Showing papers in "Noise & Health in 2019"
TL;DR: In this article, a literature search in Web of Science, Scopus, PubMed, Science Direct, and Google Scholar, with appropriate keywords on combined effects of occupational noise, and co-exposure to noise and other factors, revealed 7928 articles which were screened by two researchers.
Abstract: Purpose: Noise-induced health effects exacerbate by many other risk factors. This systematic review aims at shedding light on the combined effects of co-exposure to occupational noise and other factors. Material and Methods: A literature search in Web of Science, Scopus, PubMed, Science Direct, and Google Scholar, with appropriate keywords on combined effects of occupational noise, and co-exposure to noise and other factors, revealed 7928 articles which were screened by two researchers. A total of 775 articles were reviewed in full text. We found 149 articles that were relevant and had sufficient quality for analysis. Results: We identified 16 risk factors that exacerbate occupational noise-induced health effects. These factors were classified into four groups: chemical (carbon monoxide (CO), solvents, heavy metals, and other chemicals), physical (lighting, heat, vibration, and cold), personal (age, gender, genetics, smoking, medication, contextual diseases) and occupational (workload and shift work). Hearing loss, hypertension, reduced performance, and cardiovascular strains, are the most important risk factors combined effects due to concurrent exposure to noise and other risk factors. Conclusion: Evidences of combined effects of solvents, vibration, heavy metals, CO, smoking, chemicals, aging, heat, and shiftwork were respectively stronger than for other factors. Most of the studies have investigated only the combined effects of risk factors on hearing, and the evidence for non-auditory effects is still limited, and more studies are warranted. Therefore, in the Hearing Conservation Programs, besides noise, aggravating factors of noise effects should also be taken into account.
26 citations
TL;DR: The prevalence of depressive symptoms was relatively high in occupational NIHL patients and duration of the hearing loss, sleep quality and tinnitus severity were the risk factors for occupational NHIL patients with depressive symptoms.
Abstract: Objective: The aim of this study was to evaluate the risk factors of depressive symptoms in occupational noise-induced hearing loss (NIHL) patients. Methods: A total of 106 patients were divided into depressive symptoms (ONHLPD) and without depressive symptoms (non-ONHLPD) according to the Self-rating Depression Scale. Questionnaires and laboratory data were collected and analyzed. Data were analyzed with independent t-test, Wilcoxon test, Pearson correlation analysis and multiple linear regression models. Results: The prevalence of depressive symptoms was 53.8% in occupational NIHL patients. In ONHLPD, duration of the hearing loss, level of serum cortisol, scores of Pittsburgh Sleep Quality Index and Tinnitus Handicap Inventory were all significantly higher than those of non-ONHLPD. Conclusion: The prevalence of depressive symptoms was relatively high in occupational NIHL patients. Duration of the hearing loss, sleep quality and tinnitus severity were the risk factors for occupational NHIL patients with depressive symptoms.
11 citations
TL;DR: The approaches used to objectively measure noise level in hospital settings have been inconsistent and poorly reported, and recommendations on best-practice methods to measure noise levels in hospital environments are provided.
Abstract: Background: Hospitals provide treatment to improve patient health and well-being but the characteristics of the care environment receive little attention. Excessive noise at night has a negative impact on in-patient health through disturbed sleep. To address this hospital staff must measure night-time environmental noise levels. Therefore, an understanding of environmental noise measurement techniques is required. In this review, we aim to 1) provide a technical overview of factors to consider when measuring environmental noise in hospital settings; 2) conduct a rapid review on the equipment and approaches used to objectively measured noise in hospitals and identify methodological limitations. Design: A rapid review of original research articles, from three databases, published since 2008. Studies were included if noise levels were objectively measured in a hospital setting where patients were receiving treatment. Results: 1429 articles were identified with 76 included in the review. There was significant variability in the approaches used to measure environmental noise in hospitals. Only 14.5% of studies contained sufficient information to support replication of the measurement process. Most studies measured noise levels using a sound level meter positioned closed to a patient’s bed area in an intensive care unit. Conclusion: Unwanted environmental noise in hospital setting impacts negatively on patient and staff health and well-being. However, this literature review found that the approaches used to objectively measure noise level in hospital settings have been inconsistent and poorly reported. Recommendations on best-practice methods to measure noise levels in hospital environments are provided.
10 citations
TL;DR: In this article, the authors evaluated in vivo cumulative measurements over an entire operating day and the associated risks of noise-induced hearing loss (NIHL), and found that surgeons performing multiple total knee replacements per day are at risk of NIHL due to noise exposures that exceed National Institute for Occupational Safety and Health recommendations.
