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[Are humidity filters necessary in the inspired air in the breathing circuit? A new in vivo method of measuring humidity in the air breathed].

Humidification of inspiratory gases under anaesthetic conditions still is a matter of controversial discussion. Physiological humidification and heating of breathing air are preconditions for mucociliary clearance, pulmonary cleaning and defence mechanisms. These functions of the upper respiratory tract are eliminated by application of artificial airways. In general the humidification of inspiratory gases should not remain under 70% of relative air humidity at 37 degrees C. Under clinical conditions it is problematic to ensure sufficiently rapid and reproducible measurements of humidity during breathing cycles. We developed a measuring method that enables to make these measurements without big mechanical device. Aim of this investigation was to measure air humidity in typical semiclosed systems during anaesthesia and semiopen CPAP-respiration. The necessity and efficiency of a heat and moisture exchanger (HME) was to be investigated as well. After approximately 5 minutes there was an inspiratory relative air humidity not below 70% at 28 degrees C (19 mg H2O/l humid air) within the breathing circuit with CO2 double-absorber. By using an HME it is possible to increase relative air humidity within this system to 86% at 29.5 degrees C (25 mg/l). After one hour's respiration with this system without HME a relative humidity of 87% at 30 degrees C (26 mg/l) is reached after replaced HME. Initial relative humidity in a semiopen CPAP-system is about 12% at 28 degrees C (3 mg/l). This is increased to 85% at 29.5 degrees C (25 mg/l) after 15 minutes respiration with HME.(ABSTRACT TRUNCATED AT 250 WORDS)

Air

The effect of dry and humid hot air inhalation on expired relative humidity during exercise.

It has been previously demonstrated that under certain environmental conditions, expired air is not fully water saturated because of the low relative humidity of the first part of the expirate. This finding is of interest to those involved in respirator research, particularly those who design and test robotic metabolic simulators. These simulators must accurately mimic the physiological responses of human airways to breathing air of various temperatures and relative humidities (RHs). Because these responses are not fully quantified, this study examined the mean relative humidity of expired air during four inspired air conditions: cool dry (26 degrees C, 60% RH), cool humid (26 degrees C, 95% RH), hot dry (45 degrees C, 11% RH), and hot humid (45 degrees C, 95% RH). These conditions were administered during three exercise intensities: rest, low (35% VO2max), and moderate (70% VO2max). As compared to the cool dry (CD) condition, frequency of breathing (f) was 9.3% lower and tidal volume (VT) was 9.4% greater across all exercise intensities for the hot humid (HH) condition (p less than 0.05). Mean expired relative humidity (ERH) was substantially lower for the hot dry (HD) condition as compared to the other three conditions during each sampling period. These findings support the conclusion that the mean ERH of expired air depends upon several respiratory and environmental factors in addition to inspired air temperature.

Adolescent

Relative humidity, not absolute humidity, is of great importance when using a humidifier with a heating wire.

OBJECTIVES: Since the introduction of a humidifier with a heating wire, we have frequently experienced severe upper airway obstruction from consolidation of secretions, previously unencountered when a humidifier without a heating wire was used. Such problems led to the suspicion that the heating wire incorporated into the breathing circuit of the heated humidifier might be the cause. Therefore, we scheduled an experiment to assess the hypothesis that relative humidity, rather than absolute humidity, is a dominant factor in the case of drying secretions in the upper airway when using such a humidifier. DESIGN: Three clinical case reports and an experiment with a tracheal model. SETTING: Intensive care units at Saitama Medical Center, Saitama Medical School, Saitama, Japan. PATIENTS: Three intubated patients. MEASUREMENTS AND MAIN RESULTS: An experiment with a tracheal model showed that gas with a higher temperature and lower relative humidity (35 degrees C, 48%) deprived the tracheal model of significantly more water (5.9 +/- 0.2 [SD] g) than gas with a lower temperature and higher relative humidity (24 degrees C, 87%) (2.9 +/- 0.4 g; p less than .01), even though the gases contained the same amount of water vapor (19 mg H2O/L) minus the same absolute humidity. CONCLUSIONS: A heated humidifier with a heating wire incorporated into the breathing circuit may be dangerous when only temperature is monitored and controlled. Relative humidity, rather than absolute humidity, is a dominant factor in the case of drying secretions in the upper airway when using such a humidifier.

Aged

Pulmonary responses of asthmatic and normal subjects to different temperature and humidity conditions in an environmental chamber.

