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Sökning: WFRF:(Stroh Emilie)

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  • Bodin, Theo, et al. (författare)
  • Road traffic noise and hypertension: results from a cross-sectional public health survey in southern Sweden.
  • 2009
  • Ingår i: Environmental Health. - 1476-069X. ; 8:38
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Results from studies of road traffic noise and hypertension are heterogeneous with respect to effect size, effects among males and females and with respect to effects across age groups. Our objective was to further explore these associations. METHODS: The study used cross-sectional public health survey data from southern Sweden, including 24,238 adults (18 - 80 years old). We used a geographic information system (GIS) to assess the average road noise (LAeq 24 hr) at the current residential address. Effects on self-reported hypertension were estimated by logistic regression with adjustment for age, sex, BMI, alcohol intake, exercise, education, smoking and socioeconomic status. RESULTS: Modest exposure effects (OR approximately 1.1) were generally noted in intermediate exposure categories (45 -64 dB(A)), and with no obvious trend. The effect was more pronounced at > 64 dB(A) (OR 1.45, 95% CI 1.04 - 2.02). Age modified the relative effect (p = 0.018). An effect was seen among middle-aged (40 - 59 years old) at noise levels 60 - 64 dB(A) (OR = 1.27, 95% CI 1.02 - 1.58)) and at > 64 dB(A) (OR = 1.91, 95% CI 1.19 - 3.06)). An effect was also indicated among younger adults but not among elderly. No apparent effect modification by gender, country of origin, disturbed sleep or strained economy was noted. CONCLUSION: The study supports an association between road traffic noise at high average levels and self-reported hypertension in middle-aged. Future studies should use age group -specific relative effect models to account for differences in prevalence.
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  • Borell, Jonas, et al. (författare)
  • Less is more - Some cautions regarding mindless use of ICT in emergency management
  • 2015
  • Ingår i: Proceedings of TIEMS 22nd annual conference. - 9789490297138
  • Konferensbidrag (refereegranskat)abstract
    • Emergency management practice can be supported by ICT in many ways, and numerous ICT-based systems are available that offer support in the different phases of emergency management. Yet, many such systems do not provide as much support to emergency management as expected or wished for. In some situations they may even compromise emergency management performance, due to suboptimal adaptation to the people who use them. This paper describes aspects of human functioning that should be considered in the design of ICT-based emergency management support systems, and points out why they matter. This is illustrated with examples of GIS in emergency management. The paper also briefly sketches how better adjustment to end users can be incorporated into the design of ICT-based systems for emergency management support. It is recommended that human factors are properly considered in both the design and operational phases of ICT-based emergency management support systems, which can be realized through cooperation between experts in emergency management, human factors and GIS.
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8.
  • Carlsen, Hanne Krage, et al. (författare)
  • Incident cardiovascular disease and long-term exposure to source-specific air pollutants in a Swedish cohort
  • 2022
  • Ingår i: Environmental Research. - : Elsevier BV. - 0013-9351 .- 1096-0953. ; 209
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Air pollution is associated with cardiovascular morbidity and mortality, but its role in the development of congestive heart failure (CHF) and the role of different pollution sources in cardiovascular disease remain uncertain. Methods: Participants were enrolled in the Malmö Diet and Cancer cohort in 1991–1996 with information on lifestyle and clinical indicators of cardiovascular disease. The cohort participants were followed through registers until 2016. Annual total and local source-specific concentrations of particulate matter less than 10 μm and 2.5 μm (PM10 and PM2.5), black carbon (BC), and nitrogen oxides (NOx) from traffic, residential heating, and industry were assigned to each participant's address throughout the study period. Cox proportional hazards models adjusted for possible confounders was used to estimate associations between air pollution 1–5 years prior to outcomes of incident CHF, fatal myocardial infarction (MI), major adverse coronary events (MACE), and ischemic stroke. Results: Air pollution exposure levels (mean annual exposures to PM2.5 of 11 μg/m3 and NOx of 26 μg/m3) within the cohort were moderate in terms of environmental standards. After adjusting for confounders, we observed statistically significant associations between NOx and CHF (hazard ratio [HR] 1.11, 95% confidence interval [CI] 1.01–1.22) and NOx and fatal MI (HR 1.10, 95%CI 1.01–1.20) per interquartile range (IQR) of 9.6 μg/m3. In fully adjusted models, the estimates were similar, but the precision worse. In stratified analyses, the associations were stronger in males, ever-smokers, older participants, and those with baseline carotid artery plaques. Locally emitted and traffic-related air pollutants generally showed positive associations with CHF and fatal MI. There were no associations between air pollution and MACE or stroke. Discussion/conclusion: In an area with low to moderate air pollution exposure, we observed significant associations of long-term residential NOx with increased risk of incident CHF and fatal MI, but not with coronary events and stroke. © 2022
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9.
