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Li F, Xie HW, Su SB, Zou H, ZHou LF, Xu QL, Wei F, Zhang MB. Investigation of critical factors influencing the underestimation of hearing loss predicted by the ISO 1999 predicting model. BMC Public Health 2023; 23:2239. [PMID: 37957572 PMCID: PMC10644584 DOI: 10.1186/s12889-023-17138-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 11/02/2023] [Indexed: 11/15/2023] Open
Abstract
OBJECTIVE To analyze factors influencing the underestimation of noise-induced permanent threshold shift (NIPTS) among manufacturing workers, providing baseline data for revising noise exposure standard. DESIGN A cross-sectional study was designed with 2702 noise-exposed workers from 35 enterprises from 10 industries. Personal noise exposure level(LAeq,8h) and noise kurtosis level were determined by a noise dosimeter. Questionnaires and hearing loss tests were performed for each subject. The predicted NIPTS was calculated using the ISO 1999:2013 model for each participant, and the actual measured NIPTS was corrected for age and sex. The factors influencing the underestimation of NIPTS were investigated. RESULTS The predicted NIPTS at each test frequency (0.5, 1, 2, 3, 4, or 6kHz) and mean NIPTS at 2, 3, 4, and 6kHz (NIPTS2346) using the ISO 1999:2013 model were significantly lower than their corresponding measured NIPTS, respectively (P < 0.001). The ISO model significantly underestimated the NIPTS2346 by 12.36 dB HL. The multiple linear regression analysis showed that noise exposure level, exposure duration, age, and kurtosis could affect the degree of underestimation of NIPTS2346. The generalized additive model (GAM) with (penalized) spline components showed nonlinear relationships between critical factors (age, exposure duration, noise level, and kurtosis) and the underestimated NIPTS2346.The underestimated NIPTS2346 decreased with an increase in exposure duration (especially over ten years). There was no apparent trend in the underestimated NIPTS2346 with age. The underestimated NIPTS2346 decreased with the increased noise level [especially > 90 dB(A)]. The underestimated NIPTS2346 increased with an increase in noise kurtosis after adjusting for the noise exposure level and exposure duration and ultimately exhibiting a linear regression relationship. CONCLUSIONS The ISO 1999 predicting model significantly underestimated the noise-induced hearing loss among manufacturing workers. The degree of underestimation became more significant at the noise exposure condition of fewer than ten years, less than 90 dB(A), and higher kurtosis levels. It is necessary to apply kurtosis to adjust the underestimation of hearing loss and consider the applying condition of noise energy metrics when using the ISO predicting model.
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Affiliation(s)
- Fei Li
- Zhejiang Provincial Center for Disease Control and Prevention, Occupational Health and Radiation Protection Institute, Hangzhou, Zhejiang, China
| | - Hong-Wei Xie
- Zhejiang Provincial Center for Disease Control and Prevention, Occupational Health and Radiation Protection Institute, Hangzhou, Zhejiang, China
| | - Shi-Biao Su
- Guangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangzhou, China
| | - Hua Zou
- Zhejiang Provincial Center for Disease Control and Prevention, Occupational Health and Radiation Protection Institute, Hangzhou, Zhejiang, China
| | - Li-Fang ZHou
- Zhejiang Provincial Center for Disease Control and Prevention, Occupational Health and Radiation Protection Institute, Hangzhou, Zhejiang, China
| | - Qiu-Liang Xu
- Zhejiang Provincial Center for Disease Control and Prevention, Occupational Health and Radiation Protection Institute, Hangzhou, Zhejiang, China
| | - Fang Wei
- Zhejiang Provincial Center for Disease Control and Prevention, Occupational Health and Radiation Protection Institute, Hangzhou, Zhejiang, China
| | - Mei-Bian Zhang
- Chinese Center for Disease Control and Prevention, National Institute of Occupational Health and Poisoning Control, Beijing, China.
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Zhang M, Zeng A, Xin J, Gao X, Qiu W, Sun X. Measurement of Non-Steady Noise and Assessment of Occupational Hearing Loss Based on the Temporal Structure of Noise. China CDC Wkly 2023; 5:63-67. [PMID: 36776464 PMCID: PMC9902753 DOI: 10.46234/ccdcw2023.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2022] [Accepted: 01/16/2023] [Indexed: 01/22/2023] Open
Affiliation(s)
- Meibian Zhang
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing Municipality, China
| | - Anke Zeng
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing Municipality, China
| | - Jiarui Xin
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing Municipality, China
| | - Xiangjing Gao
- Occupational Health and Radiation Protection Institute, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou City, Zhejiang Province, China
| | - Wei Qiu
- Zhejiang Lab, Hangzhou City, Zhejiang Province, China
| | - Xin Sun
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing Municipality, China
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Effectiveness of Kurtosis-Adjusted Cumulative Noise Exposure in Assessing Occupational Hearing Loss Associated With Complex Noise. Ear Hear 2023:00003446-990000000-00103. [PMID: 36629325 PMCID: PMC10262991 DOI: 10.1097/aud.0000000000001327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
OBJECTIVES Occupational noise-induced hearing loss (NIHL) is one of the most prevalent occupational diseases worldwide. Few studies have been reported on applying kurtosis-adjusted noise energy (e.g., kurtosis-adjusted cumulative noise exposure, CNE-K) as a joint indicator for assessing NIHL. This study aimed to analyze the effectiveness of CNE-K in assessing occupational hearing loss associated with complex noise in typical manufacturing industries. DESIGN A cross-sectional survey of 1404 Chinese manufacturing workers from typical manufacturing industries was conducted. General demographic characteristics, noise exposure data, and noise-induced permanent threshold shifts (NIPTS) at 3, 4, and 6 kHz (NIPTS 346 ) were collected and analyzed. The role of kurtosis in high-frequency noise-induced hearing loss (HFNIHL) was also analyzed. The degree of overlap of the two logistic curves (i.e., between complex noise CNE-K and HFNIHL%, and between Gaussian noise CNE and HFNIHL%) was used to evaluate the effectiveness of CNE-K, using a stratified analysis based on age, sex, industry, or job type. RESULTS The binary logistic regression analysis showed that in addition to age, sex, exposure duration, and Eight-hour Continuous Equivalent A-weighted Sound Pressure Level (L Aeq,8h ), kurtosis was a key factor influencing HFNIHL% in workers (odds ratio = 1.18, p < 0.05), and its odds ratio increased with an increase in kurtosis value. Multiple linear regression analysis demonstrated that the contribution of kurtosis to NIPTS 346 was second to L Aeq,8h . Complex noise led to a higher risk of NIHL than Gaussian noise at frequencies of 3, 4, 6, and 8 kHz after adjusting for age, sex, and CNE ( p < 0.05). As kurtosis increased, the notch in the audiogram became deeper, and the frequency at which the notch began to deepen shifted from 3 to 1 kHz. The logistic curve between complex noise CNE-K and HFNIHL% nearly overlapped with that between Gaussian noise CNE and HFNIHL%, and the average difference in HFNIHL% between the two curves decreased from 8.1 to 0.4%. Moreover, the decrease of average difference in HFNIHL% between the two logistic curves was evident in several subgroups, such as male workers, aged <30 and 30 to 50 years, furniture and woodworking industries and gunning and nailing job types with relatively high kurtosis values. CONCLUSIONS Kurtosis, as an indirect metric of noise temporal structure, was an important risk factor for occupational NIHL. Kurtosis-adjusted CNE metric could be more effective than CNE alone in assessing occupational hearing loss risk associated with complex noise.
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Zhang M, Hu Y, Qiu W, Gao X, Zeng A, Shi Z, Xin J, Bai S, Sun X. Developing a guideline for measuring workplace non-Gaussian noise exposure based on kurtosis adjustment of noise level in China. Front Public Health 2022; 10:1003203. [PMID: 36211658 PMCID: PMC9539429 DOI: 10.3389/fpubh.2022.1003203] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 09/06/2022] [Indexed: 01/27/2023] Open
Abstract
Objective There is no unified standard for measuring workplace non-Gaussian noise (known as complex noise) exposure. This study aimed to develop a draft guideline for measuring workplace non-Gaussian complex noise exposure based on noise temporal structure adjustment. Methods Noise exposure level, e.g., the A-weighted sound pressure level normalized to a nominal 8-h working day (LEX,8h), was adjusted using the temporal structure (expressed by kurtosis) of noise. Noise waveform analysis or the instrument's direct reading was used. Results The framework of the draft guideline included measurement metrics, the protocol using kurtosis to adjust LEX,8h, technical requirements for measuring instruments, measurement steps, data analysis, and measurement recording. Conclusion The draft guideline could provide a basis for accurately measuring workers' exposure to non-Gaussian noise.