Determining the possible adverse health effects of air pollutants can be complicated by differences in the environmental conditions of temperature and humidity. To evaluate the potentially confounding effects of differences in temperature and humidity, we exposed 8 normal male subjects and 8 male subjects with asthma to the extremes in temperature and humidity that could be maintained in an environmental chamber. We performed serial pulmonary function tests for these subjects before and during 6 hr exposure periods on 5 separate occasions: cold, dry (10 degrees C, 10% relative humidity); cold, humid (10 degrees C, 50% relative humidity); normal ambient (22 degrees C, 40% relative humidity); hot, dry (37 degrees C, 15% relative humidity); and hot, humid (37 degrees C, 60% relative humidity). The exposure period included a 12 min exercise on a cycle ergometer. We found no significant change in spirometry, airways resistance, or diffusing capacity for either group of subjects at rest alone over the 6 hr period of exposure for any exposure condition. However, there were changes in spirometry and airways resistance as a result of the 12 min period of exercise. The subjects with asthma had significant decreases in forced expiratory volume in 1 sec (FEV1) (20-21%) and increases in specific airways resistance when exercising in conditions of cold and dry, cold and humid, and hot and dry. The normal subjects had an average increase in FEV1 of approximately 6% when exercising in the hot and humid conditions. We found significant correlations for the changes in FEV1 with the water content of the exposure conditions for both groups of subjects. We also found that the work performance (expressed as the external work performed divided by the oxygen consumed) was decreased for the subjects in both groups at the conditions of the higher temperature (37 degrees C) compared with the lower temperature (10 degrees C). These results confirm that controlling for the conditions of temperature and humidity is essential in chamber studies, field studies, or epidemiologic evaluations determining the adverse effect of an air pollutant.

Adult

The effect of environmental temperature and humidity on 24 h energy expenditure in men.

The effects of environmental temperature and humidity and their interaction on 24 h energy expenditure were measured using whole-body indirect calorimetry in eight normal-weight young men who wore standardized light clothing and followed a controlled activity regimen. A randomized-block experimental design was used, with temperature effects assessed by measurements at 20, 23, 26 and 30 degrees, while humidity was altered from ambient (50-65% relative humidity) to high (80-93% relative humidity) at 20 and 30 degrees only. There was no significant effect of humidity on 24 h energy expenditure at the two extreme temperatures in this range, though when periods of sleep and exercise were excluded the energy expenditure at high humidity was significantly higher than that ambient humidity (P < 0.02). The effect of temperature at ambient humidity levels showed lower values at 23 and 26 degrees than at 20 and 30 degrees (P < 0.02). The effect of temperature was not equally apparent in all components of the 24 h energy expenditure, as sleeping metabolic rate and the energy cost of walking and cycling showed no significant effect of temperature over this range. This raises the possibility that the effects of temperature are attributable to behavioural changes during the waking portion of the day rather than any non-shivering thermogenic mechanisms at tissue level.

Adult

Influence of environment on airsacculitis: effects of relative humidity and air temperature on broilers infected with Mycoplasma synoviae and infectious bronchitis.

Mycoplasma synoviae (MS) obtained from broiler chickens condemned for airsacculitis was used to determine the influence of air temperature and relative humidity on the severity of airsacculitis produced experimentally. Infectious bronchitis virus was administered to 3-week-old broilers 5 days before aerosol exposure to MS broth cultures, producing extensive airsacculitis within 21-day study periods. High (31-32 C), medium (19-24 C), and low (7-10 C) air temperatures were studied in conjection with high (75-90%), medium (38-56%), and low (23-26%) relative humidities. Airsacculitis was most extensive (45%) at low temperatures regradless of high or medium humidity. The incidence of airsacculitis was greater (39%) at low humidity than at high humidity (17%) when air temperatures were medium. At high temperature, the trend was toward more airsacculitis (12%) at high humidity than (5%) at low humidity. However, the effect of cold air temperature was more dominant than the effect of relative humidity.

Aerosols

[Influences of the complex of environmental temperature, relative humidity and air velocity on the body temperature of restrained mice (author's transl)].

