Search

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The purpose of this study was to estimate the prevalence of occupational noise exposure and risk factors of occupational noise-induced hearing loss (NIHL) in Hispanic/Latino adults included in the baseline wave of the Hispanic Community Health Study/Study of Latinos collected from 2008 to 2011. Sequential multiple linear regression modeled the relationship between occupational NIHL (defined as a 3-, 4-, 6-kHz pure-tone average [PTA]) and occupation type, self-reported noise exposure, cardiovascular disease (CVD) risk score, and hearing protective device (HPD) use. The final model controlled for sex, age, and recreational noise exposure. Among 12,851 included participants, approximately 40% (n = 5036) reported occupational noise exposure "Sometimes" (up to 50% of the time) or "Frequently" (75–100% of the time). In the final fitted model, longest-held occupation and CVD risk were associated with poorer hearing. Specifically, those in non-skilled, service, skilled, and military/police/other job categories had between 2.07- and 3.29-dB worse PTA than professional/office workers. Additionally, a shift in the CVD risk score category from low to medium was associated with a 2.25- and 8.20-dB worse PTA for medium and high CVD risk, respectively. Age and sex were also significantly associated with poorer hearing, such that men presented with 6.08 dB worse PTA than women, and for every one-year increase in age, PTA increased by 0.62 dB (ps <.001). No interactions were seen between noise*sometimes or frequent exposure to other ototoxic agents and PTA (ps =.33 &.92, respectively). The prevalence of occupational noise exposure was high in this cross-sectional investigation of adults from Hispanic/Latino backgrounds. Findings contribute to the extant literature by demonstrating that risk factors for occupational NIHL in adults from varying Hispanic/Latino backgrounds are consistent with those of other previously studied groups. [ABSTRACT FROM AUTHOR]

Background: Noise-Induced Hearing Loss (NIHL) is a prevalent occupational hazard among healthcare professionals, including medical students. Despite its detrimental effects, the awareness and utilization of hearing protection measures among medical students in Saudi Arabia remain understudied. Objective: Is to determine the level of awareness and understanding of NIHL among medical students in Saudi Arabia, as well as their knowledge and usage of hearing protection measures and to identify potential barriers and facilitators for hearing protection utilization. Methods: A mixed-methods approach was employed, involving a questionnaire survey and semi-structured interviews. The survey collected data on demographics, knowledge of NIHL, and hearing protection practices among medical students. Subsequently, a semi-structured interview was conducted to obtain in-depth insights into the students' experiences, attitudes, and beliefs regarding NIHL and the use of hearing protection. Results: The level about NIHL was 59.32%. Better access to information is associated with increased odds of awareness (odds ratio=3.07, p=0.012). Having relatives with hearing loss increases the odds of awareness (odds ratio =2.49, p=0.034). Individuals with hearing loss or impairment have higher odds of awareness (odds ratio =2.27, p=0.046). Ear Pain, temporary hearing loss, tinnitus, or ringing in the ear: These factors are not significantly associated with awareness of noise-induced hearing loss (p>0.05). Using hearing aids is strongly associated with increased odds of awareness (odds ratio =3.94, p=0.006). The quantitative analysis provided statistical information on the prevalence rates and factors influencing hearing protection usage, while the qualitative analysis uncover nuanced perspectives and experiences. Conclusion: This research will contribute to the understanding of NIHL and hearing protection practices among medical students in Saudi Arabia. Improving hearing protection awareness and practices among medical students can ultimately reduce the incidence of NIHL and promote a healthier work environment within the healthcare sector. [ABSTRACT FROM AUTHOR]

Background The objective of the online survey was to determine worker attitudes towards, perceptions on hearing loss, and management of workplace noise; and to identify barriers within current strategies that prevent effective management of hearing health in Australian mines. Design This cross-sectional study utilized a modified survey design, initially designed for use by Safe Work Australia for a broader study published in 2010. Study Sample The survey questionnaire was made available online to volunteer participants, recruited with the assistance of State and National Health and Safety, and mining organizations. Volunteer participants were required to be proficient in English, be employed by an Australian underground or open cut mine, including coal processing plants; or work as a contractor on one of the specified mine sites. All mining employees, regardless of occupation, job title, and occupational hearing loss classification or status, were invited to complete the questionnaire. Results Almost 60% of respondents indicated that they had high noise exposure for than 10 yr or more, and have some trouble hearing, mostly associated with infrequent tinnitus. Nearly 71% of these workers believe that the noise control strategies in their workplaces are effective, but this mostly refers to the use of hearing protection devices. Conclusion The results indicate that general knowledge on the cause and effect of noise exposure in the workplace is well understood. However, due to the long latency associated with the development of noise-induced hearing loss (NIHL), there is an issue urgency in terms of risk management. It is surprising that most of the respondents recommended more inspections and administrative controls, especially since most respondents were health, safety, and environment (HSE) professionals. HSE professionals should be advocating for higher order, more permanent solutions, and not purely administrative controls and personal protective equipment. These findings raise the question of whether there is a multifaceted working-culture issue that needs to be addressed, in combination with higher order control implementation. [ABSTRACT FROM AUTHOR]