Abstract: Objective: Powered surgical instruments use to cut bones and fashion them for joint implant produce noise. Prior studies have not analyzed direct in vivo measurements of multiple procedures and exposure time. This study evaluates actual surgical noise levels exposure to the surgeon and this cumulative exposure that can result in noise-induced hearing loss (NIHL). What is known: Prior studies evaluated short duration noise exposure to surgical equipment in vitro, or in an operating room environment. What this adds: This study evaluated in vivo cumulative measurements over an entire operating day and the associated risks. Methods: Noise exposure to operating room personnel was measured during multiple knee replacement surgeries over three days. Measurements were compared to occupational exposure limits set by the National Institute for Occupational Safety and Health (NIOSH) and the Occupational Safety and Health Administration (OSHA). Results: Surgeons’ noise exposures exceed noise occupational exposure limits. Recorded levels of 104 dBA did occur with levels of 85dBA found from 10-18% of the time. Conclusions: Surgeons performing multiple total knee replacements per day are at risk of NIHL due to noise exposures that exceed National Institute for Occupational Safety and Health recommendations. Surgeons should be included in a hearing loss prevention program. Level of Evidence: Therapeutic Level 1
9 citations
TL;DR: In this paper, the authors found complex conditional relationships between traffic noise, annoyance and mental ill-health, and conducted mediation, moderation and moderated mediation analyses to investigate how these variables intertwine, and found that traffic noise was indirectly associated with higher PHQ-9/GAD-7 scores, but only in the low NS group.
Abstract: Context Traffic noise may contribute to depression and anxiety through higher noise annoyance (NA). However, little is known about noise sensitivity (NS) and mental health status as contextual factors. Objective We tested three hypotheses: (1) Traffic noise is associated with mental ill-health through higher NA; (2) Mental ill-health and NS moderate the association between traffic noise and NA; and (3) NS moderates the indirect effect of traffic noise on mental ill-health. Subjects and methods We used a convenience sample of 437 undergraduate students from the Medical University in Plovdiv, Bulgaria (mean age 21 years; 35% male). Residential road traffic noise (LAeq; day equivalent noise level) was calculated using a land use regression model. Depression and anxiety symptoms were measured with the Patient Health Questionnaire 9-item (PHQ-9) and the Generalized Anxiety Disorder 7-item (GAD-7) scale, respectively. NA was measured using a 5-point verbal scale. The Noise Sensitivity Scale Short Form (NSS-SF) was used to measure NS. To investigate how these variables intertwine, we conducted mediation, moderation and moderated mediation analyses. Results LAeq was indirectly associated with higher PHQ-9/GAD-7 scores through higher NA, but only in the low NS group. The relationship between LAeq and NA was stronger in students reporting depression/anxiety. While high NS was associated with high NA even at low noise levels, LAeq contributed to NA only in students low on NS. Conclusions We found complex conditional relationships between traffic noise, annoyance and mental ill-health. Understanding respective vulnerability profiles within the community could aid noise policy and increase efficacy of interventions.
7 citations
TL;DR: Light is shed on the dearth of awareness in printing press workers on hearing conservation and need of training programs to educate the printing press Workers towards the effects of NIHL.
Abstract: Context: Noise-induced hearing loss (NIHL) is considered as a common occupational hazard among the industrial workers. The printing press is one of the common industrial set up where noise levels are often high. The awareness of people working in such a setup is generally less towards the hazards that is caused by noise exposure. Aim: The current study was designed to identify the knowledge, attitude, and practice (KAP) of printing press workers towards NIHL. Settings and Design: Cross-sectional study was carried using an adapted and validated KAP questionnaire. It was administered on 57 workers in Thiruvananthapuram, Kerala. Methods and Material: The study was carried out in two phases: phase I included the adaptation and validation of KAP questionnaire to printing press workers. Phase II comprised of the administration of the questionnaire among the study population. Statistical analysis used: Descriptive statistics was used to compile the results. To measure the internal consistency Cronbach’s alpha scale was used. Results: The responses obtained from workers showed inadequate knowledge, negative attitudes in certain subdomains and poor practice. Conclusions: The findings from the present study sheds light on the dearth of awareness in printing press workers on hearing conservation and need of training programs to educate the printing press workers towards the effects of NIHL.
7 citations
TL;DR: This study provides a noise map of a forging plant and investigates noise distribution pattern within 2 km of surrounding area and reveals that the second scenario provides more precise noise prediction map than the first scenario.
Abstract: Strategic noise maps are typically prepared for large-scale areas, towns and cities. However, some comparatively smaller industries are given less importance during preparation of noise maps. Very few studies have been reported worldwide providing insight on industrial noise mapping, and similar reports from India are negligible. This study provides a noise map of a forging plant and also investigates noise distribution pattern within 2 km of surrounding area. The complete study is evaluated in two types of scenario; in the first scenario all individual noise sources of the plant were considered as point sources whereas in the second scenario complete plant was treated as an area source. Furthermore, a regression graph is generated between the predicted and measured values for both scenarios individually which gives coefficients of determination of 0.4689 and 0.6382. This study reveals that the second scenario provides more precise noise prediction map than the first scenario.
6 citations
TL;DR: The results suggest that DPOAE test is important and more coherent than audiometry alone for the early detection of cochlear injury due to noise from military operations and efficacious for detecting NIHL.
Abstract: Objective: Hearing plays a crucial role in the performance of a soldier and is important for communication and speech processing. Service personnel are constantly exposed to high levels of noise and hence predisposed to occupational health disabilities, principally noise-induced hearing loss (NIHL) and tinnitus. NIHL is a significantly common impairment in the military and can affect the warfare performances. Parochial awareness about the effects of uproarious noise which exacerbates their hearing, acceptance rate of use of hearing protection devices and follow-up audiological tests have become the major drawback for prevention of NIHL and are less pondered upon. Method: The present study focuses on the effects of noise on the hearing of service crew operating and maintaining military equipment and explores the efficacy of DPOAE’s to substitute pure tone audiometry as a quick, easy to operate and implementable test technique for monitoring of hearing status. Results: The results suggest that DPOAE test is important and more coherent than audiometry alone for the early detection of cochlear injury due to noise from military operations and efficacious for detecting NIHL.
