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      Respirator masks protect health but impact performance: a review

      review-article
      Journal of Biological Engineering
      BioMed Central
      Exercise, Respiration, Heat, Vision, Communications, Anxiety, Heart

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          Abstract

          Respiratory protective masks are used whenever it is too costly or impractical to remove airborne contamination from the atmosphere. Respirators are used in a wide range of occupations, form the military to medicine. Respirators have been found to interfere with many physiological and psychological aspects of task performance at levels from resting to maximum exertion. Many of these limitations have been investigated in order to determine quantitatively how much performance decrement can be expected from different levels of respirator properties. The entire system, including respirator and wearer interactions, must be considered when evaluating wearer performances. This information can help respirator designers to determine trade-offs or managers to plan to compensate for reduced productivity of wearers.

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          Most cited references79

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          Maximum static inspiratory and expiratory pressures with different lung volumes

          Background Maximum pressures developed by the respiratory muscles can indicate the health of the respiratory system, help to determine maximum respiratory flow rates, and contribute to respiratory power development. Past measurements of maximum pressures have been found to be inadequate for inclusion in some exercise models involving respiration. Methods Maximum inspiratory and expiratory airway pressures were measured over a range of lung volumes in 29 female and 19 male adults. A commercial bell spirometry system was programmed to occlude airflow at nine target lung volumes ranging from 10% to 90% of vital capacity. Results In women, maximum expiratory pressure increased with volume from 39 to 61 cmH2O and maximum inspiratory pressure decreased with volume from 66 to 28 cmH2O. In men, maximum expiratory pressure increased with volume from 63 to 97 cmH2O and maximum inspiratory pressure decreased with volume from 97 to 39 cmH2O. Equations describing pressures for both sexes are: Pe/Pmax = 0.1426 Ln( %VC) + 0.3402 R2 = 0.95 Pi/Pmax = 0.234 Ln(100 - %VC) - 0.0828 R2 = 0.96 Conclusion These results were found to be consistent with values and trends obtained by other authors. Regression equations may be suitable for respiratory mechanics models.
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            Influence of anxiety level on work performance with and without a respirator mask.

            Work performance of mask wearers has been shown to be less than performance of the same individuals without masks. How much this performance decrement is attributable to psychological factors was the subject of this study. This experiment was designed to give quantitative information about the effect of anxiety level on relative work performance while wearing a respirator mask. Twenty subjects were tested for trait anxiety levels and performed on a treadmill at 80-85% of their maximum heart rates until they reached voluntary end-point. Physiological, metabolic, and subjective measurements were taken every minute. While experimental variability precluded many of the results from achieving statistical significance, performance times with the mask averaged less than without the mask. Anxious subjects experience more discomfort, perform for shorter times, and accomplish less total work than their lower anxiety counterparts, even when rate of work can be adjusted.
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              Effect of Respirator Inspiratory Resistance Level on Constant Load Treadmill Work Performance

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                Author and article information

                Contributors
                1-301-405-1184 , artjohns@umd.edu
                Journal
                J Biol Eng
                J Biol Eng
                Journal of Biological Engineering
                BioMed Central (London )
                1754-1611
                9 February 2016
                9 February 2016
                2016
                : 10
                : 4
                Affiliations
                Fischell Department of Bioengineering, University of Maryland, College Park, MD 20742 USA
                Article
                25
                10.1186/s13036-016-0025-4
                4748517
                26865858
                ace32353-78a6-41b9-984a-db291095451d
                © Johnson. 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 16 June 2015
                : 1 February 2016
                Categories
                Review
                Custom metadata
                © The Author(s) 2016

                Biotechnology
                exercise,respiration,heat,vision,communications,anxiety,heart
                Biotechnology
                exercise, respiration, heat, vision, communications, anxiety, heart

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