scholarly journals Repeated Noise Exposure Does Not Reach Hazardous Levels During Total Joint Arthroplasty

2020 ◽  
Vol 185 (9-10) ◽  
pp. e1551-e1555
Author(s):  
Sean E Slaven ◽  
Benjamin M Wheatley ◽  
Daniel L Christensen ◽  
Sameer K Saxena ◽  
Robert J McGill

Abstract Introduction Noise exposure is an occupational health concern for certain professions, especially military servicemembers and those using power tools on a regular basis. The purpose of this study was to quantify noise exposure during total hip arthroplasty (THA) and total knee arthroplasty (TKA) cases compared to the recommended standard for occupational noise exposure. Materials and Methods A sound level meter was used to record cumulative and peak noise exposure levels in 10 primary THA and 10 primary TKA surgeries, as well as 10 arthroscopy cases as controls. Measurements at the distance of the surgeon were taken in all cases. In TKA cases, measurements were taken at 3 feet and 8 feet from the surgeon, to simulate the position of the anesthetist and circulating nurse, respectively. Results Time-weighted average was significantly higher in THA (64.7 ± 5.2 dB) and TKA (64.5 ± 6.8 dB) as compared to arthroscopic cases (51.1 ± 7.5 dB, P < 0.001) and higher at the distance of the surgeon (64.5 ± 6.8 dB) compared to the anesthetist (52.9 ± 3.8 dB) and the circulating nurse (54.8 ± 11.2 dB, P = 0.006). However, time-weighted average was below the recommended exposure level of 85 dB for all arthroplasty cases. Peak levels did not differ significantly between surgery type or staff role, and no values above the ceiling limit of 140 dB were recorded. Surgeon’s daily noise dose percentage per case was 1.78% for THA and 2.04% for TKA. Conclusion Noise exposure in THA and TKA was higher than arthroscopic cases but did not exceed occupational standards. A daily dose percentage of approximately 2% per case indicates that repeated noise exposure likely does not reach hazardous levels in modern arthroplasty practice.

Noise exposure monitoring is essential to assess noise exposure circumstances and provide a noise control plan to minimize noise exposure problems in the workplace. In Malaysia, occupational noise exposure problems have been increasing, especially in the construction industry. Hence, this study aims to investigate the noise exposure problem in a construction casting yard in Malaysia. The objectives of the study were to measure the current occupational noise exposure problem and to propose a noise control action. Field measurement was carried out at a segmented box girder casting yard under the Mass Rapid Transit (MRT) construction project in Selangor, Malaysia. A total of six case studies from four different construction trades had been conducted. This study plotted noise maps and measured personal noise exposure levels for the three construction trades. The results showed that the equivalent sound level exceeded the action level of 85 dBA for these trades. Besides, the bar cutting trade with an 8-hour time-weighted average of 92.3 dBA exceeded the permissible exposure limit of 90 dBA. The noise reduction rating of the hearing protection device was evaluated, and appropriate noise control action was proposed. The proposed noise reduction rating was 32 dBA, so it is expected to reduce the time-weighted average sound level below 80 dBA for this workplace. In conclusion, the results could disseminate to construction workers to raise their risk awareness regarding the noise exposure issue in the workplace. The noise mapping information could also be used for the design of the engineering control to reduce the noise exposure level in the construction workplace.


2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P160-P160
Author(s):  
Angela P Black ◽  
James D Sidman

Objectives To demonstrate that neonatal ventilators produce high noise levels through bone conduction (BC) via endotracheal tubes, as well as air conduction (AC) from ambient noise. Methods A sound level meter was used to measure the noise levels 4 feet from the ventilator and in direct contact at the end of a balloon attached to the ETT to simulate the noise presented to the infant. 3 commonly used neonatal ventilators (Sensormedics 3100A, VIP Bird and Bunnell Jet) were examined. Results Noise levels were significantly higher (6 – 14 dB) at the end of the ETT than 4 ft from the ventilator for all ventilators studied. Conclusions Previous studies have shown high ambient noise levels in NICUs, but have failed to address the actual noise presented to the infant. ETT transmission of noise as a direct bone stimulus through the skull has been overlooked. This study has shown that high noise intensities are being presented not only as AC, but as BC to the infants though the ETT. This study demonstrates, therefore, that ear protection alone will not save these at-risk infants from hearing damage. More must be done to decrease noise exposure and develop quieter machines.


1996 ◽  
Vol 39 (2) ◽  
pp. 251-260 ◽  
Author(s):  
Thomas G. Dolan ◽  
James F. Maurer

Although noise may be innocuous in many vocational environments, there is a growing concern in industry that it can reach hazardous levels when amplified by hearing aids. This study examined the daily noise exposures associated with hearing aid use in industry. This was done by both laboratory and site measurements in which hearing aids were coupled to the microphone of an integrating sound level meter or dosimeter. The former method involved the use of recorded railroad and manufacturing noise and a Bruel and Kjaer 4128 Head and Torso simulator. In the latter procedure, a worker wore one of three hearing aids coupled to a dosimeter during 8-hour shifts in a manufacturing plant. Both methods demonstrated that even when amplified by mild-gain hearing aids, noise exposures rose from time-weighted averages near 80 dBA to well above the OSHA maximum of 90 dBA. The OSHA maximum was also exceeded when moderate and high gain instruments were worn in non-occupational listening environments. The results suggest that current OSHA regulations that limit noise exposure in sound field are inappropriate for hearing aid users.


