Attenuation of peak sound pressure levels of shooting noise by hearing protective earmuffs

Transmission losses (TL) to highly impulsive signals generated by three firearms have been measured for two ear muffs, using both a head and torso simulator and a miniature microphone located at the ear canal entrance (MIRE technique). Peak SPL TL have been found to be well approximated by 40 ms short-L eq TL. This has allowed the use of transmissibilities and correction factors for bone conduction and physiological masking appropriate for continuous noise, for the calculation of REAT-type peak insertion losses (IL). Results indicate that peak IL can be well predicted by estimates based on one-third octave band 40 ms short L eq and manufacturer-declared (nominal) IL measured for continuous noise according to test standards. Such predictions tend to be more accurate at the high end of the range, while they are less reliable when the attenuation is lower. A user-friendly simplified prediction algorithm has also been developed, which only requires nominal IL and one-third octave sound exposure level spectra. Separate predictions are possible for IL in direct and diffuse sound fields, albeit with higher uncertainties, due to the smaller number of experimental data comprising the two separate datasets on which such predictions are based

The hidden interplay between sex and COVID-19 mortality: the role of cardiovascular calcification

Recent clinical and demographical studies on COVID-19 patients have demonstrated that men experience worse outcomes than women. However, in most cases, the data were not stratified according to gender, limiting the understanding of the real impact of gender on outcomes. This study aimed to evaluate the disaggregated in-hospital outcomes and explore the possible interactions between gender and cardiovascular calcifications. Data was derived from the sCORE-COVID-19 registry, an Italian multicentre registry that enrolled COVID-19 patients who had undergone a chest computer tomography scan on admission. A total of 1683 hospitalized patients (mean age 67 +/- 14 years) were included. Men had a higher prevalence of cardiovascular comorbidities, a higher pneumonia extension, more coronary calcifications (63% vs.50.9%, p<0.001), and a higher coronary calcium score (391 +/- 847 vs. 171 +/- 479 mm(3), p<0.001). Men experienced a significantly higher mortality rate (24.4% vs. 17%, p=0.001), but the death event tended to occur earlier in women (15 +/- 7 vs. 8 +/- 7 days, p= 0.07). Non-survivors had a higher coronary, thoracic aorta, and aortic valve calcium score. Female sex, a known independent predictor of a favorable outcome in SARS-CoV2 infection, was not protective in women with a coronary calcification volume greater than 100 mm(3). There were significant differences in cardiovascular comorbidities and vascular calcifications between men and women with SARS-CoV2 pneumonia. The differences in outcomes can be at least partially explained by the different cardiovascular profiles. However, women with poor outcomes had the same coronary calcific burden as men. The presumed favorable female sex bias in COVID-19 must therefore be reviewed in the context of comorbidities, especially cardiovascular ones