Use of magnetic resonance image registration to estimate displacement in the human earcanal due to the insertion of in-ear devices

Towards a Holistic Model Explaining Hearing Protection Device Use among Workers

Offering hearing protection devices (HPDs) to workers exposed to hazardous noise is a noise control strategy often used to prevent noise-induced hearing loss (NIHL). However, HPDs are used incorrectly and inconsistently, which explains their limited efficiency. Numerous models based on social cognition theories identify the significant factors associated with inconsistent HPD use and aim to improve HPD training programs and to increase HPD use. However, these models do not detail (dis)comfort aspects originating from complex interactions between characteristics of the triad “environment/person/HPD” while these aspects are known to largely influence HPD (mis)use. This paper proposes a holistic model explaining HPD (mis)use, based on the integration of a comfort model adapted to HPDs into an existing behavioral model already developed for HPDs. The model also takes into account the temporal dimension, which makes it possible to capture the scope of change in HPD-related health behaviors. This holistic description of HPD use could be used as a tool for stakeholders involved in HPD use to effectively prevent NIHL among workers.

Numerical investigation of the earplug contribution to the low-frequency objective occlusion effect induced by bone-conducted stimulation

The use of earplugs is commonly associated with an increased perception of the bone-conducted part of one's own physiological noise. This phenomenon is referred to as occlusion effect and is most prominent at low frequencies. Several factors influence the occlusion effect, such as the ear anatomy; the bone-conducted stimulation; and the type of occlusion device and its fit, insertion depth, and material properties. The latter factor is of great interest to potentially reduce the occlusion effect of passive earplugs. This paper investigates the mechanism(s) of contribution of earplugs to the objective occlusion effect. A two-dimensional axi-symmetric finite element model of the outer ear is used and investigated in an electro-acoustic framework. Simulation results are shown to compare reasonably well with measurement data, which qualifies the model to study the influence of earplugs on the occlusion effect. Two mechanisms are highlighted: (i) a Poisson effect induced by the normal component of the earcanal wall vibration and (ii) a longitudinal motion caused by the tangential component of the earcanal wall vibration. By varying the geometry of the surrounding tissues, the spatial distribution of the earcanal wall vibration is shown to influence the contribution of the earplug to the occlusion effect.