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The ability to recognize how another is feeling is a critical skill, with profound implications for social adaptation. Training programs designed to improve social functioning typically attempt to direct attention toward or away from certain facial configurations, or to improve discrimination between emotions by categorizing faces. However, emotion recognition involves processes in addition to attentional orienting or categorical labeling. The intensity with which someone is experiencing an emotion is also influential; knowing whether someone is annoyed or enraged will guide an observer's response. Here, we systematically examined a novel paradigm designed to improve ratings of facial information communicating emotion intensity in a sample of 492 participants across a series of 8 studies. In Study 1, participants improved precision in recognizing the intensity of facial cues through personalized corrective feedback. These initial findings were replicated in a randomized-control trial comparing training with feedback to viewing and rating faces without feedback. Studies 2 and 3 revealed that these effects generalize to identities and facial configurations not included in the training. Study 4 indicated that the effects were sustained beyond the training session. These findings suggest that individualized, corrective feedback is effective for reducing error in rating the intensity of facial cues. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Hospital-noise levels can induce physiological responses and affect sleep quality, which could contribute to cardiovascular-related health problems. Till date, high-resolution hospital noise exposure assessment studies have not received much attention in Oman. This study aims at assessing sound pressure levels across hospital wards and intensive care unit (ICU) rooms to determine annoyance and potential health effects based on perception and risk estimates. An indoor exposure assessment using high precision noise sensors was conducted in a female medical ward (FMW), isolated ward (SLW), emergency ward (EMW), and intensive care unit (ICU) in a public hospital in Muscat city, Oman. Self-administered questionnaire was randomly distributed among respondents using both online and field survey approach to ascertain annoyance, health effects, and potential risks associated with exposure. The study found that 24-h noise levels (LAeq) ranged from 55.2 to 61.7 dB(A) in the hospital wards and ICU rooms, which exceeded WHO’s hospital indoor rooms critical limit of 35 dB(A) by 58–76%. A total of 150 participants took part in the survey. Among the respondents, 53% reported moderate annoyance at the hospital wards, while 56% felt sensitivity to the noise levels. Noise annoyance was reported by the majority of the patients across the various wards and emergency rooms as causing slight annoyance (50%) and intermittent sleep disturbances (49%). The majority (73%) of the medical staff have complained that the current noise levels affect overall work performance (p = 0.004), while 70% of them have further complained of it as a cause of workplace distraction (p = 0.011). Logistic binary regression analysis has revealed that the complaint of noise sensitivity has a positive association with noise levels in VCW (OR: 1.54; 95% CI: 0.92–2.58), and reported loss of concentration by the medical staff also associated with noise levels at the EMW (OR: 1.61; 95% CI: 0.65–4.01). Quantitative risk estimates showed that both the percentages of highly annoyed (HA) persons (16%), and highly sleep-disturbed (HSD) persons (9%) were very high in FMW, while ICU was found to have the lowest risk. However, the greater number of the respondents (87%) believed that there are possibilities of mitigating (p

Background: Occupational noise exposure has been identified as a significant risk factor for fish harvesters. Chronic noise exposure causes hearing and other health problems and undermines the quality of life and well-being. This review paper aims to highlight noise-related auditory and non-auditory health effects among fish harvesters. Materials and methods: A systematic literature search approach was adopted using the following databases: PubMed, Embase, SCOPUS, Web of Science, Google Scholar, and by exploring grey literature. The literature search was conducted in 2020 (between October 15 and November 30). Relevant articles were explored by reviewing title, keywords, and abstract based on the inclusion and exclusion criteria. The full-text critical review of selected papers was made and finalized the most relevant studies. Results: Initial 1,281 records were identified, exploring various databases and additional sources using relevant keywords. Duplicate articles were removed and retrieved 746 articles. After that, a screening of 746 research papers was done based on the selection criteria and finalised 28 articles for full-text review. Finally, articles were filtered based on the study’s aim and extracted 17 papers for the final review. Conclusions: Noise-induced hearing loss was considered a significant health risk to fish harvesters across the studies, affecting physical and emotional well-being. The prevalence of hearing loss was observed from 6% to 80%. Other health problems, such as headache, dizziness, annoyance, stress, fatigue, elevated blood pressure, sleep disturbances, and impaired cognitive performance, were also reported. Further research is needed to validate the non-auditory health effects among fish harvesters.

PurposeSmartphone apps for tinnitus relief are now emerging; however, research supporting their use and effectiveness is lacking. Research has shown that Tinnitus Therapy sounds intended for individuals with acoustic hearing provide relief to some patients using cochlear implants (CIs) with tinnitus. Here, we evaluated the use and acceptability of a smartphone app to help CI patients with tinnitus.MethodParticipants completed a laboratory trial (n= 19) and an at-home trial (n= 14) using the ReSound Tinnitus Relief app to evaluate its acceptability and effectiveness in reducing their tinnitus. During the laboratory trial, participants selected a sound that was most acceptable in managing their tinnitus (termedchosen sound). Word recognition scores in quiet were obtained before and after sound therapy. Participants were randomly assigned to one of two groups for the at-home trial, that is, AB or BA, using (A) the chosen sound for 2 weeks and (B) the study sound (i.e., broadband noise at hearing threshold) for another 2 weeks. Ratings were collected weekly to determine acceptability and effectiveness of the app in reducing tinnitus loudness and annoyance.ResultsResults indicated that some, but not all, participants found their chosen sound to be acceptable and/or effective in reducing their tinnitus. A majority of the participants rated the chosen sound or the study sound to be acceptable in reducing their tinnitus. Word recognition scores for most participants were not adversely affected using the chosen sound; however, a significant decrease was observed for three participants. All 14 participants had a positive experience with the app during the at-home trial on tests of sound therapy acceptability, effectiveness, and word recognition.ConclusionsSound therapy using a smartphone app can be effective for many tinnitus patients using CIs. Audiologists should recommend a sound and a level for tinnitus masking that do not interfere with speech perception.

With the development of urban rail transit, taking the metro train has become one of the main modes of transportation, and passengers have an increasing demand for the comfort of taking the metro trains. This paper mainly discusses the impact of noise and vibration caused by metro train on passengers. All 13 metro lines in Guangzhou, China, were selected to conduct the questionnaire survey on the subjective perception of 601 respondents. At the same time, noise and vibration measurements were carried out in the train. The results show that the distribution of noise and vibrations along the metro lines is not uniform, and 50.6% of the interviewees are disturbed by noise. Wheel-rail squeal was found to be the most annoying and disturbing noise source. Three dose-response relationships for noise, vertical vibration, and horizontal vibration are proposed, respectively. The proposed dose-response relationship can be applied to the evaluation of noise annoyance or vibration perception in an environment similar to metro lines. Once the noise or vibration level of a metro line is obtained, the noise disturbance or vibration perception can be estimated. As for the dose-response relationship of vibration perception, people's sensitivity to vibration is much lower than that to noise. Horizontal vibrations are more acceptable to passengers, while vertical vibrations are more disturbing to passengers. The results are helpful to predict the noise annoyance and vibration perception of train passengers between metro stations, and to achieve the purpose of designing effective noise and vibration reduction measures.

There is adequate evidence from epidemiological studies showing an association between noise exposures and incidence of cardiovascular diseases and cognitive impairment among exposed populations. This study aimed to investigate noise exposure levels in an airport region and their effects on the nearby two neighborhood communities (i.e., Al Seeb and Bawshar). To achieve this, noise levels were measured across 15 different points within the communities for more than 3 weeks at a median distance of 3.5 km from the airport runways using a sound level analyzer. In addition, we conducted an online social survey in a random sampling of a total of 913 residents who were living closer to the airport. A combination of a 5-point scale and 3-point Likert scale was used to assess the resident population’s noise annoyance and the potential health impacts. The results revealed that the majority of the measured points have noise levels (55.71–65.24 LAeq dBA) exceeding both Oman and WHO critical limits. There was a general decrease in noise levels at points further away from the runways; thus, at points 2.5, 4.8, and 8.8 km, sound pressure levels were found to be 63.08, 57.41, and 52.31 dBA, respectively. However, steady noise levels were observed throughout most of the daily (24 h) measurements indicating continual exposures. Overall, 44.6% of residents reported noise annoyance level as very high, with Al Seeb inhabitants (46%) eliciting a greater percentage of annoyance levels compared to Bawshar (5%) due to their closer proximity to the airport. Also, the noise was significantly (p ˂ 0.001) associated with sleep disturbance, insomnia, irritation, and frightening. The majority of the residents complained of an increase in insomnia (41.5%), stress (34.3%), headache (47.3%), and cardiovascular diseases (16.2%). With the question of reducing noise exposures, about 41% of the respondents have plans of relocating to distant areas with low noise levels.