  • Dobric, Julia, et al. (författare)
  • Physical activity changes the deposited fractions of particles in the respiratory tract of adults and children
  • 2022
  • Ingår i: ; , s. 45-45
  • Konferensbidrag (refereegranskat)abstract
    • Exposure to ambient air pollution can cause a numberof health problems and may be particularly dangerous to susceptible population groups such as children. Health effects caused by air pollution are criticallydependent on both the deposited fraction (DF) of the inhaled particles and in what region of the respiratory tract the deposition takes place. With increasing physical activity, the breathing pattern is altered and the airflow in the respiratory tract increase, this affects the DF and deposition site. In this study we investigated changes in DF at increasing physical activity for three population groups: ~5 and 10 year-old children, and adults.Our results indicate that the variation in total DF with physical activity is minor, but that the DF for the UFPs increase in the AI region at higher activity levels. This is important since the removal of particles in the AI region is not effective and UFPs are believed to pose a specific health risk. Therefore, activity patterns and DF of different population groups need to be considered when estimating particle dose and evaluating health risks.
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10.
  • Dobric, Julia, et al. (författare)
  • Preschool Children’s Inhalation Rates Estimated from Accelerometers—A Tool to Estimate Children’s Exposure to Air Pollution
  • 2022
  • Ingår i: Aerosol and Air Quality Research. - : AAGR Aerosol and Air Quality Research. - 1680-8584 .- 2071-1409. ; 22:8
  • Tidskriftsartikel (refereegranskat)abstract
    • Children are particularly sensitive to air pollution exposure, and their personal exposures may differ significantly from those of adults. One key factor for understanding the personal inhaled dose of air pollutants is the respiratory minute ventilation (Ve). To estimate the amount of particles circulated through the lungs, 24 h averages of Ve are often used. These averages poorly capture variations in Ve during the day, and between individuals. We here develop and implement a concept to assess individual Ve of children, with minimal impact on their natural activity and movement pattern by using ActiGraph GT3X+ accelerometers. Activity of 136 preschool children in the ages 3 to 5 years was logged using accelerometers while the children attended their preschools during a week. A linear regression equation is developed and used for estimating Ve from the accelerometer data retrieved for each individual child. The results show large variations in weekly average Ve between individuals, ranging from 0.33 to 0.48 L min–1 kg–1. Over the days the averages of the individuals’ 1st and 3rd quartiles were 0.28 and 0.48 L min–1 kg–1, respectively. Outdoor activities resulted in a 17% higher Ve than indoor activities, which may be important to consider when estimating the inhaled dose of air pollutants since pollution levels and particle toxicities can be different indoors and outdoors. The observations motivate the use of individual values of Ve in exposure assessments and suggest that accelerometers are a suitable tool for estimating children’s individual Ve in their natural environment. Combined with time resolved local air pollution monitoring, these measurements can provide the basis of a more precise estimate of children’s inhaled dose of air pollutants. © The Author(s).
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