Speech Intelligibility and Passive, Level-Dependent Earplugs

The cafeteria study: Effects of facial masks, hearing protection, and real-world noise on speech recognition

The objective of this study was to evaluate the impact of wearing various types of personal protective equipment on speech recognition in a real-world, noisy listening environment. Groups of four young, normal-hearing adults participated in a live version of the Modified Rhyme Test in a noisy public cafeteria with and without the use of a non-medical disposable facial mask or combat earplugs in two different modes. Speech recognition, response time, and subjective difficulty were measured per individual. In addition, the signal-to-noise ratio was estimated during the interval when the talker spoke the target word. Results showed that the listeners' speech recognition performance declined not only when the listener wore earplugs, but also when the talker wore earplugs. The measured signal-to-noise ratio significantly decreased when the talker wore earplugs, suggesting that occlusion may have caused the talkers to reduce their voice levels. Results also showed a decline in speech recognition performance when the talker wore a facial mask. Listeners rated all conditions in which talkers and listeners wore personal protective equipment as more difficult than the baseline condition. These data suggest that speech recognition in real-world listening environments can be impaired by personal protective equipment worn by both talkers and listeners.

The effect of hearing protection devices on speech intelligibility of Persian employees

Objective

This study aimed to investigate the effect of hearing protection devices (HPDs) on speech intelligibility in Persian work environments. Three current earmuffs and three earplugs and one of the prototypes of molded earplug were tested on 15 male subjects which were randomly selected. The noise reduction of HPDs was measured based on the Real Ear Attenuation at Threshold (REAT) method. Speech intelligibility during using HPDs was determined based on the speech discrimination score (SDS) at two signal to noise (S/N) ratios (0 and + 5). Data were analyzed using SPSS 22.

Results

The actual to nominal noise reduction rating values were from 47 to 84% for HPDs. At two S/N ratios, no significant differences were observed in speech intelligibility using HPDs (p > 0.05). At S/N ratio = 0, the speech intelligibility descriptively has been only improved by using common earmuffs up to 9.07%. There was a significant difference up to 21.27% in speech intelligibility for proposed molded earplugs at S/N ratio = 0 (p < 0.05). Increasing the HPDs' noise attenuation values led to an increase in speech interference (p < 0.05). The HPDs with the minimum required noise attenuation while maintaining acceptable speech intelligibility should be worn by employees exposed to medium noise levels.

Noise-induced hearing loss and its prevention: Integration of data from animal models and human clinical trials

Animal models have been used to gain insight into the risk of noise-induced hearing loss (NIHL) and its potential prevention using investigational new drug agents. A number of compounds have yielded benefit in pre-clinical (animal) models. However, the acute traumatic injury models commonly used in pre-clinical testing are fundamentally different from the chronic and repeated exposures experienced by many human populations. Diverse populations that are potentially at risk and could be considered for enrollment in clinical studies include service members, workers exposed to occupational noise, musicians and other performing artists, and children and young adults exposed to non-occupational (including recreational) noise. Both animal models and clinical populations were discussed in this special issue, followed by discussion of individual variation in vulnerability to NIHL. In this final contribution, study design considerations for NIHL otoprotection in pre-clinical and clinical testing are integrated and broadly discussed with evidence-based guidance offered where possible, drawing on the contributions to this special issue as well as other existing literature. The overarching goals of this final paper are to (1) review and summarize key information across contributions and (2) synthesize information to facilitate successful translation of otoprotective drugs from animal models into human application.

Association of Flying Time with Hearing Loss in Military Pilots

Background:

Military pilots are exposed to harmful noise levels, and the two possible effects of this are hearing loss and tinnitus.

Objective:

This study was conducted to determine the prevalence of noise-induced hearing loss among Saudi military pilots and to determine its association with total flight hours and aircraft type (i.e., fixed and rotary wing).

Materials and Methods:

This cross-sectional study was conducted at the Armed Forces Aeromedical Centre, Dhahran, Saudi Arabia, between November 2015 and October 2016. A total of 150 Saudi military pilots were interviewed using a structured questionnaire. Pure-tone audiometry was used to measure hearing thresholds. Hearing threshold levels were compared between age groups and aircraft category. The association between total flying hours and the development of noise-induced hearing loss was analyzed.

Results:

The overall prevalence of noise-induced hearing loss in the military pilots was 18.4%, with a higher prevalence among fixed-wing pilots (42%) as compared with rotary-wing pilots (23%). Pilots with ≥2000 flying hours had a significantly higher hearing threshold compared with those in other categories. Age was a statistically significant risk factor.

Conclusions:

This study found that active pilots of both fixed- and rotary-wing aircrafts are at a high risk of noise-induced hearing loss; however, fixed-wing pilots with ≥2000 flying hours are at a higher risk. These findings support recommendations requiring instructions on the proper use of hearing protection devices to avoid noise-induced hearing loss.

Sound localization models as evaluation tools for tactical communication and protective systems

Tactical Communication and Protective Systems (TCAPS) are hearing protection devices that sufficiently protect the listener's ears from hazardous sounds and preserve speech intelligibility. However, previous studies demonstrated that TCAPS still deteriorate the listener's situational awareness, in particular, the ability to locate sound sources. On the horizontal plane, this is mainly explained by the degradation of the acoustical cues normally preventing the listener from making front-back confusions. As part of TCAPS development and assessment, a method predicting the TCAPS-induced degradation of the sound localization capability based on electroacoustic measurements would be more suitable than time-consuming behavioral experiments. In this context, the present paper investigates two methods based on Head-Related Transfer Functions (HRTFs): a template-matching model and a three-layer neural network. They are optimized to fit human sound source identification performance in open ear condition. The methods are applied to HRTFs measured with six TCAPS, providing identification probabilities. They are compared with the results of a behavioral experiment, conducted with the same protectors, and which ranks the TCAPS by type. The neural network predicts realistic performances with earplugs, but overestimates errors with earmuffs. The template-matching model predicts human performance well, except for two particular TCAPS.