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Objective: The present study evaluates a training program for fitting different hearing protection devices (HPDs) based on personal attenuation rating (PAR) before, immediately after, and six months after training., Methods: A total of 67 workers from a public university in the city of São Paulo, Brazil, were invited to participate in the measurement of PARs for foam and silicone protectors through the 3M™ E-A-Rfit Validation System. Two evaluations were performed for each protector at each sampling date: one after reading printed material (the package instructions) and another after being trained by an audiologist. The same procedures were repeated after six months. The final sample consisted of 30 individuals. ANOVA was used for statistical analysis., Results: Larger PAR values ​​were observed after training by the audiologist, and smaller values ​​were observed after six months. Then, after re-training, the values increased again. There were no statistically significant differences in PAR among the HPDs tested. Even after the two training sessions, 23 to 27% of the subjects did not obtain adequate PAR values., Conclusion: These findings emphasize the need for continual worker training in the correct fit of earplug HPDs and the importance of longitudinal PAR monitoring. In addition, some workers, despite the training provided, did not adapt to the HPDs used. Therefore, it is essential that other protection methods and/or other HPD types are made available to these individuals.

Purpose: To determine the field efficacy of an earmuff used by the employees of a private company., Methods: Measurements were performed using a double-channel noise dosimeter. Noise levels collected in one-third-octave bands were corrected with the frequency response for diffuse sound field and attenuation was compared with values provided by the manufacturer of the hearing protection device (HPD)., Results: Comparisons between the corrected noise reduction and the attenuation provided by the manufacturer of the HPD show no statistically significant differences in attenuation for most frequency bands, with higher mean values for the observed corrected noise reduction. However, despite the fact that the field attenuation values are above those obtained in the laboratory, when individual attenuation values were compared with expected attenuation values it was found that the employees have below-expected noise attenuation in all frequency bands., Conclusions: The fact that over 60% of the employees had frequency band attenuations below that expected for most frequency bands underscores the need for individual assessment of attenuation provided by the HPD in the workplace, to assess whether the HPD is functional and what provisions should be implemented in a specific workplace.

In the present study, we evaluated peripheral and central auditory pathways in professional musicians (with and without hearing loss) compared to non-musicians. The goal was to verify if music exposure could affect auditory pathways as a whole. This is a prospective study that compared the results obtained between three groups (musicians with and without hearing loss and non-musicians). Thirty-two male individuals participated and they were assessed by: Immittance measurements, pure-tone air conduction thresholds at all frequencies from 0.25 to 20 kHz, Transient Evoked Otoacoustic Emissions, Auditory Brainstem Response (ABR), and Cognitive Potential. The musicians showed worse hearing thresholds in both conventional and high frequency audiometry when compared to the non-musicians; the mean amplitude of Transient Evoked Otoacoustic Emissions was smaller in the musicians group, but the mean latencies of Auditory Brainstem Response and Cognitive Potential were diminished in the musicians when compared to the non-musicians. Our findings suggest that the population of musicians is at risk for developing music-induced hearing loss. However, the electrophysiological evaluation showed that latency waves of ABR and P300 were diminished in musicians, which may suggest that the auditory training to which these musicians are exposed acts as a facilitator of the acoustic signal transmission to the cortex.