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      The Insertion Loss Distribution Function of An Ear Plug, and Its Implications for the Ear Plug Acceptability

      research-article
      , ,
      Noise & Health
      Wolters Kluwer - Medknow
      Distribution function, ear plug, insertion loss, uncertainty

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          Abstract

          Introduction:

          In order to establish the acceptability of a hearing protector device (HPD) used in a given noisy environment, two key elements must be known with the highest possible accuracy: the insertion loss of the HPD and the associated variability. Methods leading to objective field measurements of insertion loss have become widely available in the last decade and have started to replace the traditional subjective “Real-Ear Attenuation at Threshold” (REAT) laboratory measurements. The latter have long been known to provide a gross overestimate of the attenuation, thus leading to a strong underestimate of the worker’s exposure to noise.

          Methods:

          In this work we present objective measurements of the insertion loss of an ear plug, carried out using the E-A-Rfit procedure by 3M on a large sample of 36 female and 64 male subjects. This large number of independent measurements has been exploited to calculate the distribution function of effective noise levels, that is noise levels that take into account the use of the HPD. The knowledge of the distribution function has in its turn allowed the calculation of the uncertainty on the effective noise levels.

          Results:

          This new estimate of uncertainty (6 to 7 dB) is significantly larger than most previous estimates, which range between 4 and 5 dB when using objective data but with an improper uncertainty propagation, and around 3 dB when using REAT subjective data. We show that the revised new estimate of uncertainty is much more realistic as it includes contributions that are missed by the other methods.

          Conclusions:

          By plugging this revised estimate of uncertainty into the criterion for checking the acceptability of the HPD, a better assessment of the actual protection provided by the HPD itself is possible.

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          Most cited references22

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          Effects of training on hearing protector attenuation.

          The effect of training instruction, whether presented as the manufacturer's printed instructions, a short video training session specific to the product, or as a one-on-one training session was evaluated using four hearing protection devices with eight groups of subjects. Naïve subjects were recruited and tested using three different forms of training: written, video, and individual training. The group averages for A-weighted attenuation were not statistically significant when compared between the video or the written instruction conditions, regardless of presentation order. The experimenter-trained A-weighted attenuations were significantly greater than the written and video instruction for most of the protectors and groups. For each earplug, the noise reduction statistic for A-weighting (NRS A ) and the associated confidence intervals were calculated for the 80 th and 20 th percentiles of protection. Across subject groups for each protector, the differences between NRS A ratings were found to be not statistically significant. Several comparisons evaluating the order of testing, the type of testing, and statistical tests of the performance across the groups are presented.
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            Individual fit-testing of earplugs: a review of uses.

            Individual fit-testing of earplugs is an exciting new trend in hearing conservation. This article reviews how this technology is being used to protect noise-exposed workers. Earplug fit-testing systems are becoming more commercially available and more feasible for field use. Individual fit-testing is no longer used only for research investigations but is being incorporated in Hearing Conservation Programs (HCP) to improve training, document protection and evaluate the effectiveness of the hearing protector element of an effective HCP.
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              The effects of training format on earplug performance

              This experiment investigated the effect of small-group versus individual hearing loss prevention (HLP) training on the attenuation performance of passive insert-type hearing protection devices (HPDs). A subject-fit (SF) methodology, which gave naive listeners access only to the instructions printed on the HPD product label, was used to determine real-ear attenuation at threshold (REAT) at third-octave noise bands between 125-8000 Hz. REAT measurements were augmented by use of the Hearing Loss Prevention Attitude-Belief (HLPAB) survey, a field-tested self-assessment tool developed by the National Institute for Occupational Safety and Health (NIOSH). Participants were randomly assigned to one of four experimental groups, consisting of 25 listeners each, in a controlled behavioral-intervention trial. There were two types of HPDs (formable and premolded) and two training formats (individual and small group). A short multimedia program, including a practice session, was presented to all 100 listeners. Results showed training to have a significant effect, for both HPDs on real-ear attenuation and attitude, but, importantly, there was no difference between small-group and individual training.
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                Author and article information

                Journal
                Noise Health
                Noise Health
                NH
                Noise & Health
                Wolters Kluwer - Medknow (India )
                1463-1741
                1998-4030
                Apr-Jun 2020
                24 December 2020
                : 22
                : 105
                : 35-45
                Affiliations
                [1]Italian National Workers’ Compensation Authority (INAIL)
                Author notes
                Address for correspondence: Paolo Lenzuni, INAIL – Tuscany Regional Research Center, Via delle Porte Nuove 61, 50144 Firenze, Italy. E-mail: p.lenzuni@ 123456inail.it
                Article
                NH-22-35
                10.4103/nah.NAH_6_20
                7986447
                33380615
                93bd6a72-ec41-40eb-b33c-b932ce35a628
                Copyright: © 2020 Noise & Health

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 12 January 2020
                : 27 May 2020
                : 07 August 2020
                Categories
                Original Article

                distribution function,ear plug,insertion loss,uncertainty

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