol:DNA) complexes were delivered intravenously. Also, the lung cytokine levels were higher when BGTC:DOPE--DNA complexes were delivered by aerosol to the mice. Although the mechanism remains to be elucidated, the data suggest that aerosol exposure to PEI--DNA complexes can achieve high levels of transgene expression in the lungs without inducing high levels of cytokine responses.

Administration, Inhalation↗
PubMed1996

Assessment of particle size distributions in workers' aerosol exposures.

A full description of the regional dosimetry of inhaled workplace aerosols requires information about the particle aerodynamic size distributions of inhaled aerosols for appropriate health-related species. Therefore, since the late 1970s, interest has risen in how to assess workers' aerosol exposures in terms of particle fractions which may be inhaled and penetrate down to different parts of the human respiratory tract. The personal inhalable dust spectrometer (PIDS) was proposed as a versatile sampling instrument for assessing workers' exposures along these lines. Raw data from this cascade impactor-based instrument are obtained initially in terms of discrete particulate masses collected on the individual impactor stages. Recovery of the desired particle size distribution is difficult because the mathematical inversion problem is 'ill-posed' (i.e., there are many possible solutions that would be consistent with the observed masses). However, a routine has been developed that involves considerations of the detailed deposition characteristics of the impactor stages, measurement errors and a priori assumptions about the shape of the expected particle size distribution (e.g., log-normal). These differ from other such routines in that account is taken not only of aerosol deposited at the impactor stages but also that collected inside the entry system. Hence the final result covers the whole inhalable range, for particles up to and exceeding 100 microns in aerodynamic diameter. The PIDS has recently been used in studies in several industries to examine inhalable particle size distributions for individual exposed workers. This paper considers the results of such studies, and discusses how they may be used to provide information not only about the inhalable, thoracic and respirable fractions identified in the latest particle size-selective sampling criteria (upon which it is expected that future aerosol standards will be based), but also other health-related fractions that may be defined numerically (including, for example, alveolar deposition fractions for workers with different breathing patterns relevant to the type of work undertaken).

Aerosols↗
PubMed2001

Monitoring of the natural environment by chemical speciation of elements in aerosol and sediment samples.

The development of a monitoring network for chemical speciation of elements of aerosol and sediment samples collected at Lake Balaton has been carried out. Sequential leaching procedures for the determination of the distribution of elements in aerosols (3 steps) and sediments (4 steps) were used. These methods were recently successfully applied to describe environmentally mobile and stable fractions of toxic metals. In aerosol matrices the partition of elements was accomplished by particle size and chemical bonding. In sediments the distribution was performed by chemical bonding. The processes are called fractionation of elements. Particular attention was paid to distinguishing between environmentally mobile and environmentally immobile fractions because these represent the two extreme modes by which the metals are bound to solid matrices. The monitoring objectives were to assess pollution effects on man and his environment and to identify any possible cause and effect relationship between pollutant concentrations and health effects. The results of dry and wet deposition rates showed that most of the toxic metals were dissolved in an aqueous phase and the wet deposition played an important role. It has been found that, while the concentration of Cd and Pb in aerosols is low (0.7 and 29 ng m(-3), respectively), environmentally mobile fractions are considerable. Based upon the data it can be concluded that the effect of the anthropogenic sources on the quality of the lake is minor. This has been the first attempt to correlate speciation results between aerosols and sediments.

Aerosols↗
PubMed2001

Chemical speciation and sequential extraction of Mn in workroom aerosols: analytical methodology and results from a field study in Mn alloy plants.