The objective of this study is (1) to assess whether the presentation level of the antiphasic digits-in-noise (DIN) test affects the speech recognition threshold (SRT), (2) to evaluate how accurately simulated unilateral and bilateral conductive hearing loss is detected (CHL) and (3) to determine whether increasing the presentation level normalises the antiphasic DIN SRT. Participants performed antiphasic and diotic DINs at different presentation levels with unilateral, bilateral or no earplugs. Twenty-four and twelve normal hearing adults. Without earplugs, antiphasic DIN SRTs did not differ between 60 and 80 dB SPL. At 60 dB SPL, the antiphasic DIN correctly classified 92% of the unilateral earplug cases; the diotic DIN 25%. The binaural intelligibility level difference did not differ between the no-earplug condition and the condition with bilateral earplugs when the presentation was increased with the attenuation level. In normal hearing participants, diotic and antiphasic DIN SRTs are independent of presentation level above a minimum level of 60 dB SPL. The antiphasic DIN is more sensitive than the diotic DIN for detecting unilateral CHL; not for bilateral CHL. The effect of CHL on DIN SRTs can be largely compensated by increasing the presentation level. Audibility plays an important role in the antiphasic and diotic DIN. [ABSTRACT FROM AUTHOR]

Workers rely on hearing protection devices to prevent occupational noise-induced hearing loss. This study aimed to evaluate changes in attenuation over time for properly fit devices when worn by workers exposed to hazardous noise. Earplug fit testing was accomplished on 30 workers at a brewery facility with three types of foam and three types of premolded earplugs. The personal attenuation ratings (PARs) were measured before and after a 2-hour work period while exposed to hazardous noise levels. The minimum acceptable initial PAR was 15 dB. Average decreases in PAR ranged from −0.7 to −2.6 dB across all six earplug types. Significant changes in PAR were observed for the Foam-1 (p = 0.009) and Premold-3 (p = 0.004) earplugs. A linear mixed regression model using HPD type and study year as fixed effects and subject as random effect was not significant for either fixed effect (α = 0.05). Ninety-five percent of the final PAR measurements maintained the target attenuation of 15 dB. Properly fitting earplugs can be effective at reducing worker's noise exposures over time. The potential for a decrease in attenuation during the work shift should be considered when training workers and establishing the adequacy of protection from hazardous noise exposures. [ABSTRACT FROM AUTHOR]

The National Institute for Occupational Safety and Health (NIOSH) evaluated continuous and impact noise exposures and hearing loss among workers at a hammer forge company. Full-shift personal noise exposure measurements were collected on forge workers across 15 different job titles; impact noise characteristics and one-third octave band noise levels were assessed at the forge hammers; and 4,750 historic audiometric test records for 483 workers were evaluated for hearing loss trends. Nearly all workers' noise exposures exceeded regulatory and/or recommended exposure limits. Workers working in jobs at or near the hammers had full-shift time-weighted average noise exposures above 100 decibels, A-weighted. Impact noise at the hammers reached up to 148 decibels. Analysis of audiometric test records showed that 82% of workers had experienced a significant threshold shift, as defined by NIOSH, and 63% had experienced a standard threshold shift, as defined by the Occupational Safety and Health Administration (OSHA). All workers with an OSHA standard threshold shift had a preceding NIOSH significant threshold shift which occurred, on average, about 7 years prior. This evaluation highlights forge workers' exposures to high levels of noise, including impact noise, and how their hearing worsened with age and length of employment. [ABSTRACT FROM AUTHOR]

For more than 50 years, the National Institute for Occupational Safety and Health (NIOSH), part of the United States (U.S.) Centers for Disease Control and Prevention (CDC), has been actively working to reduce the effects of noise and ototoxic chemicals on worker hearing. NIOSH has pioneered basic and applied research on occupational hearing risks and preventive measures. The Institute has issued recommendations and promoted effective interventions through mechanisms ranging from formal criteria documents to blogs and social media. NIOSH has conducted surveillance and published statistics to guide policy and target prevention efforts. Over the past five decades, substantial progress has been made in raising awareness of noise as a hazard, reducing the risk of occupational hearing loss, improving the use of hearing protection, and advancing measurement and control technologies. Nevertheless, noise remains a prevalent workplace hazard and occupational hearing loss is still one of the most common work-related conditions. NIOSH continues to work toward preventing the effects of noise and ototoxicants at work and has many resources to assist audiologists in their hearing loss prevention efforts. [ABSTRACT FROM AUTHOR]

Noise-induced hearing loss (NIHL) continues to be a pervasive problem for the nation's workforce, particularly the nation's mining personnel. As one of the leading health and safety organizations in the world, the National Institute for Occupational Health and Safety (NIOSH) in Pittsburgh maintains a Hearing Loss Prevention Program (HLPP) to conduct research to reduce NIHL loss among the nation's miners. This document provides a brief overview of this HLPP, describing some of the research techniques involved in the development of engineering noise controls, methods for the development of administrative noise controls, and some of the products available to the public to protect the nation's workers hearing. [ABSTRACT FROM AUTHOR]

Objectives: To estimate the prevalence of tinnitus and hyperacusis in children aged 9–12 years in Flanders, as well as to explore the associations with hearing abilities and listening behaviours. Design: A cross-sectional survey was undertaken in four different Flemish schools. The questionnaire was distributed among 415 children, with a response rate of 97.3%. Results: The prevalence of permanent tinnitus was 10.5% and of hyperacusis was 3.3%. The hyperacusis prevalence was higher in girls (p <.05). Some children reported effects of tinnitus in terms of anxiety (20.1%), sleep (36.5%), and concentration (24.8%). When listening to personal listening devices, 33.5% of the children reported to listen for at least 1 h at 60% or higher of the volume range. Moreover, 54.9% of children stated to never wear hearing protection. Conclusions: Tinnitus and hyperacusis are prevalent in children aged 9–12 years. Some of these children might be overlooked and, as such, not receiving the required follow-up or counselling. Development of guidelines for the assessment of these auditory symptoms in children would help to determine the prevalence numbers with greater accuracy. Sensibility campaigns for safe listening are warranted, as more than half of the children never use hearing protection. [ABSTRACT FROM AUTHOR]

