Droplet Size and Distribution of Nebulized 3% Sodium Chloride, Albuterol, and Epoprostenol by Phase Doppler Particle Analyzer.

BACKGROUND: Aerosolized drug therapy administered to mechanically ventilated patients is a standard part of pulmonary critical care medicine. Aerosol particle size and distribution are important factors in the optimal delivery of aerosolized drugs to ventilated patients. OBJECTIVE: The objective of this study was to characterize aerosol droplet size and distribution with laser diffraction for nebulized 3% sodium chloride, albuterol, and epoprostenol sodium (containing glycine) delivered via Aeroneb Solo Mesh Nebulizers (Aerogen, Mountain View, California). METHODS: A series of functional flow tests were run on each of 8 Solo mesh nebulizers before the study to verify accuracy of flow rates in milliliters per minute. Aerosolized droplets exiting the nebulizer heads were then measured using a phase Doppler particle analyzer. Data collected during delivery of 3% sodium chloride, albuterol, and epoprostenol sodium included aerosol droplet size distribution, mass median aerodynamic diameter (MMAD), and geometric standard deviation. For each Solo nebulizer, droplet size measurements were taken 2 cm away from the nebulizer head and 2 cm away from the wye of a heated, humidified adult ventilator circuit. For measurements taken at the wye, 4 distinct, continuous flow rates (2, 10, 20, and 40 L/min) were generated by an air pump to simulate inspiratory flows delivered with mechanical ventilation. The expiratory limb was capped, and the nebulizer head was inserted into the breathing circuit upstream of the humidifier. RESULTS: Each Solo nebulizer met Aerogen's recommended minimum flow rate of 0.2 mL/min, ranging from 0.23 to 0.31 mL/min. The MMAD of the 3 tested aerosols was several times smaller when measured at the wye outlet of the heated/humidified breathing circuit (0.82-2.73 µm) compared with droplets measured directly at the nebulizer outlet (MMAD, 4.6-7.3 µm). There was also significant variability across Solo heads with some ventilator flow rates. The mean MMAD at the wye for the 3% sodium chloride solution, albuterol, and epoprostenol test solutions was 1.62 µm, 1.09 µm, and 1.18 µm, respectively. The mean MMAD at the nebulizer for the 3% sodium chloride solution, albuterol, and epoprostenol test solutions was 5.37 µm, 5.73 µm, and 6.73 µm, respectively. CONCLUSIONS: Results from this study suggest that particle size of aerosolized drugs administered via a commonly used setup for delivery of in-line aerosols to mechanically ventilated patients may be several times smaller than expected and may result in less drug being delivered to the patient than previously realized.(Curr Ther Res Clin Exp. 2021; 82:XXX-XXX)© 2021 Elsevier HS Journals, Inc.

Comparative studies of C3 and C4 Atriplex hybrids in the genomics era: physiological assessments.

We crossed the C3 species Atriplex prostrata with the C4 species Atriplex rosea to produce F1 and F2 hybrids. All hybrids exhibited C3-like δ(13)C values, and had reduced rates of net CO2 assimilation compared with A. prostrata. The activities of the major C4 cycle enzymes PEP carboxylase, NAD-malic enzyme, and pyruvate-Pi dikinase in the hybrids were at most 36% of the C4 values. These results demonstrate the C4 metabolic cycle was disrupted in the hybrids. Photosynthetic CO2 compensation points (Г) of the hybrids were generally midway between the C3 and C4 values, and in most hybrids were accompanied by low, C3-like activities in one or more of the major C4 cycle enzymes. This supports the possibility that most hybrids use a photorespiratory glycine shuttle to concentrate CO2 into the bundle sheath cells. One hybrid exhibited a C4-like Г of 4 µmol mol(-1), indicating engagement of a C4 metabolic cycle. Consistently, this hybrid had elevated activities of all measured C4 cycle enzymes relative to the C3 parent; however, C3-like carbon isotope ratios indicate the low Г is mainly due to a photorespiratory glycine shuttle. The anatomy of the hybrids resembled that of C3-C4 intermediate species using a glycine shuttle to concentrate CO2 in the bundle sheath, and is further evidence that this physiology is the predominant, default condition of the F2 hybrids. Progeny of these hybrids should further segregate C3 and C4 traits and in doing so assist in the discovery of C4 genes using high-throughput methods of the genomics era.

Gisekia (Gisekiaceae): phylogenetic relationships, biogeography, and ecophysiology of a poorly known C4 lineage in the Caryophyllales.

