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  • Author: Mariola Śliwińska-Kowalska x
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Open access

Małgorzata Pawlaczyk-Łuszczyńska, Adam Dudarewicz, Małgorzata Zamojska and Mariola Śliwińska-Kowalska

Abstract

Pure-tone audiometry (PTA) and transient-evoked otoacoustic emissions (TEOAEs) were determined in 57 classical orchestral musicians along with a questionnaire inquiry using a modified Amsterdam Inventory for Auditory Disability and Handicap ((m)AIADH). Data on musicians' working experience and sound pressure levels produced by various groups of instruments were also collected. Measured hearing threshold levels (HTLs) were compared with the theoretical predictions calculated according to ISO 1999:1990. High frequency notched audiograms typical for noise-induced hearing loss were found in 28% of the subjects. PTA and TEOAE consistently showed a tendency toward better hearing in females vs. males, younger vs. older subjects, and lower- vs. higher-exposed to orchestral noise subjects. Audiometric HTLs were better than theoretical predictions in the frequency range of 2000-4000 Hz. The (m)AIADH scores indicated some hearing difficulties in relation to intelligibility in noisy environment in 26% of the players. Our results indicated a need to implement a hearing conservation program for this professional group.

Open access

Adam Dudarewicz, Esko Toppila, Małgorzata Pawlaczyk-Łuszczyńska and Mariola Śliwińska-Kowalska

Abstract

The aim of the study was to evaluate the combined effect of noise exposure and additional risk factors on permanent hearing threshold shift. Three additional risk factors were: exposure to organic solvents, smoking and elevated blood pressure.

The data on exposure and health status of employees were collected in 24 factories. The study group comprised of 3741 noise male exposed workers of: mean age 39±8 years, mean tenure 16±7 years and LEX,8h = 86 ± 5 dB. For each subject, hearing level was measured with pure tone audiometry, blood pressure and noise exposure were assessed from the records of local occupational health care and obligatory noise measurements performed by employers. Smoking and solvent exposure were assessed with questionnaire. The study group was divided into subgroups with respect to the considered risk factors. In the analysis, the distribution of hearing level of each subgroup was compared to the predicted one which the standard calculation method described in ISO 1999:1990. For each of the considered risk factors, the difference between measured and calculated hearing level distribution was used to establish, by the least square method, a noise dose related correction square function for the standard method. The considered risk factors: solvent exposure, smoking and elevated blood pressure combined with noise exposure, may increase degree of hearing loss.

Open access

Małgorzata Pawlaczyk-Łuszczyńska, Kamil Zaborowski, Małgorzata Zamojska-Daniszewska, Paulina Rutkowska-Kaczmarek, Adam Dudarewicz and Mariola Śliwinska-Kowalska

Abstract

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 otoacoustic 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 be- tween 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.

Open access

Adam Dudarewicz, Kamil Zaborowski, Paulina Rutkowska-Kaczmarek, Małgorzata Zamojska-Daniszewska, Mariola Śliwińska-Kowalska, Ewa Zamysłowska-Szmytke and Małgorzata Pawlaczyk-Łuszczyńska

Abstract

The aim of the study was to assess the hearing threshold levels (HTLs) in employees exposed to noise generated by low-frequency ultrasonic technological equipment in comparison with the HTLs of workers exposed to audible noise at the similar A-weighted equivalent-continuous sound pressure level. The study includes measurements of ultrasonic and audible noise at workplaces and hearing tests, i.e. conventional pure-tone audiometry and extended high-frequency audiometry. The study group comprised 90 workers, aged 41.4±10.0 years (mean±SD), exposed for 17.3±9.8 years to noise generated by ultrasonic devices at mean daily noise exposure level (‹LEX,8h›) of 80.6±2.9 dB. The reference group consists of 156 subjects, exposed to industrial noise (without ultrasonic components) at similar A-weighted equivalent-continuous sound pressure level (‹LEX,8h› = 81.8±2.7 dB), adjusted according to age (39.8±7.7 years), gender and job seniority (14.0±7.0 years). This group was selected from database collected in the Nofer Institute of Occupational Medicine. Audiometric hearing threshold levels in the frequency range of 0.5-6 kHz were similar in both groups, but in the frequency range of 8-12.5 kHz they were higher in the group of employees exposed to ultrasonic noise. The findings suggest that differences in the hearing threshold (at high frequencies) in analyzed groups may be due to differences in spectral composition of noise and show the need to continue the undertaken studies.