A durable concrete composition includes a cementitious material comprising cement and ground expanded perlite, coarse aggregate, fine aggregate, and sufficient water for adequate workability. The noise reduction device can consist of a pair of coupled nonlinear resonators that are driven parametrically\u2014by modulating their natural frequency in time, through the output signal of a conventional oscillator at a frequency close to the sum of the linear mode frequencies. The method involves grafting the device to an area in a patient in need of treatment. The terminal housing has an insulated body with a first end, a second end and at least one terminal bore longitudinally extending between the first and second ends.