The prevalence of occupational exposure to noise: A systematic review and meta-analysis from the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury.

BACKGROUND: The World Health Organization (WHO) and the International Labour Organization (ILO) are developing joint estimates of the work-related burden of disease and injury (WHO/ILO Joint Estimates), with contributions from a large network of individual experts. Evidence from mechanistic and human data suggests that occupational exposure to noise may cause cardiovascular disease. In this paper, we present a systematic review and meta-analysis of the prevalence of occupational exposure to noise for estimating (if feasible) the number of deaths and disability-adjusted life years from cardiovascular disease that are attributable to exposure to this risk factor, for the development of the WHO/ILO Joint Estimates. OBJECTIVES: We aimed to systematically review and meta-analyse estimates of the prevalence of occupational exposure to noise. DATA SOURCES: We searched electronic academic databases for potentially relevant records from published and unpublished studies, including Ovid Medline, PubMed, EMBASE, and CISDOC. We also searched electronic grey literature databases, Internet search engines, and organizational websites; hand-searched reference list of previous systematic reviews and included study records; and consulted additional experts. STUDY ELIGIBILITY AND CRITERIA: We included working-age (≥15 years) workers in the formal and informal economies in any WHO Member and/or ILO member State, but excluded children (<15 years) and unpaid domestic workers. We included all study types with an estimate of the prevalence of occupational exposure to noise, categorized into two levels: no (low) occupational exposure to noise (<85dBA) and any (high) occupational exposure to noise (≥85dBA). STUDY APPRAISAL AND SYNTHESIS METHODS: At least two review authors independently screened titles and abstracts against the eligibility criteria at a first stage and full texts of potentially eligible records at a second stage, followed by extraction of data from qualifying studies. We combined prevalence estimates using random-effect meta-analysis. Two or more review authors assessed the risk of bias and the quality of evidence, using the RoB-SPEO tool and QoE-SPEO approach developed specifically for the WHO/ILO Joint Estimates. RESULTS: Sixty-five studies (56 cross-sectional studies and nine cohort studies) met the inclusion criteria, comprising 157,370 participants (15,369 females) across 28 countries and all six WHO regions (Africa, Americas, Eastern Mediterranean, Europe, South-East Asia, and Western Pacific). For the main analyses, we prioritized the four included studies that surveyed national probability samples of general populations of workers over the 58 studies of workers in industrial sectors and/or occupations with relatively high occupational exposure to noise. The exposure was generally assessed with dosimetry, sound level meter, or official or company records; in the population-based studies, it was assessed with validated questions. Estimates of the prevalence of occupational exposure to noise are presented for all 65 included studies, by country, sex, 5-year age group, industrial sector, and occupation where feasible. The pooled prevalence of any (high) occupational exposure to noise (≥85dBA) among the general population of workers was 0.17 (95% confidence interval 0.16 to 0.19, 4 studies, 108,256 participants, 38 countries, two WHO regions, I2 98%, low quality of evidence). Subgroup analyses showed that pooled prevalence differed substantially by WHO region, sex, industrial sector, and occupation. CONCLUSIONS: Our systematic review and meta-analysis found that occupational exposure to noise is prevalent among general populations of workers. The current body of evidence is, however, of low quality, due to serious concerns for risk of bias and indirectness. Producing estimates of occupational exposure to noise nevertheless appears evidence-based, and the pooled effect estimates presented in this systematic review are suitable as input data for the WHO/ILO Joint Estimates (if feasible). Protocol identifier: 10.1016/j.envint.2018.09.040 PROSPERO registration number: CRD42018092272.

Can the parasitic fauna on Nile tilapias be affected by different production systems?

This study compared the parasitic fauna on Nile tilapias kept with swine dejects and tilapia from fee fishing fed commercial ration. A total of 360 fish were analyzed from August 2003 to July 2004 in a facility situated in Nova Trento, Santa Catarina, Brazil. No significant difference was observed in both systems. The parasite fauna in both systems were slightly similar, with the presence of the following parasites: Trichodina magna and T compacta (Ciliophora); Cichlidogyrus sclerosus and Cichlidogyrus sp. (Monogenoidea); and Lamproglena sp. (Lernaeidae). Parasitological analyzes did not differ among fishes kept with swine dejects and in fee fishing with commercial diet (P >0.05). The total prevalence of trichodinids in the gills of fish kept with swine dejects was 1.7% as compared to the one kept in fee fishing with commercial diet (0.6%). The Monogenoidea prevalence and mean intensity in the gills and body of fish from fee fishing was 16.5% and 2.6, and compared to other system was 13.2% and 0.8, respectively. This study showed that low stocking density and low water temperature in that region were responsible for the maintenance of good health and lower parasitism rate.

