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BACKGROUND: In 1995 the National Institute for Occupational Safety and Health issued new rules for personal respirators. All nine new respirator categories are authorized in health care facilities for the prevention of the transmission of tuberculosis (TB). The new N95 respirator category is the most frequently used for this purpose. Data are presented on their efficiency for collecting TB-size bacteria and their potential for reaerosolizing collected bacteria. METHODS: All measurements of bacterial penetration were performed with dynamic aerosol size spectrometers at flow conditions corresponding to normal wear and respirator certification conditions. The reaerosolization tests were performed at conditions ranging from normal breathing to violent coughing or sneezing. RESULTS: The tested N95 respirators collected 0.1 to 0.3 microm particles with efficiencies of 95% or higher, as specified by the regulations. TB-size bacteria of 0.8 microm and larger, however, were collected with 99.5% or higher efficiencies; that is, the penetration of these bacteria through the filter material was 0.5% or less, much less than the required maximum penetration of 5% for the smaller particle sizes. No bacteria were reaerosolized during normal exhalation. Some reaerosolization (0.1% or less) was observed only at low humidity and extremely high air flow through the respirator, corresponding to violent coughing or sneezing. CONCLUSIONS: The filter materials of N95 respirators provide good protection against TB bacteria. Thus, a significant number of bacteria can enter the respirator-wearer's breathing space only through spaces where the respirator inadequately seals to the wearer's face. Reentrainment and reaerosolization of mycobacteria is not a problem when normal work practices are observed in health care facilities.
These studies investigating the difference between controlled respiration performed by manual technique and controlled respiration applied by means of a respirator during general anaesthesia, and assessing the influence of these methods on the immediate post-operative condition of the patient were carried out on 75 patients during abdominal operations. Gasometric tests in arterial blood were performed before premedication, at intervals of 30 min from the beginning of operation, and 10 min. after the removal of the endotracheal tube. Controlled respiration with a respirator is a more favourable method of pulmonary ventilation during general anaesthesia given for a long-lasting surgical operation. The manual technique of controlled respiration leads to respiratory alkalosis. The best results were obtained using a respirator with inspiratory volume of 10 ml/kg and respiratory frequency 10/min., which ensured normocapnia. It was observed that oxygenation of arterial blood was reduced postoperatively in all patients but the value of PaO2 was the lowest in patients on manual controlled respiration. Disturbances in acid-base balance and oxygenation had an unfavourable effect and delayed the regaining of consciousness.
Root system architecture partially results from meristem activities, which themselves depend on endogenous and environmental factors, such as O2 depletion. In this study, meristem respiration and growth was measured in the root systems of three Prunus persica (L.) Batsch seedlings. The spatial distribution of meristem respiration within the root system was described, and the relationship between the respiration rates and meristem radii was analysed, using a model of radial O2 diffusion and consumption within the root. Histological observations were also used to help interpret the results. Respiration rates were linearly correlated to the root growth rates (rho 2 = 0.9). Respiration reached values greater than 3.5 x 10(-13) mol O2 s-1 for active meristems. The taproot meristem consumed more O2 than the rest of the entire root system meristems. Similarly, the first order lateral meristems used more O2 than the second order ones. A near hyperbolic relationship between respiration rates and meristem radii was observed. This can be explained by a model of radial O2 diffusion and consumption within the root. Therefore, only one maximum potential respiration rate and one O2 diffusion coefficient was estimated for all the meristems.
In Proton Medical Research Center (PMRC), we have performed the respiration-gated irradiation for treating the tumor in the body trunk. In the conventional method, patients must hold their expiration during CT scanning. The phase of holding expiration is different from the end-expiration phase. This results in difference of anatomical location in the body between CT scanning and the respiration-gated irradiation. For the sake of highly-accurate irradiation, a respiration gated CT scanning system is introduced. In case of natural respiration, it has been difficult to achieve the gated CT scanning because a stable period of end-expiratory is not so long as CT scanning time (1 second in our case). In this study, we developed a guided respiration method, which leads a patient to maintain the end-expiratory phase during required time. The respiration gated CT scanning is performed by using this. The phase of the acquired CT image can be approximated to that of respiration-gated irradiation.