1999 ◽  
Vol 1999 (1) ◽  
pp. 541-547 ◽  
Author(s):  
Mervin F. Fingas ◽  
Patrick Lambert ◽  
Ken Li ◽  
Zhendi Wang ◽  
Francine Ackerman ◽  
...  

ABSTRACT Over 35 meso-scale burns were conducted to study various aspects of diesel and crude oil burning in situ. Extensive sampling and monitoring of these burns were conducted at downwind stations, upwind stations, and in the smoke plume. Particulate samples were taken in air and analyzed for polycyclic aromatic hydrocarbons (PAHs). PAHs were found to be lower in the soot than in the starting oil, although higher concentrations of the larger molecular PAHs were found in the soot and residue, especially for diesel burns. Particulates in the air were measured by several means, and were found to be greater than recommended exposure levels up to 500 meters downwind at ground level, depending on the size and type of fire. Diesel fires emit much more particulate matter and have longer exposure zones. Combustion gases, including carbon dioxide and carbon monoxide, were below exposure level maximums. Volatile organic compound (VOCs) emissions were measured, but the levels were less than from an evaporating crude oil spill. Over 140 compounds were identified and quantified. Carbonyls, including aldehydes and ketones, were found to be below human health concern levels. Emission data from over 30 experimental burns were used to develop prediction equations for over 150 specific compounds or emission categories. These were used to calculate safe distances and levels of concern for a standard burn size of 500 square meters, an amount that would typically be contained in a boom. The safe distance for a crude oil burn of this size is about 500 m and for a diesel burn, much farther.


2005 ◽  
Vol 36 (2) ◽  
pp. 17-20 ◽  
Author(s):  
Foluwasayo E. Ologe ◽  
Emmanuel O. Okoro ◽  
Tanimola M. Akande

We studied the level of music loudness to which operators of music recording/retail centre were exposed in order to determine their risk of work-related hearing loss. A survey of consenting operators of music recording centres on six main streets selected by simple random sampling at different locations of the town was carried out using a structured questionnaire. The sound level of the music from the music player speakers in each centre was measured using a sound level meter (Testo 815) duly calibrated with a sound level meter calibrator (Testo 0554.0009). Results were analyzed by simple descriptive statistics. The study involved 79 mainly male young adults aged 27.7 ± 6.8 years (SD). The measured sound levels in the centres ranged from 86-104dBA; with a mean of 96 ± 2.5dBA(SD). Exposure to this music loudness was for an average of 9 hours daily for an employment period averaging about 5 years. Thirty percent of the study population reduced music loudness by turning down the volume; 6.3% sat at six or more metres from the speakers; 10% used ear plugs occasionally and 7.6% had hearing assessment at some stage prior to the present study. The level of noise exposure of this population of young males is in excess of the threshold associated with irreversible hearing loss, and protection measures were less than optimal.


2014 ◽  
Vol 617 ◽  
pp. 110-115 ◽  
Author(s):  
Ľubica Argalášová ◽  
Jana Jurkovičová ◽  
Ludmila Ševčíková ◽  
Zuzana Štefániková ◽  
Katarína Hirošová ◽  
...  

Environmental (community) noise, particularly road traffic noise, has attracted widespread attention in recent decades as a major environmental health concern. The aim of the study was to determine the impact of environmental noise on psychosocial well-being of young healthy individuals and to follow the time trends of exposure in the period of 10, 15, 20, 25 years. The validated methodology was used to assess noise annoyance, interference with activities and sleep disturbance; the objectification of noise levels was done by direct measurement using sound level analyzer with a module for frequency analysis. The results revealed the sharp increase during the years 1989 and 1999 (the period of political and socio-economic transformation and the changes in traffic management) and the decrease in the year 2013. The findings of our study indicate the need for preventive measures to reduce environmental noise exposure in residential areas and to emphasize the importance of the elaboration of methods for environmental noise exposure risk assessment.