This work is a cross-sectional comparative study conducted on 528 residents in the slum and non-slum areas of Pokhara, Nepal. Of the total number of respondents, 90.2% in the slums and 63.3% in the non-slums indicated the existence of a main source of noise, and 80.7% in the slums and 66.0% in the non-slums replied that they had been highly annoyed by noise. The indoor noise levels measured for 24 h were higher in slums than in non-slums, ranging from 59 to 78 dBA and from 51 to 69 dBA, respectively. The Mann-Whitney

Highlights • Panic-prone individuals often exhibit reduced tolerance when wearing RPDs. • Studies found that wearing RPDs may induce a real burden of respiratory effects. • Panic-prone individuals may be at higher risk of RPD-related respiratory discomfort. • Various strategies to decrease discomfort may overcome the risk of poor compliance., Background The wearing of respiratory protective devices (RPDs) correctly and continually in situations where people are at risk of respiratory infections is crucial for infection prevention. Certain people are poorly compliant with RPDs due to RPD-related annoyance, including respiratory discomfort. We hypothesized that individuals vulnerable to panic attacks are included in this group. No published studies on this topic are available. The evidence for our hypothesis was reviewed in this study as a starting point for future research. Methods We selected a set of experimental studies that measured the respiratory physiological burden in RPD wearers through objective and validated methods. We conducted a bibliographic search of publications in the PubMed database (January 2000–May 2020) to identify representative studies that may be of interest for panic respiratory pathophysiology. Results Five studies were included. Wearing RPDs exerted significant respiratory effects, including increased breathing resistance, CO2 rebreathing due to CO2 accumulation in the RPD cavity, and decreased inhaled O2 concentration. We discussed the implications of these effects on the respiratory pathophysiology of panic. Limitations Most studies had a small sample size, with a preponderance of young participants. Different methodologies were used across the studies. Furthermore, differences in physical responses between wearing RPDs in experimental settings or daily life cannot be excluded. Conclusions This research supports the idea that panic-prone individuals may be at higher risk of respiratory discomfort when wearing RPDs, thereby reducing their tolerance for these devices. Strategies to decrease discomfort should be identified to overcome the risk of poor compliance.

Strict lockdown strategies to stop the spread of COVID-19 have caused a decrease in environmental noise levels and introduced new noise conditions in dwellings. The present study has investigated the impact of the forced lockdown in Turkey on noise annoyances due to traffic, neighbors, and personal dwellings, as well as the concern of being heard by neighbors, and overall dwelling satisfaction in an online questionnaire. The stress and anxiety levels of respondents were also investigated. The survey obtained 1053 respondents. Additionally, environmental noise levels were measured over 24-h at two locations and compared with results before the pandemic. The results clearly exhibit that environmental noise levels and annoyance due to the noise levels dropped significantly. The annoyance drop was larger in previously noisier environments than previously tranquil locations. Noise annoyance due to neighbor noise did not change significantly; however, noise annoyance due to one's own dwelling increased. The results also confirmed an overall increase in dwelling satisfactions indicating a correlation between dwelling satisfaction and lower environmental noise levels. Although the results confirmed that noise annoyance was positively correlated with stress and anxiety levels, the change of annoyance between before and during lockdown was shown to be independent from the stress and anxiety level.

Based on a study in two European cities, Mainz in Germany and Zurich in Switzerland, the article investigates both acoustical and non-acoustical factors affecting indoor annoyance due to residential road traffic and aircraft noise. We specifically focus on three factors: (1) the role of windows as a feature of the building where people live; (2) the role of individual environmental concern as a general attitude; and (3) the role of household income as an indicator of socioeconomic resources. Empirical results show that closed windows in general and closed high-quality windows in particular are an important barrier against outdoor road traffic and aircraft noise, as well as a helpful subjective coping tool against corresponding annoyances. Environmental concern, too, proves to be a significant predictor of noise annoyance. Environmentally highly concerned people articulate feelings of annoyance more often than environmentally less concerned ones. As expected income is negatively related to road traffic noise annoyance. However, we find a positive association of income with annoyance from aircraft noise. Although objective exposure to aircraft noise is lower for high-income households, they feel stronger annoyed by noise from airplanes. Income shows various indirect effects on noise annoyance. A comparative analysis of road traffic and aircraft noise annoyance yields similarities, but also remarkable differences in terms of their influence factors. ISSN:0013-9351 ISSN:1096-0953

Objectively determined single-number-quantities (SNQs) describing the airborne sound insulation of a facade should correspond to the subjective perception of annoyance to road traffic sounds transmitted through a facade. The reference spectra for spectrum adaptation terms C and Ctr in standard ISO 717-7 (International Organization for Standardization, 2013) are not based on psycho-acoustic evidence. The aim of this study is to develop reference spectra which result in SNQs that explain the subjective annoyance of road traffic sounds transmitted through a facade well. Data from a psycho-acoustic experiment by Hongisto, Oliva, and Rekola [J. Acoust. Soc. Am. 144(2), 1100–1112 (2018)] were used. The data included annoyance ratings for road traffic sounds (five different spectrum alternatives) attenuated by the facade (twelve different sound insulation spectrum alternatives), rated by 43 participants. The reference spectrum for each road traffic spectrum was found using mathematical optimization. The performance of the acquired SNQs was estimated with nested cross-validation. The SNQs determined with the optimized reference spectra performed better than the existing SNQs for two road traffic spectra out of five and for an aggregate of the five road traffic sound types. The results can be exploited in the development of standardized SNQs.

In the recent years, the environmental noise is a global issue of great concern. Especially, it is considered to be one of the most deleterious environmental risk factors for the human health and well-being in urban areas. In this study, we focus on the major source of the transportation noise in the modern-day urbanized societies, which is the road traffic noise. The study was performed in the urban complex in Thessaloniki-Neapoli in Greece, and the estimation of the road traffic noise levels was based on the CoRTN (Calculation of Road Traffic Noise) prediction method. In addition, we estimated the EBD (environmental burden of disease), in terms of DALYs (disability-adjusted life years), due to the annoyance and sleep disturbances associated with the exposure to road traffic noise. The estimation of the EBD was based on the strategic noise mapping in Thessaloniki-Neapoli as well as on the guidance document produced by the WHO (World Health Organization) for the quantitative assessment on the humans' health consequences of the environmental noise. Above all, the results revealed the magnitude of the health damage caused by the transportation noise.

Peru declared a state of emergency on March 16 in order to prevent SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) transmissions; thus, the International Airport was closed and the soundscape of urban zones under the flight tracks have been changed in view of the fact that airplane traffic was suspended. The authors have been conducting noise monitoring since February and because of that sufficient noise data for knowing the soundscape before and during the lockdown were obtained. This article presents a case of aircraft annoyance noise in one of Lima's city districts, which is near the aircraft climbing curve, toward the ocean on departure from Lima.

OBJECTIVE: The objective was to determine the relative contribution of four criteria (loudness, annoyance, distraction, speech interference) to participants’ noise-tolerance thresholds (NTT). DESIGN: While listening to speech in noise set at the highest signal-to-noise ratio at which noise became unacceptable (noise tolerance threshold), participants completed paired-comparison judgments of loudness, annoyance, distraction, and speech interference to determine the noise domain(s) that were most important in their noise tolerance judgments. Participants also completed absolute ratings of the noise using the same noise domains, which were combined with the paired comparison data for analysis. STUDY SAMPLE: Sixty-three adults with normal hearing participated. RESULTS: For the entire group, speech interference and distraction were the largest contributors to noise tolerance. A cluster analysis indicated three distinct groups: criteria were dominated by either annoyance (33%); distraction (48%), or speech interference (19%). Significant differences in NTT among the groups revealed the highest mean NTT for the annoyance group and lowest NTT for the speech interference group. CONCLUSION: The majority of participants based NTTs on criteria related to the noise itself (annoyance or distraction) and had greater noise sensitivity than the smaller group of participants who focused more on speech intelligibility in the noise.