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Affiliation(s)
- Meibian Zhang
- Chinese Center for Disease Control and Prevention, National Institute of Occupational Health and Poison Control, Beijing, China
| | - Yong Hu
- Zhejiang Provincial Center for Disease Control and Prevention, Occupational Health and Radiation Protection Institute, Hangzhou, China
| | - Wei Qiu
- Auditory Research Laboratory, State University of New York at Plattsburgh, Plattsburgh, NY, United States
| | - Xiangjing Gao
- Zhejiang Provincial Center for Disease Control and Prevention, Occupational Health and Radiation Protection Institute, Hangzhou, China
| | - Anke Zeng
- Chinese Center for Disease Control and Prevention, National Institute of Occupational Health and Poison Control, Beijing, China
| | - Zhihao Shi
- Jiaxing Center for Disease Control and Prevention, Jiaxing, China
| | - Jiarui Xin
- Chinese Center for Disease Control and Prevention, National Institute of Occupational Health and Poison Control, Beijing, China
| | - Shixing Bai
- Yangtze Delta Region Institute of Tsinghua University, Jiaxing, China,Shixing Bai
| | - Xin Sun
- Chinese Center for Disease Control and Prevention, National Institute of Occupational Health and Poison Control, Beijing, China,*Correspondence: Xin Sun
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Zhou L, Ruan X, Wang T, Xie H, Hu Y, Shi Z, Xin J, Zhou J, Xue P, Wei F, Zhang Y, Zhang M, Zou H. Epidemiological characteristics of hearing loss associated with noise temporal structure among manufacturing workers. Front Integr Neurosci 2022; 16:978213. [PMID: 36159088 PMCID: PMC9492878 DOI: 10.3389/fnint.2022.978213] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Accepted: 08/15/2022] [Indexed: 11/15/2022] Open
Abstract
Objective: This study aimed to investigate the epidemiological characteristics of occupational noise-induced hearing loss (NIHL) among manufacturing workers, and to provide evidence for diagnosing and preventing occupational hearing loss caused by complex noise, which is different from Gaussian noise in temporal structure. Methods: One thousand and fifty manufacturing workers exposed to occupational noise were recruited in a cross-sectional survey. Exposure characteristics and epidemiological distribution of hearing loss and noise exposure metrics (noise energy and kurtosis) were investigated, and the relationship between noise exposure and hearing loss was analyzed. The effects of kurtosis on hearing threshold shift across different frequencies and on NIHL development with exposure duration and noise intensity were also investigated. Results: Each type of work had specific noise exposure metrics. Noise intensity and kurtosis were independent parameters (r = −0.004, p = 0.885). The prevalence of NIHL and the hearing threshold level had a specific distribution in different types of work. Kurtosis deepened the hearing notch at high frequencies and accelerated the formation of early hearing loss. The effect of exposure duration and noise intensity on the prevalence of high-frequency NIHL (i.e., at 3, 4, 6, and 8 kHz) for manufacturing workers increased with kurtosis in workers with noise exposure duration of less than 10 years and with LAeq.8h between 80 and 90 dB(A). Male (OR = 1.557, 95%CI = 1.141–2.124), age (OR = 1.033, 95%CI = 1.014–1.052), exposure duration (OR = 1.072, 95%CI = 1.038–1.107), kurtosis (OR = 1.002, 95%CI = 1.001–1.003), and noise intensity (LAeq.8h; OR = 1.064, 95%CI = 1.044–1.084) were risk factors for high-frequency NIHL. The speech-frequency NIHL (i.e., at 0.5, 1, and 2 kHz) risk of workers exposed to manufacturing noise was related to age (OR = 1.071, 95%CI = 1.043–1.100). There were no statistically significant associations between speech-frequency NIHL and sex, noise exposure duration, kurtosis, and noise intensity (LAeq.8h). Conclusion: The high-frequency NIHL prevalence among manufacturing workers is associated with sex, age, exposure duration, noise intensity, and temporal structure of noise, while the speech-frequency NIHL prevalence is associated with age. Kurtosis strengthens the association of noise exposure duration and noise intensity with high-frequency hearing loss. The influence of noise temporal structure should be considered in the diagnosis and early prevention of occupational hearing loss caused by complex noise.
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Affiliation(s)
- Lifang Zhou
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Xiaoying Ruan
- Department of Occupational Health, Hangzhou Hospital for Prevention and Treatment of Occupational Disease, Hangzhou, China
| | - Tongshuai Wang
- Clinical and Translational Research Center, Tongji University School of Medicine, Shanghai, China
| | - Hongwei Xie
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Yong Hu
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Zhihao Shi
- Jiaxing Center for Disease Control and Prevention, Jiaxing, China
| | - Jiarui Xin
- National Institute of Occupational Health and Poison Control, Beijing, China
| | - Jiena Zhou
- Department of Public Health, Zhejiang University School of Medicine, Hangzhou, China
| | - Panqi Xue
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Fang Wei
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Yixin Zhang
- School of Medicine, Hangzhou Normal University, Hangzhou, China
| | - Meibian Zhang
- National Institute of Occupational Health and Poison Control, Beijing, China
- *Correspondence: Hua Zou Meibian Zhang
| | - Hua Zou
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
- *Correspondence: Hua Zou Meibian Zhang
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von Benda-Beckmann AM, Ketten DR, Lam FPA, de Jong CAF, Müller RAJ, Kastelein RA. Evaluation of kurtosis-corrected sound exposure level as a metric for predicting onset of hearing threshold shifts in harbor porpoises (Phocoena phocoena). THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2022; 152:295. [PMID: 35931542 DOI: 10.1121/10.0012364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Accepted: 06/20/2022] [Indexed: 06/15/2023]
Abstract
Application of a kurtosis correction to frequency-weighted sound exposure level (SEL) improved predictions of risk of hearing damage in humans and terrestrial mammals for sound exposures with different degrees of impulsiveness. To assess whether kurtosis corrections may lead to improved predictions for marine mammals, corrections were applied to temporary threshold shift (TTS) growth measurements for harbor porpoises (Phocoena phocoena) exposed to different sounds. Kurtosis-corrected frequency-weighted SEL predicted accurately the growth of low levels of TTS (TTS1-4 < 10 dB) for intermittent sounds with short (1-13 s) silence intervals but was not consistent with frequency-weighted SEL data for continuous sound exposures.
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Affiliation(s)
| | - D R Ketten
- The Hearing Research Center, Biomedical Engineering, Boston University, 44 Cummington Mall, Boston, Massachusetts 02155, USA
| | - F P A Lam
- TNO Acoustics and Sonar, Oude Waalsdorperweg 63, 2597 AK, The Hague, The Netherlands
| | - C A F de Jong
- TNO Acoustics and Sonar, Oude Waalsdorperweg 63, 2597 AK, The Hague, The Netherlands
| | - R A J Müller
- TNO Acoustics and Sonar, Oude Waalsdorperweg 63, 2597 AK, The Hague, The Netherlands
| | - R A Kastelein
- Sea Mammal Research Company (SEAMARCO), Julianalaan 46, 3843 CC Harderwijk, The Netherlands
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Shi Z, Wang X, Gao X, Xie H, Zhou L, Zhang M. Assessment of Occupational Hearing Loss Associated With Non-Gaussian Noise Using the Kurtosis-Adjusted Cumulative Noise Exposure Metric: A Cross-Sectional Survey. Front Psychol 2022; 13:870312. [PMID: 35496243 PMCID: PMC9047500 DOI: 10.3389/fpsyg.2022.870312] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Accepted: 03/22/2022] [Indexed: 11/13/2022] Open
Abstract
Objective There is little literature on the validity of kurtosis-adjusted noise energy metrics in human studies. Therefore, this study aimed to validate the application of cumulative noise exposure (CNE) adjusted by kurtosis in evaluating occupational hearing loss associated with non-Gaussian noise among manufacturing workers. Methods A cross-sectional survey was conducted on 1,558 manufacturing workers exposed to noise from five industries to collect noise exposure and hearing loss data. Both CNE and kurtosis-adjusted CNE (CNE') were collapsed into 2-dB(A)∙year bins, and the mean noise-induced permanent threshold shifts at 3, 4, and 6 kHz (NIPTS346) in each bin were calculated. The contributions of CNE and CNE' to noise-induced hearing loss (NIHL) were compared using the multiple linear regression. The degree of overlap of two linear regression equations (i.e., between CNE' and NIPTS346 for non-Gaussian noise and between CNE and NIPTS346 for Gaussian noise) was used to evaluate the validity of the CNE' using a stratified analysis based on age and sex. Results Multiple linear regression models showed that after kurtosis adjustment, the standardized regression coefficient of CNE increased from 0.230 to 0.255, and R 2 increased from 0.147 to 0.153. The linear relationship between NIPTS346 and CNE' or CNE showed that the regression line of non-Gaussian noise was closer to that of Gaussian noise when using CNE' than using CNE. The mean difference in NIPTS346 between the equations of non-Gaussian noise and Gaussian noise was significantly reduced from 4.32 to 1.63 dB HL after kurtosis adjustment (t = 12.00, p < 0.001). Through a stratified analysis, these significant decreases were observed in male and female workers, and workers aged ≥30 years old. Conclusion As a noise exposure metric combining noise energy and temporal characteristics, the kurtosis-adjusted-CNE metric was more effective than CNE alone in assessing occupational hearing loss among manufacturing workers in non-Gaussian noise environment. However, more studies are needed to verify the validity of the kurtosis-adjusted-CNE metric.
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Affiliation(s)
- Zhihao Shi
- School of Medicine, Ningbo University, Ningbo, China
| | - Xin Wang
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Xiangjing Gao
- Occupational Health and Radiation Protection Institute, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Hongwei Xie
- Occupational Health and Radiation Protection Institute, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Lifang Zhou
- Occupational Health and Radiation Protection Institute, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Meibian Zhang
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, China
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Zhang M, Qiu W, Xie H, Xu X, Shi Z, Gao X, Zhou L, Zou H, Hu W, Sun X. Applying Kurtosis as an Indirect Metric of Noise Temporal Structure in the Assessment of Hearing Loss Associated With Occupational Complex Noise Exposure. Ear Hear 2021; 42:1782-1796. [PMID: 34369415 PMCID: PMC8542071 DOI: 10.1097/aud.0000000000001068] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2020] [Accepted: 04/06/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The association of occupational noise-induced hearing loss (NIHL) with noise energy was well documented, but the relationship between occupational noise and noise temporal structure is rarely reported. The objective of this study was to investigate the principal characteristics of the relationship between occupational NIHL and the temporal structure of noise. METHODS Audiometric and shift-long noise exposure data were collected from 3102 Chinese manufacturing workers from six typical industries through a cross-sectional survey. In data analysis, A-weighted 8-h equivalent SPL (LAeq.8h), peak SPL, and cumulative noise exposure (CNE) were used as noise energy indicators, while kurtosis (β) was used as the indicator of noise temporal structure. Two NIHL were defined: (1) high-frequency noise-induced hearing loss (HFNIHL) and (2) noise-induced permanent threshold shift at test frequencies of 3, 4, and 6 kHz (noise-induced permanent threshold shift [NIPTS346]). The noise characteristics of different types of work and the relationship between these characteristics and the prevalence of NIHL were analyzed. RESULTS The noise waveform shape, with a specific noise kurtosis, was unique to each type of work. Approximately 27.92% of manufacturing workers suffered from HFNIHL, with a mean NIPTS346 of 24.16 ± 14.13 dB HL. The Spearman correlation analysis showed that the kurtosis value was significantly correlated with the difference of peak SPL minus its LAeq.8h across different types of work (p < 0.01). For a kurtosis-adjusted CNE, the linear regression equation between HFNIHL% and CNE for complex noise almost overlapped with Gaussian noise. Binary logistic regression analysis showed that LAeq.8h, kurtosis, and exposure duration were the key factors influencing HFNIHL% (p < 0.01). The notching extent in NIPTS at 4 kHz became deeper with the increase in LAeq.8h and kurtosis. HFNIHL% increased most rapidly during the first 10 years of exposure. HFNIHL% with β ≥ 10 was significantly higher than that with β < 10 (p < 0.05), and it increased with increasing kurtosis across different CNE or LAeq.8h levels. When LAeq.8h was 80 to 85 dB(A), the HFNIHL% at β ≥ 100 was significantly higher than that at 10 ≤ β < 100 or β < 10 (p < 0.05 and p < 0.01, respectively). CONCLUSIONS In the evaluation of hearing loss caused by complex noise, not only noise energy but also the temporal structure of noise must be considered. Kurtosis of noise is an indirect metric that is sensitive to the presence of impulsive components in complex noise exposure, and thus, it could be useful for quantifying the risk for NIHL. It is necessary to re-evaluate the safety of permissible exposure limit of 85 dB(A) as noise with a high kurtosis value can aggravate or accelerate early NIHL.
