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Biomedical subjects

L H Royster

Publications and source records attributed to L H Royster.

11 recordsLinked to original sources

Subjective evaluation of a prototype earmuff exhibiting flat and nonlinear attenuation characteristics.

Subjective user responses were obtained for a test earmuff exhibiting approximately flat (uniform) attenuation of about 25 dB from 500 to 8000 Hz for sound pressure levels (SPLs) less than 120 dB. At SPLs above 120 dB, the test earmuff exhibited nonlinear (level-dependent) attenuation characteristics such that noise reduction increased with increasing sound level. The study population consisted of police officers from the Raleigh, North Carolina, Police Department as they were performing arms requalification by executing a series of firing programs during two sequential and identical relays. The study subjects wore either the test earmuff or a comparable conventional earmuff during the first relay, then the alternate protector for the second relay with the order counterbalanced. Results indicated a significant preference for the test earmuff in three comparison areas: comfort, perceived hearing protection, and speech understanding. The study demonstrates that ammunition type and level of noise exposure contributed significantly to a preference in favor of the test earmuff. The subjects who used the quietest of the ammunition types rated the test earmuff significantly better than the remaining subjects with respect to speech understanding.

Adult

Sound exposures and hearing thresholds of symphony orchestra musicians.

To assess the risk of noise-induced hearing loss among musicians in the Chicago Symphony Orchestra, personal dosimeters set to the 3-dB exchange rate were used to obtain 68 noise exposure measurements during rehearsals and concerts. The musicians' Leq values ranged from 79-99 dB A-weighted sound pressure level [dB(A)], with a mean of 89.9 dB(A). Based on 15 h of on-the-job exposure per week, the corresponding 8-h daily Leq (excluding off-the-job practice and playing) ranged from 75-95 dB(A) with a mean of 85.5 dB(A). Mean hearing threshold levels (HTLs) for 59 musicians were better than those for an unscreened nonindustral noise-exposed population (NINEP), and only slightly worse than the 0.50 fractile data for the ISO 7029 (1984) screened presbycusis population. However, 52.5% of individual musicians showed notched audiograms consistent with noise-induced hearing damage. Violinists and violists showed significantly poorer thresholds at 3-6 kHz in the left ear than in the right ear, consistent with the left ear's greater exposure from their instruments. After HTLs were corrected for age and sex, HTLs were found to be significantly better for both ears of musicians playing bass, cello, harp, or piano and for the right ears of violinists and violists than for their left ears or for both ears of other musicians. For 32 musicians for whom both HTLs and Leq were obtained, HTLs at 3-6 kHz were found to be correlated with the Leq measured.

Acoustics

Hearing conservation programs (HCPs): the effectiveness of one company's HCP in a 12-hr work shift environment.

An existing hearing conservation program (HCP), originally designed when an 8-hr work shift schedule was in effect, was evaluated at a plant site where a 12-hr work shift schedule is now utilized. The study included the following phases: a noise analysis of the work environment, HCP evaluation through the use of audiometric data base analysis (ADBA), applying ADBA procedures and a comparison of the shift in hearing threshold levels (HTLs) for the 8-hr and 12-hr work shifts, and an evaluation of the hearing protection devices (HPDs) being used at the facility over the 12-hr work shift by measuring temporary threshold shift (TTS). The mean measured employee time-weighted average (TWA) in the process area where the TTS study was conducted was 92 dBA. It was found that the existing HCP is at best marginal. The most likely causes of this less-than-desirable rating are inadequate audiometric testing procedures and inadequate HPD utilization. Furthermore, it was concluded that, at this time, the introduction of the 12-hr work shift has had no impact on the level of effectiveness of the HCP. In evaluating the three HPDs in use at the facility (3-M foam earplug, E-A-R foam earplug, and Bilsom Soft earplug), it was found that they all offered effective protection from noise at all audiometric test frequencies (0.5 to 6 kHz) except 0.5 kHz. All three HPDs exhibited TTS at 0.5 kHz with the TTS measured significant at the p less than 0.05 level for the E-A-R and 3-M wearer groups.

Audiometry

The contribution of personal radios to the noise exposure of employees at one industrial facility.

An investigation of the contribution made to an employee's noise dose from the output of personal radios was performed at a North Carolina textile manufacturing facility where the daily time-weighted average sound level (TWA) was approximately 87 dB, A-weighted sound pressure level [dB(A)]. The measured mean equivalent diffuse field output level of the personal radios was determined to be 83 dB(A) with a range from 70 to 98 dB(A). The daily TWA of a typical employee who did not use a personal radio was determined to be 86.6 dB(A), whereas the exposure of personal radio users was 88.5 dB(A)--an increase of 1.9 dB(A). This increase in exposure was estimated to result in 4 dB of additional permanent noise-induced hearing loss at 4 kHz for the 5th percentile (most sensitive portion) of the population after 20 years of exposure beginning at age 20. The study concluded that the additional contribution of the personal radios to the employee's daily TWA did not pose a significant additional threat to their hearing. Specific hearing conservation criteria, however, were recommended for continuation of personal radio use at the facility.

