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Inhaled Particles, Volume 5 PDF

214 Pages·2005·20.212 MB·English
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Inhaled Particles INTERFACE SCIENCE AND TECHNOLOGY Series Editor: ARTHUR HUBBARD In this series: Vol. 1: Clay Surfaces: Fundamentals and Applications Edited by F. Wypych and K.G. Satyanarayana Vol. 2: Electrokinetics in Microfluidics By Dongqing Li Vol. 3: Radiotracer Studies of Interfaces Edited by G. Horányi Vol. 4: Emulsions: Structure Stability and Interactions Edited by D.N. Petsev Vol. 5: Inhaled Particles By Chiu-sen Wang INTERFACE SCIENCE AND TECHNOLOGY - VOLUME 5 Inhaled Particles Chiu-sen Wang Professor Emeritus College of Public Health National Taiwan University Taipei, Taiwan 2005 ELSEVIER ACADEMIC PRESS Amsterdam - Boston - Heidelberg - London - New York - Oxford - Paris San Diego - San Francisco - Singapore - Sydney - Tokyo ELSEVIERB.V. ELSEVIERInc. ELSEVIER Ltd ELSEVIER Ltd Sara Burgerhartstraat 25 525 B Street, Suite 1900 The Boulevard, Langford Lane 84 Theobalds Road P.O. Box 211, 1000 AE Amsterdam San Diego, CA 92101-4495 Kidlington, Oxford OX5 1GB London WC1X8RR The Netherlands USA UK UK © 2005 Elsevier Ltd. All rights reserved. This work is protected under copyright by Elsevier Ltd., and the following terms and conditions apply to its use: Photocopying Single photocopies of single chapters may be made for personal use as allowed by national copyright laws. Permission of the Publisher and payment of a fee is required for all other photocopying, including multiple or systematic copying, copying for advertising or promotional purposes, resale, and all forms of document delivery. Special rates are available for educational institutions that wish to make photocopies for non-profit educational classroom use. Permissions may be sought directly from Elsevier's Rights Department in Oxford, UK: phone (+44) 1865 843830, fax (+44) 1865 853333, e-mail: [email protected]. Requests may also be completed on-line via the Elsevier homepage (http://www. elsevier.com/locate/permissions). In the USA, users may clear permissions and make payments through the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA; phone: (+1) (978) 7508400, fax: (+1) (978) 7504744, and in the UK through the Copyright Licensing Agency Rapid Clearance Service (CLARCS), 90 Tottenham Court Road, London W1P 0LP, UK; phone: (+44) 20 7631 5555; fax: (+44) 20 7631 5500. Other countries may have a local reprographic rights agency for payments. Derivative Works Tables of contents may be reproduced for internal circulation, but permission of the Publisher is required for external resale or distribution of such material. Permission of the Publisher is required for all other derivative works, including compilations and translations. Electronic Storage or Usage Permission of the Publisher is required to store or use electronically any material contained in this work, including any chapter or part of a chapter. Except as outlined above, no part of this work may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior written permission of the Publisher. Address permissions requests to: Elsevier's Rights Department, at the fax and e-mail addresses noted above. Notice No responsibility is assumed by the Publisher for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions or ideas contained in the material herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. First edition 2005 Library of Congress Cataloging in Publication Data A catalog record is available from the Library of Congress. British Library Cataloguing in Publication Data A catalogue record is available from the British Library. ISBN: 0-12-088579-4 ISSN: 1573-4285 (Series) @ The paper used in this publication meets the requirements of ANSI/NISO Z39.48-1992 (Permanence of Paper). Printed in The Netherlands. V For Aidan with love This page is intentionally left blank Vll CONTENTS Preface xiii Glossary and Acronyms xv List of Principal Symbols xxi Chapter 1 Introduction 1 Problems 5 References 5 Chapter 