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Affiliation(s)
- Meibian Zhang
- Occupational Health and Radiation Protection Institute, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China
| | - Wei Qiu
- Auditory Research Laboratory, State University of New York at Plattsburgh, New York, USA
| | - Hongwei Xie
- Occupational Health and Radiation Protection Institute, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China
| | - Xiaohui Xu
- Department of Epidemiology and Biostatistics, School of Public Health, Texas A&M Health Science Center, Texas, USA
| | - Zhihao Shi
- School of Medicine, Ningbo University, Ningbo, Zhejiang, China
| | - Xiangjing Gao
- Occupational Health and Radiation Protection Institute, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China
| | - Lifang Zhou
- Occupational Health and Radiation Protection Institute, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China
| | - Hua Zou
- Occupational Health and Radiation Protection Institute, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China
| | - Weijiang Hu
- National Institute of Occupational Health and Poisoning Control, China Center for Disease Control and Prevention, Beijing, China
| | - Xin Sun
- National Institute of Occupational Health and Poisoning Control, China Center for Disease Control and Prevention, Beijing, China
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Abstract
OBJECTIVES Epidemiological characteristics of occupational noise-induced hearing loss (NIHL) associated with non-Gaussian noise are still unclear and have been rarely reported in the literature. METHODS The relationships between non-Gaussian noise exposure and occupational NIHL were analyzed based on the published papers. Systematic review and meta-analysis of epidemiological studies were performed. RESULTS Of 78 epidemiological studies (47,814 workers) selected, there were seven cohort studies and 71 cross-sectional studies. The incidence of high-frequency NIHL (HFNIHL) and speech-frequency NIHL (SFNIHL) in the seven cohort studies was 10.9 and 2.9%, respectively. In 71 cross-sectional studies, the prevalence of HFNIHL and SFNIHL was 34.2 and 18.9%, respectively. The average hearing threshold level at the high frequencies was 42.1 ± 17.4 dB HL. Workers exposed to non-Gaussian noise had a higher risk of developing HFNIHL than those not exposed to noise (overall-weighted odds ratio [OR] = 4.46) or those exposed to Gaussian noise (overall-weighted OR = 2.20). The Chi-square trend test demonstrated that the prevalence of HFNIHL was positively correlated with age, cumulative noise exposure, and exposure duration (p < 0.001). CONCLUSIONS Workers exposed to non-Gaussian noise suffered from greater NIHL than those exposed to Gaussian noise or not exposed to noise. Age, exposure duration, noise level, and noise temporal structure were the main risk factors for occupational NIHL. The A-weighted equivalent continuous sound pressure level (LAeq) is not a sufficient measurement metric for quantifying non-Gaussian noise exposure, and a combination of kurtosis and noise energy metrics (e.g., LAeq) should be used. It is necessary to reduce the exposure of non-Gaussian noise to protect the hearing health of workers.
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Zhang M, Gao X, Qiu W, Sun X, Hu W. The Role of the Kurtosis Metric in Evaluating the Risk of Occupational Hearing Loss Associated with Complex Noise - Zhejiang Province, China, 2010-2019. China CDC Wkly 2021; 3:378-382. [PMID: 34594888 PMCID: PMC8422202 DOI: 10.46234/ccdcw2021.103] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Accepted: 04/27/2021] [Indexed: 11/14/2022] Open
Abstract
What is already known about this topic? Occupational noise-induced hearing loss (NIHL) has been the second most common occupational disease in China. Noise energy is the main risk factor for occupational NIHL. Evidence shows the temporal structure of noise (as indicated by kurtosis metric) contribute to the development of NIHL. However, the role of the kurtosis metric in evaluating the risk of occupational NIHL associated with complex noise has been rarely reported. What is added by this report? Noise temporal structure (as indicated by kurtosis) is an important risk factor for occupational NIHL in addition to noise energy. Kurtosis can be used to quantify complex noise exposure. A combination of noise kurtosis and noise energy can effectively evaluate the risk of occupational hearing loss associated with complex noise. What are the implications for public health practice? Considering the effect of noise temporal structure on occupational NIHL, the existing international noise exposure standards (e.g. measurement method and noise exposure limit) for complex noise should be modified based on noise temporal structure. More effort is needed to reduce noise exposure, improve health screening, and monitor occupational NIHL.
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Affiliation(s)
- Meibian Zhang
- Occupational Health and Radiation Protection Institute, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China
| | - Xiangjing Gao
- Occupational Health and Radiation Protection Institute, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China
| | - Wei Qiu
- Auditory Research Laboratory, State University of New York at Plattsburgh, Plattsburgh, New York, USA
| | - Xin Sun
- National Institute of Occupational Health and Poisoning Control, China Center for Disease Control and Prevention, Beijing, China
| | - Weijiang Hu
- National Institute of Occupational Health and Poisoning Control, China Center for Disease Control and Prevention, Beijing, China
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Zhou J, Shi Z, Zhou L, Hu Y, Zhang M. Occupational noise-induced hearing loss in China: a systematic review and meta-analysis. BMJ Open 2020; 10:e039576. [PMID: 32988950 PMCID: PMC7523212 DOI: 10.1136/bmjopen-2020-039576] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 08/06/2020] [Accepted: 08/19/2020] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE Most of the Chinese occupational population are becoming at risk of noise-induced hearing loss (NIHL). However, there is a limited number of literature reviews on occupational NIHL in China. This study aimed to analyse the prevalence and characteristics of occupational NIHL in the Chinese population using data from relevant studies. DESIGN Systematic review and meta-analysis. METHODS From December 2019 to February 2020, we searched the literature through databases, including Web of Science, PubMed, MEDLINE, Scopus, the China National Knowledge Internet, Chinese Sci-Tech Journal Database (weip.com), WanFang Database and China United Library Database, for studies on NIHL in China published in 1993-2019 and analysed the correlation between NIHL and occupational exposure to noise, including exposure to complex noise and coexposure to noise and chemicals. RESULTS A total of 71 865 workers aged 33.5±8.7 years were occupationally exposed to 98.6±7.2 dB(A) (A-weighted decibels) noise for a duration of 9.9±8.4 years in the transportation, mining and typical manufacturing industries. The prevalence of occupational NIHL in China was 21.3%, of which 30.2% was related to high-frequency NIHL (HFNIHL), 9.0% to speech-frequency NIHL and 5.8% to noise-induced deafness. Among manufacturing workers, complex noise contributed to greater HFNIHL than Gaussian noise (overall weighted OR (OR)=1.95). Coexposure to noise and chemicals such as organic solvents, welding fumes, carbon monoxide and hydrogen sulfide led to greater HFNIHL than noise exposure alone (overall weighted OR=2.36). Male workers were more likely to experience HFNIHL than female workers (overall weighted OR=2.26). Age, noise level and exposure duration were also risk factors for HFNIHL (overall weighted OR=1.35, 5.63 and 1.75, respectively). CONCLUSIONS The high prevalence of occupational NIHL in China was related to the wide distribution of noise in different industries as well as high-level and long-term noise exposure. The prevalence was further aggravated by exposure to complex noise or coexposure to noise and specific chemicals. Additional efforts are needed to reduce occupational noise exposure in China.
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Affiliation(s)
- Jiena Zhou
- Occupational Health and Radiation Protection Department, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Zhihao Shi
- School of medicine, Ningbo University, Ningbo, China
| | - Lifang Zhou
- Occupational Health and Radiation Protection Department, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Yong Hu
- Occupational Health and Radiation Protection Department, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Meibian Zhang
- Occupational Health and Radiation Protection Department, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
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New Metrics Needed in the Evaluation of Hearing Hazard Associated With Industrial Noise Exposure. Ear Hear 2020; 42:290-300. [PMID: 32826512 DOI: 10.1097/aud.0000000000000942] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To evaluate (1) the accuracy of the International Organization for Standardization (ISO) standard ISO 1999 [(2013), International Organization for Standardization, Geneva, Switzerland] predictions of noise-induced permanent threshold shift (NIPTS) in workers exposed to various types of high-intensity noise levels, and (2) the role of the kurtosis metric in assessing noise-induced hearing loss (NIHL). DESIGN Audiometric and shift-long noise exposure data were acquired from a population (N = 2,333) of screened workers from 34 industries in China. The entire cohort was exclusively divided into subgroups based on four noise exposure levels (85 ≤ LAeq.8h < 88, 88 ≤ LAeq.8h < 91, 91 ≤ LAeq.8h < 94, and 94 ≤ LAeq.8h ≤ 100 dBA), two exposure durations (D ≤ 10 years and D > 10 years), and four kurtosis categories (Gaussian, low-, medium-, and high-kurtosis). Predicted NIPTS was calculated using the ISO 1999 model for each participant and the actual measured NIPTS was corrected for age and sex also using ISO 1999. The prediction accuracy of the ISO 1999 model was evaluated by comparing the NIPTS predicted by ISO 1999 with the actual NIPTS. The relation between kurtosis and NIPTS was also investigated. RESULTS Overall, using the average NIPTS value across the four audiometric test frequencies (2, 3, 4, and 6 kHz), the ISO 1999 predictions significantly (p < 0.001) underestimated the NIPTS by 7.5 dB on average in participants exposed to Gaussian noise and by 13.6 dB on average in participants exposed to non-Gaussian noise with high kurtosis. The extent of the underestimation of NIPTS by ISO 1999 increased with an increase in noise kurtosis value. For a fixed range of noise exposure level and duration, the actual measured NIPTS increased as the kurtosis of the noise increased. The noise with kurtosis greater than 75 produced the highest NIPTS. CONCLUSIONS The applicability of the ISO 1999 prediction model to different types of noise exposures needs to be carefully reexamined. A better understanding of the role of the kurtosis metric in NIHL may lead to its incorporation into a new and more accurate model of hearing loss due to noise exposure.
