Wyniki wyszukiwania - Biblioteka Nauki

1

Hearing loss in workers exposed to different type of noise

100%

Zamysłowska-Szmytke E. , Kotyło P. , Bąk M. , Fuente A. , Śliwińska-Kowalska M.

Archives of Acoustics

|

2007

|

tom Vol. 32, No. 2

399-404

EN

It's well documented that noise damages peripheral part of the auditory tract (cochlea). Only few investigations were performed to assess central hearing disturbances caused by noise on animal. The aim of the study was to evaluate the site of hearing damage in 2 groups of individuals exposed to different types of noise. First group consisted of 62 dockyard workers exposed to impulsive noise with co-exposure to hand-arm vibration while second group included 76 bottle glass factory workers exposed to continuous steady-state noise. Results were referred to 86 control subjects exposed neither to noise nor vibrations. Pure-tone audiometry, immitance audiometry, Auditory Brainstem Response (ABR) and cognitive-event relate auditory evoked potentials (wave P-300) were performed in all subjects. Audiometric results revealed the poorest hearing level in dockyard workers among all groups. The bottle factory workers had also significant hearing impairment at high frequencies as compared to controls. Although the wave V at the ABR was prolonged in the dockyard workers this change could reflect sensorineural hearing thresholds shift and retrocochlear damage. The latency of P-300 wave was prolonged in dockyard workers exclusively suggesting a cortical effect of exposure to impulsive noise. Conclusions. Exposure to high level impulsive noise in combination with hand-arm vibration may cause hearing deficit greater than expected. Abnormalities involve peripheral and central auditory system. More observations are necessary to confirm these findings.

2

Theoretical Predictions and Actual Hearing Threshold Levels in Workers Exposed to Ultrasonic Noise of Impulsive Character—A Pilot Study

100%

Pawlaczyk-Łuszczyńska M. , Dudarewicz A. , Śliwińska-Kowalska M.

International Journal of Occupational Safety and Ergonomics

|

2007

|

tom Vol. 13, No. 4

409–-418

EN

Results of standard pure-tone audiom etry (PTA) were collected from 25 workers, mainly females, aged 23–58 years, exposed for 2–13 years to ultrasonic noise emitted by ultrasonic welders. Hearing tests were completed by evaluation of exposure to ultrasonic noise. The subjects’ actual audiometric hearing threshold levels (HTLs) were compared with theoretical predictions calculated according to ISO 1999:1990. In 60% of cases sound pressure levels in the 10–40 kHz 1/3-octave bands at workstands exceeded Polish exposure limits for ultrasonic noise. Our comparison of predicted and measured HTLs suggests that the ISO 1999:1990 method, intended for audible noise, might also make it possible to predict reliably permanent hearing loss (in the 2 000–6 000 Hz frequency range) after exposure to ultrasonic noise. No significant progress of hearing impairment (assessed using PTA) in the operators of ultrasonic welders was noted. Nevertheless, further studies on the hearing status of workers exposed to ultrasonic noise are needed.

3

The estimation of behavioral audiograms, auditory brainstem response (ABR) thresholds and auditory steady-state response (ASSR) thresholds of young adults with normal hearing

100%

Szymańska A. , Gryczyński M. , Pajor A.

Otolaryngologia Polska

|

2008

|

tom 62(6)

735-739

EN

Introduction. One of the basic audiological parameter in estimation of hearing sensitivity is hearing threshold. The need for an objective tool to effi ciently predict the audiogram caused that the use and importance of ASSR method is growing in recent times. However, the technique is quite new and needs to be still improved. Aim of the study was the estimation of behavioral audiogram in comparison with ABR and ASSR threshold of young adults with normal hearing. Material and methods. The study sample included 9 subjects with normal hearing (18 ears) with no abnormalities in otoscopy. Behavioral hearing thresholds and ASSRs to carrier frequencies of 0.5, 1, 2, and 4 kHz were obtained. The ASSRs were assessed with Bio-logic MASTER system by the use of four sinusoidal tones both frequency – and amplitude – modulated given simultaneously to every ear for each carrier frequency. The potentials are collected, averaged and analyzed in this method by the fast Fourier transform to yield statistically signifi cant responses. Electrophysiologic threshold responses for click ABR stimuli for the same carrier frequencies for right and left ear were obtained by the use of Bio-logic Navigator Pro unit. Differences and correlations between the ASSRs, ABRs and the behavioral thresholds were determined. Results. We discovered that the values of pure tone audiograms and ABRs thresholds values differ from ASSRs considerably. We could also observed that the difference between behavioral and ABRs threshold is less than for behavioral and ASSRs threshold. Conclusion. To conclude, this study shows that auditory steady-state responses technique is not useful method in estimating of hearing threshold of young adults with normal hearing.