A study was made of the characteristics of respiration recorded during the use of a respirator for preparing hypoxic hypercapnic mixtures as compared to the use of an additional "dead" space. In both cases, there was a significant increase of total ventilation, largely at the expense of respiration deepening. However, during respiration via a respiratory mask, the increase of the minute respiratory volume was accompanied by a rise of alveolar ventilation whereas during respiration via the ADS, alveolar ventilation dropped. Hyperventilation did not entail CO2 washing out from the blood and hypocapnia development during respiration via the mask and ADS. The differences revealed may appear helpful for respiration training at the hospital. In this case, an appropriate outfit should be sorted out for each patient on an individual basis.
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1. The dependence of the net transport of Na(+) and K(+) by rat liver on the respiration has been determined by incubating slices in the presence of varying concentrations of respiratory inhibitors. 2. Neither the rate of net transport nor the total amount of each ion transported was inhibited unless the rate of endogenous respiration was decreased below a critical value of about 330mmol of O(2)/h per kg of protein (i.e. 50% of the total endogenous respiration). 3. The uninhibited rate of respiration could be varied over a twofold range (380-770mmol of O(2)/h per kg of protein) by the use of different substrates, but the critical value for the onset of transport inhibition was quite constant (290-360mmol/h per kg of protein) under these different conditions. 4. Slices incubated at 38 degrees C without inhibitors showed an increase of their ATP content and the concentration ratio ATP/ADP. The final ATP content and concentration ratio, ATP/ADP, of slices treated with different concentrations of inhibitors were closely related to the rate of respiration. 5. The increased ATP content of the control slices during incubation was equal to the increase of total adenine nucleotides. At increasing degrees of respiratory inhibition the relative contributions of ADP and AMP to the total adenine nucleotide content increased. 6. The critical rate of respiration for the onset of inhibition of ion transport and the corresponding contents of adenine nucleotides provide estimates of the maximal values of certain parameters of energy metabolism required for the support of alkali-cation transport in the liver slices.
Spangler, W. J. (Oregon State University, Corvallis), and C. M. Gilmour. Biochemistry of nitrate respiration in Pseudomonas stutzeri. I. Aerobic and nitrate respiration routes of carbohydrate catabolism. J. Bacteriol. 91:245-250. 1966.-The metabolic pathways of glucose catabolism were studied in Pseudomonas stutzeri under aerobic conditions and under conditions of nitrate respiration. Studies on both glucose and gluconate catabolism, by the radiorespirometric method, indicated that these substrates are degraded in the same manner, i.e., the Entner-Doudoroff and pentose phosphate pathways. There appeared to be no major shift in primary metabolic pathways when nitrate was used as the terminal hydrogen acceptor in nitrate respiration as opposed to aerobic respiration with free molecular oxygen. It was shown that glucose is not degraded to any appreciable extent under anaerobic conditions in the absence of nitrate. Tentative evidence suggests that the tricarboxylic acid cycle functions under both conditions of oxygen relationships and that the rate of carbon oxidation via the tricarboxylic acid cycle is slower with nitrate respiration than under aerobic conditions.
Experiments were performed to investigate the effect of added resistance to inspiratory, expiratory and inspiratory-expiratory respiration on lung ventilation and pACO2 during exercise when breathing air or oxygen. Increase of resistance to respiration, particularly inspiratory-expiratory; reduced the work-induced growth of ventilation which caused pACO2 to increase. Oxygen inhalation aggravated those shifts significantly. The adverse effect of hyperoxia on the respiration function when exercise was combined with added resistance to respiration seems to be associated with inhibition of the respiration center produced by the lack of hyperoxid stimulation.