Objective: Graphic warning labels (GWLs) are effective in communicating tobacco-related harms. Methods: In this mixed-methods study, we used purposive sampling to recruit 100 low-income smokers in the San Francisco Bay Area between October 2017 and February 2018 to participate in an intervention promoting smoke-free homes. We presented the 2009 Food and Drug Administration-proposed GWLs and explored perceptions of affect, efficacy, and appeal using questionnaires at baseline, 3- and 6-months follow-up. Because of participants' interest in this topic, we subsequently conducted a qualitative sub-study among 20 participants exploring perceived efficacy of GWLs on smoking cessation. Results: In all, 87.3% and 59.2% agreed that GWLs were useful and would motivate cessation behaviors, respectively, at baseline. We found that the most common responses were shock (61.8%) and disgust (55.3%), whereas anger (29.0%) and annoyance (19.7%) were less common. Participants also reported that GWLs unequivocally illustrating smoking's harmful effects were more appealing than non-specific images, as were images that depicted positive cessation-related effects. Conclusions: GWLs appear to be an important health communication among low-income smokers. Future studies on GWLs should examine the association of negative affect and cessation among this population.

The research reported is part of a larger effort to develop models to predict community response to transient sounds, including sonic booms. Such models can be used along with aircraft sound predictions to guide the design of supersonic aircraft to produce generally acceptable sounds. A test was conducted to examine the influence of low frequencies on people's responses to recorded and simulated booms and other environmental transients, heard indoors over earphones. The results of this test and a companion test conducted in a sonic boom simulator were compared to see if the playback environment affected responses. Annoyance models were also examined. E-weighted Sound Exposure level (ESEL) was the sound metric most highly correlated to mean annoyance with B-weighted Sound Exposure Level (BSEL) and Perceived Level performing similarly. Predictions were improved by including Heaviness, Duration, and rate of change of Loudness in models with a loudness metric. Models were also estimated by using the average responses from both tests and metrics generated from outdoor versions of the sounds. These models also produced accurate annoyance predictions. BSEL was the best single-metric predictor, with ESEL close behind. Including Heaviness, Duration, and rate of change of Loudness resulted in R2 values as high as 0.90.

Sound masking, a new noise control technology, has been applied to improve subjective perception of noise in recent years. However, the neural mechanisms underlying this technology are still unclear. In this study, 18 healthy subjects were recurited to take subjective annoyance assessments and fMRI scanning with the aircraft noise and the masked aircraft noise. The results showed that the noise annoyance was associated with deficient functional connectivity between anterior cingulate cortex (ACC) and prefrontal cortex and exceeded brain activation in ACC, which might be explained as compensation. The sound masking led to significantly strong activation in the left medial frontal cortex and right medial orbital frontal cortex, which were associated with happy emotion induced by sound masking. This study offered new insights on the underlying neural mechanisms of sound masking effects.

Background Environmental noise exposure has been associated with increased cardiovascular morbidity and mortality. Recently, noise annoyance was shown to induce atrial fibrillation, which was accompanied by significantly increased levels of midregional pro atrial natriuretic peptide (MR-proANP). Therefore, the aim of the present study was to analyze the association between noise annoyance, MR-proANP, incident cardiovascular events, and all-cause mortality. Methods Levels of MR-proANP were measured in the first 5000 participants of the population-based Gutenberg Health Study. Annoyance was assessed separately for aircraft, road traffic, railway, neighborhood, and industrial/construction noise during the day and sleep. Results In cross-sectional analyses, aircraft noise annoyance during day and sleep, industrial/construction noise annoyance during day, and railway noise annoyance during sleep were independently associated with increased levels of MR-proANP after multivariable adjustment. After a 5-year follow-up period, there were 43 cases of incident atrial fibrillation and 103 of incident cardiovascular disease (comprising atrial fibrillation, coronary artery disease, myocardial infarction, heart failure, or stroke). Moreover, there were 301 deaths after a mean follow-up of 7.42 ± 1.66 years. An odds ratio (OR) of 2.82 ([95% confidence interval (CI) 1.86; 4.35], p p = 0.0046) for incident cardiovascular disease per 1-standard deviation (SD) increase in MR-proANP levels were found. A 36% (hazard ratio: 1.36 [95% CI 1.19; 1.55], p Conclusions Noise annoyance may contribute to cardiovascular morbidity and mortality and is characterized by increased levels of MR-proANP. Graphic abstract

Road traffic noise is affecting the exposed population through its detrimental effects. This study was conducted in urban zones of Peshawar, Khyber Pakhtunkhwa, Pakistan, to analyze causal relationship between noise and subjective health complaints with a special focus on psychological symptoms. A 12-h (LAeq) noise survey conducted at different locations (n = 57) indicated a noise range of 46.3–86.3 dB (A). A questionnaire survey was conducted from local residents (n = 500), students (n = 500), policemen (n = 500), shopkeepers (n = 500), and drivers (n = 500) exposed to road traffic noise and analyzed through structure equation modeling (SEM). Different models were prepared and a modified model obtained the acceptable model fit, i.e., chi-square 0.093, χ2/df 1.286, comparative fit index 0.986, goodness of fit index 0.966, normed fit index 0.943, Tucker-Lewis index 0.977, and root mean square error of approximation 0.034. The modified model gives not only the information about direct but also indirect effects of noise on the exposed population. Adding on, the model clearly indicates that sensitivity to noise has strong relationship with subjective health complaints (headache, exhaustion, and psychological symptoms such as annoyance, difficulty concentrating, ill temper, and anxiety) than profession, age, location, and gender. Duration of exposure to road traffic noise has an important role in increasing the frequency of subjective health issues. The model is important in depicting that sensitivity to noise may produce subjective health complaints (standardized parameter estimates of 0.12 and 0.29) but the mediator has much stronger positive path estimates (0.59). The modified model sought to discover and explicate the underlying mechanism of an observed relationship existing between the selected dependent and an independent variable through the identification of the mediator variables.

This paper demonstrates the use of two Bayesian statistical models to analyze single-event sonic boom exposure and human annoyance data from community response surveys. Each model is fit to data from a NASA pilot study. Unlike many community noise surveys, this study used a panel sample to collect multiple observations per participant instead of a single observation. Thus, a multilevel (also known as hierarchical or mixed-effects) model is used to account for the within-subject correlation in the panel sample data. This paper describes a multilevel logistic regression model and a multilevel ordinal regression model. The paper also proposes a method for calculating a summary dose-response curve from the multilevel models that represents the population. The two models' summary dose-response curves are visually similar. However, their estimates differ when calculating the noise dose at a fixed percent highly annoyed.

Personal Audio refers to the generation of spatially distinct sound zones that allow individuals within a shared space to listen to their own audio material without affecting, or being affected, by others. Recent interest in such systems has focussed on their performance in public spaces where speech privacy is desirable. To achieve this goal, speech is focussed towards the target listener and a masking signal is focussed into the area where the target speech signalcould otherwise be overheard. An effective masking signal must substantially reduce the intelligibility in this region without becoming an annoyance to those nearby. To assess these perceptual requirements, listening tests were carried out using two examples of loudspeaker arrays with different spatial aliasing characteristics, to determine the impacts of different masking signal spectra on speech intelligibility and subjective preference. The results of these tests were used, alongside objective and subjective metrics, to form a design specification for private personal audio systems.

Medical and nursing staff working in hospitals often experience exposure to extreme sound environments, and there is growing evidence of the negative impacts. Previous research highlighted various complexities regarding noise sources in hospitals; however, identifications of intrinsic noise categories that can reveal the complex mixture of existing hospital noise is still limited. The objective of this work was to identify intrinsic categories of the noise sources based on staff perceived annoyance and explore clear associations of these categorized noise sources with psychological perceptions. The staff perceptual responses regarding hospital noise were assessed by conducting surveys at the three pediatric and neonatal care units in two hospitals. Using principle component analysis (PCA), the psychological annoyance responses of 94 participants were used to derive the inherent structural patterns of the existing noise sources. The derived PCA categorization was validated on mixed-model analysis of variances, and employed on regression models to explore potential associations between the categorized noise factors and the staff’s psychological perceptions. The results highlighted three intrinsic noise categories and their negative impacts on staff’s psychological perceptions including work/rest disturbance and noisiness. Taken as a whole, the findings better reveal problematic noise source categories and establish a framework for hospital noise control that is less source-specific and more broadly generalizable.