Workers in the Mn alloy producing industry are exposed to aerosols containing a variety of Mn compounds (MnO, MnO,, Mn2O3, Mn3O4, FeMn and SiMn). This paper reports a novel four-step chemical speciation/ fractionation procedure developed for characterisation of workroom aerosols collected in Mn alloy producing plants. The following components of the aerosol have been quantified: "water soluble" Mn dissolved in 0.01 M ammonium acetate: Mn0 and Mn2+ dissolved in 25% acetic acid; Mn3+ and Mn4+ dissolved in 0.5%) hydroxylamine hydrochloride in 25%) acetic acid; and "insoluble" Mn digested in aqua regia and hydrofluoric acid. Dissolution of pure Mn compounds with well-defined stoichiometries were essentially complete in the respective leaching steps with detectable amounts of < 1% in others. Recoveries of a mixed quality control sample were also acceptable in the range 92-97% for the different oxidation states. The levels measured in the inhalable and respirable fractions in three Mn alloy producing plants were approximately 300 and 35 microg m(-3) of total Mn, respectively. The most obvious feature of the speciation results is that none of the work areas is characterised by a single Mn contaminant. The predominant oxidation states in the inhalable aerosol fraction are Mn0 and Mn2+ independent of job functions/departments. The occurrence of insoluble Mn compounds in both the inhalable and respirable aerosol fractions is significantly higher during production of SiMn.

Aerosols↗
PubMed2005

Air quality and ventilation fan control based on aerosol measurement in the bi-directional undersea Bømlafjord tunnel.

Aerosol, NO and CO concentration, temperature, air humidity, air flow and number of running ventilation fans were measured by continuous analysers every minute for a whole week for six different one-week periods spread over ten months in 2001 and 2002 at measuring stations in the 7860 m long tunnel. The ventilation control system was mainly based on aerosol measurements taken by optical scatter sensors. The ventilation turned out to be satisfactory according to Norwegian air quality standards for road tunnels; however, there was some uncertainty concerning the NO2 levels. The air humidity and temperature inside the tunnel were highly influenced by the outside metrological conditions. Statistical models for NO concentration were developed and tested; correlations between predicted and measured NO were 0.81 for a partial least squares regression (PLS1) model based on CO and aerosol, and 0.77 for a linear regression model based only on aerosol. Hence, the ventilation control system should not solely be based on aerosol measurements. Since NO2 is the hazardous polluter, modelling NO2 concentration rather than NO should be preferred in any further optimising of the ventilation control.

Aerosols↗
PubMed2005

FTIR spectroscopic investigations of supersaturated NaClO4 aerosols.

Supersaturated NaClO4 aerosols have been studied using a Fourier transform infrared (FTIR) spectrometer coupled with an aerosol flow tube (AFT). Compared with previous Raman results, the water O-H stretching envelope in the supersaturated solutions of NaClO4 aerosols was more structured in response to changing RH, revealing at the same time the existence of water monomers weakly hydrogen-bonded with ClO4- at extremely high concentrations. Due to enhanced ion interactions in the supersaturated solutions of NaClO4 aerosols, the formation of contact ion pairs (CIPs) could be observed without component decomposition for the nondegenerate nu1 band of ClO4-, and the degenerate nu3 band of ClO4- was successfully related to the formation of CIPs in NaClO4 solutions. Based on these observations, a new mechanism featured by the attack of ClO4- upon hydrated Na+ for CIPs formation in the supersaturated solutions of NaClO4 aerosols was further proposed. The anhydrous NaClO4, characterized by the upper limit deliquescence relative humidity (DRH) of approximately 43% and the disappearance of the nu1 band of ClO4- in the infrared spectra, was observed to form on the silicon windows at low RHs.

Aerosols↗
PubMed2005

Chemical composition and physical features of summer aerosol at Terra Nova Bay and Dome C, Antarctica.

