The neonatal intensive care unit (NICU) is a very noisy place as compared to the intrauterine environment. To protect the neonate's health, international guidelines suggest avoiding noise levels above 45 dB in NICUs, but this recommendation is not normally met. The incubator acoustic isolation and the acoustic features of the NICU play important roles in determining the noise measured inside the incubator. In this study, the influence of two types of rooms, one with sound-absorbent covering and the other with reverberant surfaces, on the acoustic isolation of a neonatal incubator was evaluated using three acoustic isolation indexes: the level difference, the apparent sound reduction index, and the standardized level difference. Results show that the acoustic isolation of the incubator is very poor, with a level difference below 11 dBA at all frequencies. At 62.5 Hz, the level difference measured in both rooms exhibits a negative value, indicating that the incubator amplifies the noise coming from the NICU. Isolation of the incubator is poor, and the reverberation time (RT) of the containing room influences RT of the incubator, which is consequently higher when the containing room is reverberant; for example, the incubator RT in the reverberant NICU is 0.72 s higher at 500 Hz than that in a room with sound-absorbent covering.
In the last decades, the soundscape approach has attracted the attention of architects and urban planners, leading them to incorporate the acoustic features into the enjoyment of their creations. One of the key aspects for an appreciated urban environment is to match the expectations of the users. In this study, the matching of the waterfront soundscape with the users’ expectations is evaluated by laboratory tests using semantic differential scales applied to reproduced virtual scenarios obtained adding different water sound pressure levels (SPLs) to the original in-situ setting. The tests were carried out by an immersive virtual reality (IVR) device, using 360° videos and spatial audio recorded in two sites of the waterfront in Naples, Italy. The scenarios were presented to the participants according to three experimental protocols, namely audio-only (A), video-only (V), and simultaneous audio-video (AV) reproduction. The examined different acoustic scenarios were the original one recorded in situ and others obtained adding seawater sounds at SPL increments of 5 dB. The results show that all the scenarios with water sounds added are rated more pleasant than the original one for the audio-only scenario. When video and audio are displayed simultaneously, two scenarios are more pleasant than the original one, likely because there is a need for coherence between the water sound SPL heard and the visible noise sources. Sounds coherent with the type of shore show a higher matching with expectations and pleasantness appraisals, rather than those that are uncoherent with the layout scenario.
Low frequency noises are predominant in neonatal intensive care units (NICUs). Some studies affirm that neonates can perceive noises from 113 Hz, and can therefore be affected by sound sources with high spectral content at low frequencies (e.g., incubator engine, air fan). Other studies suggest that reverberation amplifies noise within incubators. In this paper, the reverberation time (T, T30) within an incubator with standard dimensions was measured in one-third octave bands. To get reliable results, the T was measured in 15 positions at the neonate's ear height, in a room with low T values (to reduce the influence of the room in the results), using an impulsive sound method. Results show a heterogeneous T distribution at the neonate's ear height, with maximum average T differences between positions of 1.07 s. The highest average T of all microphone positions is 2.27 s at 125 Hz, an extremely high mean value for such a small space. As the frequency of electrical devices in America is 60 Hz, some harmonics lay within the one-third octave band of 125 Hz, and therefore may create a very reverberant and inappropriate acoustic environment within the audible spectrum of neonates. As the acoustic environment of the incubator and the room are coupled, it is expected that the results are higher in the NICUs than in the room where the measurements were conducted, as NICUs are more reverberant. Therefore, it is recommended that the T will be limited in the international standards, and that incubator designers take it into account.
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