Background: Post-lingual deafness represents a critical challenge for adults' well-being with substantial public health burdens. One treatment of choice has been cochlear implants (CI) for people with severe to profound hearing loss (HL). Since 2018, Chile has implemented a high-cost policy to cover CI treatment, the "Ley Ricarte Soto" (LRS) health policy. However, wide variability exists in the use of this device. To date, no related study has been published on policy evaluation in Chile or other Latin American countries. Objectives: This study aimed to evaluate the impact of the LRS policy on the treatment success and labour market inclusion among deaf or hard of hearing (DHH) adults using CI. We examined and characterised outcomes based on self-reports about treatment success and occupation status between 2018 and 2020. Design: We performed a prospective study using hospital clinical records and an online questionnaire with 76 DHH adults aged >15 who had received CIs since the introduction of the LRS policy in 2018. Using univariate and multivariate regression models, we investigated the relationship between demographic, audiological, and social determinants of health and outcomes, including treatment success for social inclusion (International Outcome inventory for Hearing Aids and CIs assessment: IOI-HA) and occupation status for labour market inclusion. Results: Our study showed elevated levels of treatment success in most of the seven sub-scores of the IOI-HA assessment. Similarly, around 70% of participants maintained or improved their occupations after receiving their CI. We found a significant positive association between treatment success and market inclusion. Participants diagnosed at younger ages had better results than older participants in both outcomes. Regarding social determinants of health, findings suggested participants with high social health insurance and a shorter commute time to the clinic had better results in treatment success. For labour market inclusion, participants with high education levels and better pre- CI occupation had better post-CI occupation status. Conclusions: In evaluating the LRS policy for providing CIs for DHH adults in Chile, we found positive effects relating to treatment success and occupation status. Our study supports the importance of age at diagnosis and social determinants of health, which should be assessed by integrating public services and bringing them geographically closer to each beneficiary. Although evidence-based guidelines for candidate selection given by the LRS policy might contribute to good results, these guidelines could limit the policy access to people who do not meet the requirements of the guidelines due to social inequalities. [ABSTRACT FROM AUTHOR]

The risk of explosion due to gas leakages and its human, environmental and economic losses in accident scenarios constitute serious safety hazards in industries. Fast location of leak sources enables quick corrective maintenance, avoiding the most hazardous cases. In the present study, gated recurrent units were developed to identify CH 4 leaks in a chemical process module. The training and test databases were obtained through 3D-CFD simulations for four leaks and a non-leakage scenario. The inputs utilised were the concentration profiles at eleven sensors for four leak sources, four wind speeds, and eight wind directions using different temporal lengths. Additionally, noise was added to the database to assess the performance in more realistic cases. The findings indicated better performance with higher values of input time-steps, and accuracy over 93.9% for unseen data, indicating good generalisation of the models and their potential of predicting the leaks applying easily acquired inputs. [ABSTRACT FROM AUTHOR]

The article presents a study on the effects of background noise and hearing attenuation due to earplugs during interactive communication in older people. Among the metrics measured in the research are heart rate variability, skin conductance, and pupil size. Based on the results, there are potential markers of communication difficulty like pupillometry and electrodermal measures.

Objectives: Hearing protection devices (HPDs) can effectively prevent hearing loss. However, they are not widely used by farmers. This study assessed factors influencing farmers' perceptions about hearing protection and evaluated if a point source hearing protection intervention changed these perceptions over time. Methods: Intervention farmers (n=53) received education and the point source intervention (storing HPDs near major noise sources). Control farmers (n=36) received education only. Annually, for nearly four years, farmers from both groups were asked to complete a questionnaire about their perceptions of hearing protection. Results: During the multi-year study, both intervention and control farmers' perceptions about hearing protection improved. Perceptions about barriers related to comfort were better for intervention farms (p=0.007) and for farmers that participated in the study longer (p<0.001). Perceptions about self-efficacy were also better for intervention farms (p=0.001) and for farmers that participated in the study longer (p< 0.001). Age was associated with better perceptions about the benefits of hearing protection (p=0.011). Perceptions about communication barriers improvedfor all farmers as the study advanced (p=0.002) and for farmers that were older (p=0.006). Conclusion: Intervention and control groups improved their perceptions of hearing protection over time. The point source intervention contributed to the effect of education on farmers' perceptions of comfort and self-efficacy but not to perceptions related to communication barriers or the benefits of hearing protection. [ABSTRACT FROM AUTHOR]

Navy officers working on the coastal guard vessels risk hearing loss due to repeated exposure to high noise levels from ship engines. Therefore, proper use of hearing protection devices is important. In this study, a web-based hearing loss prevention program was developed to promote the behavior of the use of hearing protection devices among Thai navy officers working on coastal guard vessels. In total, 152 navy personnel were recruited based on selection criteria and randomly assigned to the experimental (n = 76) and control groups (n = 76). The participants in the experimental group received the hearing loss prevention program via a website over four weeks. After completing the program, hearing protection device behavior was evaluated by a self-report questionnaire immediately after and at eight weeks follow-up. The results showed significantly increasing scores of the use of hearing protection devices behavior within the experimental group, both immediately and eight weeks after the program completion. However, there were no significant differences in the scores when comparing between groups, even though the scores of the experimental group were better than those in the control group. The restrictions could be explained by some emerging events during the implementation period, including the COVID-19 pandemic followed by a massive oil spill incident at sea. These put an extra workload on the study participants. Most importantly, there was a problem with the network connection that might have affected the continuation of participant attention to the program. Although this study found no effective results of the developed program due to some limitations, nurses can adopt this protective intervention to reduce the risk of occupational noise-induced hearing loss among Navy officers. Therefore, a recommendation for further study is to develop an intervention program that considers both the working context of the coastal vessels and appropriate participation methods that require more challenging efforts. [ABSTRACT FROM AUTHOR]

