Associations and effect modification between transportation noise, self-reported response to noise and the wider determinants of health: A narrative synthesis of the literature

Noise and health guidance to date have focused on the direct links between noise and health outcomes such as annoyance, sleep disturbance, cardiovascular and metabolic disease, and cognitive impairment in schoolchildren. However, noise is a psychosocial stressor, and there are individual studies showing that exposure to noise or the self-reported responses to noise may affect health through interactions with the wider determinants of health and well-being including physical activity, use of green spaces and social interactions. Despite this emerging evidence concerning potential impacts of noise on the wider determinants of health, literature in the field remains dispersed and unsynthesised. This study seeks to synthetize evidence on different relationships between transportation noise, self-reported responses to noise and the wider determinants of health using a systematic review methodology. The search was conducted in Medline, PsycINFO, PubMed, and Scopus on articles published from 2000 to 2017. This led to the review of 76 papers which satisfied the inclusion criteria. Despite strong heterogeneity in the studies' methodologies and indicators used, there is some evidence that noise exposure and responses to noise such as annoyance and disturbance are associated with people's lifestyle, recreational activities as well as the local economy of the neighbourhood. On the other hand, there are some wider determinants of health, mainly those related to the built and natural environment, which modify the relationship between noise exposure and self-reported responses to noise. In particular, greenness, having access to quiet areas, and covering noise sources either visually or acoustically with natural features seems to decrease people's negative responses to noise. Results indicate that transportation noise has the potential to affect health through various pathways, and a holistic approach is needed to capture all the effects.

Assessing the exposure-response relationship of sleep disturbance and vibration in field and laboratory settings

Exposure to nocturnal freight train vibrations may impact sleep, but exposure-response relationships are lacking. The European project CargoVibes evaluated sleep disturbance both in the field and in the laboratory and provides unique data, as measures of response and exposure metrics are comparable. This paper therefore provides data on exposure-response relationships of vibration and sleep disturbance and compares the relationships evaluated in the laboratory and the field. Two field studies (one in Poland and one in the Netherlands) with 233 valid respondents in total, and three laboratory studies in Sweden with a total of 59 subjects over 350 person-nights were performed. The odds ratios (OR) of sleep disturbance were analyzed in relation to nighttime vibration exposure by ordinal logit regression, adjusting for moderating factors common for the studies. Outcome specific fractions were calculated for eleven sleep outcomes and supported comparability between the field and laboratory settings. Vibration exposure was significantly associated with sleep disturbance, OR = 3.51 (95% confidence interval 2.6-4.73) denoting a three and a half times increase in the odds of sleep disturbance with one unit increased 8 h nighttime log10 Root Mean Square vibration. The results suggest no significant difference between field and laboratory settings OR = 1.37 (0.59-3.19). However, odds of sleep disturbance were higher in the Netherlands as compared to Sweden, indicating unexplained differences between study populations or countries, possibly related to cultural and contextual differences and uncertainties in exposure assessments. Future studies should be carefully designed to record explanatory factors in the field and enhance ecological validity in the laboratory. Nevertheless, the presented combined data set provides a first set of exposure response relationships for vibration-induced sleep disturbance, which are useful when considering public health outcomes among exposed populations.

A D3h-symmetry hexaazatriphenylene-tris-N-heterocyclic carbene ligand and its coordination to iridium and gold: preliminary catalytic studies

A planar star-shaped tris-NHC ligand with a hexaazatriphenylene core was coordinated to gold and iridium. The tris–Au(i) complex shows enhanced catalytic activities due to the electron-deficient character of the HAT core.

Human annoyance, acceptability and concern as responses to vibration from the construction of Light Rapid Transit lines in residential environments

The aim of this paper is to investigate the use of different self-reported measures for assessing the human response to environmental vibration from the construction of an urban LRT (Light Rapid Transit) system. The human response to environmental stressors such as vibration and noise is often expressed in terms of exposure-response relationships that describe annoyance as a function of the magnitude of the vibration. These relationships are often the basis of noise and vibration policy and the setting of limit values. This paper examines measures other than annoyance by expressing exposure-response relationships for vibration in terms of self-reported concern about property damage and acceptability. The exposure-response relationships for concern about property damage and for acceptability are then compared with those for annoyance. It is shown that concern about property damage occurs at vibration levels well below those where there is any risk of damage. Earlier research indicated that concern for damage is an important moderator of the annoyance induced. Acceptability, on the other hand, might be influenced by both annoyance and concern, as well as by other considerations. It is concluded that exposure-response relationships expressing acceptability as a function of vibration exposure could usefully complement existing relationships for annoyance in future policy decisions regarding environmental vibration. The results presented in this paper are derived from data collected through a socio-vibration survey (N=321) conducted for the construction of an urban LRT in the United Kingdom.

