One year of surgical mask testing at the University of Bologna labs: Lessons learned from data analysis

The outbreak of SARS-CoV-2 pandemic highlighted the worldwide lack of surgical masks and personal protective equipment, which represent the main defense available against respiratory diseases as COVID-19. At the time, masks shortage was dramatic in Italy, the first European country seriously hit by the pandemic: aiming to address the emergency and to support the Italian industrial reconversion to the production of surgical masks, a multidisciplinary team of the University of Bologna organized a laboratory to test surgical masks according to European regulations. The group, driven by the expertise of chemical engineers, microbiologists, and occupational physicians, set-up the test lines to perform all the functional tests required. The laboratory started its activity on late March 2020, and as of the end of December of the same year 435 surgical mask prototypes were tested, with only 42 masks compliant to the European standard. From the analysis of the materials used, as well as of the production methods, it was found that a compliant surgical mask is most likely composed of three layers, a central meltblown filtration layer and two external spunbond comfort layers. An increase in the material thickness (grammage), or in the number of layers, does not improve the filtration efficiency, but leads to poor breathability, indicating that filtration depends not only on pure size exclusion, but other mechanisms are taking place (driven by electrostatic charge). The study critically reviewed the European standard procedures, identifying the weak aspects; among the others, the control of aerosol droplet size during the bacterial filtration test results to be crucial, since it can change the classification of a mask when its performance lies near to the limiting values of 95 or 98%.

Waterproof-breathable films from multi-branched fluorinated cellulose esters

Cellulose ester films were prepared by esterification of cellulose with a multibranched fluorinated carboxylic acid, "BRFA" (BRanched Fluorinated Acid), at different anhydroglucose unit:BRFA molar ratios (i.e., 1:0, 10:1, 5:1, and 1:1). Morphological and optical analyses showed that cellulose-BRFA materials at molar ratios 10:1 and 5:1 formed flat and transparent films, while the one at 1:1 M ratio formed rough and translucent films. Degrees of substitution (DS) of 0.06, 0.09, and 0.23 were calculated by NMR for the samples at molar ratios 10:1, 5:1, and 1:1, respectively. ATR-FTIR spectroscopy confirmed the esterification. DSC thermograms showed a single glass transition, typical of amorphous polymers, at -11 °C. The presence of BRFA groups shifted the mechanical behavior from rigid to ductile and soft with increasing DS. Wettability was similar to standard fluoropolymers such as PTFE and PVDF. Finally, breathability and water uptake were characterized and found comparable to materials typically used in textiles.

Hydrogel or ointment? Comparison of five different galenics regarding tissue breathability and transepidermal water loss

Purpose

Five different galenics were analyzed and compared concerning tissue breathability and gas exchange with the environment after an application period of 6 h on pig ear skin. Aim was to find the most suitable galenics for efficient moist treatment for everyday injuries (abrasions, lacerations and cuts) without influencing the transepidermal water loss.

Methods

A quantity of 0.1 g of the different test preparations was applied once topically to an area of 2 cm². The analysis of the breathability was performed by TEWL (transepidermal water loss) measurements in the first hour after product application. The moisture retention effect was assessed by corneometry in the first 5 h after product application.

Results

The hydrogel preparations showed a higher breathability in contrast to a semi-occlusive ointment and petrolatum. The same applies to the moisture penetration of the skin. Here, all hydrogel formulations showed the highest tissue hydration. After 3 h an additional increase in moisture was observed for the areas treated with Tyrosur® CareExpert Wound Gel and the ointment.

Conclusion

In contrast to petrolatum and the semi-occlusive ointment, treatment with the hydrogels led to a preservation of the breathability and good moistening of the tissue, which is due to the galenics of the gels consisting of water, carbomer and propylene glycol. The increase in moisture after 3 h in areas treated with Tyrosur® CareExpert Wound Gel and the semi-occlusive ointment indicates a sustained moisturizing effect mediated by dexpanthenol.

Performance of fabrics for home-made masks against the spread of COVID-19 through droplets: A quantitative mechanistic study

Coronavirus Disease 2019 (COVID-19) may spread through respiratory droplets released by infected individuals during coughing, sneezing, or speaking. Given the limited supply of professional respirators and face masks, the U.S. Centers for Disease Control and Prevention (CDC) has recommended home-made cloth face coverings for use by the general public. While there have been several studies on aerosol filtration performance of household fabrics, their effectiveness at blocking larger droplets has not been investigated. Here, we ascertained the performance of 11 common household fabrics at blocking large, high-velocity droplets, using a commercial medical mask as a benchmark. We also assessed the breathability (air permeability), texture, fiber composition, and water absorption properties of the fabrics. We found that most fabrics have substantial blocking efficiency (median values >70%). In particular, two layers of highly permeable fabric, such as T-shirt cloth, blocks droplets with an efficiency (>94%) similar to that of medical masks, while being approximately twice as breathable. The first layer allows about 17% of the droplet volume to transmit, but it significantly reduces their velocity. This allows the second layer to trap the transmitted droplets resulting in high blocking efficacy. Overall, our study suggests that cloth face coverings, especially with multiple layers, may help reduce droplet transmission of respiratory infections. Furthermore, face coverings made from materials such as cotton fabrics allow washing and reusing, and can help reduce the adverse environmental effects of widespread use of commercial disposable and non-biodegradable facemasks.

