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Hearing Conservation Medical Program

Background on hearing impairment is presented including causes and criteria for safe noise levels. The purpose of the Hearing Conservation Program at LeRC is outlined, and the specifics of the Medical Surveillance Program for Hearing Impairment at LeRC are discussed.

Source record↗

Data Acquisition, Management, and Analysis in Support of the Audiology and Hearing Conservation and the Orbital Debris Program Office

My internship at Johnson Space Center, Houston TX comprised of working simultaneously in the Space Life Science Directorate (Clinical Services Branch, SD3) in Audiology and Hearing Conservation and in the Astromaterials Research and Exploration Sciences Directorate in the Orbital Debris Program Office (KX). The purpose of the project done to support the Audiology and Hearing Conservation Clinic (AuHCon) is to organize and analyze auditory test data that has been obtained from tests conducted onboard the International Space Station (ISS) and in Johnson Space Center's clinic. Astronauts undergo a special type of auditory test called an On-Orbit Hearing Assessment (OOHA), which monitors hearing function while crewmembers are exposed to noise and microgravity during long-duration spaceflight. Data needed to be formatted to assist the Audiologist in studying, analyzing and reporting OOHA results from all ISS missions, with comparison to conventional preflight and post-flight audiometric test results of crewmembers. Orbital debris is the #1 threat to manned spacecraft; therefore NASA is investing in different measurement techniques to acquire information on orbital debris. These measurements are taken with telescopes in different parts of the world to acquire brightness variations over time, from which size, rotation rates and material information can be determined for orbital debris. Currently many assumptions are taken to resolve size and material from observed brightness, therefore a laboratory (Optical Measurement Center) is used to simulate the space environment and acquire information of known targets suited to best model the orbital debris population. In the Orbital Debris Program Office (ODPO) telescopic data were acquired and analyzed to better assess the orbital debris population.

Dicken, Todd↗

Reduced-Noise Gas Flow Design Guide Developed as a Noise-Control Design Tool for Meeting Glenn's Hearing Conservation and Community Noise Goals

A Reduced-Noise Gas Flow Design Guide has been developed for the NASA Glenn Research Center at Lewis Field by Nelson Acoustical Engineering of Elgin, Texas. Gas flow systems are a significant contributor to t he noise exposure landscape at Glenn. Because of the power of many of these systems, hearing conservation and community noise are importan t issues. The purpose of the Guide is to allow Glenn engineers and de signers to address noise emission and control at the design stage by using readily available system parameters. Although the Guide was deve loped with Glenn equipment and systems in mind, it is expected to hav e wide application in industry.

Cooper, Beth A.↗

Medical/Scientific Illustration And Production Of Otological Health Awareness Materials

Over the past year, I have worked for my mentor, Beth Cooper, on a large variety of projects. Beth is the Manager of the Acoustical Testing Laboratory, which tests the acoustical emissions of payloads destined for the International Space Station. She is also responsible for educating, and developing new methods of educating, people of all occupational and educational backgrounds in hearing conservation. Beth spends much of her time developing new materials and strategies with which to train people and teach other people to train people in hearing conservation and noise emissions control. I have been helping Beth develop and market these materials by way of graphic design and scientific illustration. Last summer, I spent much of my time creating educational illustrations that visually explained particular concepts in Beth's presentations. Sometimes these illustrations were small "comics" while, at other times, they were an instructional series of illustrations. Since then, Beth and her lab have been developing and updating some materials which will be distributed free to hearing conservation and noise control professionals and others in related fields. I have helped with these projects by designing their packaging. In each instance, it was my responsibility to develop an aesthetically appealing package that would also, through its imagery, describe or summarize the contents of the product. I did this for 3 CD's (Auditory Demonstrations 11, MACSUG, and JeopEARdy) and saw them through their actual production and distribution. In addition to working with Beth, I work with the Imaging Technology Center on various imaging projects. Some of my activities include photo retouching and manipulation for videos and print. This summer, I also had the opportunity to develop a screen saver that would show of some of the photography contained on the soon-to-be-released "Highlights of the GRC Image Archives, vol. 2". I was also able to utilize my medical training to help several of ITC s videographers identify the best histological examples of cancerous cells for incorporation in one of their videos. Over the last part of this summer and then throughout the school year, I will be working with Beth to develop a "pre-packaged" lecture series about the physics of acoustics in the context of hearing conservation. These lectures will be used to teach people of all backgrounds the fundamental concepts involved in acoustical physics so they might be better aware of their own and others auditory health in and out of the work place, and, in the case of payload developers, to design and build more quiet science experiments for the ISS. Even though it may not seem as such, this project is precisely what I am learning to do as a student of the Cleveland Institute of Art's Medical Illustration Department. From my perspective, this project is about taking technical information and translating it into terms that anyone, regardless of background, can understand.