The respirator lung is characterized histologically in the first exudative phase by capillary congestion, intra-alveolary edema, hyaline membranes and in most cases by concomitant inflammatory alterations. In the following irreversible phase, fibrous organization processes dominate and show a variable tendency towards pulmonary fibrosis. In 27 cases with long-term artificial respiration from 4 days to 12 weeks, mainly the proliferative alterations were investigated. In 18 cases, the histopathological findings indicated fibrosis of the alveolar septa with disseminated distribution. In 9 cases, focal fibrosis with obliterations of alveoli prevailed. The extent of pathological results in the lungs does not correlate with the duration of artificial respiration. In cases of artificial respiration with pure oxygen, there is a special toxic component, which is illustrated by a young woman with polytraumatism who was administered artificial respiration for 5 weeks with pure oxygen. She died from respiratory insufficiency with severe pulmonary fibrosis. As different pathogenetic factors may cause irreversible pulmonary fibrosis, histomorphological classification is difficult later and, moreover, forensic problems result.
Changes in fluorescence of 3,3'-dipropylthiodicarbocyanine iodide which had been equilibrated with suspensions of the wild-type yeast Saccharomyces cerevisiae and of respiration-deficient mutants were followed. The changes have been attributed to changes of yeast membrane potentials, since the fluorescence with wild-type yeast could be affected in a predictable manner by uncouplers and the pore-forming agent nystatin. As in other systems, a rise of steady-state fluorescence was ascribed to depolarization and a drop of the fluorescence to hyperpolarization. (1) A considerable rise in steady-state fluorescence was brought about by addition of antimycin A or some other mitochondrial inhibitors to respiring cells. A major part of the composite membrane potential monitored in intact yeast cells appeared to be represented by the membrane potential of mitochondria. (2) Addition of D-glucose and of other substrates of hexokinase, including non-metabolizable 2-deoxy-D-glucose, induced a two-phase response of fluorescence, indicating transient depolarization followed by repolarization. Such a response was not elicited by other sugars which had been reported to be transported into the cells by a glucose carrier or by D-galactose in galactose-adapted cells. The depolarization was explained by electrogenic ATP exit from mitochondria to replenish the ATP consumed in the Hexokinase reaction and the repolarization by subsequent activation of respiration. (3) In non-respiring cells only a drop in fluorescence was induced by glucose and this was ascribed to an ATP-dependent polarization of the plasma membrane. (4) Steady-state fluorescence in suspensions of respiration-deficient mutants, lacking cytochrome a, cytochrome b, or both, was high an remained unaffected by uncouplers and nystatin. This indicates that membranes of the mutants may have been entirely depolarized. A partial polarization, apparently restricted to the plasma membrane, could be achieved by glucose addition.
Protection Factors provided by 25 NIOSH approved supplied-air respirators were determined while the devices were worn by a panel of test subjects anthropometrically selected to represent adult facial sizes. Polydispersed DOP aerosol was used for respirator fit tests on continuous flow, demand, and pressure-demand respirators. Based on facepiece leakage measurements it appears that demand-type respirators should neither be used nor approved. The highest level of protection was provided by pressure-demand devices.
Maximal rates of O2 uptake by hepatocytes from hypothyroid, euthyroid, and hyperthyroid rats, in the absence of uncoupling agents or ionophores, were achieved by simultaneously stimulating ureogenesis and gluconeogenesis. Rates were increased by pretreatment of the donor animals with thyroid hormone. Only a minor part of the increase could be attributed to stimulation of the activity of plasma membrane (Na+ + K+)-ATPase. No synthesis of glycogen occurred, nor was there any evidence of pyruvate cycling under the conditions used, thus ruling out these processes as potential sources of ATP turnover. Calculation of the O2 uptake necessary to satisfy the energy requirements of gluconeogenesis and ureogenesis, based on anticipated ATP demand and an assumed P:O ratio of 3:1, invariably yielded a theoretical quantity that was less than the experimentally measured increase in O2 uptake. The difference between measured and calculated rates of respiration, possibly representing noncoupled respiration, was related to the thyroid status of the animal, being greatest in cells from hyperthyroid rats. In another experimental approach the O2 uptake associated with ATP synthesis was inhibited by the addition of oligomycin to hepatocytes incubated in the presence of substrates, thus abolishing ATP-coupled respiration. The magnitude of the ATP-coupled as well as the residual respiration was increased in response to thyroid hormone. Thyroid hormone increased the turnover of intramitochondrial ATP. These results imply that a considerable portion of the thermogenic effect of thyroid hormone may be mediated by a stimulatory action on metabolism not directly associated with extramitochondrial ATP-dependent synthetic processes.