6 citations
TL;DR: The slow compression release time in a hearing aid is superior to the fast one in noisy conditions and also with higher subjective ratings of speech quality in quiet.
Abstract: Context: The sentence recognition score and quality of speech differ when hearing aid compression is set at different release times at different signal to noise ratios (SNRs) for the normal and compressed rate of sentences. Aims: To investigate the effect of amplitude-compression release time of a hearing aid on sentence recognition and quality judgment: (1) for normal rate and time-compressed sentences (2) in quiet and noisy conditions. Settings and Design: A post-test repeated measures design. Methods and Material: We recruited fifteen adult participants with bilateral sensorineural hearing loss in each group, the younger (35–45 years), and the older ones (60–70 years). A gap detection test assessed temporal processing ability. We used three compression settings, fast-acting, slow-acting, and linear. Sentence recognition and quality and envelope difference index in normal and altered rates were assessed in quiet and in noise at these three compression settings. Statistical analysis used: A repeated measure ANOVA. Results: We found a significant improvement in recognition of sentences at a normal rate in slow compression release time, compared to fast and linear gain settings at each SNR. Similar results were observed for sentences compressed at the rate of 35% in quiet and +10 dB SNR. Further, the participants preferred the quality of speech in quiet with the hearing aid set to slow compared to fast compression release time. The benefit from the slow compression release time was higher than either linear or fast compression release time on sentence recognition. Further, we saw that there was a negative impact on sentence recognition at 3 dB SNR (normal-rate) and in quiet (35% compression rate) in older adults. Conclusions: The slow compression release time in a hearing aid is superior to the fast one in noisy conditions and also with higher subjective ratings of speech quality in quiet.
5 citations
TL;DR: Recommendations were presented to the Music Department focusing on management techniques to reduce the weekly exposure of the choristers without effecting the spirit, tradition or musicality of the performance.
Abstract: Choir singing is a very popular activity with 4.5% of the European population regularly participating. London South Bank University was approached in January 2019 by St Paul's Cathedral to undertake noise dosimetry for the Music Department. Rehearsals and performances were identified and measured using acoustic instrumentation to determine if the choristers, adult choir, choir master or organist were compliant with the Control of Noise at Work Regulations 2005. These data were then matched to the daily and weekly work schedules of the musicians and the sound exposure estimated. The adult choir, organist and choir master were found to be under the set daily limits, 85 dBA (LEP,d). The most exposed chorister was above this limit. However, when adjusted for their shorter working year and using the weekly noise exposure limit of 87 dBA (LEP,w), the estimated exposure was compliant with the regulations. Recommendations were presented to the Music Department focusing on management techniques to reduce the weekly exposure of the choristers without effecting the spirit, tradition or musicality of the performance. It was also strongly suggested to reduce the number of performances for the boys by introducing a second choir.
4 citations
TL;DR: The results show that automated audiometry is a method suitable to screen for hearing loss and that Screening levels need to be selected with respect to cause of screening and environmental factors.
Abstract: Objective: To investigate the sensitivity and specificity in an automatic computer-controlled audiometric set-up, used for screening purposes. Design: Comparison between standardized audiometry and automated audiometry performed in the same participants. Study Sample: In total, 100 participants (51 females and 49 males) were recruited to take part of this study the same day they visited the hearing clinic for clinical audiometry. Ages varied between 18 and 84 years (mean 45.9 in females, 52.3 in males). Results: The participants were divided into groups, dependent of type of hearing. A total of 23 had normal hearing, 40 had sensorineural hearing loss, 19 had conductive hearing loss and 18 showed asymmetric hearing loss. The sensitivity for the automated audiometry was 86%–100% and the specificity 56%–100%. The group with conductive hearing loss showed the poorest sensitivity (86 %) and specificity (56 %). The group with sensorineural hearing loss showed the smallest variation in difference between the two methods. Conclusions: The results show that automated audiometry is a method suitable to screen for hearing loss. Screening levels need to be selected with respect to cause of screening and environmental factors. For patients with asymmetric hearing thresholds it is necessary to consider the effect of transcranial routing of signals.
TL;DR: It is concluded that impulse noise can causehidden hearing loss, but future studies are required to determine the specific mechanisms involved and if they parallel those of hidden hearing loss after continuous noise.
Abstract: Introduction: There are several key differences between impulse and continuous noise: the nature of the noise itself, the cochlear and neuronal structures affected, the severity to which they damage the auditory system, and the period of time in which damage occurs. Notably, no work on hidden hearing loss after impulse noise exposure has been done to this point, though it has been extensively studied after continuous noise. Hidden hearing loss manifests physiologically with reductions in suprathreshold amplitudes of the first wave of the auditory brainstem response, while auditory thresholds can remain relatively normal. Objective: This study aimed to assess the extent to which, if at all, hidden hearing loss is present after exposure to impulse noise in C57BL6/J mice. Methods: Thirty-one C57BL6/J mice were used in the experiment, in accordance with IACUC protocols. Auditory brainstem responses were recorded before and after noise exposures. The noise exposures consisted of 500 impulses at 137 dB peSPL. Results: Suprathreshold amplitude reductions in the P1 wave of the mouse auditory brainstem response were seen, but only at frequencies with significant threshold shift. Conclusion: These amplitude changes were consistent with hidden hearing loss, and we conclude that impulse noise can cause hidden hearing loss, but future studies are required to determine the specific mechanisms involved and if they parallel those of hidden hearing loss after continuous noise.