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Müller RAJ, von Benda-Beckmann AM, Halvorsen MB, Ainslie MA. Application of kurtosis to underwater sound. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2020; 148:780. [PMID: 32872988 DOI: 10.1121/10.0001631] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/29/2019] [Accepted: 06/20/2020] [Indexed: 06/11/2023]
Abstract
Regulations for underwater anthropogenic noise are typically formulated in terms of peak sound pressure, root-mean-square sound pressure, and (weighted or unweighted) sound exposure. Sound effect studies on humans and other terrestrial mammals suggest that in addition to these metrics, the impulsiveness of sound (often quantified by its kurtosis β) is also related to the risk of hearing impairment. Kurtosis is often used to distinguish between ambient noise and transients, such as echolocation clicks and dolphin whistles. A lack of standardization of the integration interval leads to ambiguous kurtosis values, especially for transient signals. In the current research, kurtosis is applied to transient signals typical for high-power underwater noise. For integration time (t2-t1), the quantity (t2-t1)/β is shown to be a robust measure of signal duration, closely related to the effective signal duration, τeff for sounds from airguns, pile driving, and explosions. This research provides practical formulas for kurtosis of impulsive sounds and compares kurtosis between measurements of transient sounds from different sources.
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Ainslie MA, Halvorsen MB, Müller RAJ, Lippert T. Application of damped cylindrical spreading to assess range to injury threshold for fishes from impact pile driving. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2020; 148:108. [PMID: 32752788 DOI: 10.1121/10.0001443] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Accepted: 05/31/2020] [Indexed: 06/11/2023]
Abstract
Environmental risk assessment for impact pile driving requires characterization of the radiated sound field. Damped cylindrical spreading (DCS) describes propagation of the acoustic Mach cone generated by striking a pile and predicts sound exposure level (LE) versus range. For known water depth and sediment properties, DCS permits extrapolation from a measurement at a known range. Impact assessment criteria typically involve zero-to-peak sound pressure level (Lp,pk), root-mean-square sound pressure level (Lp,rms), and cumulative sound exposure level (LE,cum). To facilitate predictions using DCS, Lp,pk and Lp,rms were estimated from LE using empirical regressions. Using a wind farm construction scenario in the North Sea, DCS was applied to estimate ranges to recommended thresholds in fishes. For 3500 hammer strikes, the estimated LE,cum impact ranges for mortal and recoverable injury were up to 1.8 and 3.1 km, respectively. Applying a 10 dB noise abatement measure, these distances reduced to 0.29 km for mortal injury and 0.65 km for recoverable injury. An underlying detail that produces unstable results is the averaging time for calculating Lp,rms, which by convention is equal to the 90%-energy signal duration. A stable alternative is proposed for this quantity based on the effective signal duration.
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Affiliation(s)
- Michael A Ainslie
- JASCO Applied Sciences (Deutschland) GmbH, Mergenthaler Allee 15-21, 65760 Eschborn, Hesse, Germany
| | - Michele B Halvorsen
- CSA Ocean Sciences Inc., 8502 Southwest Kansas Avenue, Stuart, Florida 34997, USA
| | - Roel A J Müller
- TNO Acoustics and Sonar, Oude Waalsdorperweg 63, 2597 AK Den Haag, the Netherlands
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Machine Learning Models for the Hearing Impairment Prediction in Workers Exposed to Complex Industrial Noise: A Pilot Study. Ear Hear 2019; 40:690-699. [PMID: 30142102 PMCID: PMC6493679 DOI: 10.1097/aud.0000000000000649] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Objectives: To demonstrate the feasibility of developing machine learning models for the prediction of hearing impairment in humans exposed to complex non-Gaussian industrial noise. Design: Audiometric and noise exposure data were collected on a population of screened workers (N = 1,113) from 17 factories located in Zhejiang province, China. All the subjects were exposed to complex noise. Each subject was given an otologic examination to determine their pure-tone hearing threshold levels and had their personal full-shift noise recorded. For each subject, the hearing loss was evaluated according to the hearing impairment definition of the National Institute for Occupational Safety and Health. Age, exposure duration, equivalent A-weighted SPL (LAeq), and median kurtosis were used as the input for four machine learning algorithms, that is, support vector machine, neural network multilayer perceptron, random forest, and adaptive boosting. Both classification and regression models were developed to predict noise-induced hearing loss applying these four machine learning algorithms. Two indexes, area under the curve and prediction accuracy, were used to assess the performances of the classification models for predicting hearing impairment of workers. Root mean square error was used to quantify the prediction performance of the regression models. Results: A prediction accuracy between 78.6 and 80.1% indicated that the four classification models could be useful tools to assess noise-induced hearing impairment of workers exposed to various complex occupational noises. A comprehensive evaluation using both the area under the curve and prediction accuracy showed that the support vector machine model achieved the best score and thus should be selected as the tool with the highest potential for predicting hearing impairment from the occupational noise exposures in this study. The root mean square error performance indicated that the four regression models could be used to predict noise-induced hearing loss quantitatively and the multilayer perceptron regression model had the best performance. Conclusions: This pilot study demonstrated that machine learning algorithms are potential tools for the evaluation and prediction of noise-induced hearing impairment in workers exposed to diverse complex industrial noises.
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Trevino M, Lobarinas E, Maulden AC, Heinz MG. The chinchilla animal model for hearing science and noise-induced hearing loss. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2019; 146:3710. [PMID: 31795699 PMCID: PMC6881193 DOI: 10.1121/1.5132950] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Revised: 09/19/2019] [Accepted: 09/24/2019] [Indexed: 05/07/2023]
Abstract
The chinchilla animal model for noise-induced hearing loss has an extensive history spanning more than 50 years. Many behavioral, anatomical, and physiological characteristics of the chinchilla make it a valuable animal model for hearing science. These include similarities with human hearing frequency and intensity sensitivity, the ability to be trained behaviorally with acoustic stimuli relevant to human hearing, a docile nature that allows many physiological measures to be made in an awake state, physiological robustness that allows for data to be collected from all levels of the auditory system, and the ability to model various types of conductive and sensorineural hearing losses that mimic pathologies observed in humans. Given these attributes, chinchillas have been used repeatedly to study anatomical, physiological, and behavioral effects of continuous and impulse noise exposures that produce either temporary or permanent threshold shifts. Based on the mechanistic insights from noise-exposure studies, chinchillas have also been used in pre-clinical drug studies for the prevention and rescue of noise-induced hearing loss. This review paper highlights the role of the chinchilla model in hearing science, its important contributions, and its advantages and limitations.
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Affiliation(s)
- Monica Trevino
- School of Behavioral and Brain Sciences, Callier Center, The University of Texas at Dallas, 1966 Inwood Road, Dallas, Texas 75235, USA
| | - Edward Lobarinas
- School of Behavioral and Brain Sciences, Callier Center, The University of Texas at Dallas, 1966 Inwood Road, Dallas, Texas 75235, USA
| | - Amanda C Maulden
- Department of Speech, Language, and Hearing Sciences, Purdue University, 715 Clinic Drive, West Lafayette, Indiana 47907, USA
| | - Michael G Heinz
- Weldon School of Biomedical Engineering, Purdue University, 715 Clinic Drive, West Lafayette, Indiana 47907, USA
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17
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Escabi CD, Frye MD, Trevino M, Lobarinas E. The rat animal model for noise-induced hearing loss. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2019; 146:3692. [PMID: 31795685 PMCID: PMC7480078 DOI: 10.1121/1.5132553] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Rats make excellent models for the study of medical, biological, genetic, and behavioral phenomena given their adaptability, robustness, survivability, and intelligence. The rat's general anatomy and physiology of the auditory system is similar to that observed in humans, and this has led to their use for investigating the effect of noise overexposure on the mammalian auditory system. The current paper provides a review of the rat model for studying noise-induced hearing loss and highlights advancements that have been made using the rat, particularly as these pertain to noise dose and the hazardous effects of different experimental noise types. In addition to the traditional loss of auditory function following acoustic trauma, recent findings have indicated the rat as a useful model in observing alterations in neuronal processing within the central nervous system following noise injury. Furthermore, the rat provides a second animal model when investigating noise-induced cochlear synaptopathy, as studies examining this in the rat model resemble the general patterns observed in mice. Together, these findings demonstrate the relevance of this animal model for furthering the authors' understanding of the effects of noise on structural, anatomical, physiological, and perceptual aspects of hearing.
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Affiliation(s)
- Celia D Escabi
- Callier Center for Communication Disorders, School of Behavioral and Brain Sciences, University of Texas at Dallas, Dallas, Texas 75080, USA
| | - Mitchell D Frye
- Callier Center for Communication Disorders, School of Behavioral and Brain Sciences, University of Texas at Dallas, Dallas, Texas 75080, USA
| | - Monica Trevino
- Callier Center for Communication Disorders, School of Behavioral and Brain Sciences, University of Texas at Dallas, Dallas, Texas 75080, USA
| | - Edward Lobarinas
- Callier Center for Communication Disorders, School of Behavioral and Brain Sciences, University of Texas at Dallas, Dallas, Texas 75080, USA
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18
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Zhao Y, Tian Y, Zhang M, Li J, Qiu W. Development of an automatic classifier for the prediction of hearing impairment from industrial noise exposure. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2019; 145:2388. [PMID: 31046337 DOI: 10.1121/1.5096643] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Accepted: 03/08/2019] [Indexed: 06/09/2023]
Abstract
The ISO-1999 [(2013). International Organization for Standardization, Geneva, Switzerland] standard is the most commonly used approach for estimating noise-induced hearing trauma. However, its insensitivity to noise characteristics limits its practical application. In this study, an automatic classification method using the support vector machine (SVM) was developed to predict hearing impairment in workers exposed to both Gaussian (G) and non-Gaussian (non-G) industrial noises. A recently collected human database (N = 2,110) from industrial workers in China was used in the present study. A statistical metric, kurtosis, was used to characterize the industrial noise. In addition to using all the data as one group, the data were also broken down into the following four subgroups based on the level of kurtosis: G/quasi-G, low-kurtosis, middle-kurtosis, and high-kurtosis groups. The performance of the ISO-1999 and the SVM models was compared over these five groups. The results showed that: (1) The performance of the SVM model significantly outperformed the ISO-1999 model in all five groups. (2) The ISO-1999 model could not properly predict hearing impairment for the high-kurtosis group. Moreover, the ISO-1999 model is likely to underestimate hearing impairment caused by both G and non-G noise exposures. (3) The SVM model is a potential tool to predict hearing impairment caused by diverse noise exposures.