Purpose Occurrence of tinnitus can be, for a person who experiences it, a disorder affecting the overall equilibrium of the organism. To cope with it a variety of personal resources, such as positive orientation and basic hope, are mobilized. The aim of this study was to determine whether these resources are associated with the evaluation of the impact of tinnitus on the functioning of the study participants. Methods Study involved 176 tinnitus sufferers, including 123 women and 53 men. The results were compiled using: Positivity Scale (P-scale) for measuring positive orientation, Basic Hope Inventory (BHI-R) for measuring basic hope, the questionnaires: Tinnitus Handicap Inventory (THI) and Tinnitus Functional Index (TFI) evaluating the impact of tinnitus on the daily functioning of the subjects, as well as a survey designed for the study, comprising questions about sociodemographic data and tinnitus history. Results Results of regression analysis indicated that positive orientation is the most important for the perceived tinnitus annoyance. However, no significant influence of basic hope on tinnitus annoyance was found. Among other variables taken into account in regression analysis, age and presence of additional diseases proved to be important predictors of tinnitus annoyance. Conclusions Personality determinants (positive orientation) are related to the perception of tinnitus annoyance. When working with a tinnitus patient, it is justified to pay attention to the existence of the positive orientation and to work on its development. Research should also be continued to search for other personal resources that affect the perceived tinnitus annoyance.

It is well accepted among clinicians that maskers and hearing aids combined with counseling are generally helpful to tinnitus patients, but there are few controlled studies exploring the efficacy of maskers alone to decrease the prominence of tinnitus.We investigated the benefit of maskers for patients with chronic, bothersome tinnitus.Crossover single-participant design, where each participant served as their own control.18 adults with subjective, nonpulsatile, sensorineural tinnitus.Participants participated in two six-week trials: one with sound therapy and one without. No counseling was provided in either group. Masking devices were fit with sounds intended to reduce the tinnitus prominence.Participants rated tinnitus loudness, tinnitus annoyance, and acceptability of the background sounds using a numeric 0–100 interval scale and completed the Tinnitus Primary Functions Questionnaire (TPFQ).Three participants dropped out. On the total score of the TPFQ, 5 of 15 remaining participants (33%) showed a benefit. Using a derived score based on functions showing a handicap before the study, maskers benefit was observed in the areas of sleep (five of nine), hearing (three of eight), thoughts and emotions (three of four), and concentration (four of eight). The TPFQ and annoyance data complemented each other well.This study demonstrates the benefit of partial masking, encouraging patients to seek help from audiologists interested in providing support for tinnitus patients.

Background: Sensitivity to noise, or nuisance sounds that interrupt relaxation and task-related activities, has been shown to vary significantly across individuals. The current study sought to uncover predictors of noise sensitivity, focussing on possible social and cultural determinants, including social position, education, ethnicity, gender, and the presence of an illness. Method: Data were collected from 746 New Zealand adults residing in 6 areas differentiated by social position. Participants responded to questions probing personal characteristics, noise sensitivity, illness, neighbourhood problems, and noise annoyance. It was hypothesized that those in high-deprivation areas and/or experiencing illness report higher levels of noise sensitivity. Results: Approximately 50 and 10% of the participants reported being moderately or very noise sensitive, respectively. Significant predictors of noise sensitivity included age, length of residence, level of social deprivation, and self-reported illness. Conclusion: There is evidence of social determinants of noise sensitivity, including social position and residential factors.

Large variations in transportation noise tolerance have been reported between communities. In addition to population sensitivity, exposure–response functions (ERFs) for the effects of transportation noise depend on the exposure estimation method used. In the EU, the new CNOSSOS-EU method will change the estimations of exposure by changing the assignment of noise levels and populations to buildings. This method was officially used for the first time in the strategic noise mapping performed by Finnish authorities in 2017. Compared to the old method, the number of people exposed to traffic noise above 55 dB decreased by 50%. The main aim of this study, conducted in the Helsinki Capital Region, Finland, was to evaluate how the exposure estimation method affects ERFs for road traffic noise. As an example, with a façade road traffic noise level of 65 dB, the ERF based on the highest façade noise level of the residential building resulted in 5.1% being highly annoyed (HAV), while the ERF based on the exposure estimation method that is similar to the CNOSSOS-EU method resulted in 13.6%. Thus, the substantial increase in the health effect estimate compensates for the reduction in the number of highly exposed people. This demonstrates the need for purpose–fitted ERFs when the CNOSSOS-EU method is used to estimate exposure in the health impact assessment of transportation noise.

Faisalabad is one of the major industrial cities of Pakistan, which may cause noise pollution to the local residents due to the development of robust industrial and transport systems. This study aimed at (i) mapping the noise pollution levels at various locations of Faisalabad city; (ii) comparing noise pollution levels in the morning, the afternoon, and the evening for each source; and (iii) assessing nonauditory effects of noise on human health. Two industries and 43 famous/busy locations of Faisalabad Sadar were selected to study noise pollution by using the sound level meter for the period of 24 h. A questionnaire-based survey was carried out near the sampling points to get a public perception about the health impacts of noise pollution. The measured equivalent sound pressure levels (SPLeq) were higher than the permissible limits at all the sampling locations during morning, afternoon, and evening hours. The maximum sound pressure level (SPLmax) was 102 dB inside the production unit in the afternoon at Mian Muhammad Siddiq Textile Loom industry. The average SPL was found at State Bank road (102 dB), Children’s Hospital (101 dB), Jhang Bazar (100 dB) in the afternoon and at Punjab Medical College in the evening (97 dB). Based on the survey, 94% of respondents reported headache, 76% sleeplessness, 74% hypertension, 74% physiological stress, 64% elevated blood pressure levels, and 60% dizziness due to noise. Noise pollution is higher than the standard limits and causes auditory as well as nonauditory effects on humans. The vehicles and industrial machinery should be maintained, and sound proofing and protection equipment should be provided to the workforce in order to protect them from extreme noise levels.

BACKGROUND: Road traffic is the main source of environmental noise in European cities and one of the main environmental risks to health and wellbeing. In this study we aimed to provide an in-depth assessment of available road traffic noise data and to estimate population exposure and health impacts for cities in Europe. METHODS: We conducted the analysis for 724 cities and 25 greater cities in 25 European countries. We retrieved road traffic strategic noise maps delivered under the Environmental Noise Directive (END) or available from local sources. We assessed noise exposure using the 24 h day-evening-night noise level indicator (Lden) starting at exposure levels of 55 dB Lden - based on data availability - for the adult population aged 20 and over (n = 123,966,346). For the adults exposed to noise levels above 55 dB Lden we estimated the health impacts of compliance with the World Health Organization (WHO) recommendation of 53 dB Lden. Two primary health outcomes were assessed: high noise annoyance and Ischemic Heart Disease (IHD), using mortality from IHD causes as indicator. Exposure Response Functions (ERFs) relating road traffic noise exposure to annoyance and IHD mortality were retrieved from the literature. Uncertainties in input parameters were propagated using Monte Carlo simulations to obtain point estimates and empirical 95% Confidence Intervals (CIs). Lastly, the noise maps were categorized as high, moderate and low quality following a qualitative approach. RESULTS: Strategic noise map data was delivered in three distinct formats (i.e. raster, polygon or polyline) and had distinct noise ranges and levels of categorization. The majority of noise maps (i.e. 83.2%) were considered of moderate or low quality. Based on the data provided, almost 60 million adults were exposed to road traffic noise levels above 55 dB Lden, equating to a median of 42% (Interquartile Range (IQR): 31.8-64.8) of the adult population across the analysed cities. We estimated that approximately 11 million adults were highly annoyed by road traffic noise and that 3608 deaths from IHD (95% CI: 843-6266) could be prevented annually with compliance of the WHO recommendation. The proportion of highly annoyed adults by city had a median value of 7.6% (IQR: 5.6-11.8) across the analysed cities, while the number preventable deaths had a median of 2.2 deaths per 100,000 population (IQR: 1.4-3.1). CONCLUSIONS: Based on the provided strategic noise maps a considerable number of adults in European cities are exposed to road traffic noise levels harmful for health. Efforts to standardize the strategic noise maps and to increase noise and disease data availability at the city level are needed. These would allow for a more accurate and comprehensive assessment of the health impacts and further help local governments to address the adverse health effects of road traffic noise.

