Noise level in neonatal incubators: A comparative study of three models.

BACKGROUND: Preterm infants usually have to spend a long time in an incubator, excessive noise in which can have adverse physiological and psychological effects on neonates. In fact, incubator noise levels typically range from 45 to 70 dB but differences in this respect depend largely on the noise measuring method used. The primary aim of this work was to assess the extent to which noise in an incubator comes from its own fan and how efficiently the incubator can isolate external noise. METHODS: Three different incubator models were characterized for acoustic performance by measuring their internal noise levels in an anechoic chamber, and also for noise isolation efficiency by using a pink noise source in combination with an internal and an external microphone that were connected to an SVAN958 noise analyzer. RESULTS: The incubators studied produced continuous equivalent noise levels of 53.5-58 dB and reduced external noise by 5.2-10.4 dB. CONCLUSIONS: A preterm infant in an incubator is exposed to noise levels clearly exceeding international recommendations even though such levels usually comply with the limit set in the standard IEC60601-2-19: 2009 (60 dBA) under normal conditions of use.

Preparation and properties of the full series of cuboidal clusters [Mo(x)W4-xSe4(H2O)12]n+ (n = 4-6) and their derivatives.

Hydrothermal reactions between incomplete cuboidal cluster aqua complexes [M3Q4(H2O)9]4+ and M(CO)6 (M = Mo, W; Q = S, Se) offer easy access to the corresponding cuboidal clusters M4Q4. The complete series of homometal and mixed Mo/W clusters [Mo(x)W4-xQ4(H2O)12]n+ (x = 0-4, n = 4-6) has been prepared. Upon oxidation of the mixed-metal clusters, it is the W atom which is lost, allowing selective preparation of new trinuclear clusters [Mo2WSe4(H2O)9]4+ and [MoW2Se4(H2O)9]4+. The aqua complexes were converted by ligand exchange reactions into dithiophosphato and thiocyanato complexes, and crystal structures of [W4S4((EtO)2PS2)6], [MoW3S4((EtO)2PS2)6], [Mo4Se4((EtO)2PS2)6], [W4Se4((i-PrO)2PS2)6], and (NH4)6[W4Se4(NCS)12]-4H20 were determined. Cyclic voltammetry was performed on [Mo(x)W4-xCO4(H2O)12]n+, showing reversible redox waves 6+/5+ and 5+/4+. The lower oxidation states are more difficult to access as the number of W atoms increases. The [Mo2WSe4(H2O)9]4+ and [MoW2Se4(H2O)9]4+ species were derivatized into [Mo2WSe4(acac)3(py)3]+ and [MoW2Se4(acac)3(py)3]+, which were also studied by CV. When appropriate, the products were also characterized by FAB-MS and NMR (31P, 1H) data.

Behavioral patterns of heterometallic cuboidal derivatives of [M3Q4(H2O)9]4+ (M = Mo, W; Q = S, Se).

This Account reports recent progress in the study of some approximately 20 heterometal derivatives of [Mo3S4(H2O)9]4+ with reference also to W and Se analogues. Single cubes (3:1) and corner-shared double cubes (6:1), as well as dimers of the 3:1 single cubes, are considered. A classification of the heterometals as subtypes A, B, and C is introduced.

Preparation, structure, and properties of the corner-shared double cubes [Mo(6)HgQ(8)(H(2)O)(18)](8+) (Q = S, Se) and tungsten analogues.