Freezing reaction in panic disorder patients associated with anticipatory anxiety.

BACKGROUND: Anticipatory anxiety can be described as a conditioned response with a defensive posture of freezing and autonomic activation. The purpose of this study was to assess the postural control analysis and autonomic activation in panic disorder (PD) patients presented with visual stimuli. METHODS: PD patients (n=29) and healthy controls (n=27) stood on a force platform while viewing a series of anxiogenic, mutilation, and neutral pictures. Skin conductance responses and the displacements of the center of pressure were measured. RESULTS: Overall, the PD patients demonstrated significantly reduced body sway, increased mean power frequency, and increased skin conductance compared to control group throughout the experiment (P<.05). PD patients also showed a negative correlation between anticipatory anxiety and mean sway area throughout the experiment. However, there was no significant difference in body sway velocity compared to healthy controls while viewing the anxiogenic block of pictures or the neutral block. CONCLUSIONS: Our data shows that PD patients experiencing anticipatory anxiety may present with lower mobility, consistent with the freezing behavior of the defense cascade. The data also shows that PD patients do not have a postural instability when confronted with specific anxiogenic context. The importance of this study is that it objectively demonstrates freezing-like behavior in PD patients.

WHO/ILO work-related burden of disease and injury: Protocol for systematic reviews of exposure to occupational noise and of the effect of exposure to occupational noise on cardiovascular disease.

BACKGROUND: The World Health Organization (WHO) and the International Labour Organization (ILO) are developing a joint methodology for estimating the national and global work-related burden of disease and injury (WHO/ILO joint methodology), with contributions from a large network of experts. In this paper, we present the protocol for two systematic reviews of parameters for estimating the number of deaths and disability-adjusted life years from cardiovascular disease attributable to exposure to occupational noise, to inform the development of the WHO/ILO joint methodology. OBJECTIVES: We aim to systematically review studies on exposure to occupational noise (Systematic Review 1) and systematically review and meta-analyse estimates of the effect of occupational noise on cardiovascular diseases (Systematic Review 2), applying the Navigation Guide systematic review methodology as an organizing framework, conducting both systematic reviews in tandem and in a harmonized way. DATA SOURCES: Separately for Systematic Reviews 1 and 2, we will search electronic academic databases for potentially relevant records from published and unpublished studies, including Medline, EMBASE, Web of Science and CISDOC. We will also search electronic grey literature databases, Internet search engines and organizational websites; hand search reference list of previous systematic reviews and included study records; and consult additional experts. STUDY ELIGIBILITY AND CRITERIA: We will include working-age (≥15 years) workers in the formal and informal economy in any WHO and/or ILO Member State, but exclude children (<15 years) and unpaid domestic workers. The eligible risk factor will be occupational noise. Eligible outcomes will be hypertensive heart disease, ischaemic heart disease, stroke, cardiomyopathy, myocarditis, endocarditis and other circulatory diseases. For Systematic Review 1, we will include quantitative prevalence studies of exposure to occupational noise (i.e., low: <85 dB(A) and high: ≥85 dB(A)) stratified by country, sex, age and industrial sector or occupation. For Systematic Review 2, we will include randomized controlled trials, cohort studies, case-control studies and other non-randomized intervention studies with an estimate of the relative effect of high exposure to occupational noise on the prevalence of, incidence of or mortality due to cardiovascular disease, compared with the theoretical minimum risk exposure level (i.e., low exposure). STUDY APPRAISAL AND SYNTHESIS METHODS: At least two review authors will independently screen titles and abstracts against the eligibility criteria at a first stage and full texts of potentially eligible records at a second stage, followed by extraction of data from qualifying studies. At least two review authors will assess risk of bias and the quality of evidence, using the most suited tools currently available. For Systematic Review 2, if feasible, we will combine relative risks using meta-analysis. We will report results using the guidelines for accurate and transparent health estimates reporting (GATHER) for Systematic Review 1 and the preferred reporting items for systematic reviews and meta-analyses guidelines (PRISMA) for Systematic Review 2. PROSPERO registration number: CRD42018092272.