PREMISE OF THE STUDY: Gisekiaceae are a monogeneric family of the core Caryophyllales distributed in arid regions of Africa and Asia. The only widespread species of the genus, Gisekia pharnaceoides, performs C4 photosynthesis based on CO2 compensation point measurements. This study investigates the C4 syndrome and its evolution in Gisekia. The infrageneric relationships, distribution and bioclimatic preferences of Gisekia are also investigated. METHODS: Leaf gas exchange characteristics, activity of Rubisco and major C4 cycle enzymes, and ultrastructural characteristics of mesophyll and bundle sheath cells are studied for Gisekia pharnaceoides. δ(13)C values and leaf anatomy are analyzed for all species. A dated molecular phylogeny of 39 accessions representing all species of Gisekiaceae and 14 representatives of closely related core Caryophyllales families is generated using four cp markers and ITS. The precise current distribution and bioclimatic niche of Gisekia is assessed on the basis of 520 georeferenced specimen localities. KEY RESULTS: All traditionally recognized species of Gisekia are C4 plants with atriplicoid Kranz anatomy. Gisekia pharnaceoides uses the NAD-ME biochemical type. The molecular phylogeny demonstrated two East African clades nested within South African clades, demonstrating migration along the arid areas of eastern Africa during the Late Miocene/Pliocene Epochs. Most traditionally defined species are polyphyletic. CONCLUSIONS: Gisekia represents an isolated C4 lineage within core Caryophyllales dating back to the Miocene Epoch and probably spread along the African arid corridor from a South African center of origin. The seven currently recognized species should be treated as one polymorphic species or species complex, Gisekia pharnaceoides agg.

The occurrence of C(2) photosynthesis in Euphorbia subgenus Chamaesyce (Euphorbiaceae).

This study investigated whether Euphorbia subgenus Chamaesyce subsection Acutae contains C(3)-C(4) intermediate species utilizing C(2) photosynthesis, the process where photorespired CO(2) is concentrated into bundle sheath cells. Euphorbia species in subgenus Chamaesyce are generally C(4), but three species in subsection Acutae (E. acuta, E. angusta, and E. johnstonii) have C(3) isotopic ratios. Phylogenetically, subsection Acutae branches between basal C(3) clades within Euphorbia and the C(4) clade in subgenus Chamaesyce. Euphorbia angusta is C(3), as indicated by a photosynthetic CO(2) compensation point (Г) of 69 µmol mol(-1) at 30 °C, a lack of Kranz anatomy, and the occurrence of glycine decarboxylase in mesophyll tissues. Euphorbia acuta utilizes C(2) photosynthesis, as indicated by a Г of 33 µmol mol(-1) at 30 °C, Kranz-like anatomy with mitochondria restricted to the centripetal (inner) wall of the bundle sheath cells, and localization of glycine decarboxlyase to bundle sheath mitochondria. Low activities of PEP carboxylase, NADP malic enzyme, and NAD malic enzyme demonstrated no C(4) cycle activity occurs in E. acuta thereby classifying it as a Type I C(3)-C(4) intermediate. Kranz-like anatomy in E. johnstonii indicates it also utilizes C(2) photosynthesis. Given the phylogenetically intermediate position of E. acuta and E. johnstonii, these results support the hypothesis that C(2) photosynthesis is an evolutionary intermediate condition between C(3) and C(4) photosynthesis.

Experimental measurements of the nonlinear Rayleigh-Taylor instability using a magnetorheological fluid.

The unique properties of magnetic fluids are exploited to create a static interface between two fluids in the context of studying Rayleigh-Taylor (RT) driven mixing. Paramagnetic fluids have previously been used for studying this phenomenon [Z. Huang, Phys. Rev. Lett. 99, 204502 (2007)], as have ferrofluids [G. Pacitto, Phys. Rev. E 62, 7941 (2000)], but we propose using magnetorheological fluids instead to attain better control of the initial condition. As the motivation for using this technique is to quantify the effects of the initial condition on late time behavior of the RT instability, it is important that the initial condition be prescribed at a scale large enough to reliably measure. As a first demonstration of creating such an interface, this technique is applied to the two-dimensional (2D) instability with a single-mode sinusoidal interface. This technique has been used to study both moderate and high Atwood number systems, with successful control of the interface in an A=1 system being demonstrated. The nonlinear growth phase for this initial condition is examined and comparisons are made with both analytical models and published numerical and experimental work on the 2D single-mode RT instability. Measurements of the late time RT spike behavior reveal poor agreement between the experimental results and the analytical models.

Experimental investigation of primary and secondary features in high-mach-number shock-bubble interaction.

Experiments to study the compression and unstable evolution of an isolated soap-film bubble containing helium, subjected to a strong planar shock wave (M=2.95) in ambient nitrogen, have been performed in a vertical shock tube of square internal cross section using planar laser diagnostics. The early phase of the interaction process is dominated by the formation of a primary vortex ring due to the baroclinic source of vorticity deposited during the shock-bubble interaction, and the mass transfer from the body of the bubble to the vortex ring. The late time (long after shock interaction) study reveals the presence of a secondary baroclinic source of vorticity at high Mach number which is responsible for the formation of counterrotating secondary and tertiary vortex rings and the subsequent larger rate of elongation of the bubble.

Experimental investigation of a strongly shocked gas bubble.

A free-falling, spherical, soap-film bubble filled with argon is subjected to a planar M=2.88 shock in atmospheric nitrogen; vorticity is deposited on the surface of the bubble during shock interaction, and the Richtmyer-Meshkov instability ensues. The geometrical development of the shocked bubble is diagnosed with laser sheet imaging and a planar slice showing two cross sections of both the major vortex ring and a secondary vortex ring is revealed experimentally for the first time. Quantitative measurements of the experimental data include the vortex velocity defect, and subsequent circulation calculations, along with a new set of relevant length scales. The shock wave strength, leading to a post-shock compressible regime, allows the study of the instability development in a regime between low Mach number shock tube experiments and high Mach number laser driven experiments that has not been investigated previously.