TL;DR: The noise levels in baseball stadiums are high enough to cause hearing damage and/or tinnitus later when applying a rule of 85 dB LAeq for 8 hours with a 3-dB exchange rate.
Abstract: Background: Many public health professionals have expressed concern that regular participation in recreational settings with high noise levels might induce hearing loss. This study measures the noise levels in a baseball stadium and analyzes baseball fans’ attitude of effect of recreational noise exposure on their hearing. Methods: In the baseball stadium, noise levels from the beginning to the end of four games were measured in four seating sections, the red, blue, navy, and outfield sections using a sound level meter. For the survey sample, 344 randomly selected participants who visited the stadium and/or were baseball fans completed a 16-question survey on their noise exposure during the game and on the potential risk of hearing loss. Results: The LAeq average of the 16 measures produced 91.7 dBA, showing a significantly high noise level in the red and navy sections. As a function of frequency by LZeq analysis, the noise levels of low frequencies between 0.05 and 1 kHz were significantly higher than other frequencies except for the outfield section, but the levels abruptly decreased above 1 kHz. Despite the very high noise levels, 70% of the respondents preferred sitting in either the red or the navy section to be closer to the cheerleaders and to obtain a good view. Most respondents reported that they did not consider wearing earplugs, and one-third experienced hearing muffled speech after the game. Notably, they agreed that an information announcement regarding loud noise and hearing protection was needed at the stadium. Conclusions: We conclude that the noise levels in baseball stadiums are high enough to cause hearing damage and/or tinnitus later when applying a rule of 85 dB LAeq for 8 hours with a 3-dB exchange rate. We expect these results to improve public education regarding safe noise exposure during popular sports activities.
TL;DR: The higher rate of infants that passed the screening test at OAE1 stage in the study group raised the question, “Does the exposure of the noise at exposure action levels (80–85 dB A) during pregnancy contribute to auditory maturation of fetus?”
Abstract: Objective: The aim is to investigate whether noise is effective on hearing screening tests of neonates born to mothers exposed to noise during pregnancy. Material and Method: Screening results of 2653 infants from the period of January 2013–May 2017 were evaluated. Transient Evoked Otoacoustic Emissions (TEOAE) and Auditory Brainstem Response (ABR) were used. Infants of 65 mothers exposed to noise (LAeq 80–85 dBA/8 hours/day) during pregnancy (Week ± SD; 32.58 ± 2.71) comprised the study group while the control group consisted of infants of 2588 mothers without noise exposure. Results: Among the 65 infants, 23 (35.4%) passed screening at the first emission test (OAE1); 34 (52.3%) at the second emission test (OAE2); 7 (10.8%) at the ABR stage, 1 (1.5%) infant was referred to a tertiary center. In the control group, 458 (17.7%) infants passed at OAE1; 1822 (70.4%) at OAE2; 289 (11.2%) at ABR stages, 19 (0.7%) infants were referred to a tertiary center. The rate of infants that passed screening at OAE1 in the study group was high (P = 0.00001). Sixty-four (98.46%) infants in the study group and 2569 (99.26%) infants in the control group passed the tests. The difference between the two groups was not significant, indicating that exposure to noise during pregnancy had no unfavorable effects on auditory functions (P = 0.392). Conclusion: Unfavorable effect of noise exposure during pregnancy was not observed on auditory functions of the infants. The higher rate of infants that passed the screening test at OAE1 stage in the study group raised the question, “Does the exposure of the noise at exposure action levels (80–85 dB A) during pregnancy contribute to auditory maturation of fetus?”
TL;DR: It is demonstrated that allele T of IL-1α is a protective factor for presence and severity of tinnitus in the elderly and allele C contributes to the pathogenesis of the inflammatory response.
Abstract: Aim: To investigate the association between the single nucleotide polymorphism in the position-889 (C/T) of the promoter region of the IL-1α gene and the susceptibility to tinnitus. Method: This was a case-control study with a sample of 108 independent elderly people over 60 years of age. Information on exposure to occupational noise and tinnitus was obtained by interviews. The genetic polymorphism was analyzed by polymerase chain reaction followed by cleavage with restriction enzyme NcoI. Data were analyzed using the Chi-square test, with the significance level set at 5%. For the statistical analysis all individuals with tinnitus on the right ear were eligible. Results: Among elderly with tinnitus, 42.9% had a history of exposure to occupational noise. There was statistically significant association between IL-1α gene polymorphism and tinnitus in subjects without a history of exposure to occupational noise (P = 0.006 and χ2 = 10.39). The elderly with the T allele were less likely to have tinnitus due to occupational noise exposure when compared to those carrying the C allele. Conclusion: This study suggests an association between the IL-1α gene polymorphism with susceptibility to tinnitus in individuals without a history of exposure to occupational noise. The present study demonstrated that allele T of IL-1α is a protective factor for presence and severity of tinnitus in the elderly and allele C contributes to the pathogenesis of the inflammatory response. The present observation implied the signaling IL-1α is involved in ear aging.