The continuous respiration olfactometer (CRO) was designed as a respiration-synchronous method for delivering odorants during recordings of brain electrical activity, providing control and monitoring of the timing of the delivery as well as the quantities of odorant involved. The CRO incorporates a purpose-built electronic system designed with very specific temporal and quantitative characteristics, and is composed of four main parts: the respiratory monitoring apparatus, the odorant/air delivery system, the serial interface device and the respiratory monitoring software. Tests were undertaken to determine the performance of the system with reference to the accuracy and precision of timing and control of odorant delivery. Tests were also undertaken to determine the effects of variations in natural respiration between subjects on the capability of the respiratory monitoring system, using a group of 50 subjects, to test the success of a variable gain control to optimize the range of the digitized respiratory output. The delivery system was able to provide information concerning quantities of air or odorant delivered, and the stimulus timing information required for integration with neurophysiological recording techniques.
1. The interference mechanism of carbonyl cyanide m-chlorophenylhydrazone with the respiratory process and with phosphorylation coupled to respiration has been investigated in resting cells of Escherichia coli. 2. Preincubation of the cells with carbonyl cyanide m-chlorophenylhydrazone in the absence of substrate caused strong inhibition of succinate oxidation. The inactivation of the respiratory system proved to be time-dependent and temperature-dependent and could be arrested by adding the substrate. Inhibition of incorporation of (32)P into acid-soluble organic phosphate esters exceeded the inhibition of oxygen uptake. 3. In contrast with succinate, the rate of oxidation of glucose was increased by carbonyl cyanide m-chlorophenylhydrazone. The sensitivity of other substrates to the inhibitor was less than that of succinate. 4. Various observations are described in support of the view that respiratory inhibition induced by carbonyl cyanide m-chlorophenylhydrazone is a result of its interference with ATP synthesis. The capacity of a given substrate to increase intracellular ATP concentration appeared to be directly related to its resistance to inhibition. In cell-free extracts carbonyl cyanide m-chlorophenylhydrazone still suppressed (32)P incorporation but had no effect on respiration. 5. Carbonyl cyanide m-chlorophenylhydrazone-induced stimulation of glucose oxidation and the acceleration of succinate oxidation by ADP or AMP in cells rendered permeable to nucleotides are tentatively interpreted as an indication that a certain part of respiration in E. coli is under phosphate-acceptor-mediated control.
Dental technicians are exposed to various dusts in working laboratories. This study was conducted to measure level of silica in the respirable dust generated from dental fixed prosthodontics manufacturing processes using Fourier Transform Infrared Spectroscopy (FTIR), and to compare their occurrence of respiratory symptoms with that of non-dental hospital workers (control group). Respirable dusts were personally sampled from dental technicians working at dental laboratories in Seoul Korea according to NIOSH Method 0600. Fifty personal samples were obtained during porcelain or polishing process and weighed by a gravimetric method. Concentration of respirable dust was 651 +/- 548 microg/m3 (Mean +/- SD) with highest concentration of 2,874 microg/m3 during the porcelain process and 725 +/- 414 microg/m3 with highest concentration of 1,764 microg/m3 during the polishing process. Concentration of silica was 6.51 +/- 6.07 microg/m3 with 18.85 microg/m3 highest and 14.88 +/- 11.21 microg/m3 with 50.98 microg/m3 highest for the porcelain and polishing process, respectively. Level of silica contents in the dust was 0.81% and 1.66% for the porcelain and polishing process, respectively. The level of silica contents and silica concentration were significantly different between the two processes. Comparing prevalence of respiratory symptoms between non-smoking seventeen dental technicians and thirty-five control workers, wheezing and rhinorrhea were significantly more manifested in the dental technicians than the controls. Total frequency of respiratory symptoms was also significantly higher in the dental technicians than the controls.