Hawes, Nicholas E.↗

A Comprehensive Approach to Management of Workplace and Environmental Noise at NASA Lewis Research Center

NASA Lewis Research Center is home to more than 100 experimental research testing facilities and laboratories, including large wind tunnels and engine test cells, which in combination create a varied and complex noise environment. Much of the equipment was manufactured prior to the enactment of legislation limiting product noise emissions or occupational noise exposure. Routine facility maintenance and associated construction also contributes to a noise exposure management responsibility which is equal in magnitude and scope to that of several small industrial companies. The Noise Program, centrally managed within the Office of Environmental Programs at LRC, maintains overall responsibility for hearing conservation, community noise control, and acoustical and noise control engineering. Centralized management of the LRC Noise Program facilitates the timely development and implementation of engineered noise control solutions for problems identified via either the Hearing Conservation of Community Noise Program. The key element of the Lewis Research Center Noise Program, Acoustical and Noise Control Engineering Services, is focused on developing solutions that permanently reduce employee and community noise exposure and maximize research productivity by reducing or eliminating administrative and operational controls and by improving the safety and comfort of the work environment. The Hearing Conservation Program provides noise exposure assessment, medical monitoring, and training for civil servant and contractor employees. The Community Noise Program aims to maintain the support of LRC's neighboring communities while enabling necessary research operations to accomplish their programmatic goals. Noise control engineering capability resides within the Noise Program. The noise control engineering, based on specific exposure limits, is a fundamental consideration throughout the design phase of new test facilities, labs, and office buildings. In summary, the Noise Program addresses hearing conservation, community noise control, and acoustical and noise control engineering.

Cooper, Beth A.↗

Engineered Solutions to Reduce Occupational Noise Exposure at the NASA Glenn Research Center: A Five-Year Progress Summary (1994-1999)

At the NASA John H. Glenn Research Center at Lewis Field (formerly the Lewis Research Center), experimental research in aircraft and space propulsion systems is conducted in more than 100 test cells and laboratories. These facilities are supported by a central process air system that supplies high-volume, high-pressure compressed air and vacuum at various conditions that simulate altitude flight. Nearly 100,000 square feet of metalworking and specialized fabrication shops located on-site produce prototypes, models, and test hardware in support of experimental research operations. These activities, comprising numerous individual noise sources and operational scenarios, result in a varied and complex noise exposure environment, which is the responsibility of the Glenn Research Center Noise Exposure Management Program. Hearing conservation, community noise complaint response and noise control engineering services are included under the umbrella of this Program, which encompasses the Occupational Safety and Health Administration (OSHA) standard on occupational noise exposure, Sec. 29CFR 1910.95, as well as the more stringent NASA Health Standard on Hearing Conservation. Prior to 1994, in the absence of feasible engineering controls, strong emphasis had been placed on personal hearing protection as the primary mechanism for assuring compliance with Sec. 29CFR 1910.95 as well as NASA's more conservative policy, which prohibits unprotected exposure to noise levels above 85 dB(A). Center policy and prudent engineering practice required, however, that these efforts be extended to engineered noise controls in order to bring existing work areas into compliance with Sec. 29CFR 1910.95 and NASA's own policies and to ensure compliance for new installations. Coincident with the establishment in 1995 of a NASA wide multi-year commitment of funding for environmental abatement projects, the Noise Exposure Management Program was established, with its focus on engineering approaches to reducing occupational and community noise exposure. The organization and mission of this Program were documented shortly after its inception, and individual programmatic components have been the subject of subsequent papers. This paper summarizes the status and accomplishments of the engineering aspects of the Program from a five-year retrospective viewpoint and includes a review of retrofit noise control solution strategies, which have not been previously documented.

