{
    "document_id": 13781,
    "page": 37,
    "width_pt": 720,
    "height_pt": 540,
    "rotation": 0,
    "pipeline_version": "paddleocr-vl-1.6+paul-48",
    "engine": "paddleocr_vl",
    "source_run_id": 13892,
    "item_count": 6,
    "counts_by_type": {
        "figure": 1,
        "header": 1,
        "heading": 1,
        "list_item": 2,
        "text": 1
    },
    "build_ms": 0,
    "items": [
        {
            "id": "p37.1",
            "order": 1,
            "type": "header",
            "bbox": {
                "l": 573.36,
                "t": 522.48,
                "r": 683.52,
                "b": 509.28
            },
            "text": "(Bozigar, et al., 2026)",
            "attrs": {
                "block_label": "header"
            },
            "level": 2
        },
        {
            "id": "p37.2",
            "order": 2,
            "type": "heading",
            "bbox": {
                "l": 19.2,
                "t": 506.88,
                "r": 228.96,
                "b": 406.08
            },
            "text": "Noise: Dementia & Alzheimer's",
            "attrs": {
                "block_label": "paragraph_title"
            },
            "level": 3
        },
        {
            "id": "p37.3",
            "order": 3,
            "type": "figure",
            "bbox": {
                "l": 230.16,
                "t": 503.28,
                "r": 719.52,
                "b": 283.92
            },
            "text": "",
            "attrs": {
                "block_label": "image"
            }
        },
        {
            "id": "p37.4",
            "order": 4,
            "type": "list_item",
            "bbox": {
                "l": 33.6,
                "t": 269.2872,
                "r": 642.48,
                "b": 226.8
            },
            "text": "Umbrella Review and Meta – Analysis containing 19 Reviews and 37 meta-analyses (2 Related to Noise)",
            "marker": "•"
        },
        {
            "id": "p37.5",
            "order": 5,
            "type": "text",
            "bbox": {
                "l": 68.16,
                "t": 222.72,
                "r": 669.12,
                "b": 104.16
            },
            "text": "• “We found 9 factors where exposure was associated with higher risks of all-cause dementia: fine particulate matter, particulate matter, nitrogen dioxide, nitrogen oxides, carbon monoxide, shift work, night shift work, chronic noise, and extremely-low frequency magnetic fields. ...\nFine particulate matter, particulate matter, and chronic noise were related to vascular dementia.” (Jones, et al., 2025)"
        },
        {
            "id": "p37.6",
            "order": 6,
            "type": "list_item",
            "bbox": {
                "l": 33.84,
                "t": 98.7672,
                "r": 668.16,
                "b": 36
            },
            "text": "Emerging evidence from large cohort studies has demonstrated links between chronic environmental noise exposure and incident ADRD and mild cognitive impairment (MCI). (Bozigar, et al., 2026)",
            "marker": "•"
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}