Background Psychiatric conditions are common in individuals with tinnitus. Therefore, the ways individuals cope with such conditions and personality can influence the characteristics of tinnitus. Purpose The study aims to investigate the direct and indirect effects of resilience, personality traits, and psychiatric symptoms on the tinnitus perception. Research Design This is a descriptive, cross-sectional, and observational study involving quantitative results. Study Sample Thirty-seven individuals with chronic tinnitus (for more than 6 months) sought the tinnitus care service (mean age = 44.6 years; SD = 11.7 years). Data Collection and Analysis The specific anamnesis of tinnitus, adult self-report questionnaire, resilience scale, big five inventory, Tinnitus Handicap Inventory (M = 45.0; SD = 24.1), and visual analog scale (M = 6.4; SD = 2.7) were used. Psychoacoustic measurements (loudness: M = 25.4; SD = 12.8) of tinnitus were performed to characterize the condition in terms of pitch and loudness. The study analyzed the relationship between tinnitus (annoyance, severity, and loudness), psychiatric symptoms, personality, and resilience using multiple mediations. Results Resilience did not influence tinnitus severity (BCa: -1.12 to 0.51), annoyance (BCa: -0.10 to 0.11), or loudness (BCa: -0.44 to 0.28) when mediated by anxiety and depression. Additionally, there was only a direct effect of resilience for annoyance (t = - 2.14, p = 0.03; BCa: -0.10 to 0.11). There was no direct influence of anxiety and depression on the tinnitus severity (b = 0.53, p > 0.05), annoyance (b = - 0.01, p > 0.05), or loudness (b = 0.11, p > 0.05). However, there was an association of personality traits (neuroticism) with the tinnitus severity (b = 1.16, 95% CI: 0.15–2.17; t = 2.53, p = 0.02) and annoyance (b = 0.12, 95% CI: 0.003–0.24; t = 2.09, p = 0.04). Conclusion Resilience and psychiatric symptoms did not have a direct or indirect influence on the tinnitus annoyance, severity, or loudness. However with a direct association of resilience and annoyance, and neuroticism trait with the tinnitus annoyance and severity. Our results suggest that patients with chronic tinnitus and high neuroticism should receive personalized treatment.

BACKGROUND: Tinnitus is an auditory impression without any external auditory stimulus. It may cause negative symptoms (anxiety, insomnia, depression) significantly affecting work performance and job satisfaction. OBJECTIVE: To evaluate the job satisfaction in tinnitus sufferers. METHODS: Cross-sectional study were conducted and 51 individuals (23–70 years) were recruited. Participants completed two questionnaires: Tinnitus Handicap Inventory and Job Satisfaction Scale. RESULTS: People affected by tinnitus report higher job satisfaction than healthy people. Job satisfaction was significantly related to age: r = 0.31; p

Factors related to the working environment (e.g. inadequate lighting, excessive noise, poor condition of premises) contribute to neglect in the work of medical personnel, while also causing health effects in their body. This article presents the results of the assessment of working conditions in workplaces at selected medical facilities in Poland. This assessment was based on survey results. The survey was conducted by means of a questionnaire among more than 300 physicians, nurses and diagnostic laboratory staff. The average grading of noise annoyance in workplaces on a scale from 0 to 10 was 2.77, and therefore noise was assessed as a slight inconvenience.

This paper presents results from a one-year study of indoor annoyance and self-reported sleep times for two participants located near different wind farms. Continuous measurements of outdoor and indoor noise and meteorological conditions were taken at each location for the duration of the study. In at least 50% of the annoyance recordings, participants described noise as “swish” or “swoosh.” Furthermore, the majority of the annoyance recordings occurred at nighttime and in the early morning. The third quartile of A-weighted indoor sound pressure level [SPL(A)], between 27 and 31 dBA, was associated with an 88% increased probability of annoyance compared to the lowest reference quartile, which was between 12 and 22 dBA [odds ratio and 95% confidence intervals, 7.72 (2.61,22.8), p < 0.001]. The outdoor SPL(A) was also predictive of annoyance but only between 40 and 45 dBA. The outdoor prevalence of amplitude modulation (AM), defined as the percentage of time that AM was detectable by an algorithm for each annoyance period, was also associated with annoyance. Self-reported sleep efficiency (time spent asleep relative to time in bed available for sleep) was significantly associated with nighttime annoyance (β = −0.66, p = 0.02) but only explained a small fraction of the variance (R2 = 5%).

Road-traffic-noise exposition is widespread in Germany and can have harmful health effects. As guidance for informed decision-making, we estimated the environmental burden of disease attributable to road-traffic noise in Hesse, Germany as disability-adjusted life-years (DALYs). Using detailed road-traffic-noise exposure data provided by the Hessian Agency for Nature Conservation, Environment, and Geology (HLNUG), we calculated the DALYs due to road-traffic noise &gt, 40 dB(A) L24h (unweighted average 24 h noise level) and other noise metrics for endpoints with known dose-response functions and evidence in the literature (NORAH-study on disease risks and WHO reviews): cardiovascular disease, depressive disorders, road-traffic annoyance, and sleep disturbance. We calculated the population-attributable fractions (PAF) for road-noise-related cardiovascular disease (hypertensive heart disease, ischemic heart disease, and stroke) and depressive disorders in the population using published relative risk estimates. We multiplied the PAFs with the Hessian proportion of the 2015 WHO DALY estimates for Germany in people aged ≥ 40 years. For high annoyance and high sleep disturbance, we used published dose-response functions to determine the burden for residents of all ages. For Hesse, we found a total of 26,501 DALYs attributable to road-traffic noise or 435 DALY per 100,000 persons for the reference year, 2015. Further, we estimated that a hypothetic uniform road-traffic-noise reduction of 3 dB would prevent 23% of this burden of disease.

Smartphone use has changed patterns of online and offline interaction. Phubbing (i.e., looking at one’s phone instead of paying attention to others) is an increasingly recognized phenomenon in offline interaction. We examined whether people who phub are more likely to have lower social intelligence, whether phubbing is considered more annoying than being ignored due to reading a magazine, and if people describe smartphones and magazines differently as sources of social distraction. We collected two survey samples (N = 112, N = 108) for a cartoon-based role-playing experiment (the Bystander Inaccessibility Experiment) in which a smartphone user and a person reading a magazine ignored the respondents’ conversational initiatives. Annoyance in each scenario was measured, and written accounts were collected on why the respondents rated the scenarios the way they did. Other measures used included the Generic Scale of Phubbing, Generic Scale of Being Phubbed, and Tromsø Social Intelligence Scale. The results showed that participants in both samples were more annoyed by phubbing than by being ignored due to reading a magazine. Linear regression analyses showed that phubbing was associated with lower social intelligence, even after adjusting for confounding factors. The annoyingness of phubbing was explained with negative attitudes toward smartphones, which were assumed to be used for useless endeavors, while magazines were more appreciated and seen as more cultivating. The role of bystanders’ epistemic access to the smartphone user’s activities is discussed.

Commissioned by the Swiss Federal Office for the Environment, an update of an earlier narrative review was prepared for the literature published between 2017 and mid-2020 about the effects of wind turbine sound on the health of local residents. Specific attention was hereby given to the health effects of low-frequency sound and infrasound. The Netherlands Institute for Public Health and the Environment and Mundonovo sound research collected the scientific literature on the effect of wind turbines on annoyance, sleep disturbance, cardiovascular disease, and metabolic effects, as well as mental and cognitive impacts. It also investigated what is known about annoyance from visual aspects of wind turbines and other non-acoustic factors, such as the local decision-making process. From the literature study, annoyance again came forward as the most important consequence of sound: the louder the sound (in dB) of wind turbines, the stronger the annoyance response was. The literature did not show that “low-frequency sound” (sound with a low pitch) results in extra annoyance on top of normal sound. Results of scientific research for other health effects are either not available or inconsistent, and we can conclude that a clear association with wind turbine related sound levels cannot be confirmed. There is evidence that long-term effects are related to the annoyance people experience. These results confirm earlier conclusions. There is increasing evidence that annoyance is lower when people can participate in the siting process. Worries of residents should be addressed in an early stage, by involving them in the process of planning and decision making.

This paper presents the results of a study evaluating the human perception of the noise produced by four different small quadcopter unmanned aerial vehicles (UAVs). This study utilised measurements and recordings of the noise produced by the quadcopter UAVs in hover and in constant-speed flight at a fixed altitude. Measurements made using a ½″ microphone were used to calculate a range of different noise metrics for each noise event. Noise recordings were also made using a spherical microphone array (an Eigenmike system). The recordings were reproduced using a 3D sound reproduction system installed in a large anechoic chamber located at The University of Auckland. Thirty-seven participants were subjected to the recordings and asked to rate their levels of annoyance in response to the noise, and asked to perform a simple cognitive task in order to assess the level of distraction caused by the noise. This study discusses the noise levels measured during the test and how the various noise metrics relate to the annoyance ratings. It was found that annoyance strongly correlates with the sound pressure level and loudness metrics, and that there is a very strong correlation between the annoyance caused by a UAV in hover and in flyby at the same height. While some significant differences between the distraction caused by the UAV noise for different cases were observed in the cognitive distraction test, the results were inconclusive. This was likely due to a ceiling effect observed in the participants’ test scores.

