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Biomedical subjects

M C Killion

Publications and source records attributed to M C Killion.

9 recordsLinked to original sources
PubMed1991

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↗
PubMed1989

Comments on "Earphones in Audiometry" [Zwislocki et al., J. Acoust. Soc. Am. 83, 1688-1689 (1988)].

The Zwislocki et al. ["Earphones in Audiometry," J. Acoust. Soc. Am. 83, 1688-1689 (1988)] Letter to the Editor states that insert earphones have some unresolved technical problems, such as limited frequency response, limited dynamic range and power handling capability, intersubject variability, and hygiene safety. In evaluating circumaural earphones, Zwislocki et al. say that the lack of a standard coupler disqualifies them for audiometry. Since this letter carries the weight of a CHABA committee recommendation, these issues are commented on herein. Section I was written primarily by Mead Killion and Sec. II primarily by Edgar Villchur. For brevity throughout, the authors of the Zwislocki et al. letter will be referred to as "the authors."

Audiometry↗
PubMed1989

Comparison of the noise attenuation of three audiometric earphones, with additional data on masking near threshold.

The noise-excluding properties of a standard supra-aural audiometric earphone, a widely used circumaural-supra-aural combination, and an insert earphone sealed to the ear with a vinyl foam eartip were measured in a diffuse-field room complying with ANSI S12.6-1984. Data on attenuation were obtained monaurally with the nontest ear plugged and muffed. Results for the supra-aural earphones generally agreed well with previously reported measurements. A broadband masking noise was used to directly test the ANSI S3.1-1977 permissible background noise levels for measuring to audiometric zero using standard audiometric earphones. This "ANSI noise" raised the average thresholds of 15 normal-hearing test subjects by 3 to 5 dB at the octave frequencies from 500 to 4000 Hz. With a noise conforming to the less stringent OSHA-1983 regulation, average thresholds were elevated 9 to 17 dB. An "ENT office noise" with an overall sound level of 54 dBA raised average thresholds even further, by as much as 29 dB at 500 Hz. Use of the circumaural system in the office noise limited the threshold elevation to 11, 5, 2, and 0 dB at the four octave frequencies tested. With the fully ("deeply") inserted foam eartips, the threshold elevation in the simulated office noise was 2 dB or less at all test frequencies. Actual threshold elevations agreed closely with predictions based on a critical ratio calculation utilizing measured sound field noise levels and measured earphone attenuation values.

Audiometry↗
PubMed1988

Reference thresholds for the ER-3A insert earphone.

Several recent studies have demonstrated that the ER-3A insert earphone may sometimes be directly substituted, without recalibrating, for a TDH-39/MX-41AR earphone. However, most available data have not been reduced to a form suitable for establishing a revised estimate of the reference threshold levels. This article reports such a data analysis performed on the results of five recent studies. The mean data from the five studies are typically within 1 dB of the provisional reference threshold SPLs given by the ER-3A manufacturer for calibration in a (HA-1) 2-cc coupler. After converting the mean data to equivalent Zwislocki-coupler-type ear simulator SPLs at each of the reported audiometric frequencies (125, 250, 500, 1000, 2000, 3000, 4000, 6000, and 8000 Hz), agreement within 1.5 dB was seen with the revised estimate of minimum audible pressures given by Killion [J. Acoust. Soc. Am. 63, 1501-1508 (1978)]. Either the manufacturer's provisional SPLs or the average results from this study may be used with little noticeable difference for most purposes.

Auditory Threshold↗
PubMed1987

Insertion gain repeatability versus loudspeaker location: you want me to put my loudspeaker where?

The traditional 0 degree (straight-ahead) location of the loudspeaker during insertion gain measurements is a poor choice, based on theoretical considerations, from the standpoint of measurement repeatability. In a series of experiments, we were able to demonstrate that a location 45 degrees to the side, or 45 degrees up and 45 degrees to the side, provided a much more repeatable measurement of basically the same insertion gain response.

Acoustics↗
PubMed1978

Revised estimate of minimum audible pressure: where is the "missing 6 dB"?

Eardrum pressures at hearing threshold have been calculated from both earphone data (ISO R389-1964 and ANSI S3.6-1969) and free-field data (ISO R226-1961). When head diffraction, external-ear resonance, and an apparent flaw in ISO R226 are accounted for in the free-field data, and real-ear versus coupler differences and physiological noise are accounted for in the earphone data, the agreement between the two derivations is good. At the audiometric frequencies of 125, 250, 500, 1000, 2000, 4000, and 8000 Hz, the estimated eardrum pressures at absolute threshold are 30, 19, 12, 9, 15, 13, and 14 dB SPL, respectively. Except for the effects of physiological noise at low frequencies, no evidence of the "missing 6 dB" is seen, an observation consistent with the experimental results of several recent studies.

Audiometry↗
PubMedDate not supplied

Clinical use of an insert earphone.

There are several applications of and advantages to using an insert earphone. An insert earphone has three parts: a transducer to convert electrical energy to sound, a conduit to deliver the sound into the ear canal, and a coupler connecting the device to the canal. The data from this study indicate that there is a distinct advantage in using insert earphones over TDH-49 phones (standard headphones) in the attenuation of low frequency ambient noise. The use of insert earphones will permit one to test hearing in areas of higher ambient noise than was previously possible. Insert earphones are used to shorten the hearing aid selection process. A technique is described in which only one real ear measurement is required for an accurate hearing aid fitting. Most, but not all, of the masking dilemmas that are encountered with standard headphones are circumvented or eliminated by using insert earphones. In brain stem auditory evoked response testing, the insert earphone reduces the stimulus artifact without influencing the acoustic signal. Finally, the insert earphone solves the collapsing ear canal problem.

Audiometry↗