The purple corner-shared double cube [Mo(6)HgS(8)(H(2)O)(18)](8+) derivative of green [Mo(3)S(4)(H(2)O)(9)](4+), obtained under air-free conditions by the reaction with Hg(0) (metal), is also formed with Hg(I)(2). The Hg(I)(2) reaction is accounted for by the disproportionation Hg(I)(2) <==> Hg(0) + Hg(II), which is a source of Hg(0). X-ray crystallographic information on the blue partially Cl(-) substituted cucurbituril supramolecular assemblies [Mo(6)HgQ(8)Cl(4)(H(2)O)(14)](C(36)H(36)N(24)O(12))Cl(4).14H(2)O (1) and of the Se analogue [Mo(6)HgSe(8)Cl(4) (H(2)O)(14)](C(36)H(36)N(24)O(12))Cl(4).14H(2)O (2) have been determined. The product [W(6)HgSe(8)Cl(4)(H(2)O)(14)](C(36)H(36)N(24) O(12)) Cl(4).14H(2)O (3) has also been obtained, but there is no evidence for [W(6)HgS(8)(H(2)O)(18)](8+) and related forms. The formation of [Mo(6)HgS(8)(H(2)O)(18)](8+) by the reaction of [Mo(3)S(4) (H(2)O)(9)](4+) with Hg(0) under anaerobic conditions maximizes after approximately 40 h in 2.0 M HCl, but requires longer reaction time ( approximately 120 h) in 2.0 M Hpts (p-toluenesulfonic acid) and in 2 M HClO(4) ( approximately 6 days). In 2.0 M HCl there is little absorbance increase until [Mo(3)S(4)(H(2)O)(9)](4+) exceeds 1.2 x 10(-)(3) M, which is explained by a dependence of the formation K (265 M(-1)) on [Mo(3)S(4)(H(2)O)(9)(4+)](2). Furthermore, on dilution of column-purified [Mo(6)HgS(8)(H(2)O)(18)](8+), Beer's law is not obeyed and equilibria involving 2[Mo(3)S(4)(H(2)O)(9)](4+) are apparent. The kinetics of formation of [Mo(6)HgS(8)(H(2)O)(18)](8+) is first-order in [Mo(3)S(4)(H(2)O)(9)](4+), consistent with rate-determining formation of the single cube [Mo(3)HgS(4)(H(2)O)(x)](4+). The oxidations of [Mo(6)HgS(8)(H(2)O)(18)](8+) with [Fe(H(2)O)(6)](3+) and [Co(dipic)(2)](-) are complicated by the release of [Hg(H(2)O)(6)](2+), which also functions as an oxidant. Similar results are obtained for [Mo(6)HgSe(8)(H(2)O)(18)](8+) and the less extensively studied [W(6)HgSe(8)(H(2)O)(18)](8+).

Preparation, structure, and reactivity of Ge-containing heterometallic cube derivatives of [M(3)E(4)(H2O)(9)](4+) (M = Mo, W; E = S, Se).

Studies leading to the incorporation of Group 14 germanium into the incomplete cuboidal clusters [M(3)E(4)(H2O)(9)](4+) (M = Mo, W; E = S, Se) have been carried out. From the clusters [Mo(3)E(4)(H2O)(9)](4+), corner-shared double cubes [Mo(6)GeE(8)(H2O)(18)] are obtained with GeO, by heating with Ge powder at 90 degrees C, or by heating with GeO(2) in the presence of H(3)PO(2) as reductant at 90 degrees C, illustrating the dominance of the double cubes. The yellow-green single cube [Mo(3)GeS(4) (H2O)(12)](6+) is only obtained by controlled air oxidation of [Mo(6)GeS(8)(H2O)(18)](8+) over a period of approximately 4 days followed by Dowex purification. In the case of the trinuclear clusters [W(3)E(4)(H2O)(9)](4+), the single cubes [W(3)GeE(4)(H2O)(12)](6+) are dominant and prepared by the reactions with GeO, or GeO(2)/H(3)PO(2). Conversion of [W(3)GeE(4)(H2O)(12)](6+) to the corresponding double cubes is achieved by reductive addition with BH(4)(-) in the presence of a further equivalent of [W(3)E(4)(H2O)(9)](4+). The crystal structures (pts(-) = p-toluene-sulfonate) of [Mo(6)GeS(8)(H2O)(18)](pts)(8).28H2O, (1); [W(6)GeS(8)(H2O)(18)](pts)(8).23H2O, (2); and [Mo(6)GeSe(8)(H2O)(18)](pts)(8).8H2O, (3); have been determined, of which (2) is the first structure of a W(6) double cube. The M-M bond lengths of approximately 2.7 A are consistent with metal-metal bonding, and the M-Ge of approximately 3.5 A corresponds to nonbonding separations. Of the Group 13-15 corner-shared double cubes from [Mo(3)S(4)(H2O)(9)](4+), [Mo(6)GeS(8)(H2O)(18)](8+) is the least reactive with [Co(dipic)(2)](-) as oxidant (0.077 M(-1) s(-1)), and [Mo(6)SnS(8)(H2O)(18)](8+) is next (14.9 M(-1) s(-1)). Both Ge and Sn (Group 14) have an even number of electrons, resulting in greater stability. In contrast, [W(6)GeS(8)(H2O)(18)](8+) is much more reactive (7.3 x 10(3) M(-1) s(-1)), and also reacts more rapidly with O(2).