To assess the risk of noise-induced hearing loss among musicians in the Chicago Symphony Orchestra, personal dosimeters set to the 3-dB exchange rate were used to obtain 68 noise exposure measurements during rehearsals and concerts. The musicians' Leq values ranged from 79-99 dB A-weighted sound pressure level [dB(A)], with a mean of 89.9 dB(A). Based on 15 h of on-the-job exposure per week, the corresponding 8-h daily Leq (excluding off-the-job practice and playing) ranged from 75-95 dB(A) with a mean of 85.5 dB(A). Mean hearing threshold levels (HTLs) for 59 musicians were better than those for an unscreened nonindustral noise-exposed population (NINEP), and only slightly worse than the 0.50 fractile data for the ISO 7029 (1984) screened presbycusis population. However, 52.5% of individual musicians showed notched audiograms consistent with noise-induced hearing damage. Violinists and violists showed significantly poorer thresholds at 3-6 kHz in the left ear than in the right ear, consistent with the left ear's greater exposure from their instruments. After HTLs were corrected for age and sex, HTLs were found to be significantly better for both ears of musicians playing bass, cello, harp, or piano and for the right ears of violinists and violists than for their left ears or for both ears of other musicians. For 32 musicians for whom both HTLs and Leq were obtained, HTLs at 3-6 kHz were found to be correlated with the Leq measured.
The mandate of ASA Working Group S12/WG11 has been to develop ''laboratory and/or field procedure͑s͒ that yield useful estimates of field performance'' of hearing protection devices ͑HPDs͒. A real-ear attenuation at threshold procedure was selected, devised, tested via an interlaboratory study, and incorporated into a draft standard that was approved in 1997 ͓J. D. Royster et al., ''Development of a new standard laboratory protocol for estimating the field attenuation of hearing protection devices. Part I. Research of Working Group 11, Accredited Standards Committee S12, Noise,'' J. Acoust. Soc. Am. 99, 1506-1526 ͑1996͒; ANSI S12.6-1997, ''American National Standard Methods for Measuring Real-Ear Attenuation of Hearing Protectors'' ͑American National Standards Institute, New York, 1997͔͒. The real-world estimation procedure utilizes a subject-fit methodology with listeners who are audiometrically proficient, but inexperienced in the use of HPDs. A key factor in the decision to utilize the subject-fit method was an evaluation of the representativeness of the laboratory data vis-à-vis attenuation values achieved by workers in practice. Twenty-two field studies were reviewed to develop a data base for comparison purposes. Results indicated that laboratory subject-fit attenuation values were typically equivalent to or greater than the field attenuation values, and yielded a better estimate of those values than did a͒ This paper is the last of three parts of a body of work that represents the research and analyses of S12/WG11 in conjunction with the development of ANSI S12.6-1997. Part I appeared in 1996 in J. Acoust. Soc. Am. 99, 1506-1526 ͑1996͒. It referenced two succeeding parts, one of which Part II is still in press and hence will appear out of chronological order. Additionally the advance citation of this paper in Part I, listed the first two authors in the reverse order from that which appears above. b͒ ''Selected research articles'' are ones chosen occasionally by the Editor-in-Chief that are judged ͑a͒ to have a subject of wide acoustical interest, and ͑b͒ to be written for understanding by broad acoustical readership.665 665
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