The use of different noise annoyance scales across studies and socio-acoustic surveys, in particular the popular 5-point verbal and 11-point numerical scales, has made the evaluation, comparison, and pooling of noise annoyance responses among studies a taxing issue. This is particularly the case when “high annoyance” (HA) responses need to be compared and when the original studies used different scales, thus, there are different so-called cutoff points that define the part of the scale that indicates the HA status. This paper provides practical guidance on pooling and comparing the respective annoyance data in both the linear and logistic regression context in a statistically adequate manner. It caters to researchers who want to carry out pooled analyses on annoyance data that have been collected on different scales or need to compare exposure–HA relationships between the 5-point and 11-point scales. The necessary simulation of a cutoff point non-native to an original scale can be achieved with a random assignment approach, which is exemplified in the paper using original response data from a range of recent noise annoyance surveys. A code example in the R language is provided for easy implementation of the pertinent procedures with one’s own survey data. Lastly, the not insignificant limitations of combining and/or comparing responses from different noise annoyance scales are discussed.

One year after the opening of the Hokuriku Shinkansen (high-speed) railway, in 2016, we conducted a social survey targeting the residents of detached houses along the rail. Noise and vibration exposure levels were estimated at outdoor points closest to the noise source side of the houses. Of the 1980 people contacted, there were 1022 valid respondents. The purpose of this research was to investigate the relationship between noise and vibration exposure and community responses. The results demonstrated that the noise annoyance and daily activity disturbances of residents living in areas without a conventional railway are higher than those of residents living in areas running parallel to a conventional railway line. This tendency was remarkable, especially for areas with high vibration exposure caused by the Shinkansen railway. There was no difference between before and after the opening of the Shinkansen railway in the evaluation of housing satisfaction, or regarding the preference for the residential area and quietness around the house. However, since the survey before the opening was conducted only in the Ishikawa site, it will be necessary to conduct before-and-after surveys in areas where there are no conventional railways, and where the speed of the Shinkansen is fast.

Children are considered at higher risk for harmful noise effects due to their sensitive development phase. Here, we investigated the effects of nocturnal aircraft noise exposure on short-term annoyance assessed in the morning in 51 primary school children (8–10 years) living in the surrounding community of Cologne-Bonn Airport. Child-appropriate short-term annoyance assessments and associated non-acoustical variables were surveyed. Nocturnal aircraft noise exposure was recorded inside the children’s bedrooms. Exposure–response models were calculated by using random effects logistic regression models. The present data were compared with those from a previous study near Cologne-Bonn Airport in adults using very similar methodology. Short-term annoyance reaction in children was not affected by the nocturnal aircraft noise exposure. Non-acoustical factors (e.g., the attitude that “aircraft are dangerous” or noise sensitivity), however, significantly impacted on children’s short-term annoyance. In contrast to children, the probability of moderate to high annoyance in adults increased with the number of aircraft flyovers during the time in bed. It is concluded that short-term annoyance from nocturnal aircraft noise in children is mainly determined by non-acoustical factors. Unlike in adults, acoustical factors did not play a significant role.

The number of operations of Unmanned Aerial Vehicles (UAV), commonly referred to as “drones”, has strongly increased in the past and is likely to further grow in the future. Therefore, drones are becoming a growing new source of environmental noise pollution, and annoyance reactions to drone noise are likely to occur in an increasing share of the population. To date, research on drone noise emission characteristics, and in particular also on health impacts, seems scarce, but systematic overviews on these topics are missing. The objective of this study was to establish a systematic literature review on drone noise emissions and noise effects on humans. The paper presents the methodology of the systematic reviews performed separately for noise emission and noise effects, assembles current literature, gives an overview on the state of knowledge, and identifies research gaps. Current literature suggests that drone noise is substantially more annoying than road traffic or aircraft noise due to special acoustic characteristics such as pure tones and high-frequency broadband noise. A range of open questions remains to be tackled by future studies.

Occupational exposure limits (OELs) are derived for protection from health hazards, assuming that exposed subjects are healthy adult workers. Whether differences in susceptibility to sensory irritation effects from airborne chemicals have to be taken into account is currently under discussion. Thus, we chose atopics as a healthy but possibly susceptible subpopulation that can be identified with a clinical test. To investigate the influence of sex or atopy on sensitivity to airborne chemicals, 22 subjects were exposed for 4 h to ethyl acrylate at three concentrations: 0.05 ppm (odor threshold; sham), 5 ppm (constant), and varying exposure between 0 and 10 ppm. Odor intensity decreased and eye irritation ratings increased in a dose-dependent manner, reflecting the time course of the exposure scenarios. The reports of moderate-to-strong eye irritation were verified by significant increases in eye blink frequency. Our results show that women reported subjective eye irritation to an increasing degree. However, these sex-related differences in ratings could not be verified by objective assessment of eye blink frequency. Atopic subjects reported higher odor intensity than non-atopic subjects, but only during the sham (odorous but not irritating) exposure condition. Differences in ratings on annoyance, and eye or nose irritation were not found. Furthermore, the study revealed that atopic subjects might belong to a group of subjects with frequent eye blink activity. Although the relative increase in blink rates was more pronounced in non-atopic subjects, atopic subjects had significant higher blink rates at the end of the exposure to varying ethyl acrylate concentrations. Our results do not support that atopy enhances chemosensory effects if only the increase of blink rates and not the absolute height are considered as adverse effect. Nevertheless, the results indicate that individuals with frequent eye blink activity should be distinguished from those with normal eye blink activity while investigating blink rates as objective parameter of eye irritation.

Introduction: Tinnitus is a subjective auditory symptom usually associated with a sound, even in the absence of external sound sources. Its diagnosis is complex, and some of the forms of measurement alone or in combination, include self-assessment questionnaires, such as the tinnitus handicap inventory, the visual analog scale and/or pitch and loudness matching. Objective: To analyze the correlation among three tinnitus measurement methods: tinnitus handicap inventory, visual analog scale and pitch and loudness matching. Methods: The study consisted of 148 patients complaining of chronic tinnitus. An otorhinolaryngological evaluation, anamnesis directed to tinnitus, audiometry (pure tone and speech), imitanciometry, tinnitus handicap inventory, visual analog scale, and pitch and loudness matching were performed. The study was registered in the Ethics Committee of the Institution with no. 0129/12. Results: Regarding the frequency of tinnitus handicap inventory responses, a higher occurrence of the mild degree was observed. An average of 6 points was observed on the visual analog scale. The mean loudness matching in the right ear was 20 dBNS, and in the left ear was 17 dBNS. As for the type of stimulus, the most found was continuous pure tone. The frequency of the pitch sensation was 6000 Hz in the largest number of cases. Regarding the measures of tinnitus handicap inventory and the visual analogical scale, a significant correlation was observed, and as one value increases the other also increases. Pitch and loudness matching and the visual analogical scale results are also significant. Conclusion: There was a significant correlation between the values measured by the tinnitus handicap inventory, visual analogical scale (annoyance) and loudness matching in the evaluation of tinnitus. The selection of any one of the three evaluative methods for tinnitus investigation provides different dimensions of the tinnitus and complements the others. Resumo: Introdução: O zumbido é um sintoma auditivo de natureza subjetivo, normalmente associado a um som, mesmo na ausência de fontes sonoras externas. Apresenta diagnóstico complexo. Uma das formas de mensuração é o uso, isolado ou em conjunto, de questionários de autoavaliação, como o Tinnitus Handicap Inventory, a escala visual analógica e o exame de acufenometria. Objetivo: Analisar a correlação entre os métodos de mensuração do zumbido: Tinnitus Handicap Inventory, escala visual analógica e acufenometria. Método: Participaram do estudo 148 pacientes com queixa de zumbido crônico. Realizou-se avaliação otorrinolaringológica, anamnese direcionada ao zumbido, audiometria (tonal e vocal), imitanciometria, Tinnitus Handicap Inventory, escala visual analógica e acufenometria. O estudo foi registrado no comitê de ética da instituição, com n° 0129/12. Resultados: Em relação à frequência das respostas do Tinnitus Handicap Inventory, foi observada maior ocorrência do grau leve. Observou-se uma média de 6 pontos na escala visual analógica. A média da sensação de intensidade medida na acufenometria na orelha direita foi de 20 dBNS e na orelha esquerda foi de 17 dBNS. Quanto ao tipo de estímulo, o mais encontrado foi o tom puro contínuo. A sensação de frequência, no maior número de casos, foi de 6.000 Hz. Entre as medidas do Tinnitus Handicap Inventory e da escala visual analógica, observou-se correlação significante. À medida que um valor aumenta o outro também aumenta. Os resultados da acufenometria e da escala visual analógica também apresentam significância. Conclusão: Houve correlação significante entre os valores medidos pelo Tinnitus Handicap Inventory, escala visual analógica (incômodo) e acufenometria (loudness) na avaliação do zumbido. A escolha de um dos três métodos avaliativos para pesquisa do zumbido fornece dimensões diferentes do zumbido e se complementam. Keywords: Tinnitus, Sound perception, Hearing, Audiology, Questionnaire, Palavras-chave: Zumbido, Percepção sonora, Audição, Audiologia, Questionário