During the 2002-2003 austral summer field season, aerosol samples were collected at a coastal (Terra Nova Bay--Northern Victoria Land) and an inland site (Dome C--East Antarctic Plateau). The sampling was carried out by stacked filter units made up of two filters at different porosity (5.0 and 0.4 microm at Terra Nova Bay and 3.0 and 0.4 microm at Dome C), able to roughly separate a coarse from a fine fraction. At Dome C, a further investigation on aerosol size distribution was performed by an inertial impactor able to collect aerosol particles on 8 size classes (from 10 to 0.4 microm). Atomic Force Microscopy was applied to the filter collecting the finer fraction in both sites in order to assess the real cut-off value of the filter sandwich apparatus and to reconstruct the volume size distribution. At the employed flow conditions, the real cut-off value was revealed to be about one third with respect to the filter nominal porosity in both stations. The size distribution plots showed a bimodal distribution with a mode centered around 0.22 microm in both the sites and a second broader mode which is centered between 0.3 microm and 1.2 microm diameter at Terra Nova Bay and shifted toward higher values (centred around 1.0 microm diameter) at Dome C. Each filter was analysed for the main and trace ionic components allowing evaluation of the contributions of primary and secondary aerosol sources at the two sites as a function of the particle size class. The coastal site is mainly affected by primary and secondary marine inputs: the sea spray contribution (Na+, Mg2+, Cl- and ssSO4(2-)) is dominant (77% w/w) in the coarse fraction whereas the biogenic source (methanesulfonate and nssSO4(2-)) prevails (67.5% w/w) in the fine fraction. In this fraction a significant contribution (15.5% w/w) is provided by ammonium likely to be related to surrounding penguin colonies. Dome C atmosphere is characterised by fine particles arising from secondary sources and long-range transport processes. The main component in the fine and coarse fractions at Dome C is sulfate whose nssSO4(2-) represents the 99.5% and the 92.3%(w/w) in fine and coarse fraction, respectively. The observed agreement between nssSO4(2-) and methanesulfonate temporal profiles in the fine fraction demonstrates that biogenic emissions dominate the inland background aerosol. Results from the sampling by the 8-stage impactor at Dome C are presented here: chloride and nitrate are mainly deposited on the 10-2.1 microm stages while the highest sulfate concentration was found in the submicrometric fraction which turned out to be the most acidic. Such a distribution is able to prevent nitrate and chloride re-emission as gaseous HCl and HNO3 in the 10-2.1 microm stages, arising from the exchange reaction between chloride and nitrate salts and sulfuric acid. Moreover, the concentration peak observed for nitrate in coarser fractions is probably related also to the formation of hygroscopic NH4NO3 particles and nitrate adsorption on sea salt particles.

Aerosols↗
PubMed2005

Health-related aerosol measurement: a review of existing sampling criteria and proposals for new ones.

Interest in particle size-selective sampling for aerosols in working and ambient living environments began in the early 1900s when it became apparent that the penetration into-and deposition in-the respiratory tract of aerosol-exposed humans of inhaled particles was dependent on particle size. Coarse particles tended to be filtered out during inhalation and in the upper parts of the respiratory tract, so only progressively smaller particles penetrated down to the deep regions of the lung. Over time, following experimental studies with 'breathing' mannequins in wind tunnels and with human volunteer subjects in the laboratory, a clear picture has emerged of the physical, physiological and anatomical factors that control the extent to which particles may or may not reach certain parts of the respiratory tract. Such understanding has increasingly been the subject of discussions about aerosol standards, in particular the criteria by which exposure might be defined in relation to given classes of aerosol-related health effect-and in to turn aerosol monitoring. The ultimate goal has been to develop a set of criteria by which exposure standards are scientifically relevant to the health effects in question. This paper reviews the scientific basis for such criteria. It discusses the criteria that have already been widely discussed and so are either being applied or are on the threshold of practical application in standards. It also discusses how new advanced knowledge may allow us to extend the list of particle size-selective criteria to fractions that have not yet been widely discussed but which may be of importance in the future.

Aerosols↗
PubMed2006

Analysis of chemical kinetics at the gas-aqueous interface for submicron aerosols.

The effect of kinetics of chemical reactions in the gas-liquid interface between atmospheric gases and reactive solute in dilute aqueous aerosols is analysed in order to see if such processes will affect the overall uptake rate. Accordingly, a parameterization of such heterogeneous reactions was derived, taking into account interfacial reactions. Gibbs surface excess concentration of both reactive compounds and stable compounds leads to higher heterogeneous reaction rates in comparison to aqueous phase bulk reactions. An analytical formulation shows that the surface reactions may be of considerable importance for the uptake process in the case of small liquid aerosols even in the absence of organic film on the surface. In particular, we demonstrate that the uptake rate of atmospheric gas-phase oxidants (such as OH, NO(3) or O(3)) reacting with volatile organic compounds (such as ethanol or methanol) is increased by more than 10% for atmospheric aerosols with diameters lower than 0.1 microm. This effect is in addition intensified in the case of reactions of atmospheric oxidants with liquid aerosols containing organic surfactants, such as semi-volatile organic compounds, i.e., the chemical reactions at the gas-liquid interface may be dominant in the main uptake process for atmospheric submicron aerosols.

