Effect of Soundscape Augmentation on Behavioral Symptoms in People With Dementia: A Pilot Randomized Controlled Trial.

Background and Objectives: Sound is an important environmental factor that influences the expression of behavioral and psychological symptoms of dementia. Recent research on the effect of soundscape has shown promising results in improving environmental impact on people with dementia. However, no controlled studies have aimed to quantify the effects of soundscape intervention on resident outcomes. The aim of this study was to assess the feasibility and impact of a soundscape intervention on people with dementia and behavioral symptoms. Research Design and Methods: Pilot single-blind repeated-measures randomized controlled trial of an augmented soundscape intervention. Participants were people with dementia in a hospital-based specialized dementia unit. Participants were randomized to an augmented soundscape intervention delivered in their room in the morning and evening or treatment as usual, with 2 baseline weeks and 4 weekly post-randomization assessments of the primary and secondary behavioral outcomes. Results: The soundscape intervention was feasible in terms of recruitment, retention, and delivery of the intervention. There were improvements in the neuropsychiatric inventory total scores over time in both groups (-5.89, 95%CI -8.45 to -3.28, p < .001), but no differences between groups. There were no significant group, time, or group × time differences for the Pittsburgh Agitation Scale (PAS) total score. For the PAS-resisting care subscale, there was a significant group × time difference, with a greater reduction in the soundscape group over the study period (-0.81, 95% CI -1.59 to -0.03, p = .042). Discussion and Implications: In this pilot study, soundscape augmentation was a feasible and effective nonpharmacological approach to reducing resistance to care in people with dementia, although it did not improve neuropsychiatric symptoms more globally. Further studies with larger samples and of longer duration are needed to investigate the long-term effects of augmented sonic environments on people with dementia. Clinical Trials Registration Number: NCT04809545.

Reverberation-based urban street sound level prediction.

Street reverberation can strongly increase sound pressure levels in urban streets. In noise mapping models on the other hand, including a sufficient number of reflections is computationally very costly. A simple regression model is developed in this study, based on typical street width and façade height or façade roughness in old city centers of many European cities. This model is based on measurements with a mobile setup in 99 streets in the city of Ghent, Belgium, representative for common European city morphology. The reflection ratio (RR) is used as a parameter to determine the energy contained in the reverberation part of the sound field. The model has been successfully validated by detailed measurements at different source-receiver distances in an urban street canyon.

Extending the dynamic temperature range of Boltzmann thermometers.

Lanthanide-doped (nano)crystals are an important class of materials in luminescence thermometry. The working mechanism of these thermometers is diverse but most often relies on variation of the ratio of emission intensities from two thermally coupled excited states with temperature. At low temperatures, nonradiative coupling between the states can be slow compared to radiative decay, but, at higher temperatures, the two states reach thermal equilibrium due to faster nonradiative coupling. In thermal equilibrium, the intensity ratio follows Boltzmann statistics, which gives a convenient model to calibrate the thermometer. Here, we investigate multiple strategies to shift the onset of thermal equilibrium to lower temperatures, which enables Boltzmann thermometry in a wider dynamic range. We use Eu3+-doped microcrystals as a model system and find that the nonradiative coupling rates increase for host lattices with higher vibrational energies and shorter lanthanide-ligand distances, which reduces the onset temperature of thermal equilibrium by more than 400 K. We additionally reveal that thermometers with excited states coupled by electric-dipole transitions have lower onset temperatures than those with magnetic-dipole-coupled states due to selection rules. These insights provide essential guidelines for the optimization of Boltzmann thermometers to operate in an extended temperature range.

On the ability of consumer electronics microphones for environmental noise monitoring.

The massive production of microphones for consumer electronics, and the shift from dedicated processing hardware to PC-based systems, opens the way to build affordable, extensive noise measurement networks. Applications include e.g. noise limit and urban soundscape monitoring, and validation of calculated noise maps. Microphones are the critical components of such a network. Therefore, in a first step, some basic characteristics of 8 microphones, distributed over a wide range of price classes, were measured in a standardized way in an anechoic chamber. In a next step, a thorough evaluation was made of the ability of these microphones to be used for environmental noise monitoring. This was done during a continuous, half-year lasting outdoor experiment, characterized by a wide variety of meteorological conditions. While some microphones failed during the course of this test, it was shown that it is possible to identify cheap microphones that highly correlate to the reference microphone during the full test period. When the deviations are expressed in total A-weighted (road traffic) noise levels, values of less than 1 dBA are obtained, in excess to the deviation amongst reference microphones themselves.