2020 ◽  
Vol 19 (2) ◽  
Author(s):  
Razali A ◽  
Othman MS ◽  
Rahman MS ◽  
Misaridin NFI

INTRODUCTION: Recreational noise exposure has become a major threat to the hearing system, and this includes exposure to loud noise during group exercises such as Zumba Fitness, where loud music plays an important role. This study aimed to assess the noise exposure and hearing threshold profile among Zumba Fitness regulars in Kuantan, Malaysia. MATERIALS AND METHODS: Noise exposure and hearing profile threshold were measured during Zumba Fitness sessions at a fitness studio in Kuantan, Malaysia from 24th June 2014 to 12th August 2014. Noise exposure was measured using a noise dosimeter for one hour of Zumba Fitness session with a total of nine sessions run by three different instructors while sound level pressure was taken using a sound level meter during ambient, peak session and during cooling down. Thirty participants answered questionnaires and underwent pure tone diagnostic audiometry test at a local clinic for hearing threshold documentation. RESULTS: Some areas of the hall posed higher risks of causing noise-induced hearing loss especially near the amplifiers. There were periods when the hearing level exceeded 115 dBA. Early abnormal pattern could be observed in the hearing profiles of some of the participants to suggest preliminary hearing problems. CONCLUSION: Zumba Fitness regulars have a risk of developing noise-induced hearing loss and preventive steps should be properly addressed as NIHL is permanent and irreversible.


2018 ◽  
Vol 52 (3) ◽  
Author(s):  
Louise Elinor R. Dulay ◽  
Ma. Danica Katrina P. Galvan ◽  
Rio Joana M. Puyaoan ◽  
Angel Abraham Y. Sison ◽  
Nicole S. Natanauan ◽  
...  

Objective. The study aimed to evaluate the sound pressure levels of selected traffic enforcer sites in the City of Manila. Methods. A Brüel & Kjær Integrating Sound Level Meter type 2225 was used to measure sound pressure levels in dB(A) to estimate personal noise exposure of traffic enforcers designated at Quezon Boulevard near Quiapo Church and Recto – Rizal Avenue on a weekday and a weekend. Graphs were generated while appropriate measures were calculated for the noise exposure levels. The mean exposure levels were compared with the Philippine Occupational Safety and Health standards by computing the corresponding permissible exposure limit for each work shift using the Equal Energy Principle.17 Results. Noise exposure levels at Quezon Boulevard ranged from 75.0 dB(A) to 91.5 dB(A) with mean noise exposure level of 84.3 ± 3.7 dB(A) and 82.5 ± 2.6 dB(A) for the weekday AM and PM shift, respectively. The mean noise exposure level at Quezon Boulevard for the weekend AM shift was 82.4 ± 2.6, whereas 80.4 ± 2.8 for the PM shift. The noise exposure levels at Recto – Rizal Avenue ranged from 81.5 dB(A) to 99.3 dB(A) with mean noise exposure level of 86.7 ± 2.6 dB(A) and 86.0 ± 2.1 dB(A) for the weekday AM and PM shift, respectively. The mean noise exposure level at Recto – Rizal Avenue for the weekend AM shift was 86.7 ± 2.3, whereas 89.0 ± 4.0 for the PM shift. Conclusion. The study showed that traffic enforcers designated at Quezon Boulevard and Recto – Rizal Avenue are exposed to noise levels that do not exceed the Philippine Occupational Safety and Health standards.


2021 ◽  
Vol 7 (3) ◽  
pp. 560-574
Author(s):  
Mohamed N. Younes ◽  
Ali Z. Heikal ◽  
Akram S. Kotb ◽  
Haytham N. Zohny

The noise levels inside metro units are considered a significant problem that makes passengers suffer from severe damage, especially for those who use the metro periodically. This research evaluates the acoustic environment inside the metro car and studies factors affecting the noise levels inside metro units and developing models for estimate noise in the metro unit while moving between stations. Greater Cairo Metro (GCM) Line 1 has been selected as a case study. A sound level meter was used to measure the equivalent sound level in dBA and evaluate the noise inside metro units. The results indicate that the noise levels are unacceptable compared with the international noise exposure standards. The highest measured noise level inside metro units is 91.2 dBA. These unacceptable noise levels led to more investigation of factors that may affect noise levels inside metro units. Other data have been collected, such as the speed of the train and the track alignment details. The results showed that the noise increases with the increase of the train speed until the speed reaches a specific value, then it decreases depending on the maintenance status and the train type. In addition, the noise levels through curved underground tracks are higher than the levels along straight surface tracks by 18 dB(A). Doi: 10.28991/cej-2021-03091674 Full Text: PDF


2019 ◽  
Vol 2 (2) ◽  
pp. 341-349
Author(s):  
Michał Pałęga ◽  
Marcin Kwapisz

Abstract The subject of this publication is to assess the exposure of the waterjet operator to the noise hazard. The publication presents basic information about noise in the work environment. Next, the procedure of noise measurement in the work environment was discussed and the results of tests carried out at the waterjet operator’s station for three basic activities were presented, ie: (1) plotter support, supervision of the cutting process, loading and receiving material, (2) auxiliary, transport and cleaning, (3) computer service, keeping documentation, hygienic and social break. The noise level test included the determination of: the maximum sound level A LA max, the peak sound level C LCpeak, the noise exposure level related to the 8-hour work day LEX,8h. Based on the obtained measurement results, it can be stated that the exposure to noise at the station of the waterjet operator is at an acceptable level.


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