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Affiliation(s)
- Yanxia Zhao
- Key Laboratory for Biomedical Engineering of Ministry of Education, College of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, China
| | - Yu Tian
- Key Laboratory for Biomedical Engineering of Ministry of Education, College of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, China
| | - Meibian Zhang
- Institute of Environmental and Occupational Health, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Jingsong Li
- Key Laboratory for Biomedical Engineering of Ministry of Education, College of Biomedical Engineering and Instrument Science, Zhejiang University, Hangzhou, China
| | - Wei Qiu
- Auditory Research Laboratory, State University of New York at Plattsburgh, Plattsburgh, New York 12901, USA
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19
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Biomechanical Changes of Tympanic Membrane to Blast Waves. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2018; 1097:321-334. [DOI: 10.1007/978-3-319-96445-4_17] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
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20
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Fuente A, Qiu W, Zhang M, Xie H, Kardous CA, Campo P, Morata TC. Use of the kurtosis statistic in an evaluation of the effects of noise and solvent exposures on the hearing thresholds of workers: An exploratory study. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2018; 143:1704. [PMID: 29604694 PMCID: PMC8588570 DOI: 10.1121/1.5028368] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The aim of this exploratory study was to examine whether the kurtosis metric can contribute to investigations of the effects of combined exposure to noise and solvents on human hearing thresholds. Twenty factory workers exposed to noise and solvents along with 20 workers of similar age exposed only to noise in eastern China were investigated using pure-tone audiometry (1000-8000 Hz). Exposure histories and shift-long noise recording files were obtained for each participant. The data were used in the calculation of the cumulative noise exposure (CNE) and CNE adjusted by the kurtosis metric for each participant. Passive samplers were used to measure solvent concentrations for each worker exposed to solvents over the full work shift. Results showed an interaction between noise exposure and solvents for the hearing threshold at 6000 Hz. This effect was observed only when the CNE level was adjusted by the kurtosis metric.
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Affiliation(s)
- Adrian Fuente
- École d'orthophonie et d'audiologie, Faculté de médecine, Université de Montréal and Centre de recherche de l'Institut universitaire de gériatrie de Montréal, Montréal, Canada
| | - Wei Qiu
- Auditory Research Laboratory, State University of New York, Plattsburgh, New York 12901, USA
| | - Meibian Zhang
- Institute of Environmental and Occupational Health, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Hongwei Xie
- Institute of Environmental and Occupational Health, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
| | - Chucri A Kardous
- National Institute for Occupational Safety and Health, Cincinnati, Ohio 45226, USA
| | - Pierre Campo
- Institut National de Recherche et de Sécurité, Vandœuvre-les-Nancy, France
| | - Thais C Morata
- National Institute for Occupational Safety and Health, Cincinnati, Ohio 45226, USA
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21
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Guest H, Dewey RS, Plack CJ, Couth S, Prendergast G, Bakay W, Hall DA. The Noise Exposure Structured Interview (NESI): An Instrument for the Comprehensive Estimation of Lifetime Noise Exposure. Trends Hear 2018; 22:2331216518803213. [PMID: 30295145 PMCID: PMC6176535 DOI: 10.1177/2331216518803213] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2018] [Revised: 08/24/2018] [Accepted: 08/27/2018] [Indexed: 02/05/2023] Open
Abstract
Lifetime noise exposure is generally quantified by self-report. The accuracy of retrospective self-report is limited by respondent recall but is also bound to be influenced by reporting procedures. Such procedures are of variable quality in current measures of lifetime noise exposure, and off-the-shelf instruments are not readily available. The Noise Exposure Structured Interview (NESI) represents an attempt to draw together some of the stronger elements of existing procedures and to provide solutions to their outstanding limitations. Reporting is not restricted to prespecified exposure activities and instead encompasses all activities that the respondent has experienced as noisy (defined based on sound level estimated from vocal effort). Changing exposure habits over time are reported by dividing the lifespan into discrete periods in which exposure habits were approximately stable, with life milestones used to aid recall. Exposure duration, sound level, and use of hearing protection are reported for each life period separately. Simple-to-follow methods are provided for the estimation of free-field sound level, the sound level emitted by personal listening devices, and the attenuation provided by hearing protective equipment. An energy-based means of combining the resulting data is supplied, along with a primarily energy-based method for incorporating firearm-noise exposure. Finally, the NESI acknowledges the need of some users to tailor the procedures; this flexibility is afforded, and reasonable modifications are described. Competency needs of new users are addressed through detailed interview instructions (including troubleshooting tips) and a demonstration video. Limited evaluation data are available, and future efforts at evaluation are proposed.
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Affiliation(s)
- Hannah Guest
- Manchester Centre for Audiology and
Deafness, University of Manchester, Manchester Academic Health Science Centre,
UK
| | - Rebecca S. Dewey
- Sir Peter Mansfield Imaging Centre,
School of Physics and Astronomy, University of Nottingham, UK
- NIHR Nottingham Biomedical Research
Centre, Nottingham University Hospitals NHS Trust, UK
- Hearing Sciences, Division of Clinical
Neuroscience, School of Medicine, University of Nottingham, UK
| | - Christopher J. Plack
- Manchester Centre for Audiology and
Deafness, University of Manchester, Manchester Academic Health Science Centre,
UK
- NIHR Manchester Biomedical Research
Centre, Central Manchester University Hospitals Foundation Trust, UK
- Department of Psychology, Lancaster
University, UK
| | - Samuel Couth
- Manchester Centre for Audiology and
Deafness, University of Manchester, Manchester Academic Health Science Centre,
UK
| | - Garreth Prendergast
- Manchester Centre for Audiology and
Deafness, University of Manchester, Manchester Academic Health Science Centre,
UK
| | - Warren Bakay
- Manchester Centre for Audiology and
Deafness, University of Manchester, Manchester Academic Health Science Centre,
UK
| | - Deborah A. Hall
- NIHR Nottingham Biomedical Research
Centre, Nottingham University Hospitals NHS Trust, UK
- Hearing Sciences, Division of Clinical
Neuroscience, School of Medicine, University of Nottingham, UK
- University of Nottingham Malaysia,
Selangor, Malaysia
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Kastelein RA, Helder-Hoek L, Van de Voorde S, von Benda-Beckmann AM, Lam FPA, Jansen E, de Jong CAF, Ainslie MA. Temporary hearing threshold shift in a harbor porpoise (Phocoena phocoena) after exposure to multiple airgun sounds. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2017; 142:2430. [PMID: 29092610 DOI: 10.1121/1.5007720] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In seismic surveys, reflected sounds from airguns are used under water to detect gas and oil below the sea floor. The airguns produce broadband high-amplitude impulsive sounds, which may cause temporary or permanent threshold shifts (TTS or PTS) in cetaceans. The magnitude of the threshold shifts and the hearing frequencies at which they occur depend on factors such as the received cumulative sound exposure level (SELcum), the number of exposures, and the frequency content of the sounds. To quantify TTS caused by airgun exposure and the subsequent hearing recovery, the hearing of a harbor porpoise was tested by means of a psychophysical technique. TTS was observed after exposure to 10 and 20 consecutive shots fired from two airguns simultaneously (SELcum: 188 and 191 dB re 1 μPa2s) with mean shot intervals of around 17 s. Although most of the airgun sounds' energy was below 1 kHz, statistically significant initial TTS1-4 (1-4 min after sound exposure stopped) of ∼4.4 dB occurred only at the hearing frequency 4 kHz, and not at lower hearing frequencies tested (0.5, 1, and 2 kHz). Recovery occurred within 12 min post-exposure. The study indicates that frequency-weighted SELcum is a good predictor for the low levels of TTS observed.
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Affiliation(s)
- Ronald A Kastelein
- Sea Mammal Research Company (SEAMARCO), Julianalaan 46, 3843 CC Harderwijk, The Netherlands
| | - Lean Helder-Hoek
- Sea Mammal Research Company (SEAMARCO), Julianalaan 46, 3843 CC Harderwijk, The Netherlands
| | - Shirley Van de Voorde
- Sea Mammal Research Company (SEAMARCO), Julianalaan 46, 3843 CC Harderwijk, The Netherlands
| | | | - Frans-Peter A Lam
- TNO Acoustics and Sonar, Oude Waalsdorperweg 63, 2597 AK, The Hague, The Netherlands
| | - Erwin Jansen
- TNO Acoustics and Sonar, Oude Waalsdorperweg 63, 2597 AK, The Hague, The Netherlands
| | - Christ A F de Jong
- TNO Acoustics and Sonar, Oude Waalsdorperweg 63, 2597 AK, The Hague, The Netherlands
| | - Michael A Ainslie
- TNO Acoustics and Sonar, Oude Waalsdorperweg 63, 2597 AK, The Hague, The Netherlands
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Abstract
Noise levels are truly continuous in relatively few occupations, with some degree of intermittency the most common condition. The sound levels of intermittent noise are often referred to as non-Gaussian in that they are not normally distributed in the time domain. In some conditions, intermittent noise affects the ear differently from continuous noise, and it is this assumption that underlies the selection of the 5-dB exchange rate (ER). The scientific and professional communities have debated this assumption over recent decades. This monograph explores the effect of non-Gaussian noise on the auditory system. It begins by summarizing an earlier report by the same author concentrating on the subject of the ER. The conclusions of the earlier report supported the more conservative 3-dB ER with possible adjustments to the permissible exposure limit for certain working conditions. The current document has expanded on the earlier report in light of the relevant research accomplished in the intervening decades. Although some of the animal research has supported the mitigating effect of intermittency, a closer look at many of these studies reveals certain weaknesses, along with the fact that these noise exposures were not usually representative of the conditions under which people actually work. The more recent animal research on complex noise shows that intermittencies do not protect the cochlea and that many of the previous assumptions about the ameliorative effect of intermittencies are no longer valid, lending further support to the 3-dB ER. The neurologic effects of noise on hearing have gained increasing attention in recent years because of improvements in microscopy and immunostaining techniques. Animal experiments showing damage to auditory synapses from noise exposures previously considered harmless may signify the need for a more conservative approach to the assessment of noise-induced hearing loss and consequently the practice of hearing conservation programs.
