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5,2 HUMAN RESPIRATORY TRACT PHYSIOLOGY                                    225






























                  FIGURE 5.28  Estimated overall airway deposition as a function of initial particle size and parti-
                  cle hygroscopicity for particles with mass median aerodynamic diameters (MMAD) between 0.1 and
                  10 (Jim. 102  Geometric dispersion, a measure of particle size distribution, principally affects only
                  smaller MMAD.


                  Consequently, any breathing pattern which increases pulmonary residence
                  times, such as breath-holding, increases fine particle deposition throughout
                  the airway.
                      Where along the airway inspired particles deposit depends on particle
                  mass, since the deposition mechanism depends on particle MMAD. Passage
                  through the airway has no effect on nonhygroscopic particle mass (e.g., fly
                  ash), and initial MMAD determines the deposition pattern (Fig. 5.28), In con-
                  trast, hygroscopic particles (e.g., acid droplets) increase in mass when exposed
                  to humid environments like the respiratory tract. Particle properties (e.g.,
                  chemical composition, ionic concentration, and particle surface area) and air-
                  stream conditions (e.g., temperature, RH, and V E) which affect hygroscopic
                  growth consequently play major roles in determining particle mass and depo-
                  sition patterns (Fig. 5.29).
                      Acid Aerosol Neutralization
                      Sulfuric acid (H 2SO 4) and ammonium bisulfate (NH 4HSO 4) contribute im-
                  portantly to ambient acid aerosols, particularly in geographic locations where
                  sulfur-rich coal is used for power plant fuel, such as the eastern United
                        103
                  States.  Studies on animals and human subjects have shown that H 2SO 4 and
                                                                            104 106
                  NH 4HSO 4 alter mucociliary transport in a dose-dependent fashion "  and
                  can adversely affect pulmonary function in humans. 106  While this effect on
                  clearance has generally been attributed to hydrogen ion concentration, [H+], the
                                                                             +
                  work of Schlesinger et al. 107  suggests that, for equivalent inhaled [H ], H 2SO 4
                  elicits a greater change than NH 4HSO 4. If this observation is confirmed, it
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