Impact of Aircraft Noise on Health

Aircraft noise exposure is an environmental stressor and has been linked to various adverse health outcomes, such as annoyance, sleep disturbance, and cardiovascular diseases. Aircraft noise can trigger both psychological (annoyance and disturbance) and physiological stress responses (e.g. activation of the cardiovascular system and release of stress hormones). People are usually able to deal with this kind of stressor. However, a constant exposure to aircraft noise can cause a continuous state of stress. This in turn can constrain a person’s ability to regenerate and restore its resources to cope with the noise situation. As a consequence, the risk for certain negative health outcomes can be increased. Within the ANIMA project, literature reviews on the effects of aircraft noise on health outcomes have been performed. This chapter gives an overview of the relevant health outcomes affected by aircraft noise and summarises the results of different reviews and studies on these outcomes. Additionally, the underlying mechanisms of how noise impacts health are explained for daytime as well as night-time aircraft noise exposure (i.e. while sleeping). Further, the relevance of considering not only the general population, but vulnerable groups as well (such as children and elderly people) is described. Lastly, open questions for further studies are presented and discussed

Effects of student-led drama on nursing students' attitudes to interprofessional working and nursing advocacy: A pre-test post-test educational intervention study

This is the final version. Available from Elsevier via the DOI in this record. Background: Nursing educators need to equip students to work in interprofessional teams and advocate for patients in increasingly integrated health and social care settings. Drama-based education has been used in nursing to help students understand complex concepts and practices, including communication, empathy, and patient safety. However, few studies have evaluated drama-based education to promote understanding of interprofessional care and advocacy, and none have involved student-led drama where students create dramatic performances to support learning. Objectives: To examine the effects of student-led drama on student nurses’ attitudes to interprofessional working and advocacy. Design: Pre-test post-test educational intervention study. Settings: Public university in Scotland. Participants: 400 undergraduate student nurses enrolled on a 15-week module focussed on health and social care integration and interprofessional working. Methods: Students completed paper questionnaires at the start (n = 274, response rate: 80.1 %) and end (n = 175, 63.9 %) of the module. Outcome measures were the validated Attitudes Towards Healthcare Teams Scale (ATHCTS) and Protective Nursing Advocacy Scale (PNAS). Change in mean ATHCTS and PNAS scores were assessed using paired samples t-tests, with Cohen’s d to estimate effect size. Results: ATHCTS scores significantly increased from 3.87 to 4.19 (p < 0.001, d = 0.52). PNAS scores increased from 3.58 to 3.81 (p < 0.001, d = 0.79), with significant improvements in the ‘acting as an advocate’ (4.18 to 4.51, p < 0.001, d = 0.81) and ‘environmental and educational influences’ subscales (3.79 to 4.13, p < 0.001, d = 0.75). Statements focussed on promoting holistic, dignified care and enabling health professionals to be responsive to emotional and financial needs of patients, showed greatest change. Conclusions: Education based on plays created and performed by student nurses led to significant improvements in student nurses’ attitudes towards interprofessional working and nursing advocacy. Student-led drama should be embedded in nursing curricula to enable students to understand the realities and complexities of health and social care integration and interprofessional workingEconomic and Social Research CouncilEdinburgh Napier Universit

Coping with Aviation Noise: Non-Acoustic Factors Influencing Annoyance and Sleep Disturbance from Noise

Annoyance and sleep disturbances due to aircraft noise represent a major burden of disease. They are considered as health effects as well as part of the causal pathway from exposure to long-term effects such as cardiovascular and metabolic diseases as well as mental disorders (e.g. depression). Both annoyance and sleep disturbance are not only determined by the noise exposure, but also to a considerable extent by non-acoustic factors. This chapter summarises the most relevant non-acoustic factors and briefly explains their mechanisms on annoyance and sleep as well as the potential to address these factors via intervention methods aiming at the reduction of adverse noise outcomes and an increase in the quality of life of airport residents. Here, the focus is on airport management measures that are considered to help improve the residents’ coping capacity. Findings from the ANIMA case studies with regard to main aspects of quality of life in airport residents around European airports are briefly reported and recommendations for a community-oriented airport management are derived

Exemplification case studies as a focus for the implementation of best practices related to aircraft noise management at airports

This study presents the analysis of six airport exemplification case studies undertaken in the European project “Aviation Noise Impact Management through Novel Approaches - ANIMA”. Best practices related to aircraft noise management at airports in individual airport contexts were implemented and evaluated. Case studies on communication and community engagement in airport noise management were investigated at Heathrow (United Kingdom), Ljubljana (Slovenia) and Rotterdam The Hague (The Netherlands) airports. For Zaporizhzhia (Ukraine) and Iasi (Romania) airports, the implementation of interventions related to land-use planning was examined. The interdependencies between noise and emissions were studied for Cluj (Romania) airport. All case studies were performed under the scope of the corresponding national legislation and guidelines. Individual characteristics of airport operations were taken into account. The case studies were aligned with expectations and priorities of all involved stakeholders, such as representatives of airport operators, local communities, civil aviation authorities and policy makers. The efficacy of the noise management case studies is assessed in terms of: the capacity to negotiate consensus outcomes, the extent to which noise impact reductions were achieved; and the participants' satisfaction with the process and outcomes. Experience gained from these studies will be used to distill best practices for future interventions

Uncovering Ubiquitin and Ubiquitin-like Signaling Networks

Microscopic imaging and technolog