Sampling approaches to predict urban street noise levels using fixed and temporary microphones.

Requirements for static (prediction of L(den) and diurnal averaged noise pattern) and dynamic (prediction of 15 min and 60 min evolution of L(Aeq) and statistical levels L(A90,)L(A50) and L(A10)) noise level monitoring are investigated in this paper. Noise levels are measured for 72 consecutive days at 5 neighboring streets in an inner-city noise measurement network in Gent, Flanders, Belgium. We present a method to make predictions based on a fixed monitoring station, combined with short-term sampling at temporary stations. It is shown that relying on a fixed station improves the estimation of L(den) at other locations, and allows for the reduction of the number of samples needed and their duration; L(den) is estimated with an error that does not exceed 1.5 dB(A) to 3.4 dB(A) according to the location, for 90% of the 3 × 15 min samples. Also the diurnal averaged noise pattern can be estimated with a good accuracy in this way. It was shown that there is an optimal location for the fixed station which can be found by short-term measurements only. Short-term level predictions were shown to be more difficult; 7 day samples were needed to build models able to estimate the evolution of L(Aeq,60min) with a RMSE ranging between 1.4 dB(A) and 3.7 dB(A). These higher values can be explained by the very pronounced short-term variations appearing in typical streets, which are not correlated between locations. On the other hand, moderately accurate predictions can be achieved, even based on short-term sampling (a 3 × 15 minute sampling duration seems to be sufficient for many of the accuracy goals set related to static and dynamic monitoring). Finally, the method proposed also allows for the prediction of the evolution of statistical indicators.

Designing Supportive Soundscapes for Nursing Home Residents with Dementia.

Sound and its resulting soundscape is a major appraisal component of the living environment. Where environmental sounds (e.g., outdoor traffic sounds) are often perceived as negative, a soundscape (e.g., containing natural sounds) can also have a positive effect on health and well-being. This supportive effect of a soundscape is getting increasing attention for use in practice. This paper addresses the design of a supportive sonic environment for persons with dementia in nursing homes. Starting from a review of key mechanisms related to sonic perception, cognitive deficits and related behavior, a framework is derived for the composition of a sonic environment for persons with dementia. The proposed framework is centered around using acoustic stimuli for influencing mood, stimulating the feeling of safety and triggering a response in a person. These stimuli are intended to be deployed as added sounds in a nursing home to improve the well-being and behavior of the residents.

Prevalence and molecular characterisation of Cryptosporidium and Giardia in lambs and goat kids in Belgium.

The prevalence of Cryptosporidium and Giardia was studied on 10 intensively reared sheep and goat farms in the province of East Flanders, Belgium. Random faecal samples were collected and examined using the Merifluor((R)) immunofluorescence assay. Cryptosporidium positive samples were withheld for molecular identification using primers targeting the 18S rDNA, 70 kDa heat shock protein and 60 kDa glycoprotein gene. For the molecular identification of Giardia the beta-giardin gene and a recently developed assemblage specific PCR based on the triose phosphate isomerase gene were used. The prevalence of Cryptosporidium in lambs was 13.1% (18/137), on 4 out of 10 farms. In goat kids the Cryptosporidium prevalence was 9.5% (14/148), on 6 out of 10 farms. The molecular characterisation of Cryptosporidium positive isolates indicated that in lambs (n=10) the cervine genotype was predominant, whereas in the goat kids (n=11) only C. parvum was identified, with subgenotypes IIaA15G2R1 and IIdA22G1. The Giardia prevalence was 25.5% (35/137) in lambs with all 10 farms being positive, and 35.8% (53/148) in goat kids with 8 out of the 10 farms being positive. Both in the goat kids and in the lambs the host specific assemblage E was most commonly identified. However, the zoonotic assemblage A was identified in 6 out of 28 goat kids and in 2 out of 8 lambs, based on the beta-giardin sequence alignment. Using the assemblage specific PCR, mixed assemblage A and E infections were additionally identified in 2 lambs and in 5 goat kids. The results of the present study indicate that both Cryptosporidium and Giardia are common parasites on intensively reared sheep and goat farms in the province of East Flanders, Belgium, and that they are a potential source for zoonotic infections.