A randomised clinical trial to evaluate the safety, fit, comfort of a novel N95 mask in children.

Children are more vulnerable to the risks of air pollution, including susceptibility to acquiring chronic diseases in their developing lungs. Despite these, there are no specific masks designed for and tested in children that are available to protect our young from the common particulate air pollutants today. We evaluated safety, fit and comfort of a specially designed paediatric N95 mask with an optional micro ventilator (micro fan, MF) in healthy children aged 7-14 years, in a randomized, two-period crossover design. The subjects' cardiorespiratory physiological measurements were assessed in different states of physical activity under different interventions (mask without and with MF). A total of 106 subjects were recruited between July-August 2016. The use of the mask without MF increased the End-Tidal CO2 (ETCO2) and Fractional concentration of Inspired CO2 (FICO2) at rest and on mild exertion, as expected. The use of the mask with MF brought FICO2 levels comparably closer to baseline levels without the mask for both activities. The mask, with or without the MF, was found to be well fitting, comfortable and safe for use in children at rest and on mild exertion. The N95 mask tested offers a promising start for more studies in the paediatric population.

Enhanced PM2.5 pollution in China due to aerosol-cloud interactions.

Aerosol-cloud interactions (aerosol indirect effects) play an important role in regional meteorological variations, which could further induce feedback on regional air quality. While the impact of aerosol-cloud interactions on meteorology and climate has been extensively studied, their feedback on air quality remains unclear. Using a fully coupled meteorology-chemistry model, we find that increased aerosol loading due to anthropogenic activities in China substantially increases column cloud droplet number concentration and liquid water path (LWP), which further leads to a reduction in the downward shortwave radiation at surface, surface air temperature and planetary boundary layer (PBL) height. The shallower PBL and accelerated cloud chemistry due to larger LWP in turn enhance the concentrations of particulate matter with diameter less than 2.5 µm (PM2.5) by up to 33.2 µg m-3 (25.1%) and 11.0 µg m-3 (12.5%) in January and July, respectively. Such a positive feedback amplifies the changes in PM2.5 concentrations, indicating an additional air quality benefit under effective pollution control policies but a penalty for a region with a deterioration in PM2.5 pollution. Additionally, we show that the cloud processing of aerosols, including wet scavenging and cloud chemistry, could also have substantial effects on PM2.5 concentrations.

Hoarding in Singapore.

Hoarding refers to an excessive acquisition of objects and inability to part with apparently valueless possessions. While it can lead to excessive clutter, distress and disability, it is important to note that not all cases of hoarding are pathological. This article aims to suggest how one can make recommendations to patients and families when they encounter someone exhibiting hoarding behaviour. It also introduces the Hoarding Task Force and relevant legislation in Singapore to address the issue of hoarding in the community.

Reduction of Carbon Dioxide in Filtering Facepiece Respirators with an Active-Venting System: A Computational Study.

During expiration, the carbon dioxide (CO2) levels inside the dead space of a filtering facepiece respirator (FFR) increase significantly above the ambient concentration. To reduce the CO2 concentration inside the dead space, we attach an active lightweight venting system (AVS) comprising a one-way valve, a blower and a battery in a housing to a FFR. The achieved reduction is quantified with a computational-fluid-dynamics model that considers conservation of mass, momentum and the dilute species, CO2, inside the FFR with and without the AVS. The results suggest that the AVS can reduce the CO2 levels inside the dead space at the end of expiration to around 0.4% as compared to a standard FFR, for which the CO2 levels during expiration reach the same concentration as that of the expired alveolar air at around 5%. In particular, during inspiration, the average CO2 volume fraction drops to near-to ambient levels of around 0.08% with the AVS. Overall, the time-averaged CO2 volume fractions inside the dead space for the standard FFR and the one with AVS are around 3% and 0.3% respectively. Further, the ability of the AVS to vent the dead-space air in the form of a jet into the ambient - similar to the jets arising from natural expiration without a FFR - ensures that the expired air is removed and diluted more efficiently than a standard FFR.

Unfair employment discrimination of previously depressed individuals.

Individuals who have recovered from or are in a remissive state of depression are often required to declare their psychiatric history during applications for employment. This practice exposes such individuals to discrimination even though they are no longer afflicted by the condition, leading to the question whether the practice is fair and justified. Such discrimination can also have adverse health implications as individuals with active depression might not want to seek help early for fear of stigmatisation. In this article, constructive dialogue among relevant stakeholders is proposed to encourage appropriate and measured responses to this problem. A more durable solution in Singapore may be to introduce legislation to prevent unfair discrimination.