Recent Submissions

  • The use of solar film elements on a neonate manikin surface to estimate the received output power of neonatal phototherapy lamp systems

    Satodia, Prithwish; Clarkson, Douglas; Medical and Dental; D.M. Clarkson a,1,*, P. Satodia b a Department of Research and Development, University Hospital Coventry, Coventry, CV2 2DX, UK b Neonatal Intensive Care Unit, University Hospital Coventry, Coventry, CV2 2DX, UK (Elsevier, 2024)
    The work described was undertaken to develop a means to estimate the delivered power over the exposed body surface of a neonate receiving phototherapy. Previous work of the group had involved the use of discrete photodiodes distributed over a newborn manikin surface. It was considered that improved accuracy of sensing over curved surfaces would be provided with the use of flexible solar cell elements. A group of products based on amorphous silicon was identified as potentially suitable and a range of its properties investigated. These included the wavelength sensitivity, the relative sensitivity of similar elements and the cosine response of elements. It was identified that with selection of elements of matched sensitivity, specific element types were appropriate for intended use. A total of 44 discrete solar cell elements of three separate sizes was used to cover the previously used manikin surface and a dedicated interface circuit was designed and constructed. A handheld calibrated spectroradiometer provided a means to relate incident irradiance values within specific wavelength bands to corresponding optical power over the manikin surface. Initial use of the system is described together with future potential developments in relation to clinical applications and testing standards for neonatal phototherapy devices.
  • Do you know when the inhaler is empty?

    Fullwood, I; Evans, T; Davies, Benjamin; Ninan, T; Onyon, C; Clarke, J; Srikanthiah, Rajesh; Frost, Susan; Iqbal, N; Atkinson, M; et al. (BMJ Publishing Group, 2022-05-12)
    Background: Medication review is recommended at asthma appointments. The presence of propellant in the metered dose inhalers (MDIs) makes it challenging to identify when the inhaler is empty. The COVID-19 pandemic has resulted in move towards more virtual monitoring of care. We aimed to evaluate if patients identify when the inhaler is empty and the method of inhaler disposal. Methods: Prospective, multicentre quality improvement project. Data collected from children with asthma and other respiratory conditions. Outcome measures: Children/carers attending hospital were asked how they identify an empty salbutamol inhaler; dose counters in the preventer inhalers and disposal practices were reviewed. Results: 157 patients recruited. 125 (73.5%) patients deemed an empty inhaler as either full/partially full. 12 of 66 (18.2%) preventer inhalers with a dose counter were empty. 83% disposed their inhalers in a dustbin. Conclusions: Patients cannot reliably identify when their MDI is empty. There is an urgent need for improving inhaler technology and providing appropriate guidance on how to identify when an MDI is empty.