Introduction: Random noise stimulation was reported as the more effective and safer type of electrical stimulation techniques in relieving tinnitus symptoms. The multisite protocol of transcranial random noise stimulation has shown additional favorable effects. Objective: Here we will discuss the role of applying eight sessions of multisite transcranial random noise stimulation in decreasing tinnitus loudness and annoyance without exerting additional adverse effects. Methods: Twenty-nine subjects (8 female), the mean age of (45.34 ± 9.57) with chronic tinnitus received transcranial random noise stimulation in the multisite protocol, 10 min of auditory-transcranial random noise stimulation applied over the T3, T4 preceded by 10 min of prefrontal-transcranial random noise stimulation applied over F4, FP1. In the first group, only one session was applied and the multiple-sessions group contained eight repeated sessions. Visual analog scale scores for loudness and distress were recorded before and immediately after the treatment. Multivariate repeated measure ANOVA test was used and minimal detectable change calculated. Results: There was a statistically and clinically significant reduction in tinnitus loudness and annoyance in both groups (p 0.8), while the amount of annoyance suppression in the multiple-sessions group was significantly greater than the single-session group. The patients of the multiple-sessions transcranial random noise stimulation group reported an improvement in their sleep and lower tinnitus handicap inventory scores without experiencing any additional adverse effects of the intervention. Conclusions: The results of this study showed a substantial improvement in tinnitus symptoms by using the multiple sessions of transcranial random noise stimulation in the multisite protocol without producing any additional side effects. We suggest further clinical trials with long-term follow-up be investigated. Resumo: Introdução: Tem sido relatado que a estimulação transcraniana por ruído aleatório é um tipo mais eficaz e seguro de técnica de estimulação elétrica no alívio dos sintomas do zumbido. O protocolo multissítio da estimulação transcraniana por ruído aleatório mostrou efeitos favoráveis adicionais. Objetivo: Discutir o papel da aplicação de oito sessões de estimulação transcraniana por ruído aleatório multissítio na diminuição da intensidade (loudness) do som e incômodo (annoyance) do zumbido sem causar efeitos adversos adicionais. Método: Vinte e nove indivíduos com zumbido crônico (oito do sexo feminino), com média de 45,34 ± 9,57 anos, receberam estimulação transcraniana por ruído aleatório no protocolo multissítio, 10 minutos de estimulação transcraniana por ruído aleatório-auditivo aplicado no T3, T4 precedido por 10 min de estimulação transcraniana por ruído aleatório pré-frontal aplicado sobre F4, FP1. No primeiro grupo, apenas uma sessão foi aplicada e o grupo de múltiplas sessões recebeu oito sessões. Os escores da escala visual analógica para a intensidade do som (loudness) e incômodo (annoyance) do zumbido foram registrados antes e imediatamente após o tratamento. O teste Anova multivariada para medidas repetidas foi utilizado e a mudança mínima detectável foi calculada. Resultados: Houve uma redução estatisticamente e clinicamente significante na intensidade e incômodo do zumbido em ambos os grupos (p < 0,05; tamanho do efeito (η2) > 0,8), embora o nível de supressão do incômodo no grupo de sessões múltiplas tenha sido significantemente maior do que no grupo de sessão única. Os pacientes do grupo estimulação transcraniana por ruído aleatório com múltiplas sessões relataram uma melhoria no sono e menores escores no tinnitus handicap inventory, sem experimentar quaisquer efeitos adversos adicionais da intervenção. Conclusão: Os resultados deste estudo mostraram uma melhora substancial nos sintomas do zumbido utilizando múltiplas sessões de estimulação transcraniana por ruído aleatório no protocolo multissítio sem produzir quaisquer efeitos colaterais adicionais. Sugerimos que novos ensaios clínicos com seguimento de longo prazo sejam realizados. Keywords: Tinnitus, Electrical stimulation, Transcranial random noise stimulation, Multiple-sessions, Safety, Palavras-chave: Zumbido, Estimulação elétrica, Estimulação transcraniana por ruído aleatório, Múltiplas sessões, Segurança

Noise in open-plan offices, connected with an unintentional hearing of conversations and related distraction of attention, causes annoyance of employees. The article presents the calculated range of speech intelligibility in a selected open-plan office room.The speech transmission index (STI) was examined in a real room of 300 msup3/sup. The room was equipped with a sound absorbing suspended ceiling, acoustic screens and sound absorbing materials on the walls. Initial tests were conducted in order to verify the assumed computational model from ODEON software, as well as the geometrical and acoustic data describing the room. The verification process consisted of comparing the calculations and measurement results. In the main part of the study, the range of speech intelligibility was calculated for several locations of the speech source, i.e., areas in which the STI0.5.The results of the calculations and the results of the measurements of physical quantities, characterizing the acoustic properties of the open-plan office room (including STI), showed good agreement. For speech emission, the ranges of speech intelligibility were determined on several work stations.The use of calculation methods to simulate the sound field in open-plan office rooms is possible when the calibration of the room model is initially performed. Determination of the speech intelligibility range provides important information about the distance of negative acoustic interactions between work stations. This range can be used to determine the interaction between work stations or to assess various technical solutions to reduce the negative interaction. Med Pr. 2019;70(3):327-42.Hałas w pomieszczeniach biurowych open space, powodując niezamierzony odbiór rozmów i związaną z tym dekocentrację, jest szczególnie uciążliwy dla pracowników. W artykule określono metodą obliczeniową zasięg zrozumiałości mowy w wybranym pomieszczeniu biurowym open space.Badano zrozumiałość mowy określoną wskaźnikiem transmisji mowy (ispeech transmission index/i− STI) w pomieszczeniu rzeczywistym o objętości 300 msup3/sup. Zainstalowano w nim dźwiękochłonny sufit podwieszany, ekrany oraz materiały dźwiękochłonne na ścianach. W badaniach wstępnych zweryfikowano przyjęty model obliczeniowy (w programie ODEON) oraz dane geometryczno-akustyczne opisujące pomieszczenie. Weryfikacja polegała na porównaniu wyników pomiarów i wyników obliczeń. W badaniach głównych obliczono zasięg zrozumiałości mowy dla kilku wariantów położenia źródła mowy, tj. obszarów, w których STI0,5.Uzyskano dużą zgodność wyników obliczeń i pomiarów wielkości fizycznych charakteryzujących właściwości akustyczne pomieszczenia biurowego open space (m.in. STI). Na kilku stanowiskach pracy określono zasięgi zrozumiałości mowy dla jej emisji.Stosowanie metod obliczeniowych do symulacji pola akustycznego w pomieszczeniach biurowych open space jest możliwe po wykonaniu kalibracji zastosowanego modelu geometryczno-akustycznego i danych opisujących pomieszczenie. Określenie zasięgu zrozumiałości mowy daje istotną informację o zasięgu negatywnego akustyczne wzajemnego oddziaływania stanowisk pracy. Zasięg ten może być wykorzystany przy określeniu wzajemnego oddziaływania stanowisk pracy lub oceny różnych rozwiązań technicznych, które mają na celu zmniejszenie tego oddziaływania. Med. Pr. 2019;70(3):327–342.