TL;DR: Young adults with normal hearing who have higher preferred listening levels also reported more alcohol and marijuana use, although headphone type was not associated with any of these variables.
Abstract: Background: Personal listening device (PLD) use with headphones is increasing in young adults and in most listening environments occur in background noise. Headphone choice can be important because certain headphones are more effective in limiting background noise than stock earbuds. Binge drinking, marijuana, and hard drug use have also been associated with high-volume PLD use. The purpose of this study was to explore the relationship between preferred headphone type, listening level, and other health risk behaviors. Methods: Two-hundred and twenty undergraduates were recruited and completed a PLD use and risk behavior survey. Survey data included self-reported alcohol and marijuana use. Bilateral otoscopy, tympanometry, and pure-tone threshold testing (0.25–8 kHz) were completed. Participants listened to one hour of music using preferred headphone type with a probe microphone in the ear canal to measure equivalent continuous sound level (LAeq). Results: Mean LAeq was similar for the three types of headphones used. Participants who reported higher amounts of drinks per month and smoking marijuana within the last month had significantly higher LAeq levels than those who reported lower amounts of drinks per month and not smoking marijuana in the last month. There was no significant interaction between headphone type and reported drinks per month or marijuana use. Conclusion: Young adults with normal hearing who have higher preferred listening levels also reported more alcohol and marijuana use, although headphone type was not associated with any of these variables.
TL;DR: Listeners with poor compared to those with better speech recognition abilities exhibit poorer cognitive abilities, which place them in a disadvantaged position, and /or more susceptible to signal modifications (as a result of fast-acting compression signal processing), resulting in limited benefits from hearing aids strategies.
Abstract: Objective: Previous work examining speech recognition in more challenging listening environments has revealed a large variability in both persons with normal and hearing impairments. Although this is clinically very important, up to now, no consensus has been reached about which factors may provide better explanation for the existing individual variability in speech recognition ability among hearing aid users, when speech signal is degraded. This study aimed to examine hearing-sensitivity skills and cognitive ability differences between listeners with good and poor speech recognition abilities. Materials and Methods: A total of 195 experienced hearing aid users (33–80 years) were grouped by higher or lower speech recognition ability based on their performance on the Hagerman sentences task in multi-talker babble using fast-acting compression algorithm. They completed a battery of cognitive abilities tests, hearing-in-noise and the auditory thresholds test. Results: The results showed that the two groups did differ significantly overall on cognitive abilities tests like working memory, cognitive processing speed and attentional shifting, but not on the attentional inhibitory test and non-verbal intelligence test. Conclusions: Listeners with poor compared to those with better speech recognition abilities exhibit poorer cognitive abilities, which place them in a disadvantaged position, and /or more susceptible to signal modifications (as a result of fast-acting compression signal processing), resulting in limited benefits from hearing aids strategies. The findings may have implications for hearing aid signal processing strategies selection in rehabilitations.
TL;DR: Males had higher rates of hearing issues than females in this rural area and audiology services in the region were accessible within short waiting times, and clients were satisfied with the service.
Abstract: Context: Rural residents can be exposed to high levels of agricultural machinery noise and are at risk of hearing loss. Aims: This study aimed to determine audiology service use and rates of hearing loss in a regional area of Australia, using both self-report and audiology testing. Setting and Design: A survey of randomly selected households was undertaken and 6432 participants were interviewed face to face about their health, hearing, and use of audiology services. A total of 1454 participants were randomly selected to undertake standard audiology testing. Material and Methods: Material Hearing was evaluated using conventional audiometry. Statistical Analysis Used: Independent t-tests, cChi-squared tests, and logistic regression were used to examine the association amongbetween hearing loss, use of audiology services, and demographic factors. Results: Hearing issues were present in 12.5% of the survey participants. The rate of hearing loss increased significantly with age. Males were significantly more likely to have hearing loss than females (9.5% vs. 5.2%, pP
TL;DR: Investigation of the relationship between the blood levels of lead, cadmium, arsenic, and mercury and a sensoneurial hearing loss in children aged one to ten years found children’s blood lead levels were associated with increased probability of hearing loss.
Abstract: Introduction: Heavy metals are a major environmental threat in India and there are several health risks associated with it. The aim of this study was to investigate the relationship between the blood levels of lead, cadmium, arsenic, and mercury and a sensoneurial hearing loss in children aged one to ten years. Method: Heavy metal blood levels were determined using inductively coupled plasma mass spectrometry, with appropriate quality control. Results: We found significantly higher blood lead concentration (mg/L; Mean ± SE) in children with a hearing loss (53.2 ± 4.4) compared to healthy controls (38.4 ± 4.7)/P = 0 0.03/. Conclusion: Children’s blood lead levels ≥ 50 mg/L compared to the levels 0.05).
TL;DR: The results indicated that Indian schools for children with hearing impairment should take steps to improve classroom listening environments and possible solutions that may alleviate suboptimal classroom sound environments are discussed.
