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Respirators provide protection from inhalation exposure to dangerous substances, such as chemicals and infectious particles, including SARS-Covid-laden droplets and aerosols. However, they are prone to exposure to stale air as the masks creat a microclimate influenced by the exhaled air. As a result, exhaled air from the lungs accumulating in the mask produce a warm and humid environment that has a high concentration of carbon dioxide (CO2), unsuitable for re-inhalation. Fans are a favourable option for respirators to ventilate the mask and remove the stale air. This study utilized computational fluid dynamics simulation consisting of a hybrid Reynolds-averaged Navier-Stokes (RANS)-large eddy simulation (LES) turbulence method to compare the inhalation flow properties for different fan locations (bottom, top, and side) with regular respirator breathing. Three mask positions, top, side, and bottom, were evaluated under two breathing cycles (approximately 9.65s of breathing time). The results demonstrated that adding a fan respirator significantly decreased internal mask temperature, humidity, and CO2 concentration. The average CO2 concentration decreased by 87%, 67% and 73% for locations bottom, top and side respectively. Whilst the top and side fan locations enhanced the removal of the exhaled gas mixture, the bottom-fan respirator was more efficient in removing the nostril jet gas mixture and therefore provided the least barrier to respiratory function. The results provide valuable insights into the benefits of fan respirators for long-term use for reducing CO2 concentration, mask temperature, and humidity, improving wearer safety and comfort in hazardous environments, especially during the COVID-19 pandemic., Comment: 23 Pages, 7 Figures

Spray atomization process involves complex multi-phase phenomena. Abundant literature and validation of spray modelling for industrial applications like fuel injection in internal combustion and turbine jet engines are available. However, only a handful of studies, primarily limited to discrete phase modelling, of low-pressure applications, such as nasal spray exists. This study aims to provide insight into the external and near-nozzle spray characterization of a continuous spray and establishes good validation against the experiment. A 3-dimensional (3D) X-ray scanner was used to extract the internal nasal spray nozzle geometry which was reconstructed to build a 3D computational model. A novel volume-of-fluid to discrete phase transition model (VOF-DPM) was used to track the liquid phase and its transition to droplets, which was based on the shape and size of the liquid lumps. In this study, an early pre-stable and stable phase of spray plume development was investigated. Qualitative and quantitative analysis were carried out to validate the computational model. A liquid column exited a nozzle which distorted at its base with advancement in time and eventually formed a hollow-cone liquid sheet. It then, disintegrated due to instability that produced fluctuations to form ligaments resulting in secondary break-up. This study provides in-depth understanding of liquid jet disintegration and droplet formation, which adds value to future nasal spray device designs and techniques to facilitate more effective targeted nasal drug delivery., Comment: Pre-print to be published in Physics of Fluids Journal, 30 pages, 12 figures

Purpose: Nasal saline irrigation is highly recommended in patients following functional endoscopic sinus surgery (FESS) to aid the postoperative recovery. Post-FESS patients have significantly altered anatomy leading to markedly different flow dynamics from those found in pre-op or non-diseased airways, resulting in unknown flow dynamics. Methods: This work investigated how the liquid stream disperses through altered nasal cavities following surgery using Computational Fluid Dynamics (CFD). A realistic squeeze profile was determined from physical experiments with a 27-year-old male using a squeeze bottle with load sensors. The administration technique involved a head tilt of 45-degrees forward to represent a head position over a sink. After the irrigation event that lasted 4.5 s, the simulation continued for an additional 1.5 s, with the head orientation returning to an upright position. Results: The results demonstrated that a large maxillary sinus ostium on the right side allows saline penetration into this sinus. The increased volume of saline entering the maxillary sinus limits the saline volume available to the rest of the sinonasal cavity and reduces the surface coverage of the other paranasal sinuses. The average wall shear stress was higher on the right side than on the other side for two patients. The results also revealed that head position alters the sinuses saline residual, especially the frontal sinuses. Conclusion: While greater access to sinuses is achieved through FESS surgery, patients without a nasal septum limits posterior sinus penetration due to the liquid crossing over to the contralateral cavity and exiting the nasal cavity early.