Cooper, Beth A.↗

A Day in the Life of an Industrial Hearing Conservationist: A Template for Successful Career Education and Outreach Presentations

Whether in a classroom setting or at a local community meeting, opportunities for providing descriptive and positive information about our professions to an audience unfamiliar with acoustics, noise control or hearing conservation often call for alternatives to technical demonstrations that illustrate principles of acoustics or noise control. More importantly, successful outreach presentations must convey images of our day-to-day activities and the challenges we address, many of which are non-technical. One successful approach to career outreach presentations makes use of a collection of photo slides featuring the speaker, his colleagues, customers and workplaces to vividly illustrate the specific job tasks, people and environment of the speaker's job or career. Against this fluid and multi-dimensional visual backdrop, an accompanying script addresses the main theme. A comprehensive photo slide collection may be established gradually, often by making use of and adding to technical and personal slides already in the speaker's possession. Slide collections are portable, easily and quickly reconfigured for back-to-back or spontaneous engagements, and they are well suited to speaking opportunities where technical presentations or demonstrations are not practical or appropriate. A carefully chosen sequence of photo slides minimizes the need for speaker's notes, as each photo itself provides a visual prompt. Although photo slide presentations are appropriate to a variety of outreach and professional settings, the specific illustrative and explanatory material presented here illustrates their application in career education outreach activities, using industrial hearing conservation as an example.

Cooper, Beth A.↗

Effects of Long Duration Space Flight on Low Frequency Hearing

Pure tone hearing threshold data has been collected on astronauts since the early days of spaceflight. Between 1981 and 2001 (STS-1 thru 108) it was found that of the 608 shuttle astronauts, 17% returned home with a significant hearing threshold shift, and of that 6% had permanent changes in the high frequencies. Believed to be due to prolonged noise exposure on the space crafts. (Hart, 2006) As NASA aimed for longer duration missions the uncertainty about the effects of month-long noise exposure needed to be addressed. To avoid constraining crewmembers to constant earplug usage, and satisfying budget demands, a focused effort on overcoming the issues began. Noise monitoring systems were introduced onto the International Space Station (ISS) and astronauts were given education on the noise environment aboard the ISS, the hazards of noise induced hearing loss, hearing conservation principles, and countermeasure strategies (earplugs, noise cancellation headsets). As well as being trained on a new countermeasure effort that had been in trial testing on prior shuttle missions (STS-6 thru 8), On-Orbit Hearing Assessment (OOHA). (Hart, 2006) OOHA was implemented to routinely monitor the hearing thresholds of crewmembers who are on orbit for longer than 30 days. Flight Surgeons on ground monitor these test for significant hearing changes while aboard. Between 2000 and 2021 the ISS OOHA system (EarQ) recorded changes in the low frequency hearing thresholds. Low frequency hearing changes are not typically caused by noise exposure, and it was initially believed that these changes were due to environmental noise interference. In 2021 an ISS software upgrade (KUDUwave) allowed for a more comprehensive hearing assessment. The new testing system allowed for additional tests that helped describe the type of hearing loss being experienced and determine the influence of ambient noise or other environmental factors. OOHA Data indicates a low frequency hearing shift in 40% of all tests and 60% of all crewmembers. Since 2021, OOHA results (using the KUDUwave) suggest that these shifts are sensorineural and are not the result of ambient noise. While hearing shifts are seen at both 250 and 500 Hz, metrics tracking these shifts have only used 500 Hz data. The lack of 250 Hz has prevented accurate reporting of low frequency hearing shift recovery. The aim of this study is to capture 250 Hz data and accurately present low frequency hearing loss recovery.

hearing↗

Status: Crewmember Noise Exposures on the International Space Station

The International Space Station (ISS) provides a unique environment where crewmembers from the US and our international partners work and live for as long as 6 to 12 consecutive months. During these long-durations ISS missions, noise exposures from onboard equipment are posing concerns for human factors and crewmember health risks, such as possible reductions in hearing sensitivity, disruptions of crew sleep, interference with speech intelligibility and voice communications, interference with crew task performance, and reduced alarm audibility. It is crucial to control acoustical noise aboard ISS to acceptable noise exposure levels during the work-time period, and to also provide a restful sleep environment during the sleep-time period. Acoustic dosimeter measurements, obtained when the crewmember wears the dosimeter for 24-hour periods, are conducted onboard ISS every 60 days and compared to ISS flight rules. NASA personnel then assess the acoustic environment to which the crewmembers are exposed, and provide recommendations for hearing protection device usage. The purpose of this paper is to provide an update on the status of ISS noise exposure monitoring and hearing conservation strategies, as well as to summarize assessments of acoustic dosimeter data collected since the Increment 36 mission (April 2013). A description of the updated noise level constraints flight rule, as well as the Noise Exposure Estimation Tool and the Noise Hazard Inventory implementation for predicting crew noise exposures and recommending to ISS crewmembers when hearing protection devices are required, will be described.