The importance of monitoring earthquakes for disaster management, public safety, and scientific research can hardly be overstated. The emergence of low-cost seismic sensors offers potential for widespread deployment due to their affordability. Nevertheless, vehicular noise in low-cost seismic sensors presents as a significant challenge in urban environments where such sensors are often deployed. In order to address these challenges, this work proposes the use of an amalgamated deep neural network constituent of a DNN trained on earthquake signals from professional sensory equipment as well as a DNN trained on vehicular signals from low-cost sensors for the purpose of earthquake identification in signals from low-cost sensors contaminated with vehicular noise. To this end, we present low-cost seismic sensory equipment and three discrete datasets that—when the proposed methodology is applied—are shown to significantly outperform a generic stochastic differential model in terms of effectiveness and efficiency. [ABSTRACT FROM AUTHOR]

Objective To investigate the effects of the Silent Laboratory Optimization System (SLOS), a technical-noise reduction and communication-management system, on noise load and stress among medical-laboratory workers. Methods We conducted a quasiexperimental field study (20 days with SLOS as the experimental condition, and 20 days without SLOS as the control condition) in a within-subjects design. Survey data from 13 workers were collected before and after the shift. Also, a survey was conducted after the control and experimental conditions, respectively. Noise was measured in dBA and as a subjective assessment. Stress was operationalized via a stress composite score (STAI and Perkhofer Stress Scale), the Perceived Stress Scale (PSS), an exhaustion score (Leipziger StimmungsBogen in German [LSB]), and salivary cortisol values in µg/L. Results SLOS users perceived significantly less noise (V  = 76.5; P =.003). Multilevel models revealed a stress reduction with the SLOS on the composite score, compared with a stress increase in the control condition (F [1, 506.99] = 6.00; P  = .01). A lower PSS score (F [1,13] = 4.67; P  = .05) and a lower exhaustion level (F [1, 508.72] = 9.057; P  = .003) in the experimental condition were found, whereas no differences in cortisol (F [1,812.58.6] = 0.093; P  = .76) were revealed. Conclusion The workers showed reduced noise perception and stress across all criteria except cortisol when using SLOS. [ABSTRACT FROM AUTHOR]

Background: Delirium, which is frequently encountered in intensive care patients, can be prevented with multicomponent nursing interventions, and thus the negative consequences can be reduced. Aim: To examine the effect of using eye masks and earplugs in preventing delirium in intensive care units (ICUs). Study Design: A randomized, controlled, single‐blind intervention study. This study was conducted in the medical and surgical ICUs of a tertiary hospital, and nurses were given pre‐study training on delirium risks, diagnosis, prevention, and management. Data were collected using the patient information form, the Nursing Delirium Screening Scale, the Richard–Campbell Sleep Scale, and the daily follow‐up form. Various environmental modifications were made in the ICUs for all patients, and evidence‐based nonpharmacological nursing interventions were applied to the patients in both groups during the day and night shifts for 3 days. In addition, the patients in the intervention group were provided with eye masks and earplugs for three nights. Results: The study included a total of 60 patients (30 in the intervention group and 30 in the control group). There was a statistically significant difference in the development of delirium between the intervention and control groups (night of the 2nd day, p =.019; day of the 3rd day p <.001; night of the 3rd day p ≤.001). The average total sleep quality score of the intervention group was found to be significantly higher than the control group (p ≤.001 for three nights). Staying in the internal medicine ICU affected (odds ratio [OR], 11.84; 95% confidence interval [CI], 3.00–46.66; p =.017) more on the development of delirium than in coronary ICU, being in the age group of 65 and over, having a hearing impairment, coming to ICU from the operating room, and education level had an effect. Conclusions: The earplugs and eye masks used by the intensive care patients overnight were found to be effective in increasing sleep quality and preventing delirium. Relevance to Clinical Practice: The use of eye masks and earplugs is recommended for ICUs in preventing delirium. [ABSTRACT FROM AUTHOR]

Background and Objective: Noise is the most common harmful physical agent in the world in which causes many physical and mental disorders in workplaces. In noise management programs, along with the engineering control methods, using a comprehensive education program is very important. The aim of this study is to determine the effect of theory-based training on the rate of using hearing protection devices in workers of textile industry in Rasht industrial towns in 2019. Materials and Methods: This study was a randomized descriptive and cross sectional controlled trial performed in two textile industries for 96 workers in Rasht 2019. Randomized sampling method was done for selection of two textile factories among 10 and assigned as experimental (48 workers) and control groups (48 workers) with noise exposure level higher than 85 dB were selected. Data collection tools included demographic and self-administered questionnaire and Theory of Planned Behavior constructs. The intervention program consisted of 4 group training sessions with an educational booklet and a pamphlet. Validity of the questionnaire through content test t and its reliability Obtained by Cronbach's alpha test. Data were analyzed in SPSS20 software using descriptive and analytical tests. Results: After the educational intervention, the average attitude structures from 2.08 to 3.38, Abstract norms from 2.05 to 3.32, perception of Perceived Behavioral Control from 3.20 to 4.63, behavioral intention from 1.38 to 3.12 and performance from 1.02 to2.74 increase Found p<0/001. Conclusion: Results showed that an improvement of hearing protection usage due to educational intervention based on the Theory of Planned Behavior. Thus, the Theory of Planned Behavior can be used as a theoretical framework for the design and implementation of noise management program in industries. [ABSTRACT FROM AUTHOR]