Airflow through the nasal cavity exhibits a wide variety of fluid dynamicsbehaviour due to the intricacy of the nasal geometry. The flow is naturallyunsteady and perhaps turbulent, despite CFD in the literature that assumesa steady laminar flow. Time-dependent simulations can be used to generatedetailed data with the potential to uncover new flow behaviour, although theyare more computationally intensive compared with steady-state simulations. Furthermore, verification of CFD results has relied on reported pressure drop(e.g. nasal resistance) across the nasal airway although the geometries usedare different. This study investigated the unsteady nature of inhalation atflow rates of 10, 15, 20, and 30 L/min. A scale resolving CFD simulationusing a hybrid RANS-LES model was used and compared with experimentalmeasurements of the pressure distribution and the overall pressure drop in thenasal cavity. The experimental results indicated a large pressure drop acrossthe nasal valve, as well as across the nasopharynx with the latter attributedto a narrow cross-sectional area. At a flowrate of 30 L/min, the CFD simula-tions showed that the anterior half of the nasal cavity displayed dominantlylaminar but disturbed flow behaviour in the form of velocity fluctuations. Theposterior half of the nasal cavity displayed turbulent activity, characterised byerratic fluctuating velocities, which was enhanced by the wider cross-sectionalareas in the coronal plane. At 15L/min, the flow field was laminar dominantwith very little disturbance confirming a steady-state laminar flow assumptionis viable at this flow rate., Comment: 38 pages, 10 figures, Published in Physics of Fluids 33

Inhalation drug delivery has seen a swift rise in the use of dry powder inhalers (DPIs) to treat chronic respiratory conditions. However, universal adoption of DPIs has been restrained due to their low efficiencies and significant drug losses in the mouth-throat region. Aerosol efficiency of DPIs is closely related to the fluid-dynamics characteristics of the inhalation flow generated from the devices, which in turn are influenced by the device design. In-vitro and particle image velocimetry (PIV) have been used in this study to assess the aerosol performance of a model carrier formulation delivered by DPI devices and to investigate their flow characteristics. Four DPI device models, with modification to their tangential inlets and addition of a grid, have been explored. Similar aerosol performances were observed for all four device models, with FPF larger than 50%, indicating desirable lung deposition. A high swirling and recirculating jet-flow emerging from the mouthpiece of the DPI models without the grid was observed, which contributed to particle deposition in the throat. DPI models where the grid was present showed a straightened outflow without undesired lateral spreading, that reduced particle deposition in the throat and mass retention in the device. These findings demonstrate that PIV measurements strengthen in-vitro evaluation and can be jointly used to develop high-performance DPIs.

Purpose: Computational Fluid Dynamics (CFD) simulations are performed to investigate the impact of adding a grid to a two-inlet dry powder inhaler (DPI). The purpose of the paper is to show the importance of the correct choice of closure model and modeling approach, as well as to perform validation against particle dispersion data obtained from in-vitro studies and flow velocity data obtained from particle image velocimetry (PIV) experiments. Methods: CFD simulations are performed using the Ansys Fluent 2020R1 software package. Two RANS turbulence models (realisable $k - \epsilon$ and $k - \omega$ SST) and the Stress Blended Eddy Simulation (SBES) models are considered. Lagrangian particle tracking for both carrier and fine particles is also performed. Results: Excellent comparison with the PIV data is found for the SBES approach and the particle tracking data are consistent with the dispersion results, given the simplicity of the assumptions made. Conclusions: This work shows the importance of selecting the correct turbulence modelling approach and boundary conditions to obtain good agreement with PIV data for the flow-field exiting the device. With this validated, the model can be used with much higher confidence to explore the fluid and particle dynamics within the device., Comment: Accepted in Pharmaceutical Research (2021)