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10.1038/s41598-020-66716-0

http://scihub22266oqcxt.onion/10.1038/s41598-020-66716-0
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32601278!7324389!32601278
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suck abstract from ncbi


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pmid32601278      Sci+Rep 2020 ; 10 (1): 10568
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  • Numerical evaluation of spray position for improved nasal drug delivery #MMPMID32601278
  • Basu S; Holbrook LT; Kudlaty K; Fasanmade O; Wu J; Burke A; Langworthy BW; Farzal Z; Mamdani M; Bennett WD; Fine JP; Senior BA; Zanation AM; Ebert CS Jr; Kimple AJ; Thorp BD; Frank-Ito DO; Garcia GJM; Kimbell JS
  • Sci Rep 2020[Jun]; 10 (1): 10568 PMID32601278show ga
  • Topical intra-nasal sprays are amongst the most commonly prescribed therapeutic options for sinonasal diseases in humans. However, inconsistency and ambiguity in instructions show a lack of definitive knowledge on best spray use techniques. In this study, we have identified a new usage strategy for nasal sprays available over-the-counter, that registers an average 8-fold improvement in topical delivery of drugs at diseased sites, when compared to prevalent spray techniques. The protocol involves re-orienting the spray axis to harness inertial motion of particulates and has been developed using computational fluid dynamics simulations of respiratory airflow and droplet transport in medical imaging-based digital models. Simulated dose in representative models is validated through in vitro spray measurements in 3D-printed anatomic replicas using the gamma scintigraphy technique. This work breaks new ground in proposing an alternative user-friendly strategy that can significantly enhance topical delivery inside human nose. While these findings can eventually translate into personalized spray usage instructions and hence merit a change in nasal standard-of-care, this study also demonstrates how relatively simple engineering analysis tools can revolutionize everyday healthcare. Finally, with respiratory mucosa as the initial coronavirus infection site, our findings are relevant to intra-nasal vaccines that are in-development, to mitigate the COVID-19 pandemic.
  • |*Administration, Inhalation[MESH]
  • |*Betacoronavirus[MESH]
  • |*Nasal Sprays[MESH]
  • |Administration, Intranasal/*methods[MESH]
  • |COVID-19[MESH]
  • |Computer Simulation[MESH]
  • |Coronavirus Infections/*prevention & control/virology[MESH]
  • |Drug Delivery Systems/*methods[MESH]
  • |Humans[MESH]
  • |Hydrodynamics[MESH]
  • |Nasal Cavity/anatomy & histology[MESH]
  • |Nasal Mucosa/drug effects/virology[MESH]
  • |Nebulizers and Vaporizers[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Paranasal Sinuses/drug effects/virology[MESH]
  • |Pneumonia, Viral/*prevention & control/virology[MESH]
  • |SARS-CoV-2[MESH]


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