Fibrosis is a pathological change with abnormal tissue regeneration due to a response to persistent injury, which is extensively related to organ damage and failure, leading to high morbidity and mortality worldwide. Although the pathogenesis of fibrosis has been comprehensively elucidated, there are few effective therapies for treating fibrotic diseases. Natural products are increasingly regarded as an effective strategy for fibrosis with numerous favorable functions. Hydrolysable tannins (HT) are a type of natural products that have the potential to treat the fibrotic disease. In this review, we describe some biological activities and the therapeutic prospects of HT in organ fibrosis. Furthermore, the underlying mechanisms of inhibition of HT on fibrotic organs in relation to inflammation, oxidative stress, epithelial–mesenchymal transition, fibroblast activation and proliferation, and extracellular matrix accumulation are discussed. Understanding the mechanism of HT against fibrotic diseases will provide a new strategy for the prevention and attenuation of fibrosis progression. [ABSTRACT FROM AUTHOR]

With versatility and complexity of computer systems, warning and errors are inevitable. To effectively monitor system's status, system logs are critical. To detect anomalies in system logs, deep learning is a promising way to go. However, abnormal system logs in the real world are often difficult to collect, and effectively and accurately categorize the logs is an even time-consuming project. Thus, the data incompleteness is not conducive to the deep learning for this practical application. In this paper, we put forward a novel semi-supervised dual branch model that alleviate the need for large scale labeled logs for training a deep system log anomaly detector. Specifically, our model consists of two homogeneous networks that share the same parameters, one is called weak augmented teacher model and the other is termed as strong augmented student model. In the teacher model, the log features are augmented with small Gaussian noise, while in the student model, the strong augmentation is injected to force the model to learn a more robust feature representation with the guidance of teacher model provided soft labels. Furthermore, to further utilize unlabeled samples effectively, we propose a flexible label screening strategy that takes into account the confidence and stability of pseudo-labels. Experimental results show favorable effect of our model on prevalent HDFS and Hadoop Application datasets. Precisely, with only 30% training data labeled, our model can achieve the comparable results as the fully supervised version. [ABSTRACT FROM AUTHOR]

An apparent disconnect exist in workplaces regarding identification of occupational hearing loss (OHL) and implementation of specific strategies to prevent progression of OHL, evident through continued high incidence of OHL. This scoping review aimed to identify evidence regarding targeted intervention used by industry, specifically to prevent the progression of OHL for workers. The scoping review was undertaken using the PRISMA-ScR methodology. Search terms were based on three broad categories, hearing loss, workplace, and intervention. Initially 1309 articles were identified for screening and 1,207 studies not meeting the criteria were excluded. Full text reviews of 102 articles were completed and a further 93 studies excluded. The scoping review produced nine studies which were quantitatively analysed. All interventions focused primarily on lower order controls, specifically administrative and personal protective equipment. Eight studies focused on awareness training, health monitoring, mandating hearing protection device use and fit testing, and using personal attenuation ratings as a predictor to OHL. Only one study mentioned isolation of workers from noise sources, and this was an interview study with workplace managers, not a specific intervention at a workplace. The result of the review highlights the lack of published literature on targeted interventions for workers with OHL. There is insufficient evidence to inform effective, impactful change in practice to prevent the progression of OHL. It is recommended that a system of collecting and assessing specific interventions and controls for workers with OHL be developed to better inform industry on strategies that will provide adequate protection for these workers. [ABSTRACT FROM AUTHOR]

Plants are continuously exposed to combinations of abiotic and biotic stressors. While much is known about responses to individual stressors, understanding of plant responses to combinations of stressors is limited. The effects of combined exposure to drought and UV radiation are particularly relevant in the context of climate change. In this study it was explored whether UV-exposure can be used as a tool to prime stress-resistance in plants grown under highly protected culture conditions. It was hypothesised that priming mint plantlets (Mentha spicata L.) with a low-dose of UV irradiance can alleviate the drought effect caused by a change in humidity upon transplanting. Plants were grown for 30 days on agar in sealed tissue culture containers. During this period, plants were exposed to ~ 0.22 W m−2 UV-B for 8 days, using either UV-blocking or UV- transmitting filters. Plants were then transplanted to soil and monitored for a further 7 days. It was found that non-UV exposed mint plants developed necrotic spots on leaves, following transfer to soil, but this was not the case for plants primed with UV. Results showed that UV induced stress resistance is associated with an increase in antioxidant capacity, as well as a decrease in leaf area. UV-induced stress resistance can be beneficial in a horticultural setting, where priming plants with UV-B can be used as a tool in the production of commercial crops. [ABSTRACT FROM AUTHOR]

A rocket's turbulent jet radiates intense acoustic waves, which are an acoustic load for structural components like payload, launch structure, and rocket avionics, and impact communities near the launch site. Therefore, a careful characterization of the acoustic field produced by a rocket engine can provide crucial information during the design phase. In particular, this deals with improving the understanding of the acoustics of low-thrust hybrid rocket engines. Since an accurate jet noise detection around the entire launch site is time-consuming and extremely cost-prohibitive, a fast and reliable predictive tool is invaluable. For this purpose, a semi-empirical model was employed, using the exhaust plume property and geometric characteristics of the nozzle as input. Experimental data collected during a firing test campaign, conducted in the framework of HYPROB-NEW project by the Italian Aerospace Research Center, were decisive to discuss the validity of the model also for low-thrust hybrid propulsion and support the goodness of the noise curves and metrics estimated for nearby regions and provide considerations about the implications of engine geometric characteristics on noise emissions. [ABSTRACT FROM AUTHOR]