Limardo-Rodriguez, Jose G.↗

Efficient management of cardiovascular risk screening programs

The Environmental Health Unit, located on-site at the the Goddard Space Flight Center (GSFC), is responsible for the implementation of the Center's Employee Environmental and Occupational Health Program. The Health Unit, Health Physics (HP), and Industrial Hygiene (IH) staffs collaborate to provide quality service to the employees at GSFC. The Health Unit staff identifies, evaluates, and ensures the control of occupational hazards on the Center. In the past, components of the Industrial Hygiene Program have included the Industrial Hygiene Health Hazard Identification Program (IHHIP), the Hearing Conservation Program (HCP), the Hazard Communication Program, and the bi-annual fume hood survey. More recently, the Environmental Health Unit has expanded its services by adding the Ergonomics Program. Various aspects of the Ergonomics Program are discussed.

Roth, Carol↗

An Engineering Approach to Management of Occupational and Community Noise Exposure at NASA Lewis Research Center

Workplace and environmental noise issues at NASA Lewis Research Center are effectively managed via a three-part program that addresses hearing conservation, community noise control, and noise control engineering. The Lewis Research Center Noise Exposure Management Program seeks to limit employee noise exposure and maintain community acceptance for critical research while actively pursuing engineered controls for noise generated by more than 100 separate research facilities and the associated services required for their operation.

Cooper, Beth A.↗

Acoustical Testing Laboratory Developed to Support the Low-Noise Design of Microgravity Space Flight Hardware

The NASA John H. Glenn Research Center at Lewis Field has designed and constructed an Acoustical Testing Laboratory to support the low-noise design of microgravity space flight hardware. This new laboratory will provide acoustic emissions testing and noise control services for a variety of customers, particularly for microgravity space flight hardware that must meet International Space Station limits on noise emissions. These limits have been imposed by the space station to support hearing conservation, speech communication, and safety goals as well as to prevent noise-induced vibrations that could impact microgravity research data. The Acoustical Testing Laboratory consists of a 23 by 27 by 20 ft (height) convertible hemi/anechoic chamber and separate sound-attenuating test support enclosure. Absorptive 34-in. fiberglass wedges in the test chamber provide an anechoic environment down to 100 Hz. A spring-isolated floor system affords vibration isolation above 3 Hz. These criteria, along with very low design background levels, will enable the acquisition of accurate and repeatable acoustical measurements on test articles, up to a full space station rack in size, that produce very little noise. Removable floor wedges will allow the test chamber to operate in either a hemi/anechoic or anechoic configuration, depending on the size of the test article and the specific test being conducted. The test support enclosure functions as a control room during normal operations but, alternatively, may be used as a noise-control enclosure for test articles that require the operation of noise-generating test support equipment.

Cooper, Beth A.↗

Status - International Space Station (ISS) Crewmembers' Noise Exposures

Environmental noise in space vehicles, caused by onboard equipment and crew activities, has generated concerns for crew health and safety since early U.S. space missions. The International Space Station (ISS) provides a unique environment where acoustic conditions can be monitored while crewmembers from the U.S. and their international partners work and live for as long as 6 to 12 consecutive months. This review of acoustic dosimetry data collected to date reveals that the noise exposure limits of NASA’s stringent noise constraint flight rule have been exceeded in 41% of these dosimetry measurements since ISS Increment 17 (2008), with undefined impacts to crew. These measurements do not take into account the effects of hearing protection devices worn by the crew. The purpose of this paper is to provide an update on ISS noise exposure monitoring approaches and hearing conservation strategies that include acoustic dosimetry data collected since the ISS Increment 55 mission (April 2018). Future directions and recommendations for the ISS noise exposure monitoring program will also be presented, including research initiatives aimed at better defining the impact of ISS noise on crew health and performance.

