Acceptable Noise-Level Stability Over a One-Year Period of Time

Author(s):  
Melinda F. Bryan ◽  
Susan Gordon-Hickey ◽  
Ashton L. Hay ◽  
Shelby T. Davis

Background: The acceptable noise level (ANL) is a measure of willingness to listen to speech in thepresence of background noise and is thought to be related to success with amplification. To date, ANLshave only been assessed over short periods of time, including within a session and over a three-week andthree-month time period. ANL stability over longer periods of time has not been assessed.<br />Purpose: The purpose was to examine the stability of ANL over a one-year time period.<br />Research Design: A repeated-measures, longitudinal study was completed.<br />Study Sample: Thirty young adults with normal hearing served as participants. The participants weretested at two different sites.<br />Data Collection and Analysis: Two trials of most comfortable listening levels (MCLs), background noiselevels (BNLs), and ANLs were assessed for each participant during three experimental sessions: at0 months, six months, and one year.<br />Results: Two-way repeated-measures analysis of variances revealed no significant change in MCLs,BNLs, or ANLs within a session or over a one-year time period. These results indicate that ANLs remainstable for one year in listeners with normal hearing.<br />Conclusions: The finding that the ANL is stable over a longer period of time supports the theory that theANL is an inherent trait of the listener and mediated at in the central auditory nervous system.<br />

2020 ◽  
Vol 31 (05) ◽  
pp. 336-341
Author(s):  
Melinda F. Bryan ◽  
Susan Gordon-Hickey ◽  
Ashton L. Hay ◽  
Shelby T. Davis

Abstract Background The acceptable noise level (ANL) is a measure of willingness to listen to speech in the presence of background noise and is thought to be related to success with amplification. To date, ANLs have only been assessed over short periods of time, including within a session and over a 3-week and 3-month time period. ANL stability over longer periods of time has not been assessed. Purpose The purpose was to examine the stability of ANL over a 1-year time period. Research Design A repeated-measures, longitudinal study was completed. Study Sample Thirty young adults with normal hearing served as participants. The participants were tested at two different sites. Data Collection and Analysis Two trials of most comfortable listening levels (MCLs), background noise levels (BNLs), and ANLs were assessed for each participant during three experimental sessions: at 0 months, 6 months, and 1 year. Results Two-way repeated-measures analysis of variances revealed no significant change in MCLs, BNLs, or ANLs within a session or over a 1-year time period. These results indicate that ANLs remain stable for 1 year in listeners with normal hearing. Conclusions The finding that the ANL is stable over a longer period of time supports the theory that the ANL is an inherent trait of the listener and mediated at in the central auditory nervous system.


2003 ◽  
Vol 14 (07) ◽  
pp. 372-382 ◽  
Author(s):  
Deanna S. Rogers ◽  
Ashley W. Harkrider ◽  
Samuel B. Burchfield ◽  
Anna K. Nabelek

The acceptance of background noise can be assessed by having participants select the maximum background noise level (BNL) to which they are willing to listen while following speech at their most comfortable listening level (MCL). The difference between the selected BNL and MCL is the acceptable noise level (ANL). Preliminary investigations have revealed large between-participant ANL differences that are not related to age, hearing status, preference for background noise, or uncomfortable listening level. This study investigated listener's gender as a possible factor contributing to these between-participant differences. Comfortable listening levels for speech and accepted levels of speech-babble background noise were obtained binaurally, via the sound field, from 50 (25 male, 25 female) young, acoustically naive adults with normal hearing sensitivity. Results indicate that, although males had higher comfortable listening levels and accepted higher levels of background noise than females, ANL values were not different between males and females.


2018 ◽  
Vol 2018 ◽  
pp. 1-9
Author(s):  
Liang Xia ◽  
Jingchun He ◽  
Yuanyuan Sun ◽  
Yi Chen ◽  
Qiong Luo ◽  
...  

The acceptable noise level (ANL) was defined by subtracting the background noise level (BNL) from the most comfortable listening level (MCL) (ANL = MCL − BNL). This study compared the ANL obtained through different methods in 20 Chinese subjects with normal hearing. ANL was tested with Mandarin speech materials using a loudspeaker or earphones, with each subject tested by himself or by the audiologist. The presentation and response modes were as follows: (1) loudspeaker with self-adjusted noise levels using audiometer controls (LS method); (2) loudspeaker with the subject signaling the audiologist to adjust speech and noise levels (LA method); (3) earphones with self-adjusted noise levels using audiometer controls (ES method); and (4) earphones with the subject signaling the audiologist to adjust speech and noise levels (EA method). ANL was calculated from three measurements with each method. There was no significant difference in the ANL obtained through different presentation modes or response modes sound. The correlations between ANL, MCL, and BNL obtained from each two methods were significant. In conclusion, the ANL in normal-hearing Mandarin listeners may not be affected by presentation modes such as a loudspeaker or earphones nor is it affected by self-adjusted or audiologist-adjusted response modes. Earphone audiometry is as reliable as sound field audiometry and provides an easy and convenient way to measure ANL.


