Dental healthcare workers (DHCWs) are at high risk of occupational exposure to droplets and aerosol particles emitted from patients' mouths during treatment. We evaluated the effectiveness of an air cleaner in reducing droplet and aerosol contamination by positioning the device in four different locations in an actual dental clinic. We applied computational fluid dynamics (CFD) methods to solve the governing equations of airflow, energy and dispersion of differentsized airborne droplets/aerosol particles. In a dental clinic, we measured the supply air velocity and temperature of the ventilation system, the airflow rate and the particle removal efficiency of the air cleaner to determine the boundary conditions for the CFD simulations. Our results indicate that use of an air cleaner in a dental clinic may be an effective method for reducing DHCWs' exposure to airborne droplets and aerosol particles. Further, we found that the probability of droplet/aerosol particle removal and the direction of airflow from the cleaner are both important control measures for droplet and aerosol contamination in a dental clinic. Thus, the distance between the air cleaner and droplet/aerosol particle source as well as the relative location of the air cleaner to both the source and the DHCW are important considerations for reducing DHCWs' exposure to droplets/aerosol particles emitted from the patient's mouth during treatments.
A series of measurements were conducted to determine the short-term emission rates of particles in the "personal cloud" (i.e., particle emission from a clothed human body) in a sealed chamber. By recording the concentration of particles of different sizes during a period of time in the chamber, curves monitoring the evolution of particle concentration caused by emissions from a clothed human body were obtained. Based on the measured evolution of particle concentrations and deposition rates, the emission rates of particles from a clothed human body were estimated with a physical model. Generally speaking, the size-dependent emission rates of particles from a human body wearing a clean room smock were the lowest, while those from one wearing a cotton suit were the highest among the forms of clothing examined this work. Furthermore, the emission rates of particles from a clothed human body were positively correlated with the intensity of human activity. In addition, activities tended to have a more significant impact on the emission rates with regard to coarse rather than fine particles. The experimental data for the emission rates of particles from a clothed human body provided in this study may be used in further particle exposure assessments in certain indoor environments, such as clean rooms and aircraft cabins, as a valid input parameter.
Experiments were performed to size, count, and obtain shell parameters for individual ultrasound contrast microbubbles using a modified flow cytometer. Light scattering was modeled using Mie theory, and applied to calibration beads to calibrate the system. The size distribution and population were measured directly from the flow cytometer. The shell parameters (shear modulus and shear viscosity) were quantified at different acoustic pressures (from 95 to 333 kPa) by fitting microbubble response data to a bubble dynamics model. The size distribution of the contrast agent microbubbles is consistent with manufacturer specifications. The shell shear viscosity increases with increasing equilibrium microbubble size, and decreases with increasing shear rate. The observed trends are independent of driving pressure amplitude. The shell elasticity does not vary with microbubble size. The results suggest that a modified flow cytometer can be an effective tool to characterize the physical properties of microbubbles, including size distribution, population, and shell parameters.
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