Abstract: Introduction: An optimal classroom acoustic environment is essential for children with hearing impairment to achieve academic success. The aim of the present study is to provide an overview of classroom listening conditions in schools for children with hearing impairment in a developing country context. Materials and Methods: Noise levels were measured in 37 classrooms from four schools in Chennai, India. Teacher speech levels were measured to obtain classroom speech to noise ratio (SNR) data. The reverberation time was estimated for each classroom. Results: The mean noise level and reverberation time in all classrooms exceeded recommended maximum levels. The measured SNRs were not optimal for children with hearing impairment. Observations of the classrooms revealed that acoustical treatments were inadequate. Conclusion: The results indicated that Indian schools for children with hearing impairment should take steps to improve classroom listening environments. Possible solutions that may alleviate suboptimal classroom sound environments are discussed.
TL;DR: It is concluded that male rats might be less tolerable to noise compared to female ones and that spatial learning may be a cognitive function comparably more vulnerable to noise.
Abstract: Introduction Noise is one of the main sources of discomfort in modern societies. It affects physiology, behavior, and cognition of exposed subjects. Although the effects of noise on cognition are well known, gender role in noise-cognition relationship remains controversial. Aim We analyzed the effects of noise on the ability of male and female rats to execute the Radial Arm Water Maze (RAWM) paradigm. Materials and methods Male and female Wistar rats were exposed to noise for 3 weeks, and the cognitive effects were assessed at the end of the exposure. RAWM execution included a three-day training phase and a reversal-learning phase conducted on the fourth day. Escape latency, reference memory errors, and working memory errors were quantified and compared between exposed and non-exposed subjects. Results We found that male rats were in general more affected by noise. Execution during the three-day learning phase evidenced that male exposed rats employed significantly more time to acquire the task than the non-exposed. On the other hand, the exposed females solved the paradigm in latencies similar to control rats. Both, males and females diminished their capacity to execute on the fourth day when re-learning abilities were tested. Conclusion We conclude that male rats might be less tolerable to noise compared to female ones and that spatial learning may be a cognitive function comparably more vulnerable to noise.
TL;DR: CSOAE’s were unable to predict which group of individuals were more susceptible to NIHL after short-term noise exposure.
Abstract: Genetics and environmental factors frequently influence individual’s susceptibility to hearing loss. It is postulated that melanin in the inner ear is related to individual’s susceptibility to noise induced hearing loss (NIHL). General pigmentation in turn, suspected to be related to the amount of pigmentation in the inner ear. The amount of melanin in the inner ear is said to modulate the endocochlear potential and provide an otoprotective effect. Aim: The study aimed to determine the relationship between the contralateral suppression of otoacoustic emissions (CSOAE) in individuals with brown eyes and hair, and blue eyes and blond hair, and temporary emission shift (TES) after short-term noise exposure. Setting and Design: The research was conducted using a quantitative research design with a quasi-experimental repeated within the subject design to compare the CSOAE in subjects with different hair and eyes colour with TES after short-term noise exposure. Quantitative research was used to determine the relationship between the measurable variables to predict occurrence. Material and Method: The hearing sensitivity of young adults was determined by using pure tone audiometry followed by CSOAE’s and distortion product otoacoustic emissions (DPOAE) before listening to music for one hour individually. Pure tone audiometry and DPOAE’s were repeated after music exposure to determine the amount of TES and temporary threshold shift (TTS). Statistical Analysis used: One-way ANOVA was used during the analysis of the data obtained during this research study, in addition to, two-tailed Wilcoxon Sign Rank test and Friedman’s test. In all analyses, a 95% level of significance (P
TL;DR: Recognition of native and non-native consonants were affected differently in the presence of speech-shaped noise among native speakers of Malayalam and information transfer analysis revealed that the transfer of information was highest for consonant feature manner of articulation and lowest for voicing, across listening conditions for both native andNon- native consonants.
Abstract: Objective: The present study compared recognition of native and non-native consonants in quiet and noise among native speakers of Malayalam. Methods and Material: Fifteen native speakers of Malayalam who had English as the medium of instruction at school participated in the study. Stimuli comprised of 16 vowel-consonants-vowel nonsense syllables spoken by eight native speakers of Malayalam (native consonants) and eight native speakers of American English (non-native consonants). Recognition of native and non-native consonants was studied in quiet and in the presence of speech-shaped noise at signal-to-noise ratios (SNRs) of 8 dB, 0 dB, and −8 dB. The consonant recognition task was carried out as 16-alternative forced-choice procedure, and the responses were stored as confusion matrix. Results: In favourable listening condition (i.e., quiet and 8 dB SNR), the recognition score for native consonants was greater than non-native consonants. In contrast, at 0 dB SNR and −8 dB SNR, the recognition score of non-native consonants was greater than native consonants. Information transfer analysis revealed that the transfer of information was highest for consonant feature manner of articulation and lowest for voicing, across listening conditions for both native and non-native consonants. Conclusions: Recognition of native and non-native consonants were affected differently in the presence of speech-shaped noise among native speakers of Malayalam. In favourable listening condition, recognition of native consonants was better than non-native consonants. However, in challenging listening condition, non-native consonants were found to be recognised better than native consonants.
TL;DR: The study illustrates that the deterioration of the urban acoustic environment may not be caused by an increased total number of vehicles, but that heavy vehicles are dominantly responsible for the increased traffic noise levels.