2008 ◽  
Vol 19 (06) ◽  
pp. 481-495 ◽  
Author(s):  
Jeffrey Weihing ◽  
Frank E. Musiek

Background: A common complaint of patients with (central) auditory processing disorder is difficulty understanding speech in noise. Because binaural hearing improves speech understanding in compromised listening situations, quantifying this ability in different levels of noise may yield a measure with high clinical utility. Purpose: To examine binaural enhancement (BE) and binaural interaction (BI) in different levels of noise for the auditory brainstem response (ABR) and middle latency response (MLR) in a normal hearing population. Research Design: An experimental study in which subjects were exposed to a repeated measures design. Study Sample: Fifteen normal hearing female adults served as subjects. Normal hearing was assessed by pure-tone audiometry and otoacoustic emissions. Intervention: All subjects were exposed to 0, 20, and 35 dB effective masking (EM) of white noise during monotic and diotic click stimulation. Data Collection and Analysis: ABR and MLR responses were simultaneously acquired. Peak amplitudes and latencies were recorded and compared across conditions using a repeated measures analysis of variance (ANOVA). Results: For BE, ABR results showed enhancement at 0 and 20 dB EM, but not at 35 dB EM. The MLR showed BE at all noise levels, but the degree of BE decreased with increasing noise level. For BI, both the ABR and MLR showed BI at all noise levels. However, the degree of BI again decreased with increasing noise level for the MLR. Conclusions: The results demonstrate the ability to measure BE simultaneously in the ABR and MLR in up to 20 dB of EM noise and BI in up to 35 dB EM of noise. Results also suggest that ABR neural generators may respond to noise differently than MLR generators.


DICP ◽  
1989 ◽  
Vol 23 (7-8) ◽  
pp. 588-590 ◽  
Author(s):  
Linda S. Bullock ◽  
Joseph F. Fitzgerald ◽  
Helen I. Mazur

The stability of intravenous famotidine in dextrose 5% injection (D5W), NaCl 0.9% injection (NS), and sterile water for injection stored in polyvinyl chloride (PVC) syringes at 4°C for 14 days was studied. The concentration of famotidine samples was determined at time 0, 7 days, and 14 days by reverse-phase high-performance liquid chromatography. Samples were inspected for visual changes and tested for changes in pH. Results of the HPLC analysis indicated that the famotidine samples remained within 94-100 percent and 99-103 percent of the time 0 concentrations at 7 and 14 days, respectively. Repeated measures analysis of variance demonstrated a significant time effect on famotidine concentration as concentrations changed over time (p<0.01). This change was small in magnitude, however, and concentrations decreased at 7 days and increased at 14 days. Famotidine is stable at a concentration of 2 mg/mL in D5W, NS, and sterile water for injection stored in PVC syringes at 4°C for 14 days.


Author(s):  
Koryo Nakayama ◽  
Go Ichikawa ◽  
Junko Naganuma ◽  
Satomi Koyama ◽  
Osamu Arisaka ◽  
...  

Abstract Objectives Adiposity rebound (AR) refers to an increase in body mass index (BMI) after a nadir. Early AR, in which AR occurs earlier than five years old, is a risk factor for future obesity and metabolic syndrome, but has not been widely studied in very-low-birth-weight infants (VLBWIs). Methods The subjects were VLBWIs born in Dokkyo Medical University NICU from January 2008 to December 2010. Height and weight measured at birth and at intervals until seven years old were obtained from medical records. The lowest BMI after one year of age was used for the age of AR. The subjects were divided into those with early and normal AR (<5 and ≥5 years old). BMI percentile at age seven years was compared using the interquartile range (IQR). Changes in BMI were evaluated by repeated measures analysis of variance (ANOVA). Results There were 38 early AR cases and 62 normal AR cases, giving a prevalence of early AR similar to that in infants with normal birth weight. BMI percentile at age seven years was significantly higher in early AR cases than in normal AR cases (44.6 [IQR: 21.0–79.2] vs. 14.4 [IQR: 3.8–40.8] kg/m2). Changes in BMI were also significantly higher in early AR cases (p=0.024 by ANOVA). Conclusions Early AR in VLBWIs is a predictor of future obesity.


2006 ◽  
Vol 17 (02) ◽  
pp. 141-146 ◽  
Author(s):  
Clifford A. Franklin ◽  
James W. Thelin ◽  
Anna K. Nabelek ◽  
Samuel B. Burchfield

A method has been established to measure the maximum acceptable background noise level (BNL) for a listener, while listening to speech at the most comfortable listening level (MCL). The acceptable noise level (ANL) is the difference between BNL and MCL. In the present study, the ANL procedure was used to measure acceptance of noise, first, in the presence of speech at MCL and, then, for speech presented at much lower and higher levels in listeners with normal hearing. This study used the term ANL to describe the results obtained at MCL and also at other speech presentation levels. The mean ANL at MCL was 15.5 dB, which is comparable to results obtained by previous investigators. ANL increases systematically with speech presentation level. Mean ANLs ranged from 10.6 dB when speech was presented at 20 dB HL to 24.6 dB when speech was presented at 76 dB HL. The results indicated that the acceptance of noise depends significantly on speech presentation level.


2012 ◽  
Vol 51 (7) ◽  
pp. 557-563 ◽  
Author(s):  
Steen Østergaard Olsen ◽  
Lars Holme Nielsen ◽  
Johannes Lantz ◽  
K. Jonas Brännström

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