Expanded description of Lamproglena monodi (Copepoda: Lernaeidae), parasitizing native and introduced fishes in Brazil.

An occurrence of the copepod Lamproglena monodi Capart, 1944, parasitizing freshwater fishes in Brazil is presented, along with new morphological data. This crustacean was originally described parasitizing several cichlids in Africa. In the present study, the crustaceans were collected from the body surface and gills of two fish species native to Brazil [Astronotus ocellatus (Agassiz, 1831) and Cichla ocellaris Bloch and Schneider, 1801] and two introduced species [Oreochromis niloticus (Linnaeus, 1758) and Tilapia rendalli (Boulenger, 1897)]. The Brazilian specimens exhibited some morphometric intraspecies differences in relation to the specimens from Congo-Kinshasa and Egypt.

Expanded description of Lamproglena monodi (Copepoda: Lernaeidae), parasitizing native and introduced fishes in Brazil / Descrição expandida de Lamproglena monodi (Copepoda: Lernaeidae), parasita de peixes nativos e introduzidos no Brasil

An occurrence of the copepod Lamproglena monodi Capart, 1944, parasitizing freshwater fishes in Brazil is presented, along with new morphological data. This crustacean was originally described parasitizing several cichlids in Africa. In the present study, the crustaceans were collected from the body surface and gills of two fish species native to Brazil [Astronotus ocellatus (Agassiz, 1831) and Cichla ocellaris Bloch and Schneider, 1801] and two introduced species [Oreochromis niloticus (Linnaeus, 1758) and Tilapia rendalli (Boulenger, 1897)]. The Brazilian specimens exhibited some morphometric intraspecies differences in relation to the specimens from Congo-Kinshasa and Egypt.

A ocorrência e novos dados morfológicos do copépode Lamproglena monodi Capart, 1944 parasitando peixes dulcícolas no Brasil são apresentados. Este crustáceo foi originalmente descrito parasitando vários ciclídeos da África. No presente trabalho, os crustáceos foram coletados das brânquias e superfície do corpo dos peixes nativos do Brasil [Astronotus ocellatus (Agassiz, 1831) e Cichla ocellaris Bloch e Schneider, 1801 e duas espécies introduzidas Oreochromis niloticus (Linnaeus, 1758) e Tilapia rendalli (Boulenger, 1897)]. Os espécimes coletados no Brasil apresentaram algumas diferenças morfométricas intraespecíficas em relação aos espécimes do Congo-Kinshasa e Egito.

Parâmetros hematológicos e alterações histopatológicas em bijupirá (Rachycentron canadum Linnaeus, 1766) com amyloodiniose / Parameters hematological and histopathologic alterations in cobia (Rachycentron canadum Linnaeus, 1766) com amyloodiniose

O objetivo do trabalho foi descrever os parâmetros hematológicos e as alterações histopatológicas em bijupirás infectados por Amyloodinium ocellatum. Um grupo de 27 peixes foi anestesiado para coleta de amostras de sangue e eutanasiados para coleta de muco e fragmentos de tecido cutâneo e branquial. Foram avaliadas a prevalência e a intensidade parasitária da infecção, assim como os valores de parâmetros hematológicos e alterações histopatológicas. A prevalência parasitária nas brânquias foi de 100% e no muco foi de 80,8% e as intensidades parasitárias médias foram de 683,5 nas brânquias, e 67,1 no muco cutâneo. Os valores médios dos parâmetros hematológicos foram: eritrócitos 4,3x10(6)µL; VG 26%; VGM 64,2fL; proteína plasmática 5,8mg/dL; trombócitos 5,2 x10³/µL e leucócitos 3,6 x10³/µL. Além disso, foram verificadas hiperplasia do epitélio respiratório acompanhada de fusão lamelar, descolamento do epitélio, dilatação do seio venoso, formação de aneurisma, ruptura do epitélio lamelar, hemorragia, necrose, reação inflamatória linfocítica. O parasito foi observado nas lamelas branquiais, o VMA variou do grau discreto ao severo e o IAH foi de 76,8. A pesquisa assume importância por se tratar dos primeiros estudos em Rachycentron canadum, um peixe que se destaca com potencial ao cultivo.