Active bone-conducting hearing devices (aBCHD; e.g., MEDEL Bonebridge® (BB)) and active middle ear implants (aMEI; e.g., MEDEL Vibrant Soundbridge® (VSB)) use radio frequency transmission to send information from an external microphone and sound processor to an internally implanted transducer. These devices potentially have an advantage over devices with percutaneous links because the skin is closed over the implantable components, which should reduce the risk of skin problems and infection. On the other hand, surgical procedures are more complex, with a greater risk of damage due to surgery. The objectives of this research were to quantify the reliability and long-term survival of MEDEL VSB and BB devices, determine the adverse and serious adverse device-related complications, and consider associated causes. A multi-center observational retrospective and prospective study was conducted at eleven auditory implant centers in the United Kingdom. Data was collected using a surgical questionnaire and audiological reports. Data were obtained from patient notes or from prospective cases that had a minimum follow-up of one year post-implant. Consecutive patient records were reviewed. Datasets from 109 BB and 163 VSB were reviewed. Of these, 205 were retrospective case note reviews, and 67 were prospective cases. The mean follow-up was 4 and 6 years, respectively, for BB and VSB. Kaplan–Meier Survival analyses indicated that the BB survival was 97% and 93.3% at 1 and 5 years, respectively, and the VSB was 92.1% and 87% at the same time points. This is a large cohort study for the field and has indicated that BB and VSB are safe interventions. Care should be taken to monitor magnet strength in the first few months. For the majority of device-related effects, there was no apparent association with etiology. However, an interesting pattern emerged for individuals who exhibited an inflammatory response, e.g., adhesions or device extrusion, and those with a history of chronic suppurative otitis media. This should be considered in future work and is not surprising given that many VSB recipients have a complicated hearing history, often associated with otitis media. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic has had a profound impact on the mental health of individuals across various populations. People with disabilities (PWDs) are particularly vulnerable to these effects, yet there is a lack of studies investigating the mental health of PWDs in Bangladesh. This study aims to investigate the prevalence of and factors associated with depression, anxiety, and stress among PWDs during the COVID-19 pandemic in Bangladesh. Methods: Data was collected through interviews with 391 PWDs between December 2020 and February 2021. Demographic information, clinical characteristics, and scores from the Depression, Anxiety, and Stress Scale (DASS-21) were obtained. Chi-square tests and logistic regression analyses were conducted to examine the relationship between psychological measures and potential risk factors. Results: The prevalence was found to be 65.7% for depression, 78.5% for anxiety, and 61.4% for stress, respectively. Several factors were identified as associated with these mental health issues, including gender (male), marital status (being married), low education levels, multiple impairments, comorbid medical illnesses, poor sleep quality, rural residency, hearing disability, disability onset later in life, and testing positive for COVID-19. Conclusions: The prevalence was found to be 65.7% for depression, 78.5% for anxiety, and 61.4% for stress, respectively. Several factors were identified as associated with these mental health issues, including gender (male), marital status (being married), low education levels, multiple impairments, comorbid medical illnesses, poor sleep quality, rural residency, hearing disability, disability onset later in life, and testing positive for COVID-19. [ABSTRACT FROM AUTHOR]

Scientific studies indicate that it is common for musicians and their supporting staff to be exposed to intense Sound Pressure Levels (SPL) which can cause several types of hearing disorders which can be career ending injuries. Hearing preservation begins with the awareness of the musician. The main objective of this article concerns what can be done to prevent hearing disorders in musicians, caused by high sound pressure levels in their work, study or leisure environments, since there are no risk criteria validated for this population. Focusing on evidence-based clinical practice, this article will address: 1. The physiology of human hearing and its functioning; 2. Consequences of overexposure to sound; 3. Sound exposure limits to minimize the risk of hearing loss; 4. Specific audiological assessment for musicians; 5. Technologies and strategies to prevent hearing loss in musicians; 6. Hearing loss and tinnitus prevention programs targeting musicians. [ABSTRACT FROM AUTHOR]

The middle ear muscles have vital roles, yet their precise function in hearing and protection remains unclear. To better understand the function of these muscles in humans, the morphology, fiber composition, and metabolic properties of nine tensor tympani and eight stapedius muscles were analyzed with immunohistochemical, enzyme‐histochemical, biochemical, and morphometric techniques. Human orofacial, jaw, extraocular, and limb muscles were used as references. The immunohistochemical analysis showed that the stapedius and tensor tympani muscles were markedly dominated by fibers expressing fast contracting myosin heavy chain MyHC‐2A and MyHC‐2X (79 ± 6% vs. 86 ± 9%, respectively, p = 0.04). In fact, the middle ear muscles had one of the highest proportions of MyHC‐2 fibers ever reported for human muscles. Interestingly, the biochemical analysis revealed a MyHC isoform of unknown identity in both the stapedius and tensor tympani muscles. Muscle fibers containing two or more MyHC isoforms were relatively frequently observed in both muscles. A proportion of these hybrid fibers expressed a developmental MyHC isoform that is normally absent in adult human limb muscles. The middle ear muscles differed from orofacial, jaw, and limb muscles by having significantly smaller fibers (220 vs. 360 μm2, respectively) and significantly higher variability in fiber size, capillarization per fiber area, mitochondrial oxidative activity, and density of nerve fascicles. Muscle spindles were observed in the tensor tympani muscle but not in the stapedius muscle. We conclude that the middle ear muscles have a highly specialized muscle morphology, fiber composition, and metabolic properties that generally showed more similarities to orofacial than jaw and limb muscles. Although the muscle fiber characteristics in the tensor tympani and stapedius muscles suggest a capacity for fast, fine‐tuned, and sustainable contractions, their difference in proprioceptive control reflects different functions in hearing and protection of the inner ear. [ABSTRACT FROM AUTHOR]