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Davis RR, Clavier O. Impulsive noise: A brief review. Hear Res 2017; 349:34-36. [DOI: 10.1016/j.heares.2016.10.020] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Revised: 10/20/2016] [Accepted: 10/26/2016] [Indexed: 10/20/2022]
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Clifford RE, Rogers RA. Impulse Noise: Theoretical Solutions to the Quandary of Cochlear Protection. Ann Otol Rhinol Laryngol 2017; 118:417-27. [DOI: 10.1177/000348940911800604] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Workers in industries with impact noise, as well as soldiers exposed to supersonic blasts from armament and explosive devices, appear to be more at risk for hearing loss than are their counterparts exposed to continuous noise. Alternative considerations for hearing protection are dictated because of a disproportionately increased biophysical response in comparison to continuous noise. Impulse noise is a significant and distinct problem that requires a new strategy for hearing protection. A review of current clinical and occupational literature suggests that impulse noise may be more damaging than continuous sound. Statistical measurements such as kurtosis hold promise for the quantitative prediction of hearing loss. As sound energy to the cell increases, the mechanism of cochlear damage shifts from biochemical injury to mechanical injury. Outer hair cells appear to be more sensitive than inner hair cells to impulse noise because of their energy requirements, which lead to increased production of reactive oxygen and nitrogen species and self-destruction by apoptosis. Hearing protective devices currently in use for impulse noise include hunters' hearing devices, active noise-reduction headsets, and various in-ear plugs, including nonlinear reacting inserts. Existing equipment is hampered by the materials used and by present-day electronic technology. Antioxidants administered before sound exposure show promise in mitigating hearing loss in industrial and combat situations. New materials with improved damping, reflective, and absorption characteristics are required. Hearing protective devices that allow passage of ambient sound while blocking harmful noise might improve the compliance and safety of those exposed. Sensing devices that instantaneously and selectively hyperpolarize outer hair cells are discussed as alternate protection.
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Affiliation(s)
- Royce E. Clifford
- Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts
| | - Rick A. Rogers
- Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts
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Xie HW, Qiu W, Heyer NJ, Zhang MB, Zhang P, Zhao YM, Hamernik RP. The Use of the Kurtosis-Adjusted Cumulative Noise Exposure Metric in Evaluating the Hearing Loss Risk for Complex Noise. Ear Hear 2016; 37:312-23. [PMID: 26671317 PMCID: PMC4844558 DOI: 10.1097/aud.0000000000000251] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To test a kurtosis-adjusted cumulative noise exposure (CNE) metric for use in evaluating the risk of hearing loss among workers exposed to industrial noises. Specifically, to evaluate whether the kurtosis-adjusted CNE (1) provides a better association with observed industrial noise-induced hearing loss, and (2) provides a single metric applicable to both complex (non-Gaussian [non-G]) and continuous or steady state (Gaussian [G]) noise exposures for predicting noise-induced hearing loss (dose-response curves). DESIGN Audiometric and noise exposure data were acquired on a population of screened workers (N = 341) from two steel manufacturing plants located in Zhejiang province and a textile manufacturing plant located in Henan province, China. All the subjects from the two steel manufacturing plants (N = 178) were exposed to complex noise, whereas the subjects from textile manufacturing plant (N = 163) were exposed to a G continuous noise. Each subject was given an otologic examination to determine their pure-tone HTL and had their personal 8-hr equivalent A-weighted noise exposure (LAeq) and full-shift noise kurtosis statistic (which is sensitive to the peaks and temporal characteristics of noise exposures) measured. For each subject, an unadjusted and kurtosis-adjusted CNE index for the years worked was created. Multiple linear regression analysis controlling for age was used to determine the relationship between CNE (unadjusted and kurtosis adjusted) and the mean HTL at 3, 4, and 6 kHz (HTL346) among the complex noise-exposed group. In addition, each subject's HTLs from 0.5 to 8.0 kHz were age and sex adjusted using Annex A (ISO-1999) to determine whether they had adjusted high-frequency noise-induced hearing loss (AHFNIHL), defined as an adjusted HTL shift of 30 dB or greater at 3.0, 4.0, or 6.0 kHz in either ear. Dose-response curves for AHFNIHL were developed separately for workers exposed to G and non-G noise using both unadjusted and adjusted CNE as the exposure matric. RESULTS Multiple linear regression analysis among complex exposed workers demonstrated that the correlation between HTL3,4,6 and CNE controlling for age was improved when using the kurtosis-adjusted CNE compared with the unadjusted CNE (R = 0.386 versus 0.350) and that noise accounted for a greater proportion of hearing loss. In addition, although dose-response curves for AHFNIHL were distinctly different when using unadjusted CNE, they overlapped when using the kurtosis-adjusted CNE. CONCLUSIONS For the same exposure level, the prevalence of NIHL is greater in workers exposed to complex noise environments than in workers exposed to a continuous noise. Kurtosis adjustment of CNE improved the correlation with NIHL and provided a single metric for dose-response effects across different types of noise. The kurtosis-adjusted CNE may be a reasonable candidate for use in NIHL risk assessment across a wide variety of noise environments.
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Affiliation(s)
- Hong-wei Xie
- Center for Disease Control and Prevention of Zhejiang, Hangzhou, P.R.China
| | - Wei Qiu
- Auditory Research Laboratories, State University of New York at Plattsburgh, Plattsburgh, NY 12901 USA
| | - Nicholas J. Heyer
- Battelle Centers for Public Health Research and Evaluation, Seattle, Washington, USA
| | - Mei-bian Zhang
- Center for Disease Control and Prevention of Zhejiang, Hangzhou, P.R.China
| | - Peng Zhang
- Center for Disease Control and Prevention of Huzhou, Huzhou, P.R.China
| | - Yi-ming Zhao
- Center for Clinical Epidemiological Research, Peking University Third Hospital, Beijing 100083, P.R.China
| | - Roger P. Hamernik
- Auditory Research Laboratories, State University of New York at Plattsburgh, Plattsburgh, NY 12901 USA
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Gan RZ, Nakmali D, Ji XD, Leckness K, Yokell Z. Mechanical damage of tympanic membrane in relation to impulse pressure waveform - A study in chinchillas. Hear Res 2016; 340:25-34. [PMID: 26807796 DOI: 10.1016/j.heares.2016.01.004] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2015] [Revised: 12/27/2015] [Accepted: 01/11/2016] [Indexed: 11/26/2022]
Abstract
Mechanical damage to middle ear components in blast exposure directly causes hearing loss, and the rupture of the tympanic membrane (TM) is the most frequent injury of the ear. However, it is unclear how the severity of injury graded by different patterns of TM rupture is related to the overpressure waveforms induced by blast waves. In the present study, the relationship between the TM rupture threshold and the impulse or overpressure waveform has been investigated in chinchillas. Two groups of animals were exposed to blast overpressure simulated in our lab under two conditions: open field and shielded with a stainless steel cup covering the animal head. Auditory brainstem response (ABR) and wideband tympanometry were measured before and after exposure to check the hearing threshold and middle ear function. Results show that waveforms recorded in the shielded case were different from those in the open field and the TM rupture threshold in the shielded case was lower than that in the open field (3.4 ± 0.7 vs. 9.1 ± 1.7 psi or 181 ± 1.6 vs. 190 ± 1.9 dB SPL). The impulse pressure energy spectra analysis of waveforms demonstrates that the shielded waveforms include greater energy at high frequencies than that of the open field waves. Finally, a 3D finite element (FE) model of the chinchilla ear was used to compute the distributions of stress in the TM and the TM displacement with impulse pressure waves. The FE model-derived change of stress in response to pressure loading in the shielded case was substantially faster than that in the open case. This finding provides the biomechanical mechanisms for blast induced TM damage in relation to overpressure waveforms. The TM rupture threshold difference between the open and shielded cases suggests that an acoustic role of helmets may exist, intensifying ear injury during blast exposure.
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Affiliation(s)
- Rong Z Gan
- School of Aerospace and Mechanical Engineering and Biomedical Engineering Center, University of Oklahoma, Norman, OK, USA.
| | - Don Nakmali
- School of Aerospace and Mechanical Engineering and Biomedical Engineering Center, University of Oklahoma, Norman, OK, USA
| | - Xiao D Ji
- School of Aerospace and Mechanical Engineering and Biomedical Engineering Center, University of Oklahoma, Norman, OK, USA
| | - Kegan Leckness
- School of Aerospace and Mechanical Engineering and Biomedical Engineering Center, University of Oklahoma, Norman, OK, USA
| | - Zachary Yokell
- School of Aerospace and Mechanical Engineering and Biomedical Engineering Center, University of Oklahoma, Norman, OK, USA
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Sun P, Qin J, Campbell K. Fatigue Modeling via Mammalian Auditory System for Prediction of Noise Induced Hearing Loss. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2015; 2015:753864. [PMID: 26691685 PMCID: PMC4672119 DOI: 10.1155/2015/753864] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/08/2015] [Revised: 10/30/2015] [Accepted: 11/02/2015] [Indexed: 11/30/2022]
Abstract
Noise induced hearing loss (NIHL) remains as a severe health problem worldwide. Existing noise metrics and modeling for evaluation of NIHL are limited on prediction of gradually developing NIHL (GDHL) caused by high-level occupational noise. In this study, we proposed two auditory fatigue based models, including equal velocity level (EVL) and complex velocity level (CVL), which combine the high-cycle fatigue theory with the mammalian auditory model, to predict GDHL. The mammalian auditory model is introduced by combining the transfer function of the external-middle ear and the triple-path nonlinear (TRNL) filter to obtain velocities of basilar membrane (BM) in cochlea. The high-cycle fatigue theory is based on the assumption that GDHL can be considered as a process of long-cycle mechanical fatigue failure of organ of Corti. Furthermore, a series of chinchilla experimental data are used to validate the effectiveness of the proposed fatigue models. The regression analysis results show that both proposed fatigue models have high corrections with four hearing loss indices. It indicates that the proposed models can accurately predict hearing loss in chinchilla. Results suggest that the CVL model is more accurate compared to the EVL model on prediction of the auditory risk of exposure to hazardous occupational noise.