Quantification of the effects of audible rattle and source type on the human response to environmental vibration

The present research quantifies the influence of source type and the presence of audible vibration-induced rattle on annoyance caused by vibration in residential environments. The sources of vibration considered are railway and the construction of a light rail system. Data were measured in the United Kingdom using a socio-vibration survey (N = 1281). These data are analyzed using ordinal logit models to produce exposure-response relationships describing community annoyance as a function of vibration exposure. The influence of source type and the presence of audible vibration-induced rattle on annoyance are investigated using dummy variable analysis, and quantified using odds-ratios and community tolerance levels. It is concluded that the sample population is more likely to express higher levels of annoyance if the vibration source is construction compared to railway, and if vibration-induced rattle is audible.

Pincer-CNC mononuclear, dinuclear and heterodinuclear Au(III) and Pt(II) complexes supported by mono- and poly-N-heterocyclic carbenes: synthesis and photophysical properties

A family of cyclometallated Au(iii) and Pt(ii) complexes containing a CNC-pincer ligand (CNC = 2,6-diphenylpyridine) supported by pyrene-based mono- or bis-NHC ligands have been synthesized and characterized, together with the preparation of a Pt-Au hetero-dimetallic complex based on a Y-shaped tris-NHC ligand. The photophysical properties of all the new species and of two related Ru(ii)-arene complexes were studied and compared. Whereas the pyrene-based complexes only exhibit emission in solution, those containing the Y-shaped tris-NHC ligand are only luminescent when dispersed in poly(methyl methacrylate) (PMMA). In particular, the pyrene-based complexes were found to be emissive in the range of 373-440 nm, with quantum yields ranging from 3.1 to 6.3%, and their emission spectra were found to be almost superimposable, pointing to the fluorescent pyrene-centered nature of the emission. This observation suggests that the emission properties of the pyrene fragment may be combined with some of the numerous applications of NHCs as supporting ligands allowing, for instance, the design of biological luminescent agents.

Mono and dimetallic pyrene-imidazolylidene complexes of iridium(iii) for the deuteration of organic substrates and the C–C coupling of alcohols

Two pyrene-NHC complexes of Ir(iii) and one di-iridium(iii) complex with a pyrene-di-NHC ligand have been prepared and characterized. Their catalytic activity in the deuteration of organic substrates, and in the β-alkylation of secondary alcohols with primary alcohols is described.

The Aeolus project: Science outreach through art

With a general decline in people's choosing to pursue science and engineering degrees there has never been a greater need to raise the awareness of lesser known fields such as acoustics. Given this context, a large-scale public engagement project, the 'Aeolus project', was created to raise awareness of acoustics science through a major collaboration between an acclaimed artist and acoustics researchers. It centred on touring the large singing sculpture Aeolus during 2011/12, though the project also included an extensive outreach programme of talks, exhibitions, community workshops and resources for schools. Described here are the motivations behind the project and the artwork itself, the ways in which scientists and an artist collaborated, and the public engagement activities designed as part of the project. Evaluation results suggest that the project achieved its goal of inspiring interest in the discipline of acoustics through the exploration of an other-worldly work of art.

Design of measurement methodology for the evaluation of human exposure to vibration in residential environments

Exposure-response relationships are important tools for policy makers to assess the impact of an environmental stressor on the populace. Their validity lies partly in their statistical strength which is greatly influenced by the size of the sample from which the relationship is derived. As such, the derivation of meaningful exposure-response relationships requires estimates of vibration exposure at a large number of receiver locations. In the United Kingdom a socio-vibrational survey has been conducted with the aim of deriving exposure-response relationships for annoyance due to vibration from (a) railway traffic and (b) the construction of a new light rail system. Response to vibration was measured via a questionnaire conducted face-to-face with residents in their own homes and vibration exposure was estimated using data from a novel measurement methodology. In total, 1281 questionnaires were conducted: 931 for vibration from railway traffic and 350 for vibration from construction sources. Considering the interdisciplinary nature of this work along with the volume of experimental data required, a number of significant technical and logistical challenges needed to be overcome through the planning and implementation of the fieldwork. Four of these challenges are considered in this paper: the site identification for providing a robust sample of the residents affected, the strategies used for measuring both exposure and response and the coordination between the teams carrying out the social survey and the vibration measurements.