Copyright of Safety & Security Sciences Review / Biztonságtudományi Szemle is the property of Obuda University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Mechanization of work processes in agro-based industries through the employment of improved tools and/or equipment powered by either fuel or diesel engines reduce tedium and drudgery on the workers as well as improve the overall productivity and production. However, it also leads to health threat to the workers through environmental noise pollution. This study assessed the occupational noise exposure of workers in three different palm oil mills. The noise level was measured using a noise metering device (model 1352) and noise descriptors (L10, L50, L90, Lav, LAeq, Total Sound Pressure Level (Tspl), DOSE (%) and TWA). The occupational health effects of noise exposure were deduced using a semi-structured questionnaire. The noise exposure was assessed during the palm nut digestion, and nut and pulp separation job operations as the noise emanates from the diesel powered engine, palm nut digester and nut and pulp separator. The average noise levels obtained from the palm oil mills during palm nut digestion, 99.36 (SD = 4.16) dBA and pulp separation, 98.18 (SD = 3.07) dBA, exceeded the recommended 85 dBA for an 8-hour exposure period permissible noise exposure limit standard by the NIOSH. The independent t-tests for noise level between off-working and working periods disclosed p < 0.05 -- significant noise exposure. The self-reported effect of the noise exposure level on the workers was interference with communication - 100%, tinnitus - 70%, ringing sensation - 76.75%, and noise stress - 73.30% of the workers. This research will inform the operators of the need for appropriate personal protective equipment usage and equip Government regulatory agencies to make appropriate regulations in order to protect oil mill workers. [ABSTRACT FROM AUTHOR]

This study aimed to analyze the characteristics and factors of worker behavior, including age, the use of ear protection, work duration, a history of diabetes mellitus or hypertension, work rotation, and noise hazards involved in hearing loss in PT. X at Soekarno-Hatta International Airport, Indonesia. A cross-sectional study from May 2017 to June 2017 involved 73 workers in the power service area (TZ Unit) exposed to noise levels <85 dBA and ≥85 dBA, using an audiometry test for hearing loss and Sound Level Meter for noise hazards was conducted. The Chi-square test showed a significant correlation between age (OR 8.4, 95% Cl = 1.6–44.1), work duration (OR 7.6, 95% Cl = 0.9–67.2), and the use of ear protection (OR 7.8, 95% Cl = 1.4–44.2) with hearing loss in workers in the power service area. The multivariate analysis revealed that workers exposed to a noise level of 85 dBA had a 1.7 times greater risk of hearing loss than workers exposed to a noise level of <85 dBA after controlling for age, work duration, use of ear protection, medical history, and work rotation. [ABSTRACT FROM AUTHOR]

Objective: Patients in the coronary intensive care unit most of them have sleep problems. Intensive care nurses should regularly review patients' sleep patterns and identify strategies that promote sleep. Intensive care nurses are in a unique position to provide direct support to cardiac patients regarding physiological and psycho-social risk factors. The aim of this study is to investigate the effect of eye mask application and anxiety reduction counseling on sleep quality and anxiety in the coronary intensive care unit. Materials and Methods: This is a single-center prospective randomized controlled clinical study. 50 patients in the intervention group were allowed to wear eye masks during sleep at night and counseling was provided to reduce their anxiety. 50 patients in the control group received routine cardiological treatment. Research data were evaluated with the Richards-Campbell Sleep Scale, the Hamilton Anxiety Rating Scale and the "Numeric Rating Scale". Data were analyzed using the statistical program SPSS (22.0). Results: Sleep quality score (intervention group: 316.40±148.42, control group: 291.80±149.29) differed between the groups, but it was not statistically significant (t=0.826, p=0.411). However, the difference between the anxiety scores (intervention group: 11.44±8.74, control group: 15.38±10.49) was statistically significant (t=-2.040, p=0.044). Conclusion: Eye mask application supported the sleep of the patients in the coronary intensive care unit and was recommended for patients who wanted to use an eye mask. Nurses were advised to answer and support their patients' questions through counseling. [ABSTRACT FROM AUTHOR]

In open-plan offices (OPO), workspaces without ground-to-ceiling dividers, noise is one of the most complained about aspects, causing physical and psychological impacts. With the increasing interest for a human-centric design, notably after the publication of ISO 22955, this review aims to identify the main noise sources in this office layout and the employees' perception of related health effects, evaluating the interventions proposed to overcome their impacts. Following the PRISMA guidelines, a review was conducted using the Scopus and PubMed databases, considering subjective questionnaires distributed in offices, which could include physical workspace assessment. It excluded studies limited to: (a) laboratory experiments; (b) isolated cognitive tests; (c) office layouts other than OPO; (d) systematic reviews; and (e) mathematical models. Sixty studies were identified and the screening process resulted in 11 selected for inclusion, which indicated irrelevant speech, chatting, and telephone ringing as the main noise sources causing productivity loss, stress, and low comfort rates due to distraction and lack of privacy. To overcome these impacts, researchers suggested the use of sound-absorbing surfaces, separated zones for different tasks and headphones, although their effectiveness relies on human behaviour and economic feasibility. Thus, the evidence indicates that noise is a recurrent issue in OPOs, it demonstrates the importance of appropriate acoustic performance of the workspace and the necessity of new studies regarding OPO workers' perception of noise and their health, particularly after the COVID-19 new safety guidelines. [ABSTRACT FROM AUTHOR]

