Recommendation for hygiene and topical in neonatology from the French Neonatal Society.

We sought to establish guidelines for hygiene care in newborns based on a systematic review of the literature and grading of evidence using the Groupe de Réflexion et d'Evaluation de l'Environement des Nouveau-nés (GREEN) methodology. We examined 45 articles and 4 reports from safety agencies. These studies recommend a tub bath (rather than a sponge bath) for full-term infants and a swaddle bath for preterm newborns. They also recommend against daily cleansing of preterm infants. The literature emphasized that hygiene care must consider the clinical state of the newborn, including the level of awareness and behavioral responses. Hospitalized newborns treated with topical agents may also experience high exposure to potentially harmful excipients of interest. Caregivers should therefore be aware of the excipients present in the different products they use. In high-resource countries, the available data do not support the use of protective topical agents for preterm infants.Conclusions: We recommend individualization of hygiene care for newborns. There is increasing concern regarding the safety of excipients in topical agents that are used in neonatology. A multidisciplinary approach should be used to identify an approach that requires lower levels of excipients and alternative excipients. What is known: • Hygiene care is one of the most basic and widespread types of care received by healthy and sick newborns worldwide. • There is no current guideline on hygiene for preterm or hospitalized term newborn. What is new: • The French Group of Reflection and Evaluation of the environment of Newborns (GREEN) provided here guidelines based on the current body of evidence. • Caregivers should be aware of the many issues related to hygiene care of newborns including newborns' behavioral responses to hygiene care, exposition to excipients of interest, and the potential risk of protective topical agents in a preterm infant. provided here guidelines based on the current body of evidence. • Caregivers should be aware of the many issues related to hygiene care of newborns including newborns' possible behavioral responses to hygiene care, exposition to excipients of interest and the potential risk of protective topical agents in a preterm infant.

[Top five neonatal articles 2015]. / « Top five ¼ des articles de néonatalogie en 2015.

This review includes five randomized controlled trials, published in the Medline database in 2015, which were selected by the Scientific commission of the French society of neonatology, taking into account their influence in perinatology. This selection was presented during the specific "Top five" session in the French congress of neonatal research.

[Phthalate exposure in the neonatal intensive care unit]. / Sources d'exposition aux phtalates dans une unité de soins néonatals.

There are growing concerns on long-term health consequences, notably on fertility rates, of plasticizers such as phthalates. While di(2-ethylhexyl)phthalate (DEHP) is currently used in several medical devices, newborns in the neonatal intensive care unit are both more exposed and more vulnerable to DEHP. The objectives of this study were to identify, count, and describe possible sources of DEHP in a neonatal care unit. Our method consisted in the listing and the inspection of the information on packaging, complemented by contact with manufacturers when necessary. According to the results, 6% of all products and 10% of plastic products contained some DEHP; 71% of these involved respiratory support devices. A vast majority of the items showed no information on the content of DEHP. Further research is needed, particularly to determine the effects of such an early exposure and to study and develop safer alternatives.

A modular implementation of dispersive materials for time-domain simulations with application to gold nanospheres at optical frequencies.

The development of photonic nano-structures can strongly benefit from full-field electromagnetic (EM) simulations. To this end, geometrical flexibility and accurate material modelling are crucial requirements set on the simulation method. This paper introduces a modular implementation of dispersive materials for time-domain EM simulations with focus on the Finite-Volume Time-Domain (FVTD) method. The proposed treatment can handle electric and magnetic dispersive materials exhibiting multi-pole Debye, Lorentz and Drude models, which can be mixed and combined without restrictions. The presented technique is verified in several illustrative examples, where the backscattering from dispersive spheres is calculated. The amount of flexibility and freedom gained from the proposed implementation will be demonstrated in the challenging simulation of the plasmonic resonance behavior of two gold nanospheres coupled in close proximity, where the dispersive characteristic of gold is approximated by realistic values in the optical frequency range.

Lithographic antennas at visible frequencies.

The response of antenna-coupled thin-film Ni-NiO-Ni diodes to 633-nm helium-neon laser radiation is investigated. Although these detectors and their integrated dipole antennas are optimized for the detection of mid-infrared radiation, a polarization dependence of the measured response to visible radiation is observed. The strongest signals are measured for the polarization parallel to the dipole antenna axis, which demonstrates antenna operation of the device in the visible in addition to the expected thermal and photoelectric effects. The connection structure of the diode also resonates and contributes to the polarization-dependent signal. The receiving area of the dipole antenna is approximately 2 microm(2) .

Spatial impulse response of lithographic infrared antennas.

We present measurements of the spatial response of infrared dipole and bow-tie lithographic antennas. Focused 10.6-microm radiation was scanned in two dimensions across the receiving area of each antenna. Deconvolution of the beam profile allowed the spatial response to be measured. The in-plane width of the antenna's spatial response extends approximately one dielectric wavelength beyond the metallic structure. Determination of an antenna's spatial response is important for several reasons. The power collected by the antenna can be calculated, if the collection area and the input irradiance (watts per square centimeter) are known. The actual power collected by the antenna is required for computation of responsivity and noise-equivalent power. In addition, the spatial response provides insight into the current-wave modes that propagate on an antenna and the nature of the fringe fields that exist in the adjacent dielectric.

Deconvolution method for two-dimensional spatial-response mapping of lithographic infrared antennas.

The spatial impulse response of antenna-coupled infrared detectors with dimensions comparable with the wavelength is obtained from a two-dimensional scan of a tightly focused CO(2)-laser beam. The method uses an experimental setup with submicrometer resolution and an iterative deconvolution algorithm. The measured spatial response is compared with numerically computed near-field distributions of a dipole antenna, with good agreement.

Tunable polarization response of a planar asymmetric-spiral infrared antenna.

We present measurements at 10.6 microm that demonstrate electronic tuning of the polarization response of asymmetric-spiral infrared antennas connected to Ni-NiO-Ni diodes. Continuous variation of the bias voltage applied to the diode results in a rotation of the principal axis of the polarization ellipse of the spiral antenna. A 90 degrees tuning range is measured for a bias voltage that varies from -160 to +160 mV .This effect is caused by a small asymmetry of the deposited diode contact or by a variation of the detector capacitance with the applied bias voltage.

Polarization response of asymmetric-spiral infrared antennas.

We present measurements on the polarization response of Ni-NiO-Ni diodes coupled to asymmetric spiral antennas. Our data are for the wavelength dependence of the orientation of the major axis of the polarization ellipse over the wavelength range 10.2-10.7 mum. The data are well fit by a two-wire antenna model. We find that the modes excited on the antenna are a combination of the balanced and unbalanced modes of a two-wire lossy transmission line.