Exposure-response relationships for annoyance due to freight and passenger railway vibration exposure in residential environments

In this work, exposure-response relationships for annoyance due to freight and passenger railway vibration exposure in residential environments are developed, so as to better understand the differences in human response to these two sources of environmental vibration. Data for this research come from a field study comprising interviews with respondents and measurements of their vibration exposure (N = 752). A logistic regression model is able to accurately classify 96% of these measured railway vibration signals as freight or passenger based on two signal properties that quantify the duration and low frequency content of each signal. Exposure-response relationships are then determined using ordinal probit modeling with fixed thresholds. The results indicate that people are able to distinguish between freight and passenger railway vibration, and that the annoyance response due to freight railway vibration is significantly higher than that due to passenger railway vibration, even for equal levels of exposure. In terms of a community tolerance level, the population studied is 15 dB (re 10(-6) m s(-2)) more tolerant to passenger railway vibration than freight railway vibration. These results have implications for the expansion of freight traffic on rail, or for policies to promote passenger railway.

Effect of situational, attitudinal and demographic factors on railway vibration annoyance in residential areas

Railway induced vibration is an important source of annoyance among residents living in the vicinity of railways. Annoyance increases with vibration magnitude. However, these correlations between the degree of annoyance and vibration exposure are weak. This suggests that railway vibration induced annoyance is governed by more than just vibration level and therefore other factors may provide information to understand the wide variation in annoyance reactions. Factors coming into play when considering an exposure-response relationship between level of railway vibration and annoyance are presented. The factors investigated were: attitudinal, situational and demographic factors. This was achieved using data from field studies comprised of face-to-face interviews and internal vibration measurements (N = 755). It was found that annoyance scores were strongly influenced by two attitudinal factors: Concern of property damage and expectations about future levels of vibration. Type of residential area and age of the respondent were found to have an important effect on annoyance whereas visibility of the railway and time spent at home showed a significant but small influence. These results indicate that future railway vibration policies and regulations focusing on community impact need to consider additional factors for an optimal assessment of railway effects on residential environments.

Human response to vibration in residential environments

This paper presents the main findings of a field survey conducted in the United Kingdom into the human response to vibration in residential environments. The main aim of this study was to derive exposure-response relationships for annoyance due to vibration from environmental sources. The sources of vibration considered in this paper are railway and construction activity. Annoyance data were collected using questionnaires conducted face-to-face with residents in their own homes. Questionnaires were completed with residents exposed to railway induced vibration (N = 931) and vibration from the construction of a light rail system (N = 350). Measurements of vibration were conducted at internal and external positions from which estimates of 24-h vibration exposure were derived for 1073 of the case studies. Sixty different vibration exposure descriptors along with 6 different frequency weightings were assessed as potential predictors of annoyance. Of the exposure descriptors considered, none were found to be a better predictor of annoyance than any other. However, use of relevant frequency weightings was found to improve correlation between vibration exposure and annoyance. A unified exposure-response relationship could not be derived due to differences in response to the two sources so separate relationships are presented for each source.

Annoyance due to railway vibration at different times of the day

The time of day when vibration occurs is considered as a factor influencing the human response to vibration. The aim of the present paper is to identify the times of day during which railway vibration causes the greatest annoyance, to measure the differences between annoyance responses for different time periods and to obtain estimates of the time of day penalties. This was achieved using data from case studies comprised of face-to-face interviews and internal vibration measurements (N=755). Results indicate that vibration annoyance differs with time of day and that separate time of day weights can be applied when considering exposure-response relationships from railway vibration in residential environments.

