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Noise level and ultrasound spectra during burring.

The aim of this study was to evaluate the noise spectra of current dentistry equipment during normal work at the dental clinic and in the laboratory. In the study, noise was measured during the dental treatment of seven patients at a dental clinic and also in the acoustics laboratory, where working noise was simulated by drilling a polyacetal plate. All samples were analyzed in audible and ultrasonic areas in the one-third octave bands of 20-80,000 Hz. The measuring instruments used were B&K 4135 microphones, B&K 2633 preamplifiers, the B&K 2811 multiplexer, and the B&K 2133 real-time analyzer with the ZT 0318 high-frequency expansion unit. In the in situ measurements, the A-weighted sound pressure level was occasionally over 85 dB(A), and the equivalent continuous A-weighted sound pressure level, L(Aeq), was 76 dB(A). The noise level was most powerful in the one-third octave band of 40,000 Hz, where it was 74 dB. In laboratory measurements, the noise levels of the air-turbine and the micromotor hand pieces (n=16) were also most powerful in the one-third octave band of 40,000 Hz, where they were 80-89 dB. The L(Aeq) of the different micromotor handpieces (n=6) varied between 76 dB(A) and 77 dB(A), and the L(Aeq) of the turbine hand pieces (n=10) varied between 77 dB(A) and 82 dB(A). The noise of the drills is most powerful in the high frequencies, so using hearing protectors, it is possible that speech communication improves because the protectors attenuate high frequencies more than low frequencies. The very light protectors give sufficient protection against the drilling noise.

Acoustics↗

Effects of visual and acoustic deprivation on agonistic behaviour of the albino mouse (M. musculus L.).

Male mice of the LAC strain were allowed to form territories in 2 X 2 X 1 m artificial enclosures. Territory holders were provided with contact lenses or earplugs and their agonistic responses were analyzed in order to assess the relative importance of vision and audition in this type of social behaviour. It was shown that three distinct phases of the agonistic response towards intruder mice can be recognized. These represent physiologically distinct albeit functionally related events: (1) detection, (2) chasing (or tracking), (3) attacking. Whereas deprivation of vision primarily impaired attacking, acoustic deprivation diminished active tracking of intruders. Detection was severely impaired by acoustic deprivation and also to some extent by visual deprivation.

Aggression↗

Physical characteristics of Dornier extracorporeal shock-wave lithotriptor.

Measurements of the pressure, noise, and radiation dose levels from a Dornier lithotriptor are reported. The distribution of the peak pressure around the treatment focus was investigated, and the highest pressures were found to occur within an elongated volume. Within the treatment room, noise levels of 80-90 dB were produced during each shock wave, rising to 95 dB by the patient's head. Ear protection for the staff and patient is recommended, and careful room design is necessary to minimize the sound disturbance to adjacent quarters. Measurements of the radiation skin dose received by patients from the x-ray localization system were relatively high and ranged from 2-55 cGy (rad), with a mean of 12 cGy. The operator needs to be aware of these high doses and should take precautions to minimize them.

Ear Protective Devices↗

Noise-induced hearing loss.

Noise-induced hearing loss is a major hazard in many workplaces and in society. The National Institute for Occupational Safety and Health estimates that more than 30 million workers (almost 1 in 10) are exposed to unsafe noise levels on the job. Helicopter emergency medical services crews work in an environment in which exposure to aviation noise makes the issue of hearing loss and prevention strategies salient. Applying the Occupational Safety and Health Administration standard for a regulated hearing conservation program through controlling noise exposure will benefit helicopter emergency medical services professionals.

Air Ambulances↗

The contribution of focus groups in the evaluation of hearing conservation program (HCP) effectiveness.

PROBLEM: Exclusive reliance on such practices as policy review, audiometric testing audits, and noise surveillance to evaluate the effectiveness of workplace hearing conservation programs (HCP) fails to capture the impact of these programs as experienced by workers at the "shop floor" and offers little insight into the reasons and potential remedies for noted deficiencies. METHODS: A qualitative approach for evaluating industrial HCPs (and their various components) is discussed using three industrial populations as case studies. For each study population, this paper illustrates how focus groups, comprised of line workers and supervisors, were used to clarify and augment information gathered through more traditional program assessments to provide a more enriched picture of hearing conservation practices. Descriptive data on plant hearing conservation program practices at each plant are presented with a comparison of proactive elements of each program relative to the Occupational Safety and Health Administration (OSHA) Hearing Conservation Amendment (HCA) requirement and to internal plant policy. RESULTS: Yearly program evaluation with input from all end-users is important in the process of hearing loss prevention. The qualitative assessment outlined in this paper serves as a basis for future quantitative assessments of HCP effectiveness using hearing threshold data and noise exposure assessments to examine changes in hearing levels as a function of noise exposure and other risk factors for hearing loss.

Adult↗

Organizational influence on working people's occupational noise protection in Hong Kong.

INTRODUCTION: While there is some evidence of the influences of personal knowledge and organizational factors on workers' hearing protection, a causal model examining relationships between these variables is lacking. METHOD: To create and test such a model, this study collected data from 1,701 workers in Hong Kong through a random sample telephone survey. RESULTS: Fitting the model to the data revealed that organizational regulation of occupational noise protection was a root cause of workers' protective behavior, whereas workers knowledge about the protection exhibited only a minimal effect. CONCLUSIONS: These findings cast doubt on the significance of personal knowledge as a unique factor contributing to noise protection. The study also finds that organizational regulation was predictable by a number of organizational and industrial factors. IMPACT ON INDUSTRY: To prevent occupational deafness, organizational regulation accompanied by regular inspection and a norm of noise protection is important.