Performance of fabrics for home-made masks against the spread of COVID-19 through droplets: A quantitative mechanistic study

Coronavirus Disease 2019 (COVID-19) may spread through respiratory droplets released by infected individuals during coughing, sneezing, or speaking. Given the limited supply of professional respirators and face masks, the U.S. Centers for Disease Control and Prevention (CDC) has recommended home-made cloth face coverings for use by the general public. While there have been several studies on aerosol filtration performance of household fabrics, their effectiveness at blocking larger droplets has not been investigated. Here, we ascertained the performance of 11 common household fabrics at blocking large, high-velocity droplets, using a commercial medical mask as a benchmark. We also assessed the breathability (air permeability), texture, fiber composition, and water absorption properties of the fabrics. We found that most fabrics have substantial blocking efficiency (median values >70%). In particular, two layers of highly permeable fabric, such as T-shirt cloth, blocks droplets with an efficiency (>94%) similar to that of medical masks, while being approximately twice as breathable. The first layer allows about 17% of the droplet volume to transmit, but it significantly reduces their velocity. This allows the second layer to trap the transmitted droplets resulting in high blocking efficacy. Overall, our study suggests that cloth face coverings, especially with multiple layers, may help reduce droplet transmission of respiratory infections. Furthermore, face coverings made from materials such as cotton fabrics allow washing and reusing, and can help reduce the adverse environmental effects of widespread use of commercial disposable and non-biodegradable facemasks.

Open coating with natural wax particles enables scalable, non-toxic hydrophobation of cellulose-based textiles

Environmental benign cellulosic textiles are hampered by their tendency to absorb water, which restricts their use in functional clothing. Herein we describe a method to functionalize textile surfaces using thin, open coatings based on natural wax particles and natural polymers rendering cellulosic fabrics water-repellent while retaining their feel and breathability. The impact of curing temperature, cationic polymer and fabric properties on wetting and long-term water-repellency were studied using contact angle measurements and scanning electron microscopy. The wetting properties were correlated to roughness of the textiles using white light interferometer. X-ray photoelectron spectroscopy revealed the surface chemical composition, leading to fundamental understanding of the effect of annealing on the wax layer. Breathability was evaluated by water vapor permeability. The optimal curing temperature was 70 °C. The developed coating performed well on different natural textiles, and better than commercial alternatives. A set of garment prototypes were produced using the coating.

Ag nanoparticles coated cellulose membrane with high infrared reflection, breathability and antibacterial property for human thermal insulation

To maintain personal thermal comfort in cold weather, indoor heating consumes large amount of energy and is a primary source of greenhouse gas emission. Traditional clothes are too thick for thermal comfort in cold outdoor environment, resulting the lower wearing comfort. In this work, a multifunctional Ag nanoparticles/cellulose fibers thermal insulation membrane starting from waste paper cellulose fibers was prepared via simple silver mirror reaction and subsequent vacuum filtration process to improve the infrared reflection properties of membranes for human thermal insulation. The sphere-like Ag nanoparticles were tightly anchored on surface of waste paper cellulose fibers, forming an Ag nanoparticles infrared radiation reflection coating with high infrared reflectance, resulting in high thermal insulation capacity of the thermal insulation membrane. In addition, Ag nanoparticles endow the thermo insulation membrane with excellent antibacterial activity, and the thermo insulation membranes can effectively inhibit the growth of both Staphylococcus aureus and Escherichia coli. In this thermal insulation system, the thermo insulation membranes show superhydrophilicity and porosity, which allow the membranes to be breathable for comfortable wearing feeling. These promising results including high infrared reflection for high thermal insolating, high breathability for wearing comfort, and excellent antibacterial activity make the Ag/cellulose thermo insulation membranes promising candidates for applications in human thermal management, energy regulation and other facilities.

Sandwich-structured composite fibrous membranes with tunable porous structure for waterproof, breathable, and oil-water separation applications

HYPOTHESIS

In general, microporous membranes with waterproofness, breathability, and oil-water separation performance are prepared from hydrophobic raw materials and demonstrated to exhibit an interconnected porous structure. Hence, constructing porous and gradient-structured composite membranes by integrating robust hydrophobic/lipophilic polyvinylidene fluoride (PVDF) and breathable polyurethane (PU) microporous membranes could help realize a selective separation process.

EXPERIMENT

Here, novel polyvinylidene fluoride-carbon nanotube/polyurethane/polyvinylidene fluoride-carbon nanotube (PVDF-CNT/PU/PVDF-CNT) sandwich-structured microporous membranes were fabricated by sequential electrospinning. The influence of the thickness ratios of PVDF/PU/PVDF and carbon nanotube (CNT) content on the fibrous construction, porous structure, and wettability of the composite membranes was systematically studied by scanning electron microscopy (SEM), pore size, porosity and contact angle. Significantly, the effect of the fibrous construction, porous structure, and wettability on the waterproofness, breathability, and oil-water separation ability of the composite membranes was investigated.

FINDINGS

The novel separation system proved the 'complementary effect' between the PVDF and PU membranes. Further, because of the elaborate gradient construction, superior porous structure, and robust hydrophobicity-oleophilicity, the resultant membranes exhibited moderate waterproofness (38 kPa) and excellent breathability (8.63 kg m^-2 d^-1), and oil-water separation, confirming that they could be promising alternatives for numerous practical applications, such as protective clothing, treatment of oil-contaminated water, and membrane distillation.