Abstract: Introduction: With the development of transportation system and the economy, the rapidly increasing number of automobiles brings the associated problem of road traffic noise, especially in metropolitan and densely populated high-rise cities like Hong Kong. In Hong Kong, approximately one million people are affected by severe road traffic noise. Excessive noise exposure is hazardous to the health and wellbeing of people and therefore has drawn progressively more attention in Hong Kong. The Calculation of Road Traffic Noise (CRTN) has been adopted as the sole tool to evaluate road traffic noise in the form of descriptor LA10. The accuracy and suitability of the CRTN method for predicting road traffic noise in Hong Kong were evaluated in this study by comparing the prediction results and measured traffic noise levels. The results show that the CRTN method was able to provide adequate predictions with correlation coefficients of 0.8032 and 0.7626 between the predicted and measured LA10 for 2007 and 2017 respectively. The predicted traffic noise levels on different floors of seven selected residential buildings in 2017 were compared with those predictions for the same buildings in 2007. The worsening traffic noise exposure in these residential buildings was analysed and some suggestions and counter-measures to alleviate the traffic noise problems are put forward. Since the situation of Hong Kong is an example of what may happen in other cities, the present longitudinal study of the road traffic noise in Hong Kong hopes to contribute to a better urban acoustic environment worldwide. Context: Excessive noise exposure is hazardous to the health and wellbeing of people and therefore has drawn progressively more attention in Hong Kong. The urban road traffic noise exposure of residential buildings in Hong Kong over the past decade has been analysed. Aims: This study aims to assess the road traffic noise exposure of residential buildings over the past decade. Settings and Design: Measurements of traffic noise levels at some selected residential buildings were first conducted in 2007, and then repeated at the same buildings in 2017. Material and Methods: The CRTN was adopted to predict the traffic noise levels based on the recorded traffic flow data. Results: The exposure of these buildings to road traffic noise is higher in 2017 than in 2007. The study illustrates that the deterioration of the urban acoustic environment may not be caused by an increased total number of vehicles, but that heavy vehicles are dominantly responsible for the increased traffic noise levels. Restriction of vehicle velocity for urban street canyons is useless for road traffic noise control. Conclusions: This study shows the deterioration of traffic noise levels is mainly due to the increased heavy vehicles instead of the increased total number of vehicles. The alleviation of traffic noise levels by velocity restriction may not be obvious for urban street canyons and may only work with a certain velocity range.
TL;DR: Exposure to loud noise in dental laboratories severely impacts the functioning of the Vestibular system of the inner ear more than the cochlea, indicating that regular vestibular assessments are a necessity for dental technicians.
Abstract: Background: Noise exposure is the primary cause of acquired hearing loss in several occupational settings, including dental laboratories and clinics. However, the impact of noise exposure on the vestibular system is not as well researched. Purpose: To investigate the nature of vestibular damage caused by working in dental laboratories and clinics with high levels of noise exposure due to loud dental equipment. Research Design: A descriptive, case study design was used to evaluate the vestibular function of dental technicians. Study Sample: Out of 30 dental technicians, 5 males who had been working for several years in dental settings were selected based on their reports of severe symptoms of imbalance. Data Collection: Audiologic evaluations were conducted in the vestibular unit of the Doctor Tarek Khrais Center in Amman, Jordan, for one year. Each subject underwent several hearing tests, which included otoscopic examination, pure tone audiometry (PTA), impedance measurements, and speech testing. Assessment of vestibular function was then conducted using a diagnostic test battery which included electrocochleography, ocular vestibular evoked myogenic potentials (oVEMP), cervical vestibular evoked myogenic potentials (cVEMP), positional testing using the Thomas Richard-Vitton (TRV) chair, and standing stability testing. Results: All test subjects experienced some form of vestibular impairment, including benign paroxysmal positional vertigo (BPPV), endolymphatic hydrops (Meniere disease), or a combination of both. Three out of five cases displayed little or no hearing loss, indicating that vestibular function is more at risk than hearing acuity to continuous noise exposure in dental settings. Conclusions: Exposure to loud noise in dental laboratories severely impacts the functioning of the vestibular system of the inner ear more than the cochlea. The main clinical implication of this study is that regular vestibular assessments are a necessity for dental technicians.
TL;DR: According to the results acquired from this study, r-ESWT treatment in patients with chronic plantar fasciitis has no markedly detrimental effect on the hearing function.
Abstract: Background: Radial extracorporeal shock wave therapy (r-ESWT) is commonly used for the treatment of chronic plantar fasciitis. Previously in the urology literature, some studies reported hearing impairment after extracorporeal shock wave lithotripsy. However, there is no study that evaluates the possible side effects of r-ESWT on the hearing function of patients. The aim of this study was to investigate the effects of r-ESWT on the pure tone audiometry of the patients on whom r-ESWT was applied for chronic plantar fasciitis. Material and Methods: Patients with the diagnosis of plantar fasciitis who were treated with r-ESWT were included in this prospective case-control study. Before and after the r-ESWT application, all patients were consulted to our otolaryngology department for pure tone audiometric examination to detect any hearing impairment before and after the treatment. A control group was also constructed that consisted of patients who were admitted to our department for any complaint. Results: A total of 67 patients participated in the study. Radial ESWT group consisted of 47 patients (39 female, 8 male) with the mean age of 44.1 years. The control group consisted of 20 patients (12 female, 8 male) with the mean age of 36.9 years. We observed a 20-dB threshold shift at 8000Hz in 1 patient who had no clinical symptom. This patient had no threshold shift at the 1-month control audiometric measurement. Conclusion: According to the results acquired from this study, we can consider that r-ESWT treatment in patients with chronic plantar fasciitis has no markedly detrimental effect on the hearing function.