Effects of the complexes of environmental factors, such as ambient-temperature, relative humidity and air velocity, on the body temperature were investigated in restrained mice. Observations were carried out before and after 60 min-exposure to various triple combinations among environmental temperatures of 15, 25 and 35 degreesC, relative humidities of 40, 65 and 90%, and air velocities of 0.2, 1.0 and 2.0 m/sec. The analysis of variance about the differences of body temperature revealed significant effects of the environmental temperature and the air velocity levels, while no significant effects were recognized of the relative humidity. Effects of the double factors, either the environmental temperature plus the relative humidity or the environmental temperature plus the air velocity, were significant at 5 or 1% level respectively. However, effects of the double factors the relative humidity plus the air velosity, as well as the triple factors were not significant. Under the environments consisted of triple factors, the environmental temperature of 20 and 25 degreesC, the relative humidities of 40 and 70% and the air velocities of 0.1 and 0.5 m/sec, significant effects at 1% level were recognized only in the environmental temperature levels. In the relative humidty or the air velocity levels, and the double or triple factor levels, no significant effects were recognized. From the results obtained, the effective temperature (Te) was indicated by the formula, Te=t+100x-v square root 38-t, in which were given the environmental temperature in t degrees C, the absolute humidity in x kg/kg and the air velocity in v m/sec.

Air Movements

Provision of endogenous and exogenous humidity for the Bain breathing circuit.

The endogenous humidity produced by a partial rebreathing system, the Bain Breathing Circuit, was measured clinically and experimentally. The addition of humidification by interposing a Garthur Vapor Condenser (HME) or a Bennett Cascade heated humidifier into the system was also studied. Without supplemental humidity, the Bain Breathing Circuit probably meets marginal requirements for preservation of ciliary morphology and function during endotracheal anaesthesia. However, additional humidity is needed to prevent alteration in pulmonary mechanics. The HME is a beneficial adjunct to the Bain Breathing Circuit, raising humidity to near acceptable levels, especially if ambient temperatures range from 24 degrees to 26 degrees C. However, the deadspace of the HME is 17 ml, which might limit its use in children. The Bennett Cascade humidifier plus the Bain Breathing Circuit satisfies minimal suggested humidity requirements at ambient reservoir water temperatures of 24 degrees to 26 degrees C. Heating the reservoir water to maximum heat capacity increased humidity but caused marked water condensation along the inner fresh gas tube of the Bain Breathing Circuit.

Adolescent

Effects of dry and humid climates on exercise-induced asthma in children and preadolescents.

Among factors which possibly influence the responses of asthmatic children to exercise, climate has received little attention. This study was performed to determine whether the level of air humidity is a factor to be considered. Twenty asthmatic (extrinsic perennial) girls and boys, 6 to 14 yr of age, with unverified history of exercise-induced asthma (EIA) took part. They rested and exercised in a climatic chamber in dry (25% relative humidity) and humid (90%) sessions at 25 degrees to 26 degrees C. One to three weeks separated the sessions, the order of which was counterbalanced. No changes in pulmonary functions (FVC, FEV 1.0, MMEF, MBC) were found following a sitting period of 60 min in either climate. Five and ten minutes following the treadmill run, however, bronchoconstriction was distinctly more pronounced in the dry than in the humid climate. Exercise heart rate and the subjective rating of effort were not affected by climate. It was concluded that, under the above experimental conditions, EIA is more likely in dry air than in humid air, possibly due to heat loss at the airway mucosa caused by evaporation. High humidity of inspired air could be the reason why EIA is less prevalent in swimming, as compared with other modes of exercise.

Adolescent

Effect of temperature, relative humidity and medium on the aerosol stability of infectious bovine rhinotracheitis virus.

Aerosols of infectious bovine rhinotracheitis virus were generated with a Devilbiss 40 nebulizer from Eagle's minimum essential medium, nasal secretion from a noninfected calf and nasal secretion from a calf artificially infected with infectious bovine rhinotracheitis virus and aged in a rotating drum at temperatures of 6 degrees C or 32 degrees C and relative humidities of 30% or 90%. The aerosols were sampled at seven minutes after start of spraying, one hour, two hours and three hours with an all glass impinger (AGI-30) and titrated for infectivity in cell cultures. Physical decay was determined by a rhodamine B tracer technique. During spraying (seven minutes from start of spraying), the virus was usually more stable in aerosols of nasal secretion from a noninfected calf and at 90% relative humidity. In nasal secretion from a noninfected calf the virus survived best at 90% relative humidity when the temperature was 6 degrees C and best at 30% relative humidity when the temperature was 32 degrees C. During aging, biological decay was greater at the higher temperature, and at 6 degrees C, the highest decay rates occurred at 30% relative humidity in Eagle's minimum essential medium and at 90% relative humidity in nasal secretion from a noninfected calf. The stability of infectious bovine rhinotracheitis virus infected nasal secretion was not widely different from that in noninfected nasal secretion, although under certain conditions greater survival occurred in the noninfected secretion.