Aerosols↗
PubMed1985

Effects of small-particle aerosols of local anaesthetic on dyspnoea in patients with respiratory disease.

This study was devised to test the hypothesis that dyspnoea could be mediated by unmyelinated vagal sensory nerve endings (type J receptors) situated at alveolar level in the lung. A modified jet nebulizer was used to generate an aerosol of local anaesthetic in particles small enough to allow alveolar deposition. Lignocaine (2% and 5%) produced aerosols with an arithmetic mean diameter (+/- SD) of 1.5 +/- 0.3 and 1.2 +/- 0.6 micron respectively, the mass median diameters being 1.7 (geometric standard deviation = 1.2) and 2.5 (geometric standard deviation = 1.7) micron respectively. In experimental animal models a vagally mediated tachypnoea may be induced acutely by pulmonary microembolism. This response is known to be mediated by unmyelinated pulmonary afferent nerves in the vagus. Local anaesthetic agents administered as small particles, but not as large particles, obtunded this response, which suggests that the aerosol was capable of penetration to alveolar level. Upon this background, a clinical study was designed to compare the effects of lignocaine with placebo both given as small-particle aerosols. Six patients, including two with diffuse alveolar pathology and four with chronic airflow obstruction, were studied. Respiratory frequency was determined before and after the aerosol, and exercise tolerance and breathlessness were measured with a 6 min walking test and visual analogue scales. After lignocaine there was no clinical evidence of anaesthesia of the upper airways but bronchoconstriction occurred. While no overall effect of lignocaine on dyspnoea was apparent, individual patients showed some evidence of benefit.(ABSTRACT TRUNCATED AT 250 WORDS)

Aerosols↗
PubMed2000

Influence of relative humidity on particle size and UV sensitivity of Serratia marcescens and Mycobacterium bovis BCG aerosols.

SETTING: A study of Serratia marcescens and BCG aerosols. OBJECTIVE: To evaluate the effect of relative humidity (RH) on (1) the particle size and (2) sensitivity of 254nm germicidal ultraviolet (UV) irradiation. METHODS: We built a RH controlled experimental chamber into which bacteria were aerosolized, exposed to varying amounts of UV irradiance over measured time periods, and quantitatively evaluated for viability. Aerosolized Serratia marcescens and bacille Calmette-Guérin (BCG) were subject to UV doses ranging from 57-829 microW. sec/cm(2), and sampled with a six-stage Andersen culture plate impactor at RHs ranging from 25-95%. RESULTS: Percent survival for both organisms was inversely related to UV dose. Serratia marcescens was more susceptible to UV than BCG under all conditions. More than 95% of the bacterial aerosol particles were 1.1-4.7 microm in aerodynamic diameter, and particles sizes increased from low (25-36%) to high (85-95%) RH. The count median diameter ranged from 1.9-2.6 microm for Serratia marcescens and from 2.2-2.7 microm for BCG as RH increased. For both Serratia marcescens and BCG, resistance to UV increased as RH increased. The UV resistance of both Serratia marcescens and BCG aerosols dramatically increased at RH higher than 85%. CONCLUSIONS: Our results indicate that differences in UV dose, kinds of microorganisms, airborne particle size and RH affect UV susceptibility.

Aerosols↗
PubMed1990

Augmentation of glutathione in the fluid lining the epithelium of the lower respiratory tract by directly administering glutathione aerosol.

