Under-mask beard cover (Singh Thattha technique) for donning respirator masks in COVID-19 patient care
AffiliationSikh Doctors & Dentists Association
Sikh Doctors Association
British Sikh Dental Association
British Sikh Doctors Organisation
University of Bedfordshire
MetadataShow full item record
AbstractTight-fitting filtering facepiece (FFP3) face masks are essential respiratory protective equipment during aerosol-generating procedures in the coronavirus disease 2019 (COVID-19) environment, and require a fit test to assess mask–face seal competency. Facial hair is considered to be an impediment for achieving a competent seal. We describe an under-mask beard cover called the Singh Thattha technique, which obtained a pass rate of 25/27 (92.6%) by qualitative and 5/5 (100%) by quantitative fit test in full-bearded individuals. Sturdier versions of FFP3 were more effective. For individuals for whom shaving is not possible, the Singh Thattha technique could offer an effective solution to safely don respirator masks.
CitationSingh R, Safri HS, Singh S, Ubhi BS, Singh G, Alg GS, Randhawa G, Gill S (2020) 'Under-mask beard cover (Singh Thattha technique) for donning respirator masks in COVID-19 patient care', Journal of Hospital Infection, 106 (4), pp.782-785.
PublisherW.B. Saunders Ltd
JournalJournal of Hospital Infection
PubMed Central IDPMC7532752
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Development of an instrumented chair to identify the phases of the sit-to-stand movementShukla, Brajesh K.; Jain, Hiteshi; Singh, Sandeep; Vijay, Vivek; Yadav, Sandeep; Hewson, David; Indian Institute of Technology Jodhpur; University of Bedfordshire (Springer Science and Business Media Deutschland GmbH, 2020-11-30)Instrumented versions of functional geriatric screening tests have been developed to improve clinical precision. Several different instrumented versions of the Sit-to-Stand (iSTS) test have been developed using a range of sensors such as accelerometers and cameras. An instrumented chair equipped with load cells and an ultrasound sensor was developed to detect phases of the STS (Sit to Stand). The chair was designed to be able to detect all the phases of the STS, including when the person was not in contact with the chair. Performance of the iSTS chair was compared between an RGB camera approach, and a data-fusion approach using the load-cell and ultrasound equipped chair. Ten adult subjects were tested performing the 5STS at two self-selected speeds. The accuracy of the load cell equipped chair was 70%, while the RGB camera achieved 76% accuracy. The ultrasound version of the chair and the fusion of the RGB and load cells technique both achieved significantly better accuracy at 86% and 89%, respectively. The new version of the instrumented chair obtained a high degree of accuracy in detecting the different phases of the STS and is suitable to detect STS phases without requiring additional sensors. Future work will test older subjects and aim to develop new parameters based on the phases of the STS as indicators of physical performance.
Transitioning care-leavers with mental health needs: “they set you up to fail!"Butterworth, Sarah; Singh, Swaran P.; Birchwood, Max; Islam, Zoebia; Munro, Emily; Vostanis, Panos; Paul, Moli; Khan, Alia; Simkiss, Douglas (Wiley, 2016-06-29)Background Children in the UK care system often face multiple disadvantages in terms of health, education and future employment. This is especially true of mental health where they present with greater mental health needs than other children. Although transition from care – the process of leaving the local authority as a child-in-care to independence – is a key juncture for young people, it is often experienced negatively with inconsistency in care and exacerbation of existing mental illness. Those receiving support from child and adolescent mental health services (CAMHS), often experience an additional, concurrent transfer to adult services (AMHS), which are guided by different service models which can create a care gap between services. Method This qualitative study explored care-leavers’ experiences of mental illness, and transition in social care and mental health services. Twelve care-leavers with mental health needs were interviewed and data analysed using framework analysis. Results Sixteen individual themes were grouped into four superordinate themes: overarching attitudes towards the care journey, experience of social care, experience of mental health services and recommendations. Conclusions Existing social care and mental health teams can improve the care of care-leavers navigating multiple personal, practical and service transitions. Recommendations include effective Pathway Planning, multiagency coordination, and stating who is responsible for mental health care and its coordination. Participants asked that youth mental health services span the social care transition; and provide continuity of mental health provision when care-leavers are at risk of feeling abandoned and isolated, suffering deteriorating mental health and struggling to establish new relationships with professionals. Young people say that the key to successful transition and achieving independence is maintaining trust and support from services.
Classification of elderly as fallers and non-fallers using centre of pressure velocityHewson, David; Singh, Neeraj Kumar; Snoussi, Hichem; Duchêne, Jacques (IEEE, 2010-11-11)Falls are a leading cause of death in the elderly. One of the most common methods of predicting falls is to evaluate balance using force plate measurement of the Centre of Pressure (COP) displacement. This signal, known as a stabilogram, can be decomposed into movement in anteroposterior (AP) and mediolateral (ML) directions. It has been suggested that studying the velocity of COP displacement could lead to new insights into fall risk. The aim of this study was to attempt to classify elderly fallers and non-fallers, as well as control subjects based on COP velocity measurements. Three groups of 10 subjects (controls, elderly fallers, and elderly non-fallers) were compared. Discriminant function analysis was able to correctly classify 90% of the subjects based only on COP velocity measurements. Further work is needed to determine whether this parameter might be of use in longitudinal measurement of fall risk in home-dwelling elderly.