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SARS-CoV-2 droplet deposition path and its effects on the human upper airway in the oral inhalation

Background and Objective: It is crucial to study the uptake of viral droplets in the human respiratory system to control, prevent, and treat diseases. Methods: In this study, a well-verified real anatomical model was used; the passage of air in the human upper respiratory system computed using high-...

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Autores principales: Mortazavi, Hamed, Beni, Hamidreza Mortazavy, Aghaei, Fatemeh, Sajadian, Seyed Hossein
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier B.V. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7666874/
https://www.ncbi.nlm.nih.gov/pubmed/33223278
http://dx.doi.org/10.1016/j.cmpb.2020.105843
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author Mortazavi, Hamed
Beni, Hamidreza Mortazavy
Aghaei, Fatemeh
Sajadian, Seyed Hossein
author_facet Mortazavi, Hamed
Beni, Hamidreza Mortazavy
Aghaei, Fatemeh
Sajadian, Seyed Hossein
author_sort Mortazavi, Hamed
collection PubMed
description Background and Objective: It is crucial to study the uptake of viral droplets in the human respiratory system to control, prevent, and treat diseases. Methods: In this study, a well-verified real anatomical model was used; the passage of air in the human upper respiratory system computed using high-quality Computer Tomography (CT) images. Then, the airflow field, along with the coronavirus micro-droplets injection, was examined in this realistic model using the Fluid-Structure Interaction (FSI) method. The Discrete Phase Model (DPM) was used to solve the field, and with the help of it, the accurate assessment of the temporal and spatial motion of the deposition in the virus-impregnated droplets was obtained in vitro in the upper respiratory system. Results: The results show that the amount of deposited micro-droplets in the nasal cavity area is meager at the inhalation only through the oral. However, it has the most residence time in this area. The most and least droplet absorption occurred in the oral cavity and larynx-trachea, respectively. Deposition efficiency is about 100% in 30 L/min flow rate and 10 μm diameter; in other words, no droplet enters the lungs. This study's other achievements include the relatively inverse relationship between droplets deposition efficiency in some parts of the upper airway, which have the most deformation in the tract. Conclusions: Utilization of a realistic model with accurate and precise computational analysis can end speculation about the deposition zone, accumulation, and the effects of the COVID-19 virus on the upper respiratory tract. On the other hand, recognizing the virus-containing droplet location can ease understanding the areas where the virus can first infect in the upper respiratory tract.
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spelling pubmed-76668742020-11-16 SARS-CoV-2 droplet deposition path and its effects on the human upper airway in the oral inhalation Mortazavi, Hamed Beni, Hamidreza Mortazavy Aghaei, Fatemeh Sajadian, Seyed Hossein Comput Methods Programs Biomed Article Background and Objective: It is crucial to study the uptake of viral droplets in the human respiratory system to control, prevent, and treat diseases. Methods: In this study, a well-verified real anatomical model was used; the passage of air in the human upper respiratory system computed using high-quality Computer Tomography (CT) images. Then, the airflow field, along with the coronavirus micro-droplets injection, was examined in this realistic model using the Fluid-Structure Interaction (FSI) method. The Discrete Phase Model (DPM) was used to solve the field, and with the help of it, the accurate assessment of the temporal and spatial motion of the deposition in the virus-impregnated droplets was obtained in vitro in the upper respiratory system. Results: The results show that the amount of deposited micro-droplets in the nasal cavity area is meager at the inhalation only through the oral. However, it has the most residence time in this area. The most and least droplet absorption occurred in the oral cavity and larynx-trachea, respectively. Deposition efficiency is about 100% in 30 L/min flow rate and 10 μm diameter; in other words, no droplet enters the lungs. This study's other achievements include the relatively inverse relationship between droplets deposition efficiency in some parts of the upper airway, which have the most deformation in the tract. Conclusions: Utilization of a realistic model with accurate and precise computational analysis can end speculation about the deposition zone, accumulation, and the effects of the COVID-19 virus on the upper respiratory tract. On the other hand, recognizing the virus-containing droplet location can ease understanding the areas where the virus can first infect in the upper respiratory tract. Elsevier B.V. 2021-03 2020-11-15 /pmc/articles/PMC7666874/ /pubmed/33223278 http://dx.doi.org/10.1016/j.cmpb.2020.105843 Text en © 2020 Elsevier B.V. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Mortazavi, Hamed
Beni, Hamidreza Mortazavy
Aghaei, Fatemeh
Sajadian, Seyed Hossein
SARS-CoV-2 droplet deposition path and its effects on the human upper airway in the oral inhalation
title SARS-CoV-2 droplet deposition path and its effects on the human upper airway in the oral inhalation
title_full SARS-CoV-2 droplet deposition path and its effects on the human upper airway in the oral inhalation
title_fullStr SARS-CoV-2 droplet deposition path and its effects on the human upper airway in the oral inhalation
title_full_unstemmed SARS-CoV-2 droplet deposition path and its effects on the human upper airway in the oral inhalation
title_short SARS-CoV-2 droplet deposition path and its effects on the human upper airway in the oral inhalation
title_sort sars-cov-2 droplet deposition path and its effects on the human upper airway in the oral inhalation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7666874/
https://www.ncbi.nlm.nih.gov/pubmed/33223278
http://dx.doi.org/10.1016/j.cmpb.2020.105843
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