The aim of the present study is to establish exposure-response relationships reflecting the percentage highly annoyed (%HA) as functions of road traffic, railway, and aircraft noise exposure, measured as day-evening-night level (Lden), as well as to elucidate the degree to which the acoustic indicator Intermittency Ratio (IR), which reflects the “eventfulness” of a noise situation, predicts noise annoyance. We conducted a mixed-mode representative population survey in a stratified random sample of 5592 residents exposed to transportation noise all over Switzerland. Source-specific noise exposure was calculated for each floor and each façade based on comprehensive traffic data. Noise annoyance was measured using the ICBEN 11-point scale. The survey was carried out in 4 waves at different times of the year. We hypothesized that in addition to Lden, the effects of noise on annoyance can be better explained when also considering the intensity of short-term variations of noise level over time. We therefore incorporated the acoustic indicator IR in the statistical models. For all noise sources, results revealed significant associations between Lden and %HA after controlling for confounders and independent predictors such as IR (measured over 24 h), exposure to other transportation noise sources, sex and age, language, home ownership, education level, living duration, temperature, and access to a quiet side of the dwelling. Aircraft noise annoyance scored markedly higher than annoyance to railway and road traffic noise at the same Lden level. Railway noise elicited higher percentages of highly annoyed persons than road traffic noise. Results furthermore suggest that for road traffic noise, IR has an additional effect on %HA and can explain shifts of the exposure-response curve of up to about 6 dB between low IR and high IR exposure situations, possibly due to the effect of different durations of noise-free intervals between events. For railway and aircraft noise annoyance, the predictive value of IR was limited. Keywords: Transportation noise, Annoyance, Exposure-response relationship, Noise metric

In order to alleviate the shortage of land use accompanied with urbanization, over-track building complexes above metro depots are developed rapidly in China, resulting in the larger mechanical ventilation needs in the metro depot. Excessive noise exposure caused by the huge ventilation system will bring serious impacts on the health of workers in the metro depot. This research intends to evaluate the noise annoyance in the metro depot and the noise influences on adjacent residential buildings by the ventilation system. A questionnaire survey of 100 people working in a metro depot of Guangzhou Metro Line 6 was conducted, and field measurements inside the metro depot and inside adjacent residential buildings were carried out. The environmental noise level in the metro depot and the ventilation fan–induced noise level inside adjacent residential buildings exceed the corresponding criterion limit of China. Dose-response relationship modeled by logistic function was used to assess the noise annoyance, which is found underestimating the percentage of “Annoyed” (% A) and percentage of “Little Annoyed” (% LA) of staffs in the metro depot, especially for the % LA. This may be attributed to the reducing reliability of dose-effect curves as the Ldn is higher than 65 dB(A). In order to alleviate the noise impact, noise-controlling measures need to be took. However, traditional noise-controlling measures cannot solve low-frequency noise disturbance.

Background One of the major environmental problems of the modern world is noise. A health-related marker of environmental noise exposure that can be considered a predictor of annoyance is noise sensitivity. The aim of this study was to ascertain the correlation between levels of exposure to road traffic noise in residential areas and the resulting annoyance based on the perception and sensitivity reported. Methods The study involved noise assessment, with the creation of noise maps of the neighborhood in the city of Sao Paulo, Brazil, and application of a questionnaire to ascertain the perception of the residents of the neighborhood, regarding the effects of this exposure. Results The noise levels at all the measured points were found to exceed the critical level for the area, 55 dB(A). A total of 225 interviews were conducted. Noise-related annoyance was reported by 48.4% of the respondents. Associations were observed between living in areas exposed to traffic noise and feeling annoyed with this noise (p Conclusions These findings suggest the importance of reviewing and updating Brazilian public policies regarding environmental noise. We found a high prevalence of annoyance reports, as well as aspects indicative of sensitivity to noise exposure.

Environmental noise is one of the main sources of pollution in today’s modern world. Health effects associated with noise depend on both environmental exposure and individuals’ noise sensitivity. However, still little is known as to why some children are more noise sensitive than others. Studies to date have focused on adult populations and have not considered both cognitive and personality factors when explaining noise sensitivity. The current research investigates individual differences in noise sensitivity among elementary school children, with the aim of shedding light on its underlying mechanisms. Study 1 (n = 112) validated a novel questionnaire assessing children’s reactions to classroom noise against two measures of noise sensitivity that are commonly used in adult populations. Study 2 (n = 237) investigated how children’s reactions to classroom noise covaried with their effortful control and prosocial skills, both measured through a teacher report. Prosocial skills were not related to children’s reactions to noise. However, children with lower effortful control skills reported more negative reactions to classroom noise. Given the importance of effortful control skills to succeed at school, children at risk of school difficulty might also be the ones who are particularly vulnerable to noise.

Transportation noise leads to sleep disturbance and to psychological and physiological sustained stress reactions, which could impact respiratory health. However, epidemiologic evidence on associations of objective transportation noise exposure and also perceived noise annoyance with respiratory morbidity is limited. We investigated independent associations of transportation noise exposure and noise annoyance with prevalent respiratory symptoms and incident asthma in adults.Using 17,138 observations (from 7049 participants) from three SAPALDIA (Swiss Cohort Study on Lung and Heart Diseases in Adults) surveys, we assessed associations of transportation noise exposure and noise annoyance with prevalent respiratory symptoms, and with incident asthma (in 10,657 nested observations from 6377 participants). Annual day-evening-night transportation noise comprising road, railway and aircraft Lden (Transportation Lden) was calculated for the most exposed façade of participants' residence using Swiss noise models. Transportation noise annoyance was assessed using an 11-point scale, and participants reported respiratory symptoms and doctor-diagnosed asthma at each survey. We estimated associations with transportation Lden (as well as source-specific Lden) and noise annoyance, independent of air pollution and other potential confounders, using mutually-adjusted mixed logistic and Poisson models and applying random intercepts at the level of the participants.Prevalent respiratory symptoms ranged from 5% (nocturnal dyspnoea) to 23% (regular cough/phlegm). Transportation noise annoyance, but not Lden, was independently associated with respiratory symptoms and current asthma in all participants, with odds ratios (OR) and 95% confidence intervals (CI) ranging between 1.03 (95%CI: 1.01, 1.06) and 1.07 (95% CI: 1.04, 1.11) per 1-point difference in noise annoyance. Both noise annoyance and Lden showed independent associations with asthma symptoms among asthmatics, especially in those reporting adult-onset asthma [ORLden: 1.90 (95% CI: 1.25, 2.89) per 10 dB; p-value of interaction (adult-onset vs. childhood-onset): 0.03; ORnoise annoyance: 1.06 (95%CI: 0.97, 1.16) per 1-point difference; p-value of interaction: 0.06]. No associations were found with incident asthma.Transportation noise level and annoyance contributed to symptom exacerbation in adult asthma. This suggests both psychological and physiological noise reactions on the respiratory system, and could be relevant for asthma care. More studies are needed to better understand the effects of objective and perceived noise in asthma aetiology and overall respiratory health. Keywords: Noise, Transportation, Annoyance, Signs and symptoms, Respiratory, Asthma, Air pollution, Cohort studies

Long-term exposure to occupational noise is often associated with noise-induced hearing loss (NIHL) among dentists. This study aims to investigate potential hearing loss (HL) and selfreported annoyance as a result of exposure to noise produced by contemporary dental equipment. Methods: Three cohorts participated: 53 dentists with more than 5 years of service, 47 dentists with at most 5 years of service, and 53 pharmacists as controls, age and gender-matched to the first group. After the exclusion of one person, the hearing of 304 ears was screened with the Flemish version of the digit triplet in noise test (DTT). If screening failed, otoscopy and pure tone audiometry (PTA) were performed for both ears. Furthermore, general information, knowledge, exposure, annoyance, general health, and preventive measures were assessed with a custom-made questionnaire. Results: NIHL did not occur significantly more often with dentists than with controls. However, dentists revealed a significantly higher annoyance (related to the noise from their equipment) and reported more complaints than the pharmacists. All three groups indicated lack of knowledge on hearing care. Conclusions: While noise levels in contemporary dentistry are not harmful and do not induce NIHL, the sounds emitted by the devices are disturbing and affect mental health. This study calls for increased awareness of the consequences of sound exposure and stresses the need to monitor and protect the hearing of dentists regularly. ispartof: International Journal Of Environmental Research And Public Health vol:18 issue:11 pages:1-13 ispartof: location:Switzerland status: published