TL;DR: The Sound-Sensitive Tinnitus Index fills an important gap as a clinical and research tool that can differentiate and assess severity and treatment progress in manifestations of combined tinnitus and auditory sensitivity symptoms.
Abstract: Context: Although studies of tinnitus exacerbated by sound exposure have indicated increased treatment challenges and intensified mental health and quality of life concerns, there is a lack of valid screening measures to differentiate or assess diagnostic factors and areas of impact unique to this specific symptom manifestation. Aims: The purpose of this study was to design a self-rated measurement tool that can accurately assess the subjective impact of tinnitus negatively modulated by external sound. Settings and Design: Based on review of established models of tinnitus and hyperacusis measurement and a two-part pilot study, the 20-item Sound-Sensitive Tinnitus Index (SSTI) was developed and administered in online survey format to 277 individuals worldwide. Methods and Material: Cronbach’s alpha was used to estimate reliability properties, and dimensional factor analysis was performed. To establish validity, statistical correlations of the SSTI were estimated with valid measures of related constructs including tinnitus, hyperacusis, depression, anxiety, and quality of life. Results: Statistical analysis yielded high levels of internal consistency reliability, and convergent validity was demonstrated through significant correlations with all established measures of related constructs. Initial factor analysis indicated two components split between overall functional impact and coping factors, while rotated factor analyses revealed four distinct scale dimensions, labeled: functional challenges, relational and communication challenges, coping factors, and prevention and hearing protection. Conclusions: As a valid and reliable measure, the SSTI fills an important gap as a clinical and research tool that can differentiate and assess severity and treatment progress in manifestations of combined tinnitus and auditory sensitivity symptoms.
TL;DR: Overall, the novel ILF and UHF sensitivity scales seems to provide a solid tool for conducting further research on the role of sensitivity concerning adverse effects of ILF, and the questionnaire consortium recommends using the new scales in combination with established measures of normal hearing range sensitivity.
Abstract: Objective: Auditory research and complaints about environmental noise indicate that there exists a significant, small subgroup within the population which is sensitive towards infra- and low-frequency or ultra- and high-frequency sounds (ILF/UHF). This paper reports on the development, factorization and validation of measures of sensitivity towards frequencies outside the common hearing range. Design: A multinational, cross-sectional survey study was run. Principal component analyses and exploratory factor analyses were conducted in a sample of 267 Europeans (from the UK, Slovenia, and Germany). Results: The factor analyses suggested that ILF versus UHF sensitivity constitute different factors, each characterized by sensory perception, stress-responsivity, and behavioral avoidance. A third factor comprising beliefs of dangerousness of ILF and UHF emerged. The factors explained 72% of the variance. The factor-solution was replicated separately for the English (n = 98) and German (n = 169) versions of the questionnaire (Slovenians and UK residents filled out the English version). Acceptable to excellent reliability was found. ILF and UHF sensitivity were moderately related to noise sensitivity in the normal hearing range, suggesting the new measures are not redundant. Correlations with psychiatric and somatic symptoms were small to moderate. ILF sensitivity correlated with neuroticism (small effect) and daytime sleepiness (moderate effect). ILF and UHF sensitivity were related to agreeableness (small effects). Overall, the novel ILF and UHF sensitivity scales seems to provide a solid tool for conducting further research on the role of sensitivity concerning adverse effects of ILF and UHF sound (e.g. health outcomes, annoyance ratings). The questionnaire consortium recommends using the new scales in combination with established measures of normal hearing range sensitivity.
TL;DR: Both paramedics and drivers as occupational groups are liable to noise, which seems to be particularly harmful and burdensome to the HSP group, which may lead to an increase not only in their productivity but also in their quality of life.
Abstract: Introduction This article discusses the correlation between sensory processing sensitivity (SPS) as a feature of personality and temperament and paramedics' subjective perception of noise inside an ambulance. Description of the theoretical basis of SPS has been strongly depicted. Materials and methods : Polish translation of SPS 12-item short scale and a survey concerning the subjective perception of noise inside an ambulance have been used in this research. Assessment of noise included its three sources: emergency vehicle siren, resistance of rolling tires and noise produced by diesel engines. 46 paramedics from mobile emergency care units working in Poznan and the Poznan's district have taken part in the research. Paramedics with higher SPS results were selected, creating a highly sensitive people (HSP) group. Results : When non-HSP people were compared to paramedics from the HSP group, an emergency signal was considered more burdensome for HSP paramedics. The intensity of noise generated by the vehicle's suspension elements and tires was significantly higher in cars more than 3 years old. Older paramedics (≥30 years old) evaluated the intensity as well as burdensomeness of noise generated by suspension's elements and tires, higher than the younger (<30 years old) ones. Conclusions : Both paramedics and drivers as occupational groups are liable to noise, which seems to be particularly harmful and burdensome to the HSP group. Further studies should be provided in this area. This may lead to an increase not only in their productivity but also in their quality of life.