Jose G Limardo↗

Status - International Space Station (ISS) Crewmembers' Noise Exposures

Environmental noise in space vehicles caused by onboard equipment and noisy activities has generated concerns for crew health and safety since early U.S. space missions. The International Space Station (ISS) provides a unique environment where acoustic conditions can be monitored while crewmembers from the U.S. and their international partners work and live for as long as 6 to 12 consecutive months. This review of acoustic dosimetry data collected to date reveals that the noise exposure limits of NASA’s stringent noise constraint flight rule have been exceeded in 41% of these dosimetry measurements since ISS Increment 17 (2008), with undefined impacts to crew. These measurements do not take into account the effects of hearing protection devices worn by the crew. The purpose of this paper is to provide an update on ISS noise exposure monitoring approaches and hearing conservation strategies that include acoustic dosimetry data collected since the ISS Increment 55 mission (April 2018). Future directions and recommendations for the ISS noise exposure monitoring program will also be presented, including research initiatives aimed at better defining the impact of ISS noise on crew health and performance.

Jose G Limardo↗

Questions of diagnosing and treating Meniere's disease

The possibilities of diagnosis and treatment of Meniere's disease are considered. Attention is given to the use of dehydration tests which are based on glycerol administration or intravenous injection of furosemide. The risks of bilateral sensorineural hearing impairment in prolonged conservative treatment is emphasized. The data of auditory function study before and following endolymphatic sac surgery are presented.

Khechinashvili, S. N.↗

Developmental evolutionary biology of the vertebrate ear: conserving mechanoelectric transduction and developmental pathways in diverging morphologies

This brief overview shows that a start has been made to molecularly dissect vertebrate ear development and its evolutionary conservation to the development of the insect hearing organ. However, neither the patterning process of the ear nor the patterning process of insect sensory organs is sufficiently known at the moment to provide more than a first glimpse. Moreover, hardly anything is known about otocyst development of the cephalopod molluscs, another triploblast lineage that evolved complex 'ears'. We hope that the apparent conserved functional and cellular components present in the ciliated sensory neurons/hair cells will also be found in the genes required for vertebrate ear and insect sensory organ morphogenesis (Fig. 3). Likewise, we expect that homologous pre-patterning genes will soon be identified for the non-sensory cell development, which is more than a blocking of neuronal development through the Delta/Notch signaling system. Generation of the apparently unique ear could thus represent a multiplication of non-sensory cells by asymmetric and symmetric divisions as well as modification of existing patterning process by implementing novel developmental modules. In the final analysis, the vertebrate ear may come about by increasing the level of gene interactions in an already existing and highly conserved interactive cascade of bHLH genes. Since this was apparently achieved in all three lineages of triploblasts independently (Fig. 3), we now need to understand how much of the morphogenetic cascades are equally conserved across phyla to generate complex ears. The existing mutations in humans and mice may be able to point the direction of future research to understand the development of specific cell types and morphologies in the formation of complex arthropod, cephalopod, and vertebrate 'ears'.

Non-NASA Center↗

The economic value of remote sensing of earth resources from space: An ERTS overview and the value of continuity of service. Volume 5: Inland water resources

The economic value of an ERTS system in the area of inland water resources management is investigated. Benefits are attributed to new capabilities for managing inland water resources in the field of power generation, agriculture, and urban water supply. These benefits are obtained in the area of equal capability (cost savings) and increased capability (equal budget), and are estimated by applying conservative assumptions to Federal budgeting information, Congressional appropriation hearings, and ERTS technical capabilities.

Wetzler, E.↗

Customer Responsiveness

If you know anyone who's been involved in building a spacecraft, I'm sure you've heard the mantra, 'Test what you fly, and fly what you test.' Listen to a project manager from my institution (The Johns Hopkins Applied Physics Laboratory, a.k.a. APL) talking in his or her sleep, and this is likely what you're going to hear. At APL, we do a lot of testing. We probably do more testing in the initial stages of a project than we could explain to review boards. Perhaps we are conservative in this respect, but our project managers and engineers believe in getting a good night's sleep before a launch, and testing is a good way of ensuring that. So you can imagine my reaction when the NASA project manager, Don Margolies, suggested that on the Advanced Composition Explorer (ACE) mission we pull all the instruments off the spacecraft after we had just completed the full range of environmental testing. This would allow the scientists to do a better job of calibrating their instruments.

Chiu, Mary↗