1. Colorimetric dosimeter to promote most efficient use of neonatal phototherapy
- Author
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L.C. Cardoso, Melissa Fabíola Siqueira, Giovana Ribeiro Ferreira, A.M. Tannure, Andrea Gomes Campos Bianchi, and Rodrigo Fernando Bianchi
- Subjects
Dosimeter ,Materials science ,business.industry ,Bilirubin ,Metals and Alloys ,Global problem ,Condensed Matter Physics ,Surfaces, Coatings and Films ,Electronic, Optical and Magnetic Materials ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,chemistry ,030225 pediatrics ,Copper phthalocyanine ,Organic structure ,Materials Chemistry ,Optoelectronics ,030212 general & internal medicine ,Electrical and Electronic Engineering ,business ,Instrumentation ,Color coordinates ,Nuclear chemistry - Abstract
Hyperbilirubinemia is a systemic global problem and an often diagnosed pathology in newborns. In most cases, blue-light phototherapy (410–460 nm) is the only treatment required to prevent the bilirubin neurotoxicity, but its effectiveness is dose-dependent and is highly affected by the skills, knowledge, and attention of nurses and clinicians who implement the treatment. This paper presents a novel light-sensitive colorimetric dosimeter to simulate the effect of blue-light phototherapy on the optical properties of in vitro bilirubin. The dosimeter is based on a multilayered organic structure comprising a light-stable green-light emitter (copper phthalocyanine, C 32 Cl 16 CuN 8 ), and a blue-light-sensitive red emitter (poly{[2-methoxy-5-(2-ethylhexyloxy)-1,4-phenylene]vinylene}, OC 1O C 6 -PPV). The optical and chemical properties of the dosimeter were investigated by fluorescence and FTIR spectroscopies and by color coordinates of CIE (1931) diagram chromatics, while the photochemical processing of bilirubin was evaluated by UV–vis absorption spectroscopy. The optical response of the dosimeter under conventional (10 μW/cm 2 ) and intensive (40 μW/cm 2 ) phototherapy was found to present the same photochemical kinetics as bilirubin. These findings highlight a cutting-edge solution for monitoring bilirubin elimination in neonates as a function of the dosimeter’s color evolution. This novel colorimetric dosimeter provides a standardized method of reporting and measuring phototherapy dose to promote an efficient use of available phototherapy units in health facilities.
- Published
- 2017
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