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      Assessment of respiratory function in children wearing a N95 mask with or without an exhalation valve: data compared

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          Abstract

          In response to the current COVID-19 pandemic, universal face masking represents one of the most important strategies to limit the spread of infection. However, their use in children is still highly debated [ 1, 2] and there are few data [ 3, 4] describing their possible effects on respiratory function in children.

          A dataset in this paper presents a comparison of the data related to the effects on respiratory function of children wearing a filtering facepiece 2 (N95 mask) with or without exhalation valve. 22 healthy children were randomly assigned to two groups, both groups wearing an N95 mask: one without an exhalation valve (group A), another with an exhalation valve (group B).

          Children were subjected to a 72-minute test: the first 30 minutes without mask, then 30 minutes wearing face mask while practiced their usual play activity; finally, 12 minutes, with face mask in place, while they walked as in a walking test. They were monitored through to microstream capnography system (Rad-97TM with Nomo-Line Capnography, Masimo, Irvine, CA, USA) to log oxygen saturation (SpO2) and respiratory rate (RR).

          We use the Wilcoxon test to analyzed the differences between the parameters recorded during the study in group A and B. Data analysis was performed using JMP14.3.0 program for Mac by SAS Institute inc.

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          Is Open Access

          Universal use of face masks for success against COVID-19: evidence and implications for prevention policies

          A hot debate is taking place on the use of face masks (including cloth and surgical) as a prevention tool in the community vis-à-vis the recent World Health Organization (WHO) recommendations. To shed light on this important topic we reviewed relevant literature focused on the key words “infection control”, “prevention”, “masks”, “respirators”, “viral infections” and “COVID-19” without time restrictions to identify a minimum set of references from an electronic database (PUBMED), existing guidelines, viral diseases, airborne diseases, and grey literature.
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            To mask or not to mask children to overcome COVID-19

            It has been reported that asymptomatic people can transmit the new coronavirus disease 2019 (COVID-19) and become important sources of COVID-19. To reduce the role of asymptomatic or poorly symptomatic people in COVID-19, universal use of face masks in addition to hand hygiene and safety distance seems extremely useful. Consequently, preparing the healthy child to use face masks is strongly needed. To obtain maximal compliance, reasons for mask wearing without attempts of removing must be clearly explained. Moreover, child’s will must not be forced. Conclusion: On the basis of clinical findings, we think that the universal use of facial masks seems necessary when people have to go out in their everyday lives. In addition to the availability of masks of different sizes capable of adapting perfectly to the face, it is necessary that the use of masks in children is preceded by a strong parental work and school lessons on this issue and other hygiene topics with the main aim to obtain child cooperation. What is Known: • Asymptomatic people can transmit and become important sources of COVID-19. • Asymptomatic cases are common also in pediatrics. What is New: • Universal use of face masks for success against COVID-19 seems necessary also in pediatric age when people have to go out in their everyday lives. • In addition to the availability of masks of different sizes capable of adapting perfectly to the face, it is necessary that the use of masks in children is preceded by a strong parental work and school lessons with the main aim to obtain child cooperation.
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              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.
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                Author and article information

                Journal
                Data Brief
                Data Brief
                Data in Brief
                The Author(s). Published by Elsevier Inc.
                2352-3409
                7 November 2021
                7 November 2021
                : 107550
                Affiliations
                [1 ]Sapienza Università di Roma, Dipartimento Materno Infantile e di Scienze Urologiche, UOC di Pediatria e Neonatologia - Polo Pontino
                Author notes
                [* ]Corresponding author: Silvia Bloise
                Article
                S2352-3409(21)00826-X 107550
                10.1016/j.dib.2021.107550
                8572147
                153a260b-7788-4515-8285-11a31cd22046
                © 2021 The Author(s). Published by Elsevier Inc.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 6 August 2021
                : 23 October 2021
                : 1 November 2021
                Categories
                Data Article

                covid-19,facial mask,respiratory function,children
                covid-19, facial mask, respiratory function, children

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