Aerosols

pH, temperature, humidity and the dynamic force-area curve of dipalmitoyl lecithin.

Both high pH at 25 degrees C and humidity at 37 degrees C prevent DPL films from attaining zero surface tension, whereas humidity at 25 degrees C and high pH at 37 degrees C do not. At 37 degrees C DPL lowered surface tension to zero when spread from organic solvent or when absorbed from aqueous 0.15 M NaCl in the surface balance in which the surface film was exposed to the room air (dry film). Upon saturation of the atmosphere with water vapor in equilibrium with the aqueous phase at 37 degrees C in a closed chamber, DPL lost the ability to produce zero surface tension, and the gamma min of the DPL film increased from zero to 22 dyne/cm. Addition of DPL in chloroform to distilled water before dispersion by sonication did not prevent the effect of the humidity. However, when the chloroform solution of DPL was added to 0.15 M NaCl before sonication, the adsorbed film produced immediately a stable gamma min of zero in a saturated atmosphere, 37 degrees C. In the absence of chloroform, with DPL adsorbed from either distilled water or 0.15 M NaCl, the effect of humidity was reversed either by removing the chamber and returning the wet film to room air or by introducing small quantities of dispersing agents such as cholesteryl palmitate. However, whereas the effect of humidifying the air was reversible indefinitely, the effect of cholesteryl palmitate (zero surface tension, wet or dry film) was irreversible. This means that there are substances or conditions that can assist DPL films in maintaining zero surface tension when such films are exposed to humidity-saturated air at 37 degrees C.

Humidity

Balancing growth and immunity of potato by humidity-dependent expression of a late blight resistance gene.

Inducible expression of resistance genes is an effective approach to balance plant growth and immunity, thus facilitating the development of disease-resistant crop cultivars. While pathogen-responsive and immunity-related promoters have been adopted for this purpose, alternative design strategies remain to be explored. High relative humidity (RH) has been recognized as a crucial permissive environmental condition for the occurrence of devastating plant diseases including tomato and potato late blight. Here, we identified humidity-activated cis-regulatory elements (HAEs) in Solanum lycopersicum through an integrative analysis of transcriptomics and chromatin accessibility data. Sequence homology-inferred HAEs in S. tuberosum can predict humidity-elicited changes in downstream gene expression. Transgenic S. tuberosum lines expressing a late blight resistance gene driven by an artificial humidity-inducible promoter containing a natural S. tuberosum HAE were generated. These transgenic lines exhibited comparable late blight resistance levels to the lines overexpressing the same resistance gene in controlled zoospore inoculation bioassays, while avoiding growth suppression and tuber yield penalties in common garden experiments. Our findings highlight the importance of plant cis-regulatory elements in the transcriptional responses to high RH and provide a proof-of-concept for a humidity-inducible environment-responsive resistance gene deployment strategy to engineer disease-resistant crop cultivars without compromising growth and yield.

Phytophthora infestans

Water balance and humidity requirements of house dust mites.

The house dust mites, Dermatophagoides farinae, D. pteronyssinus and Euroglyphus maynei, are prevalent in homes in humid geographical areas throughout the world. These mites thrive in humid environments in human dwellings where there is no liquid water to drink. However, their bodies contain 70-75% water by weight, which must be maintained in order to reproduce. Their primary source of water is water vapor which is actively extracted from unsaturated air. At relative humidities above 65-70%, adequate amounts of water can be extracted from unsaturated air to compensate for that lost by all avenues. Active uptake is associated with ingestion of a hyperosmotic solution which is secreted by the supracoxal glands. Active mites do not survive longer than 6-11 days at RHs < or = 50%. They survive extended dry periods by forming a desiccation-resistant protonymphal stage which can survive for months at RHs below the critical humidity for active stages. Feeding rate and allergen production is directly influenced by RH. Mites feed, multiply, and produce more fecal matter at higher RHs than at lower ones.

Animals

Influence of humidity and rain on uptake and metabolism of 14C-azinphos-methyl in bean plants.