4

Exposure to excessive sounds and hearing status in academic classical music students

75%

Pawlaczyk-Łuszczyńska M. , Zamojska-Daniszewska M. , Dudarewicz A. , Zaborowski K.

International Journal of Occupational Medicine and Environmental Health

|

2017

|

tom 30

|

nr 1

55-75

EN

Objectives The aim of this study was to assess hearing of music students in relation to their exposure to excessive sounds. Material and Methods Standard pure-tone audiometry (PTA) was performed in 168 music students, aged 22.5±2.5 years. The control group included 67 subjects, non-music students and non-musicians, aged 22.8±3.3 years. Data on the study subjects’ musical experience, instruments in use, time of weekly practice and additional risk factors for noise-induced hearing loss (NIHL) were identified by means of a questionnaire survey. Sound pressure levels produced by various groups of instruments during solo and group playing were also measured and analyzed. The music students’ audiometric hearing threshold levels (HTLs) were compared with the theoretical predictions calculated according to the International Organization for Standardization standard ISO 1999:2013. Results It was estimated that the music students were exposed for 27.1±14.3 h/week to sounds at the A-weighted equivalent-continuous sound pressure level of 89.9±6.0 dB. There were no significant differences in HTLs between the music students and the control group in the frequency range of 4000–8000 Hz. Furthermore, in each group HTLs in the frequency range 1000–8000 Hz did not exceed 20 dB HL in 83% of the examined ears. Nevertheless, high frequency notched audiograms typical of the noise-induced hearing loss were found in 13.4% and 9% of the musicians and non-musicians, respectively. The odds ratio (OR) of notching in the music students increased significantly along with higher sound pressure levels (OR = 1.07, 95% confidence interval (CI): 1.014–1.13, p < 0.05). The students’ HTLs were worse (higher) than those of a highly screened non-noise-exposed population. Moreover, their hearing loss was less severe than that expected from sound exposure for frequencies of 3000 Hz and 4000 Hz, and it was more severe in the case of frequency of 6000 Hz. Conclusions The results confirm the need for further studies and development of a hearing conservation program for music students. Int J Occup Med Environ Health 2017;30(1):55–75

5

Noise exposure and hearing status among employees using communication headsets

75%

Pawlaczyk-Łuszczyńska M. , Dudarewicz A. , Zaborowski K. , Zamojska-Daniszewska M.

|

nr 5

585-614

EN

Objectives The objective of this study was to assess the hearing of employees using communication headsets with regard to their exposure to noise. Material and Methods The study group comprised 213 employees, including 21 workers of the furniture industry, 15 court transcribers and 177 call center operators, aged 19–55 years, working with headsets for a period of up to 25 years. All the participants underwent a standard puretone audiometry, extended high-frequency audiometry (EHFA) as well as transient-evoked otoacoustic emissions (TEOAEs) and distortion-product otoacoustic emissions (DPOAEs). Noise exposure from headsets was evaluated using the microphone in a real ear technique according to PN-EN ISO 11904-1:2008. Results Personal daily noise exposure levels ranged 57–96 dB and exceeded 85 dB only in 1.4% of the call center operators. Forty-two percent of the participants had bilateral normal hearing in the standard frequency range of 250–8000 Hz, and 33% in the extended highfrequency range of 9–16 kHz. It was found that DPOAEs were present bilaterally in 59% of the participants. Reproducibility of TEOAE at >70% and signal-to-noise ratio at >6 was exhibited by 42% and 17% of them, respectively. The 3 subgroups of workers differed in age, gender, noise exposure and type of headsets in use. However, after adjusting for age and gender, significant differences between these subgroups in terms of hearing were mostly visible in EHFA. A significant impact of age, gender, daily noise exposure level and current job tenure on hearing tests results was also noted among the call center operators and the transcribers. The most pronounced were the effects of age and gender, whereas the impact of the daily noise exposure level was less evident. Conclusions It seems that EHFA is useful for recognizing early signs of noise-induced hearing loss among communication headset users. However, further studies are needed before any firm conclusions concerning the risk of hearing impairment due to the use of such devices can be drawn.