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Affiliation(s)
- Pengfei Sun
- Department of Electrical and Computer Engineering, Southern Illinois University, Carbondale, IL 62901, USA
| | - Jun Qin
- Department of Electrical and Computer Engineering, Southern Illinois University, Carbondale, IL 62901, USA
| | - Kathleen Campbell
- Department of Surgery, School of Medicine, Southern Illinois University, Springfield, IL 62794, USA
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Qiu W, Hamernik RP, Davis RI. The value of a kurtosis metric in estimating the hazard to hearing of complex industrial noise exposures. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2013; 133:2856-2866. [PMID: 23654391 PMCID: PMC3663850 DOI: 10.1121/1.4799813] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2013] [Revised: 03/21/2013] [Accepted: 03/21/2013] [Indexed: 06/02/2023]
Abstract
A series of Gaussian and non-Gaussian equal energy noise exposures were designed with the objective of establishing the extent to which the kurtosis statistic could be used to grade the severity of noise trauma produced by the exposures. Here, 225 chinchillas distributed in 29 groups, with 6 to 8 animals per group, were exposed at 97 dB SPL. The equal energy exposures were presented either continuously for 5 d or on an interrupted schedule for 19 d. The non-Gaussian noises all differed in the level of the kurtosis statistic or in the temporal structure of the noise, where the latter was defined by different peak, interval, and duration histograms of the impact noise transients embedded in the noise signal. Noise-induced trauma was estimated from auditory evoked potential hearing thresholds and surface preparation histology that quantified sensory cell loss. Results indicated that the equal energy hypothesis is a valid unifying principle for estimating the consequences of an exposure if and only if the equivalent energy exposures had the same kurtosis. Furthermore, for the same level of kurtosis the detailed temporal structure of an exposure does not have a strong effect on trauma.
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Affiliation(s)
- Wei Qiu
- Auditory Research Laboratory, State University of New York, 107 Beaumont Hall, Plattsburgh, New York 12901, USA.
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The Use of Kurtosis Measurement in the Assessment of Potential Noise Trauma. NOISE-INDUCED HEARING LOSS 2012. [DOI: 10.1007/978-1-4419-9523-0_4] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Goley GS, Song WJ, Kim JH. Kurtosis corrected sound pressure level as a noise metric for risk assessment of occupational noises. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2011; 129:1475-81. [PMID: 21428511 PMCID: PMC3188614 DOI: 10.1121/1.3533691] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2010] [Revised: 12/06/2010] [Accepted: 12/09/2010] [Indexed: 05/08/2023]
Abstract
Current noise guidelines use an energy-based noise metric to predict the risk of hearing loss, and thus ignore the effect of temporal characteristics of the noise. The practice is widely considered to underestimate the risk of a complex noise environment, where impulsive noises are embedded in a steady-state noise. A basic form for noise metrics is designed by combining the equivalent sound pressure level (SPL) and a temporal correction term defined as a function of kurtosis of the noise. Several noise metrics are developed by varying this basic form and evaluated utilizing existing chinchilla noise exposure data. It is shown that the kurtosis correction term significantly improves the correlation of the noise metric with the measured hearing losses in chinchillas. The average SPL of the frequency components of the noise that define the hearing loss with a kurtosis correction term is identified as the best noise metric among tested. One of the investigated metrics, the kurtosis-corrected A-weighted SPL, is applied to a human exposure study data as a preview of applying the metrics to human guidelines. The possibility of applying the noise metrics to human guidelines is discussed.
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Affiliation(s)
- G Steven Goley
- Department of Mechanical Engineering, University of Cincinnati, 2600 Clifton Avenue, Cincinnati, Ohio 45221, USA
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Epstein M, Marozeau J, Cleveland S. Listening habits of iPod users. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2010; 53:1472-1477. [PMID: 20689029 DOI: 10.1044/1092-4388(2010/09-0059)] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
PURPOSE To estimate real-environment iPod listening levels for listeners in 4 environments to gain insight into whether average listeners receive dosages exceeding occupational noise exposure guidelines as a result of their listening habits. METHOD The earbud outputs of iPods were connected directly into the inputs of a digital recorder to make recordings of listening levels. These recordings were used to estimate listening levels using reference recordings made in a real ear. Recordings were made in 4 environments with a wide range of background noises: (a) a library, (b) a student center, (c) busy streets, and (d) the subway. RESULTS None of the 64 listeners were estimated to exceed allowable occupational dosages, with a maximum dose of 7.57% based on Occupational Safety and Health Administration (OSHA; 1998) methods and 10.83% based on National Institute for Occupational Safety and Health (NIOSH; 1998) methods. CONCLUSIONS All of the listeners surveyed were exposed to dosages well below OSHA and NIOSH occupational regulations. Although this does not guarantee individual safety, the results do not support the widespread concern regarding the safety of common iPod usage. However, measurements made in this study agree with the finding that iPod output can exceed safe levels and further support recommendations to monitor and limit listening volume and listening duration.
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Role of the kurtosis statistic in evaluating complex noise exposures for the protection of hearing. Ear Hear 2009; 30:628-34. [PMID: 19657275 DOI: 10.1097/aud.0b013e3181b527a8] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To highlight a selection of data that illustrate the need for better descriptors of complex industrial noise environments for use in the protection of hearing. DESIGN The data were derived using a chinchilla model. All noise exposures had the same total energy and the same spectrum; that is, they were equal energy exposures presented at an overall 100 dB(A) SPL that differed only in the scheduling of the exposure and the value of the kurtosis, beta(t), a statistical metric. Hearing thresholds were determined before and after noise exposure using the auditory-evoked potential measured from the inferior colliculus in the brain stem. Cochlear damage was estimated from sensory-cell counts (cochleograms). RESULTS (1) For equivalent energy and spectra, exposure to a high-kurtosis, non-Gaussian noise produced substantially greater hearing and sensory-cell loss in the chinchilla model than a low-kurtosis, Gaussian noise. (2) beta(t) computed on the amplitude distribution of the noise could clearly differentiate between the effects of Gaussian and non-Gaussian noise environments. (3) beta(t) can order the extent of the trauma as determined by hearing thresholds and sensory-cell loss. CONCLUSIONS The noise level in combination with the statistical properties of the noise quantified by beta(t) clearly differentiate the effects between both continuous and interrupted and intermittent Gaussian and non-Gaussian noise environments. For the same energy and spectrum, the non-Gaussian environments are clearly the more hazardous. The use of both an energy and kurtosis metric can better predict the hazard of a high-level complex noise than the use of an energy metric alone (as is the current practice). These results point out the need for a new approach to the analysis and quantification of industrial noise for the purpose of hearing conservation practice.
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Popper AN, Hastings MC. The effects of anthropogenic sources of sound on fishes. JOURNAL OF FISH BIOLOGY 2009; 75:455-89. [PMID: 20738551 DOI: 10.1111/j.1095-8649.2009.02319.x] [Citation(s) in RCA: 176] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
There is increasing concern about the effects of pile driving and other anthropogenic (human-generated) sound on fishes. Although there is a growing body of reports examining this issue, little of the work is found in the peer-reviewed literature. This review critically examines both the peer-reviewed and 'grey' literature, with the goal of determining what is known and not known about effects on fish. A companion piece provides an analysis of the available data and applies it to estimate noise exposure criteria for pile driving and other impulsive sounds. The critical literature review concludes that very little is known about effects of pile driving and other anthropogenic sounds on fishes, and that it is not yet possible to extrapolate from one experiment to other signal parameters of the same sound, to other types of sounds, to other effects, or to other species.
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Affiliation(s)
- A N Popper
- Department of Biology and Center for Comparative and Evolutionary Biology of Hearing, University of Maryland, College Park, MD 20742, USA.
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Zhu X, Kim JH, Song WJ, Murphy WJ, Song S. Development of a noise metric for assessment of exposure risk to complex noises. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2009; 126:703-12. [PMID: 19640036 DOI: 10.1121/1.3159587] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Many noise guidelines currently use A-weighted equivalent sound pressure level L(Aeq) as the noise metric and the equal energy hypothesis to assess the risk of occupational noises. Because of the time-averaging effect involved with the procedure, the current guidelines may significantly underestimate the risk associated with complex noises. This study develops and evaluates several new noise metrics for more accurate assessment of exposure risks to complex and impulsive noises. The analytic wavelet transform was used to obtain time-frequency characteristics of the noise. 6 basic, unique metric forms that reflect the time-frequency characteristics were developed, from which 14 noise metrics were derived. The noise metrics were evaluated utilizing existing animal test data that were obtained by exposing 23 groups of chinchillas to, respectively, different types of noise. Correlations of the metrics with the hearing losses observed in chinchillas were compared and the most promising noise metric was identified.
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Affiliation(s)
- Xiangdong Zhu
- Department of Mechanical Engineering, University of Cincinnati, Cincinnati, OH 45221-0072, USA
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Mooney TA, Nachtigall PE, Breese M, Vlachos S, Au WWL. Predicting temporary threshold shifts in a bottlenose dolphin (Tursiops truncatus): the effects of noise level and duration. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2009; 125:1816-26. [PMID: 19275338 DOI: 10.1121/1.3068456] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
Noise levels in the ocean are increasing and are expected to affect marine mammals. To examine the auditory effects of noise on odontocetes, a bottlenose dolphin (Tursiops truncatus) was exposed to octave-band noise (4-8 kHz) of varying durations (<2-30 min) and sound pressures (130-178 dB re 1 microPa). Temporary threshold shift (TTS) occurrence was quantified in an effort to (i) determine the sound exposure levels (SELs) (dB re 1 microPa(2) s) that induce TTS and (ii) develop a model to predict TTS onset. Hearing thresholds were measured using auditory evoked potentials. If SEL was kept constant, significant shifts were induced by longer duration exposures but not for shorter exposures. Higher SELs were required to induce shifts in shorter duration exposures. The results did not support an equal-energy model to predict TTS onset. Rather, a logarithmic algorithm, which increased in sound energy as exposure duration decreased, was a better predictor of TTS. Recovery to baseline hearing thresholds was also logarithmic (approximately -1.8 dB/doubling of time) but indicated variability including faster recovery rates after greater shifts and longer recoveries necessary after longer duration exposures. The data reflected the complexity of TTS in mammals that should be taken into account when predicting odontocete TTS.