Glutathione (GSH), a cysteine-containing tripeptide, functions as an antioxidant, provides cells with cysteine, and is required for optimal function of the immune system. Because the epithelial-lining fluid (ELF) of the lower respiratory tract normally contains high GSH levels and lung ELF GSH deficiency states can exist, we evaluated the feasibility of augmenting lung ELF GSH levels by (i) administering GSH to sheep i.v. and by direct aerosolization and then (ii) measuring the GSH levels in lung ELF, lung lymph, venous plasma, and urine. When GSH (600 mg) was administered i.v. (n = 11), GSH levels in venous plasma, lung lymph, and ELF rose, but only transiently, suggesting the i.v. route would not deliver adequate GSH to the alveolar epithelial surface. For directly administering GSH to the lung by the aerosol route, in vitro studies were first conducted to show that greater than 50% of a GSH solution could be converted to droplets less than 3 microns in aerodynamic diameter without oxidizing the GSH. To target functional GSH to the lower respiratory tract, an aerosolized solution of GSH (600 mg) was administered to sheep (n = 12). Significantly, the GSH level in ELF increased 7-fold at 30 min (preaerosol, 45.7 +/- 10 microM; 30-min postaerosol, 337 +/- 64 microM; P less than 0.001). The ELF GSH levels remained above baseline at 1 hr (P less than 0.01), returning toward baseline over a 2-hr period. In contrast, GSH levels in lung lymph, venous plasma, and urine were not significantly increased during the period--i.e., aerosol therapy selectively augmented the GSH levels only at the lung epithelial surface. Thus, functional GSH can be delivered by aerosol to directly augment the ELF GSH levels of the lower respiratory tract. Such an approach may prove useful in treating a variety of lung disorders.

Aerosols↗
PubMed1975

The alveloar deposition of inhaled plutonium aerosols in rodents.

The alveolar burden following nose-only aerosol exposure of rodents to highly toxic radioactive materials depends upon the percentage of the inhaled aerosol that is deposited beyond the animals' ciliated epithelium. The quantity inhaled was estimated from the product of the aerosol concentration (nCi/liter), the exposure time (minutes) and the mean minute volume (liter/min) of the animals. For rats exposed to Pu(NO3)4 and sacrificed within an hour, the mean alveolar deposition was 19.2 plus or minus 9.19% for 36 groups of both -239Pu and -238Pu. No important correlations between any of the measured parameters and this initial percentage deposition were observed, in contrast with the results for -239PuO-2 deposition measured in rats sacrified 24 or 48 hours postexposure. In these, the aerosol activity median aerodynamic diameter (AMAD) was strongly correlated with aerosol concentration and percentage deposition (mean-7.9 plus or minus 3.9% for 32 groups) with AMAD over the range of 1.5 to 4.5 mum. The 200-fold lower mass concentration of -238Pu compared with -239Pu for a given activity level may explain the fact that the AMAD was correlated with concentration for -239Pu oxide and nitrate, but not for -238Pu compounds.

Aerosols↗
PubMed1978

Regional deposition of inhaled 137 Cs-labeled monodisperse and polydisperse aluminosilicate aerosols in Syrian hamsters.

Two groups of eighty Syrian hamsters were exposed to aerosols of 137Cs-labeled fused aluminosilicate particles. One group was exposed to a monodisperse aerosol with AMAD (activity median aerodynamic diameter) of 1.53 micron and sigma g (geometric standard deviation) of 1.15. The other group was exposed to a polydisperse aerosol with AMAD of 1.87 micron and sigma g of 1.46. After exposure, the hamsters were killed and carefully dissected and tissues were assayed for 137Cs to determine regional deposition of the inhaled aerosols. The relative lung deposition was similar for the two groups and was estimated as 9.5% of the inhaled aerosols. The right apical lobe consistently contained more activity and the right cardiac and right diaphragmatic lobes less activity on a per gram lung weight basis than the total lung.

Aerosols↗
PubMedDate not supplied

A survey of effects of gaseous and aerosol pollutants on pulmonary function of normal males.