Environmental Exposure

Using audiometric data base analysis.

Audiometric data base analysis (ADBA) offers the most direct means of judging the effectiveness of a hearing conservation program (HCP) in preventing occupational hearing loss. However, numerous factors need to be accounted for if the findings are to be meaningful. This paper discusses several parameters known to influence the interpretation of group data statistics in assessing HCP effectiveness. Testing factors that affect the stability of the data base include audiometric techniques, calibration procedures, testing environment, and the motivation and prior experience of the subject. Pertinent population parameters include age, sex, race, current and prior noise exposures, learning effects, and the types of hearing protectors in use. Two case histories are presented to illustrate the application of ADBA techniques. Specific analysis procedures reviewed include comparisons of mean thresholds for selected industrial and nonindustrial populations, rates of change in mean hearing levels over a period of time, baseline and sequential test-retest comparisons, and different threshold shift criteria. The preliminary results of ADBA research being done by the American National Standards Institute (ANSI) S12.12 Working Group are summarized, including desirable criterion ranges for several statistics established by applying them to control data sets.

Audiometry

Age effect hearing levels for a white nonindustrial noise exposed population (ninep) and their use in evaluating industrial hearing conservation programs.

A nonindustrial noise exposed population (NINEP) describing age effects for white males and females has been established that can be used as a reference in evaluating an industrial noise exposed population (INEP) data base. In making this comparison, it is desirable to match the two populations properly with respect to sex, race and age characteristics. Since there presently does not exist an equivalent black NINEP, it is necessary to first isolate the data representing the black population from the industrial sample. A definite learning curve exists in industrial audiometric data bases, with the degree of learning dependent upon the effectiveness of the hearing conservation program. Therefore, this variation must be considered when attempting to compare the industrial audiometric test data with the white NINEP data base presented herein.

Adolescent

Presumed noise-induced permanent threshold shift resulting from exposure to an A-weighted Leq of 89 dB.

The noise-induced permanent threshold shift (NIPTS) resultings form up to ten years of exposure to an average A-weighted sound level Leq of 89 dB was investigated. Prior occupational noise exposure was controlled for by eliminating subjects with previous high-noise-level jobs or uncertain exposure histories. The final population consisted of 42 males and 58 females working a steady-state broadband noise environments. No attempt was made to screen subjects for any auditory pathology. A 222-subject control group from the same geographic area as the exposed subjects was selected such that none of its constituents had any effective industrial noise exposure. Presumed NIPTS was calculated by correcting each individual audiogram of the exposed subjects according to the aging curves developed from the control population hearing levels. The results indicated a considerable male-female difference in NIPTS, even though both groups were exposed to the same Leq. Averaging the results for all 100 subjects, in order to make comparisons to other available data, yielded results in close agreement to predictions based upon the work of Burns and Robinson, Baughn. NIOSH, and Passchier--Vermeer, indicating that 10 years of exposure to a daily Leq of 89 dB causes measurable hearing loss at 4 kHz.

Adult

Potential hearing compensation cost by race and sex.

A large general industrial population (n = 10,000) is analyzed using different low fences (15 bB HTL to 35 dB HTL) with the high fence held constant at 93 dB HTL. Three different audiometric test frequency combinations are considered: HTL.5,1,2 kHz, HTL.5,1,2,3 kHz and HTL1,2,3 kHz. The data base is analyzed first as a total population and then divided into different subpopulations including male, female, black and whites; and further subdivided into black males, black females, white males and white females. The findings indicate that significant differences exist between the groupings with respect to the potential hearing compensation cost and percent of a population exceeding the different low fence frequency combinations.

Costs and Cost Analysis

Practice effects in industrial hearing screening.

Two samples of employees were drawn at random from the total population of approximately 12,000 employees in one large company. The base-line audiograms and two subsequent annual retests were studies on a sample of 118 employees to determine whether the mean threshold values improved with subsequent years of testing. In addition, the audiometric earphones were reversed so that the right ear was tested first on an automatic audiometer, followed by the left ear on a different sample of 400 employees in an effort to determine whether there is a significant difference between the first and second ear tested. Results indicate that subsequent retests do not show significant improvements. It is possible, however, the small improvements of 1 or 2 dB reported by other investigators over several years of testing may not be seen when mean values are used on populations of this size. Of more importance, however, was the fact that a consistent and significant difference was seen between the first and second ear tested, with the first ear tested showing the poorer threshold. When earphones were reversed, the left or previously poorer ear, showed better thresholds than the right in the low- and midfrequencies. The right ear continued to show better thresholds in the high frequencies, regardless of which ear was tested first.

Audiometry