Adolescent↗

Using persuasive messages to encourage voluntary hearing protection among coal miners.

INTRODUCTION: This longitudinal field study was designed to encourage Appalachian coal miners in West Virginia and Pennsylvania to engage in hearing-protection behaviors. METHOD: Participants were mailed postcards that featured either a positive, negative, or neutral message on the outside of the postcard and a message encouraging hearing protection behaviors on the inside. The first posttest measurement of the effectiveness of the persuasive messages was conducted about a week after the postcards were mailed. The delayed posttest measurement was conducted six weeks later. RESULTS: Responses from 307 coal miners revealed that the positive or neutral messages generated significantly more self-reported hearing protection behaviors than the negative message. Identical results were obtained in a delayed posttest assessment of miners' self-reported hearing protection behaviors. The positive message was also more effective than either the neutral or negative message in preventing defensive mechanisms from emerging over time. IMPACT ON INDUSTRY: Positive and neutral messages were convincingly more successful than negative messages in facilitating self-reported hearing protection behaviors among coal miners. Similarly, the positive messages kept defensive processes at bay.

Adult↗

Party drug use in techno nights: a field survey among French-speaking Swiss attendees.

This study was designed to investigate the lifestyle and substance use habits of dance music event attendees together with their attitudes toward prevention of substance misuse, harm reduction measures and health-care resources. A total of 302 attendees aged 16-46 years (mean=22.70, S.D.=4.65) were randomly recruited as they entered dance music events. Rates for lifetime and current use (last 30 days) were particularly high for alcohol (95.3% and 86.6%, respectively), cannabis (68.8% and 53.8%, respectively), ecstasy (40.4% and 22.7%, respectively) and cocaine (35.9% and 20.7%, respectively). Several patterns of substance use could be identified: 52% were alcohol and/or cannabis only users, 42% were occasional poly-drug users and 6% were daily poly-drug users. No significant difference was observed between substance use patterns according to gender. Pure techno and open-air events attracted heavier drug users. Psychological problems (such as depressed mood, sleeping problems and anxiety attacks), social problems, dental disorders, accidents and emergency treatment episodes were strongly related to party drug use. Party drug users appeared to be particularly receptive to harm reduction measures, such as on-site emergency staff, pill testing and the availability of cool water, and to prevention of drug use provided via counseling. The greater the involvement in party drug use, the greater the need for prevention personnel to be available for counseling. General practitioners appeared to be key professionals for accessing health-care resources.

Adolescent↗

Acoustic noise levels generated during high field MR imaging.

Although much has been published highlighting the safety risks of magnetic resonance imaging, little mention has been made of acoustic noise levels. As the clinically available gradient strengths of MR systems increase, acoustic noise levels will become more important. Measurements were made of the acoustic noise levels generated by magnetic resonance imaging on two high field systems (1.0T and 1.5T). These data were compared with those in the literature. On the 1.0T magnetic resonance system, comparisons were also made between data acquired using the standard gradient system (maximum levels of 10m T/m) and a new upgraded gradient system (maximum levels of 15m T/m). The results show that many sequences produce noise levels above the safe levels defined by the Department of Health and the Health and Safety Executive. Providing routine ear protection for patients is, therefore, important. Noise levels for the upgraded gradient system on the 1.0T scanner are in the range of 2 dB greater. As expected, noise levels generated were greater for the 1.5T magnetic resonance imager than on the 1.0T system.

Clinical Protocols↗

Hazardous sound levels produced by extracorporeal shock wave lithotripsy.

Sound emitted from the Dornier system GmbH lithotriptor was found to be of sufficient intensity to warrant concern about noise-induced sensorineural hearing loss. The patients were exposed to impulses of 112 dB. peak sound pressure level. Operating room personnel were exposed to sounds of less intensity, although the number of impulses they were exposed to was much greater, thereby increasing the risk of hearing loss. Hearing protection is recommended for patients and operating room personnel.

Ear Protective Devices↗

Preventing noise-induced hearing loss.

Noise-induced hearing loss is a significant, irreversible impairment, but one that is preventable. The numbers of persons, including children, exposed to high noise is increasing, necessitating the use of hearing protection if the noise cannot be reduced to a safe level. The effectiveness of interventions has been tested with select worker groups, but use of hearing protection continues to be less than necessary when in workers are exposed to high noise. Clinicians have an essential role in educating clients of all ages about this problem and in assisting them in protecting their hearing.

Adult↗

Short-duration space flight and hearing loss.

OBJECTIVES: The study goal was to determine whether a single Space Shuttle mission can induce decrements in astronaut hearing. Study design We retrospectively compared audiogram information obtained from Space Shuttle astronauts at 10 days preflight, day of return (R + 0), 3 days after landing return (R + 3), and at a mean delayed postflight follow-up of 8 months. RESULTS: Temporary threshold shift (mean, 4.6 dB) was noted in R + 0 versus preflight conditions (P < 0.01). Small permanent threshold shifts (mean, 0.83 dB) were found at R + 3 and postflight follow-up compared with preflight in the lower frequencies (500 to 2000 Hz), and corresponding pure tone average (P < 0.001). Conclusions and significance The data indicate that a single Shuttle flight can induce a substantial temporary threshold shift and a small but statistically significant permanent threshold shift, particularly in the frequencies involved in speech reception. Although single-mission effects are small, cumulative effects over several missions may ultimately produce clinically significant hearing loss.

Audiometry↗