Organochlorinated pesticides in sediments from the Lake Albufera of Valencia (Spain)

Bottom sediment samples from 121 sites of the Lake Albufera of Valencia were analyzed. Dieldrin, endrin, heptachlor and op'-DDT were not detected (<0.01 ng g(-1)) in 88-93% of the sites. Aldrin and HCB concentration ranges were between <0.01 and 0.1 ng g(-1) in 86% and 94% of the sites, respectively. Heptachlor-epoxide and lindane 95% confidence intervals were 0.2-0.5 and 0.06-0.12, respectively. The greatest average concentration corresponds to pp'-DDE, pp'-DDD and pp'-DDT. The sum of six isomers and derivatives of the DDT average concentration reaches 2.1 ng g(-1), as opposed to 2.7 ng g(-1) for the sum of 13 pesticides considered. In the site with a major contamination, 27.0 ng g(-1) of pp'-DDD and 12.8 ng g(-1) of pp'-DDT were accumulated. The DDE:DDT proportion average was 0.37, indicating an aged DDT contamination. Concentrations of pesticides in sediments were compared to three sediment quality guidelines, and indicated that a low biological effects level can be expected in either sediments or aquatic organisms.

Effects of unfractionated and low molecular weight heparins on plasma levels of hemostatic factors in patients with acute coronary syndromes

BACKGROUND AND OBJECTIVES

Unfractionated heparin (UFH) and enoxaparin (low molecular weight heparin) constitute fundamental therapies in the treatment of patients with acute coronary syndrome (ACS). Since enoxaparin appears to offer clinical advantages over UFH in managing ACS, markers of thrombin generation, endothelial function and acute phase response could manifest different responses to UFH or enoxaparin. The purpose of the present study was to investigate the effect that treatment with either UFH or enoxaparin has on plasma hemostatic markers in 24 patients with ACS.

DESIGN AND METHODS

The patients were randomized to receive 5,000 IU intravenous bolus and continuous infusion of 18 IU/Kg/h UFH (n=11) or 1 mg/kg/12h subcutaneous enoxaparin (n=13). The plasma levels of fibrinogen (Fg), prothrombin fragment 1+2 (F1+2), thrombin antithrombin complex (TAT), von Willebrand factor (vWF), tissue factor (TF) and tissue factor pathway inhibitor (TFPI) were assayed at admission and 6, 12, 24 and 48 hours after heparin treatment.

RESULTS

Upon admission, UFH and enoxaparin patients showed a significant increase in all the hemostatic parameters measured with respect to the levels in the control subjects. In comparison with the baseline levels of the UFH- and enoxaparin-treated patients, Fg showed a significant increase at 48 h and TFPI at 6, 12 and 24 hours. However, at 48 hours TFPI levels were not significantly higher than the basal values. There were no significant changes in F1+2, TAT, vWF or TF.

INTERPRETATION AND CONCLUSIONS

Markers of thrombin generation, endothelial function and acute-phase reactants manifest a similar response to UFH and enoxaparin. An increase in thrombin generation may be a result of persistently activated inflammatory and endothelial processes, despite UFH and enoxaparin treatment.

3-acetylaltholactone and related styryl-lactones, mitochondrial respiratory chain inhibitors

A novel furano-pyrone, 3-acetylaltholactone, and two other known styryl-lactones, altholactone and 5-acetoxyisogoniothalamin oxide, have been isolated from Goniothalamus arvensis (Annonaceae) stem bark. We report here the isolation and structural elucidation of these compounds with furane-pyrone and styryl-pyrone skeletons, postulating also for the first time their mechanism of cytotoxicity based on inhibition on mammalian mitochondrial respiratory chain.

Ocular dysfunction associated with mental handicap

The aim of this article is to show the main general and ocular characteristics of a group of 46 mentally handicapped people of different IQ and age who were provided with visual care. Many different syndromes and neurological alterations have been described in the literature. The case types and number of people studied for each condition attending our clinics were: syndromes: Down's (25), Soto (2), West (2), Rubinstein-Taybi (1), triple X (1); neurological conditions: cerebral palsy (8), microcephaly (5), hydrocephaly (2). In our study the ocular findings were high incidence of ametropies: 58.7% hyperopia, 21.7% myopia, 19.5% astigmatism and 28% strabismus.

Visual problems in people with severe mental handicap

The incidence of visual problems in people with mental handicaps is very high. Nine severely mentally handicapped patients were studied. Several objective and subjective optometric tests were performed. The results showed the presence of different kinds of visual problems that were compensated for by optical methods. The subjects showed a general change in their behaviour. It is essential to give optometric care to such people.