[Adaptation to dosed hypoxia-hyperoxia as a factor in improving the quality of life of elderly patients with cardiac pathology.]

In order to substantiate new approaches to maintain the quality of life of elderly patients with cardiac pathology, the current study is made to evaluate the effectiveness and safety of technology, based on the principles of adaptive medicine, the method of interval hypoxic-hyperoxic training (IHHT). It was proved the use of IHHT technology in elderly people with HIBS in the prescribed regime leads to a substantial increase in the subjective perception of the quality of life, their psycho-emotional status, the number of attacks of angina pectoris, which was accompanied by an increase in the level of physical working capacity, exercise tolerance, normalization of lipid and carbohydrate metabolism. Treatments by interval hypoxic-hyperoxic training are well tolerated, do not cause side effects; when developing optimal individualized regimens' principles IHHT can be used in the complex rehabilitation of elderly patients with cardiac and co-morbid pathology.

Ambient neighbourhood noise and children's mental health.

OBJECTIVES: To investigate the relation between typical ambient noise levels (highway, rail, road) and multiple mental health indices of school children considering psychosocial and biological risk factors as potential moderators. METHODS: With a two stage design strategy (representative sample and extreme sample) two cross sectional samples (n=1280; n=123) of primary school children (age 8-11) were studied. Individual exposure to noise at home was linked with two indices of mental health (self reporting by the child on a standard scale and rating by the teacher of classroom adjustment on a standard scale). Noise exposure was modelled firstly according to Austrian guidelines with the aid of a geographical information system and then calibrated and corrected against measurements from 31 locations. Information on potential confounders and risk factors was collected by mothers and controlled in regression modelling through a hierarchical forward stepping procedure. Interaction terms were also analysed to examine subgroups of children at risk-for example, low birth weight and preterm birth. RESULTS: Noise exposure was significantly associated in both samples with classroom adjustment ratings. Child self reported mental health was significantly linked to ambient noise only in children with a history of early biological risk (low birth weight and preterm birth). CONCLUSIONS: Exposure to ambient noise was associated with small decrements in children's mental health and poorer classroom behaviour. The correlation between mental health and ambient noise is larger in children with early biological risk.

Community noise exposure and stress in children.

Although accumulating evidence over the past two decades points towards noise as an ambient stressor for children, all of the data emanate from studies in high-intensity, noise impact zones around airports or major roads. Extremely little is known about the nonauditory consequences of typical, day-to-day noise exposure among young children. The present study examined multimethodological indices of stress among children living under 50 dB or above 60 dB (A-weighted, day-night average sound levels) in small towns and villages in Austria. The major noise sources were local road and rail traffic. The two samples were comparable in parental education, housing characteristics, family size, marital status, and body mass index, and index of body fat. All of the children were prescreened for normal hearing acuity. Children in the noisier areas had elevated resting systolic blood pressure and 8-h, overnight urinary cortisol. The children from noisier neighborhoods also evidenced elevated heart rate reactivity to a discrete stressor (reading test) in the laboratory and rated themselves higher in perceived stress symptoms on a standardized index. Furthermore girls, but not boys, evidenced diminished motivation in a standardized behavioral protocol. All data except for the overnight urinary neuroendocrine indices were collected in the laboratory. The results are discussed in the context of prior airport noise and nonauditory health studies. More behavioral and health research is needed on children with typical, day-to-day noise exposure.

Work noise annoyance and blood pressure: combined effects with stressful working conditions.

In a community-based cross-sectional study (n = 174, 68% participation), we examined the effect on blood pressure of occupational noise annoyance and its combined effect with social support at work, nightshift work, and work satisfaction. In a multivariate analysis the effect of noise annoyance alone (mean difference, 95% CI) was 2.1 (-3.0, 7.3) mmHg for systolic and 3.5 (0.3, 7.4) mmHg for diastolic blood pressure (n = 44). The combined effect with low work satisfaction was 7.5 (0.0, 15.0) mmHg systolic and 6.3 (0.6, 12.4) mmHg diastolic (n = 18). With nightshift work the effect was 5.0 (-2.4, 12.4) mmHg on systolic and 8.1 (2.5, 13.7) mmHg on diastolic blood pressure (n = 15). The findings for social support were inconsistent. The results suggest that analysis of main effects only may underestimate the true public health impact and underline the necessity of searching for combined effects of environmental stressors.