The aim of this study was to describe the hematological parameters and histopathologic alterations in cobia infected by Amyloodinium ocellatum. A group of 27 fish were anesthetized to collect blood samples and euthanatized to collect mucus and tissue fragments of skin and gills. The prevalence and parasitic intensity of the infection, besides hematologic parameters and histopathologic alterations, was measured. Parasite prevalence in the gills was 100% and in the mucus 80.8%, and the average intensity of infection in gills and skin was 683.5 e 67.1 respectively. The mean values of hematological parameters were: erythrocytes 4.3x10(6)μL; PCV 26%, MCV 64.2 fL, plasma protein 5.8mg/dL, thrombocytes 5.2x10³/μL and leukocytes 3.6x10³/μL . Furthermore was found hyperplasia of the respiratory epithelium accompanied by lamellar fusion, detachment of the epithelium, venous sinus dilatation, aneurysm formation and rupture of the lamellar epithelium, hemorrhage, necrosis and lymphocytic inflammatory reaction. The parasite was observed between the gills lamellae, the AMV ranged from mild to severe and AHI values were 76.8. The study assumes importance because it is the first study in Rachycentron canadum, a fish that stands out with potential for growing.

Can the parasitic fauna on Nile tilapias be affected by different production systems?

This study compared the parasitic fauna on Nile tilapias kept with swine dejects and tilapia from fee fishing fed commercial ration. A total of 360 fish were analyzed from August 2003 to July 2004 in a facility situated in Nova Trento, Santa Catarina, Brazil. No significant difference was observed in both systems. The parasite fauna in both systems were slightly similar, with the presence of the following parasites: Trichodina magna and T compacta (Ciliophora); Cichlidogyrus sclerosus and Cichlidogyrus sp. (Monogenoidea); and Lamproglena sp. (Lernaeidae). Parasitological analyzes did not differ among fishes kept with swine dejects and in fee fishing with commercial diet (P >0.05). The total prevalence of trichodinids in the gills of fish kept with swine dejects was 1.7 percent as compared to the one kept in fee fishing with commercial diet (0.6 percent). The Monogenoidea prevalence and mean intensity in the gills and body of fish from fee fishing was 16.5 percent and 2.6, and compared to other system was 13.2 percent and 0.8, respectively. This study showed that low stocking density and low water temperature in that region were responsible for the maintenance of good health and lower parasitism rate.

Este estudo comparou a fauna parasitária de tilápia do Nilo mantida em consorciação com suínos e alimentada com ração comercial mantida em pesque-pague. Um total de 360 peixes foi analisado, entre agosto de 2003 ejulhode2004, em uma propriedade de Nova Trento, Santa Catarina, Brasil. Não houve diferença significativa entre os dois sistemas de cultivo. A fauna parasitária em ambos foi ligeiramente semelhante com a presença de Trichodina magna e T compacta (Ciliophora); Cichlidogyrus sclerosus e Cichlidogyrus sp. (Monogenoidea) e Laproglena sp. (Lernaeidae). A análise parasitológica não mostrou diferença entre os peixes dos dois sistemas. A prevalência total de tricodinídeos nas brânquias dos peixes mantidos com dejetos de suínos foi de 1,7 por cento quando comparada com os do pesque-pague de 0,6 por cento. A taxa de prevalência e a intensidade média de Monogenoidea nas brânquias dos peixes do pesque-pague foi de 16,5 por cento e 2,6, respectivamente comparada com os mantidos com suínos de 13,2 por cento e 0,8, respectivamente. Este estudo demonstrou que a baixa densidade de estocagem de peixes nesta propriedade e a baixa temperatura na região colaboraram para que a saúde dos animais fosse mantida e o nível de parasitismo baixo.

A freezing-like posture to pictures of mutilation.

Postural sway and heart rate were recorded in young men viewing emotionally engaging pictures. It was hypothesized that they would show a human analog of "freezing" behavior (i.e., immobility and heart rate deceleration) when confronted with a sustained block of unpleasant (mutilation) images, relative to their response to pleasant/arousing (sport action) or neutral (objects) pictures. Volunteers stood on a stabilometric platform during picture viewing. Significantly reduced body sway was recorded during the unpleasant pictures, along with increased mean power frequency (indexing muscle stiffness). Heart rate during unpleasant pictures also showed the expected greater deceleration. This pattern resembles the "freezing" and "fear bradycardia" seen in many species when confronted with threatening stimuli, mediated by neural circuits that promote defensive survival.