A total of 231 normal male human subjects were exposed for 4 hr to air, ozone, nitrogen dioxide, or sulfur dioxide; to sulfuric acid, ammonium bisulfate, ammonium sulfate, or ammonium nitrate aerosols; or to mixtures of these gaseous and aerosol pollutants. Only one concentration of each pollutant was used. This study, therefore, represents a preliminary survey, intended to allow direct comparison of studies to plan future research. During exposure each subject had two 15-min exercise sessions on a treadmill at 4 mph and 10% grade. Environmental conditions were mildly stressful, i.e., temperature = 30 degrees C and relative humidity = 60%. A battery of 19 measurements of pulmonary function was performed just prior to exposure (air control); 2 hr into the exposure, following the first exercise session; 4 hr into the exposure, following the second exercise session; and 24 hr after exposure. Significant differences were noted in specific airway resistance (SRAW), forced vital capacity (FVC), and forced expiratory flow at 50% of FVC (FEF50) and in related measurements in those experimental groups exposed to ozone or to ozone plus aerosols. None of the aerosols alone, nitrogen dioxide or sulfur dioxide alone, or mixtures of nitrogen dioxide or sulfur dioxide with aerosols produced significant effects. A distribution analysis of subject responsivity to ozone gave a normal distribution among subjects not exposed to ozone, and a distribution shifted to the right and skewed to the right among those exposed to ozone alone or in mixture, with no evidence of bimodal distribution of ozone sensitivity.

Aerosols↗
PubMed2002

Pharmacokinetics of a benzodithiin (RD3-0028) following aerosol treatment in rat.

1. RD3-0028, a benzodithiin compound, has potent antiviral activity against respiratory syncytial virus (RSV) in cell culture. The compound also inhibits growth of RSV and improves pathologic changes of interstitial pneumonia in the immunosuppressed mouse when delivered by small-particle aerosol. 2. In the present study, the absorption, distribution and excretion of 14C-RD3-0028 were compared in rat following either a single aerosol treatment or oral administration. 3. The plasma concentration was maintained at the same level from 5 min to 1 h, and decreased with a half-life of 2.2 +/- 0.1 h for 1-8 h. 4. The excretion of radioactivity in the urine and faeces at 24 h after aerosol treatment was 89.3 and 4.5%, respectively, indicating that almost all the radioactivity was rapidly excreted in the urine. The excretion of total radioactivity was 98.9% within 168 h. 5. The concentrations of radioactivity in the lung and trachea following aerosol treatment were higher than those in other tissues, and were detected even at 72 h. 6. These results suggest that the aerosol treatment might be useful for delivering RD3-0028 to the respiratory tract of RSV-infected patients.

Administration, Oral↗
PubMed2005

Deposition pattern of heliox-driven bronchodilator aerosol in the airways of stable asthmatics.

To compare the deposition patterns of heliox-driven and air-driven radiolabeled bronchodilator aerosol, a prospective randomized study was undertaken at the Ben Taub Hospital in Houston, Texas. The working hypothesis was that nebulization with heliox would improve the peripheral deposition of a bronchodilator aerosol. Twelve mild-moderate known asthmatics were recruited for the study. They were asked to withhold medications for 8-24 hours prior to reporting for the study. Each subject was randomized to receive either heliox or oxygen for delivery of albuterol labeled with Tc-99m DTPA. Prior to the nebulization, baseline spirometry was performed. Following nebulization, the subjects were scanned for 1,000,000 counts on the ADAC Genesis Scanner. A postbronchodilator spirometry was then performed. Subjects returned about a week later, this time to have the same process repeated with the other gas. The normalized pixel counts were obtained, and the frequency distribution histograms were constructed for each of the deposition images. Skew and kurtosis were calculated. A lower skew and kurtosis value suggests a more peripheral distribution of the bronchodilator, whereas a higher pixel count corresponds with an increased area and uniformity of deposition. There were no statistically significant differences in baseline PFTs on the 2 days of the study. The pixel count was statistically higher after the heliox-driven nebulization than the air-driven nebulization. The skew and kurtosis values were lower after the heliox-driven nebulization than after the air-driven nebulization of radiolabeled aerosol. All patients had a good bronchodilator response with either driving gas. However, the degree of improvement was more with heliox-driven nebulization than with air-driven nebulization. We conclude that aerosol delivery with heliox results in more uniform and peripheral deposition. Thus, this mode of delivery can be used when uniform, peripheral deposition is desired as with drug delivery during an exacerbation or with aerosolized gene therapy.

Administration, Inhalation↗