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Affiliation(s)
- T Aran Mooney
- Department of Zoology and Hawaii Institute of Marine Biology, University of Hawaii, Kailua, Hawaii 96734, USA.
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Bielefeld EC, Kopke RD, Jackson RL, Coleman JKM, Liu J, Henderson D. Noise protection with N-acetyl-l-cysteine (NAC) using a variety of noise exposures, NAC doses, and routes of administration. Acta Otolaryngol 2007; 127:914-9. [PMID: 17712668 DOI: 10.1080/00016480601110188] [Citation(s) in RCA: 67] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
CONCLUSION These studies extend previous work on N-acetyl-l-cysteine (NAC) and noise, showing protection with NAC against a high-kurtosis noise, showing protection with NAC at low doses, as well as protection by oral gavage. The studies further reveal the potential for the use of NAC in a clinical population exposed to noise. OBJECTIVE To extend previous work on NAC protection from noise, the current study examined the effectiveness of NAC against a high-kurtosis noise that combined continuous and impact noise, tested the effectiveness of NAC at varying doses, and tested NAC when administered by gavage. MATERIALS AND METHODS Chinchillas were tested for auditory brainstem responses (ABRs) at five frequencies before and at three time points after one of three noise exposures: high-kurtosis (2 h, 108 dB L(eq)), impulse (75 pairs of 155 dB pSPL impulses), or continuous (4 kHz octave band, 105 dB SPL for 6 h). Animals were treated with NAC or saline vehicle before and after noise. RESULTS The NAC was protective against the high-kurtosis noise both at low doses and when given orally by gavage.
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Affiliation(s)
- Eric C Bielefeld
- Department of Communicative Disorders and Sciences, State University of New York at Buffalo, Buffalo, NY, USA
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Qiu W, Hamernik RP, Davis B. The kurtosis metric as an adjunct to energy in the prediction of trauma from continuous, nonGaussian noise exposures. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2006; 120:3901-6. [PMID: 17225417 DOI: 10.1121/1.2372455] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Data from an earlier study [Hamernik et al. (2003). J. Acoust. Soc. Am. 114, 386-395] were consistent in showing that, for equivalent energy [Leq= 100 dB(A)] and spectra, exposure to a continuous, nonGaussian (nonG) noise could produce substantially greater hearing and sensory cell loss in the chinchilla model than a Gaussian (G) noise exposure and that the statistical metric, kurtosis, computed on the amplitude distribution of the noise could order the extent of the trauma. This paper extends these results to Leq= 90 and 110 dB(A), and to nonG noises that are generated using broadband noise bursts, and band limited impacts within a continuous G background noise. Data from nine new experimental groups with 11 or 12 chinchillas/group is presented. Evoked response audiometry established hearing thresholds and surface preparation histology quantified sensory cell loss. At the lowest level [Leq=90 dB(A)] there were no differences in the trauma produced by G and nonG exposures. For Leq >90 dB(A) nonG exposures produced increased trauma relative to equivalent G exposures. Removing energy from the impacts by limiting their bandwidth reduced trauma. The use of noise bursts to produce the nonG noise instead of impacts also reduced the amount of trauma.
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Affiliation(s)
- Wei Qiu
- Auditory Research Laboratory, State University of New York, 107 Beaumont Hall, Plattsburgh, New York 12901, USA.
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Emmerich E, Richter F, Linss V, Linss W. Frequency-specific cochlear damage in guinea pig after exposure to different types of realistic industrial noise. Hear Res 2005; 201:90-8. [PMID: 15721564 DOI: 10.1016/j.heares.2004.09.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2004] [Accepted: 09/14/2004] [Indexed: 11/16/2022]
Abstract
For the causal evaluation of occupational hearing damage it is important to identify definitely the noise source. Here we tested, whether recordings of distortion product otoacoustic emissions (DPOAEs) in awake guinea pigs can distinguish the effects of different industrial noises. Six groups of 12 animals each were investigated before and over four months after a single 2 h exposure to specific, played-back industrial noise as well as before and for 2 months after impulse noise exposure. We compared broadband noise (buzz saw, bottle washing machine), low frequency noise (drawing press), and mid-frequency noise (bottle filling machine). All animals had stable DPOAE levels before noise exposure. Frequency specific decreases in DPOAEs were found after exposure to the different noises. Broadband noise diminished mostly all frequencies tested, whereas low- or mid-frequency noise had a greater effect on DPOAE evoked by middle and higher frequencies, respectively. DPOAE evoked by middle and higher frequencies were obliterated after impulse noise. Morphological analysis of the cochleae confirmed these alterations. OHC loss was found in the middle turns of the cochleae corresponding to the diminution of DPOAE. We conclude that different kinds of industrial noise tend to produce typical changes in DPOAE levels.
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Affiliation(s)
- Edeltraut Emmerich
- Institute of Physiology-Neurophysiology, Friedrich Schiller University Jena, Teichgraben 8, D-07740 Jena, Germany.
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Hamernik RP, Qiu W, Davis B. The effects of the amplitude distribution of equal energy exposures on noise-induced hearing loss: the kurtosis metric. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2003; 114:386-95. [PMID: 12880050 DOI: 10.1121/1.1582446] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Seventeen groups of chinchillas with 11 to 16 animals/group (sigmaN = 207) were exposed for 5 days to either a Gaussian (G) noise or 1 of 16 different non-Gaussian (non-G) noises at 100 dB(A) SPL. All exposures had the same total energy and approximately the same flat spectrum but their statistical properties were varied to yield a series of exposure conditions that varied across a continuum from G through various non-G conditions to pure impact noise exposures. The non-G character of the noise was produced by inserting high level transients (impacts or noise bursts) into the otherwise G noise. The peak SPL of the transients, their bandwidth, and the intertransient intervals were varied, as was the rms level of the G noise. The statistical metric, kurtosis (beta), computed on the unfiltered noise beta(t), was varied 3 < or = beta(t) < or = 105. Brainstem auditory evoked responses were used to estimate hearing thresholds and surface preparation histology was used to determine sensory cell loss. Trauma, as measured by asymptotic and permanent threshold shifts (ATS, PTS) and by sensory cell loss, was greater for all of the non-G exposure conditions. Permanent effects of the exposures increased as beta(t) increased and reached an asymptote at beta(t) approximately 40. For beta(t) > 40 varying the interval or peak histograms did not alter the level of trauma, suggesting that, in the chinchilla model, for beta(t) > 40 an energy metric may be effective in evaluating the potential of non-G noise environments to produce hearing loss. Reducing the probability of a transient occurring could reduce the permanent effects of the non-G exposures. These results lend support to those standards documents that use an energy metric for gauging the hazard of exposure but only after applying a "correction factor" when high level transients are present. Computing beta on the filtered noise signal [beta(f)] provides a frequency specific metric for the non-G noises that is correlated with the additional frequency specific outer hair cell loss produced by the non-G noise. The data from the abundant and varied exposure conditions show that the kurtosis of the amplitude distribution of a noise environment is an important variable in determining the hazards to hearing posed by non-Gaussian noise environments.
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MESH Headings
- Acoustic Stimulation/methods
- Animals
- Audiometry, Pure-Tone
- Auditory Threshold/physiology
- Cell Count
- Chinchilla
- Evoked Potentials, Auditory/physiology
- Hair Cells, Auditory, Inner/pathology
- Hair Cells, Auditory, Inner/physiopathology
- Hair Cells, Auditory, Outer/pathology
- Hair Cells, Auditory, Outer/physiopathology
- Hearing Loss, Noise-Induced/pathology
- Hearing Loss, Noise-Induced/physiopathology
- Inferior Colliculi/pathology
- Inferior Colliculi/physiopathology
- Noise/adverse effects
- Normal Distribution
- Organ of Corti/pathology
- Organ of Corti/physiopathology
- Sound Spectrography
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Affiliation(s)
- Roger P Hamernik
- Auditory Research Laboratory, State University of New York, 107 Beaumont Hall, Plattsburgh, New York 12901, USA.
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Hamernik RP, Qiu W, Davis B. Cochlear toughening, protection, and potentiation of noise-induced trauma by non-Gaussian noise. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2003; 113:969-976. [PMID: 12597190 DOI: 10.1121/1.1531981] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
An interrupted noise exposure of sufficient intensity, presented on a daily repeating cycle, produces a threshold shift (TS) following the first day of exposure. TSs measured on subsequent days of the exposure sequence have been shown to decrease relative to the initial TS. This reduction of TS, despite the continuing daily exposure regime, has been called a cochlear toughening effect and the exposures referred to as toughening exposures. Four groups of chinchillas were exposed to one of four different noises presented on an interrupted (6 h/day for 20 days) or noninterrupted (24 h/day for 5 days) schedule. The exposures had equivalent total energy, an overall level of 100 dB(A) SPL, and approximately the same flat, broadband long-term spectrum. The noises differed primarily in their temporal structures; two were Gaussian and two were non-Gausssian, nonstationary. Brainstem auditory evoked potentials were used to estimate hearing thresholds and surface preparation histology was used to determine sensory cell loss. The experimental results presented here show that: (1) Exposures to interrupted high-level, non-Gaussian signals produce a toughening effect comparable to that produced by an equivalent interrupted Gaussian noise. (2) Toughening, whether produced by Gaussian or non-Gaussian noise, results in reduced trauma compared to the equivalent uninterrupted noise, and (3) that both continuous and interrupted non-Gaussian exposures produce more trauma than do energy and spectrally equivalent Gaussian noises. Over the course of the 20-day exposure, the pattern of TS following each day's exposure could exhibit a variety of configurations. These results do not support the equal energy hypothesis as a unifying principal for estimating the potential of a noise exposure to produce hearing loss.
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Affiliation(s)
- Roger P Hamernik
- Auditory Research Laboratory, State University of New York, 107 Beaumont Hall, Plattsburgh, New York 12901, USA.
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