6

Hearing status of people occupationally exposed to ultrasonic noise

75%

Dudarewicz A. , Zamojska-Daniszewska M. , Zaborowski K. , Pawlaczyk-Łuszczyńska M.

|

nr 3

309-325

EN

ObjectivesThe aim of the study was to evaluate the hearing status of operators of low-frequency ultrasonic devices compared to employees exposed to audible noise at a similar A-weighted sound pressure level (SPL) but without ultrasonic components.Material and MethodsStandard pure-tone audiometry, extended high-frequency audiometry (EHFA), transient-evoked otoacoustic emissions (TEOAE), and distortion-product otoacoustic emissions (DPOAE), as well as questionnaire surveys were conducted among 148 subjects, aged 43.1±10.8 years, working as ultrasonic device operators for 18.7±10.6 years. Their exposure to noise within the ultrasonic and audible frequency range was also evaluated. The control group comprised 168 workers, adjusted according to gender, age (±2 years), tenure (±2 years), and the 8-hour daily noise exposure level (LEX,8h) of ±2 dB.ResultsThe ultrasonic device operators and the control group were exposed to audible noise at LEX,8h of 80.8±3.9 dB and 79.1±3.4, respectively. The Polish maximum admissible intensity (MAI) values for audible noise were exceeded in 16.8% of the ultrasonic device operators, while 91.2% of them were exposed to ultrasonic noise at SPL>MAI values. There were no significant differences between the groups in terms of the hearing threshold levels (HTLs) up to 3 kHz, while the ultrasonic device operators exhibited significantly higher (worse) HTLs, as compared to the control group, in the range of 4–14 kHz. The results of the DPOAE and TEOAE testing also indicated worse hearing among the ultrasonic device operators. However, the differences between the groups were more pronounced in the case of EHFA and DPOAEs.ConclusionsThe outcomes of all hearing tests consistently indicated worse hearing among the ultrasonic device operators as compared to the control group. Both EHFA and DPOAE seem to be useful tools for recognizing early signs of hearing loss among ultrasonic device operators.

7

Hearing Ability in Orchestral Musicians

75%

Pawlaczyk-Łuszczyńska M. , Dudarewicz A. , Zamojska M. , Śliwińska-Kowalska M.

|

8

Hearing Status in Young People Using Portable Audio Players

63%

Pawlaczyk-Łuszczyńska M. , Zaborowski K. , Zamojska-Daniszewska M. , Rutkowska-Kaczmarek P. , Dudarewicz A. , Śliwinska-Kowalska M.

|

tom Vol. 42, No. 1

113--120

EN

The aim of this study was to evaluate the hearing status in young adults using portable audio players (PAPs) in relation to their listening habits. The study included 58 subjects, aged 22.8±2.8 years, non-occupationally exposed to noise. Questionnaire inquiry aimed at collecting personal data, the information on PAPs usage habits, self-assessment of hearing status and identification of risk factors for noise-induced hearing loss (NIHL) were performed in study subjects. Hearing tests included pure-tone audiometry (PTA) and transient-evoked optoacoustic emission (TEOAE). All subjects were PAPs users. Depending on listening habits they were divided into the subgroups of “frequent” users (>1 h/day) and “non-frequent” users (≤1 h/day). There were no significant differences between subgroups in prevalence of NIHL risk factors and self-assessment of hearing status. However, frequent users more often complained of tinnitus and hyperacusis. Majority (81.9 %) of participants had normal hearing. Nevertheless, 6.9 % of audiograms showed high-frequency notches typical for NIHL. Both, the PTA and TEOAE indicated worse hearing in non-frequent users compared to frequent users. No significant differences in prevalence of high-frequency notches between subgroups were noted. The outcomes do not support some previous studies results that the excessive exposure to music listened through PAPs might result in accelerating of development of NIHL loss in young adults.