In several experiments the influence of relative humidity and rain on uptake and metabolism of carbonyl-14C-azinphos-methyl was examined in bean plants under the following environmental conditions: Growth room with 35/80%, 65/85% and 95/95% (day/night) relative humidity and open field with and without rain. Increasing relative humidity had an enhancing effect on the rate of uptake and metabolism. A higher portion of water-soluble compounds was found in the bean tissue, although the azinphos-methyl itself is relatively non-polar. Low relative humidity and possible dry periods in summer will reduce the uptake and will leave the azinphos-methyl relatively persistent on the leaf surface. Rain or spray irrigation easily removed azinphos-methyl from the leaves. The rate of this removal seemed to depend on the intensity and time of rainfall after application. However, repeated wettings by rain may simultaneously stimulate uptake and metabolism of azinphos-methyl by the leaves.

Azinphosmethyl

Influence of humidity and temperature on the diel periodicity of oviposition of Toxorhynchites moctezuma (Diptera: Culicidae) in the field.

The diurnal pattern of oviposition by Toxorhynchites moctezuma (Dyar & Knab), ambient relative humidity, and ambient air temperature were monitored hourly between 0600 and 1800 hours for 46 consecutive d in a tropical rainforest in Trinidad, West Indies. The mean number of eggs per ovitrap per hour was correlated negatively with mean ambient relative humidity and positively with air temperature. Partial correlation coefficients among these variables and contingency table analysis indicated a stronger relationship between the oviposition rate and relative humidity than between oviposition rate and temperature. We suggest that this relationship is further evidence of the ability of female Tx. moctezuma to detect suitable oviposition sites using humidity gradients.

Animals

Air humidity and carotid rete function in thermoregulation of the goat.

1. The effects of air humidity on respiratory rate have been studied in conscious goats exposed to an air temperature of + 33 degrees C. Before the experiments the animals had been chronically implanted with hypothalamic thermodes and intravascular heat exchangers to manipulate hypothalamic and general body core temperatures.2. Raising air humidity from 37 to 96% at constant air temperature resulted in a rise of respiratory rate, an immediate increase in hypothalamic temperature and a delayed smaller increase in general body core temperature.3. The rise of respiratory rate was smaller when general body core temperature was clamped at its control level and was absent when hypothalamic and general body core temperatures were clamped at their control levels during the humid air phase.4. It is concluded that the effect of high air humidity on respiratory rate in goats is predominantly the result of a rise in hypothalamic temperature acting on local thermosensitive structures. The carotid rete heat exchanger is thought to provide the thermal link between the evaporating surfaces of the upper respiratory tract and the hypothalamus.5. This function of the carotid rete heat exchanger is restricted to heat stressed animals. In animals subject to central cooling no local effects on hypothalamic temperature could be observed when the temperature of the inspired air was altered from + 33 to - 17 degrees C.

Animals

Influence of relative humidity on functional effects of an inhaled SO2-aerosol mixture.

Lightly anesthetized guinea pigs were exposed to 1 ppm of sulfur dioxide (SO2) and 1 mg per m3 of sodium chloride aerosol, individually and in combination, at low and high relative humidities. At low relative humidity (less than 40 per cent) the aerosol was a crystal, at high relative humidity (greater than 80 per cent) a droplet. Exposures lasted one hour. Changes in pulmonary mechanical function characterized by an increase in flow resistance and decrease in compliance were seen only when the mixture was administered at high relative humidity. The effect is ascribed to absorption of the highly soluble SO2 into the droplet before inhalation.

Aerosols

Relationship of temperature and humidity to conception rate of Holstein cows in Hawaii.

Weather data and breeding records for a Holstein herd of 1300 cows in Hawaii were evaluated to determine effects of climate on reproductive performance. The dairy is in a coastal climate near latitude 21 degrees N. Average maximum temperature, relative humidity, and resulting temperature-humidity index for the warmest month of the year were 31 C, 44%, and 79. Average minimum temperature and attending values for the same period were 20 C, 96%, and 68. From late April to November, conception rates were correlated negatively with the average temperature-humidity index of each day of the estrous cycle beginning 11 days prior to breeding. Slopes of regression lines differed, suggesting varying sensitivity of conception rate to heat stress on different days of the cycle. The temperature-humidity index of the 2nd day prior to breeding was most closely correlated with conception rate. Conception rates declined from 66% to 35% as the index increased from 68 to 78. Only the temperature-humdity index of the 2nd day prior to breeding had a significant partial correlation coefficient when the index of the 2nd and 1st day prior to breeding, the day of breeding, and the day following breeding were each evaluated with the index of the others held constant.

Animals