Experience shows the occurrence of situations when the measurements of impulse noise parameters are made with measurement equipment unsuitable for such conditions. The results of using such equipment were compared with the results of using equipment with a sufficiently large upper limit of the measurement range. The analysis was carried out on the example of noise generated during shots from a Mossberg smooth-bore shotgun and AKM rifle, as well as produced in the forge. The use of the unsuitable equipment allowed to indicate the exceeding of the exposure limit value of the peak value of the signal (LCpeak), but this is not always possible when determining the energy properties of the signal (LEX,8h). While the inadequate properties of the measurement equipment will generally not prevent the conclusion that noise in a particular workplace is hazardous to hearing, the results of measurements cannot be used to select hearing protectors. [ABSTRACT FROM AUTHOR]

The purpose of this study was to clarify the appropriate use of a combination of pulse sequences and acoustic noise reduction technology in general-purpose brain magnetic resonance imaging. Five pulse sequences commonly used in brain magnetic resonance imaging examinations—turbo spin-echo T2-weighted imaging, T1-weighted fluid-attenuated inversion recovery, T2-weighted fluid-attenuated inversion recovery, diffusion-weighted imaging, and magnetic resonance angiography—were performed on healthy participants at three vendors where acoustic noise reduction technology was available. The results showed that acoustic noise reduction technology reduced sound pressure levels and altered image quality in all pulse sequences across all vendors' magnetic resonance imaging scanners. Although T2-weighted imaging and T1-weighted fluid-attenuated inversion recovery resulted in little image quality degradation, T2-weighted fluid-attenuated inversion recovery, diffusion-weighted imaging, and magnetic resonance angiography had significant image degradation. Therefore, acoustic noise reduction technology should be used with caution. [ABSTRACT FROM AUTHOR]

Objective: Noise-induced hearing loss is the most prevalent occupational disease worldwide and is historically associated with the Industrial Revolution. This study analyses early descriptions of this disorder during the pre-industrial period in the work of the Italian physician Bernardino Ramazzini (1633–1714). Method: Primary and secondary historical literature were reviewed. Results: Ramazzini described hearing loss in corn millers and in coppersmiths and recognised that this disorder is irreversible and progressive when exposure to noise continues. He also seemed to describe tinnitus. He further suggested the use of earplugs as a preventive measure for these classes of workers. Ramazzini's anatomical and pathological knowledge appears to be based on ancient authors; he did not discuss contemporaneous medical authors' work on hearing function. Conclusion: Despite some limitations, Ramazzini's work appears pioneering for his time and represents an important milestone in the history of otolaryngology. [ABSTRACT FROM AUTHOR]

The letter to the editor responds to comments made by Mr. Shkembi regarding the misclassification of noise exposure by workers, highlighting the importance of subjective worker ratings in occupational and environmental health and safety research. The authors acknowledge the value of Mr. Shkembi's study but emphasize the need for further research on this topic. They also discuss the use of qualitative data to guide decision-making in the absence of quantitative information, supporting the prioritization of worker assessments based on perceptions of noise exposure. [Extracted from the article]

The article discusses "The Action Level" program, a self-study and continuing education opportunity designed to expand knowledge in industrial hygiene and occupational safety, endorsed by professional certification boards. Topics include program structure and costs, quiz-based assessment for credits, and benefits of ACGIH membership.

The article discusses "The Action Level" program, a self-study and continuing education opportunity designed to expand knowledge in industrial hygiene and occupational safety, endorsed by professional certification boards. Topics include program structure and costs, quiz-based assessment for credits, and benefits of ACGIH membership.

Aminoglycoside antibiotics (AGAs) are widely used in life-threatening infections, but they accumulate in cochlear hair cells (HCs) and result in hearing loss. Increases in adenosine triphosphate (ATP) concentrations and P2X7 receptor expression were observed after neomycin treatment. Here, we demonstrated that P2X7 receptor, which is a non-selective cation channel that is activated by high ATP concentrations, may participate in the process through which AGAs enter hair cells. Using transgenic knockout mice, we found that P2X7 receptor deficiency protects HCs against neomycin-induced injury in vitro and in vivo. Subsequently, we used fluorescent gentamicin–Fluor 594 to study the uptake of AGAs and found fluorescence labeling in wild-type mice but not in P2rx7−/− mice in vitro. In addition, knocking-out P2rx7 did not significantly alter the HC count and auditory signal transduction, but it did inhibit mitochondria-dependent oxidative stress and apoptosis in the cochlea after neomycin exposure. We thus conclude that the P2X7 receptor may be linked to the entry of AGAs into HCs and is likely to be a therapeutic target for auditory HC protection.

The Occupational Health and Safety Act 1993 and its attending Regulations in South Africa, require employers to conduct cost analysis studies to inform decision-making related to exposure control for occupational health hazard such as noise. Cost analysis, as per South African National Standard/ISO 31000 risk assessment guideline, is an important input for the decision-making process of the risk management process. The costs of administrating a hearing conservation programme intended to minimise noise-induced hearing loss is an example of a cost analysis. This study enrolled four companies from the South African manufacturing and utilities sectors with the aim of establishing whether cost analysis is included during the noise risk assessment process; and determining administration costs of HCP administration. A HCP cost questionnaire was completed by each company's occupational hygiene professionals and risk officers. None of the companies in the study included cost analysis in their respective risk assessment processes. The overall costs, derived from the HCP cost item questionnaire, was much greater for Company A (4 290 014 Rands) than all of the other companies combined (970 685 Rands). Hearing protection device expenditures across the four companies were the greatest expense, while audiometry was the smallest expense owing to service internalisation. The HCP expenditures are incurred on periodic basis, yearly or biennial, and are internalised in companies as direct costs. Cost analysis can enhance the noise risk assessment process by providing additional input to support the decision-making process related to noise control. This challenges the occupational hygiene profession to pursue new frontiers and decision-making models in the scope of noise risk management, beyond noise measurements and hearing protection device use recommendation. [ABSTRACT FROM AUTHOR]