2 Morphometry of the Human Respiratory System 7 2.1 The Head Airways Region 8 2.2 The Tracheobronchial Region 11 2.3 Anatomical Models of Lungs 15 2.4 Anatomical Models of Airway Bifurcations 24 2.5 The Alveolar Region 25 2.6 Variations in Airway Dimensions 26 2.7 Changes in Airway Dimensions during Respiration 27 Problems 28 References 28 Chapter 3 Airflow in the Respiratory System 31 3.1 Breathing Dynamics and Respiratory Volumes 31 3.2 Respiratory Physiology 33 3.3 Macroscopic Aspects of Airflow in Lung Airways 34 3.4 Local Aerodynamic Characteristics 36 3.4.1 General Concepts in Fluid Mechanics 36 3.4.2 Overview of Flow Patterns in Respiratory Airways 39 3.5 Flow in Head Airways 41 3.6 Flow in Tracheobronchial Airways 42 Vlll Contents 3.6.1 Effects of Successive Bifurcations 44 3.6.2 Effects of the Shape of Transition Zone 45 3.6.3 Effects of the Shape of Carinal Ridge 46 3.6.4 Effects of Surface Structure 46 3.6.5 Effects of Oscillatory Flow 47 3.7 Flow in the Alveolar Region 48 3.8 Summary of Flow Patterns in Airways 50 Problems 51 References 52 Chapter 4 Behavior of Aerosol Particles 55 4.1 Drag Force 57 4.2 Gravitational Settling 58 4.3 Interception 61 4.4 Inertial Impaction 61 4.5 Brownian Motion and Diffusion 66 4.6 Convective Brownian Diffusion 68 4.7 Deposition from Turbulent Flow 70 4.8 Electrostatic Forces 71 4.9 Growth of Hygroscopic Particles 73 4.10 Simultaneous Deposition by Several Mechanisms 75 Problems 76 References 77 Chapter 5 Dispersion of Inhaled Aerosol 79 5.1 General Concepts in Aerosol Dispersion 79 5.2 Aerosol Dispersion in Lung Airways 82 5.3 Gas Mixing in Lung Airways 84 Problems 85 References 85 Chapter 6 Inhalability of Ambient Particles 87 6.1 Mouth Inhalability 88 Contents ix 6.2 Nose Inhalability 91 Problems 91 References 91 Chapter 7 Deposition of Particles in the Respiratory System 93 7.1 General Concepts in Respiratory Deposition 93 7.2 Total and Regional Deposition 94 7.2.1 Relative Contributions of Various Mechanisms 95 7.2.2 Alveolar Deposition during Breath-Holding 97 7.3 Local Deposition 99 7.3.1 Deposition in Single Bifurcations 99 7.3.2 Effects of Successive Bifurcations 103 7.3.3 Deposition from Cyclic Flow 104 7.3.4 Deposition of Fibers in Single Bifurcations 104 Problems 105 References 106 Chapter 8 Experimental Studies on Total and Regional Deposition 108 8.1 Experimental Methods 108 8.1.1 Experimental Methods for Extrathoracic Deposition 109 8.1.2 Experimental Methods for Thoracic Deposition 110 8.1.3 Experimental Methods for Total Deposition 112 8.2 Deposition in Head Airways 112 8.2.1 Data from Human Subjects 112 8.2.2 Data from Casts 113 8.3 Deposition in the Tracheobronchial Region 115 8.4 Deposition in the Alveolar Region 118 8.5 Summary of Regional Deposition 119 8.6 Total Deposition 120 8.6.1 Deposition of Nonhygroscopic Particles 120 8.6.2 Deposition of Hygroscopic Particles 122 8.6.3 Deposition of Highly Charged Particles 122 x Contents Problems 123 References 124 Chapter 9 Deposition Models 127 9.1 Continuous Models 127 9.2 Compartments-in-Series Models 130 9.2.1 Typical Path Deposition Models 133 9.2.2 Single Path with Statistically Distributed Airway Dimensions 133 9.2.3 Tubes-and-Bifurcations-in-Series 134 9.3 The ICRP Deposition Model 135 9.3.1 Respiratory Tract Morphometry 13 5 9.3.2 Inhalability 136 9.3.3 Deposition in Extrathoracic Regions 136 9.3.4 Deposition in Thoracic Regions 137 9.3.5 Deposition of Hygroscopic Particles 139 9.3.6 Empirical Equations for Regional Deposition 139 9.4 The NCRP Deposition Model 140 9.4.1 Deposition in the Extrathoracic Region 141 9.4.2 Deposition in Thoracic Regions 142 9.5 Comparison of the ICRP and NCRP Models 144 9.6 Concluding Remarks 145 Problems 145 References 146 Chapter 10 Fate of Deposited Particles 149 10.1 Mechanisms of Particle Clearance 149 10.1.1 Mucociliary Transport 149 10.1.2 Phagocytosis 150 10.1.3 Entry into Lymphatic System 150 10.1.4 Absorption into Blood Circulation 150 10.2 Particle Clearance in Various Airway Regions 151

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