NATIONAL BESTSELLER SCOTIABANK GILLER PRIZE FINALIST A propulsive literary page-turner about a family torn apart by a mother’s obsession with a sound that no one else can hear One night, while lying in bed next to her husband, Claire Devon suddenly hears a low hum. This innocuous sound, which no one else in the house can hear, has no obvious source or medical cause, but it begins to upset the balance of Claire’s life. When she discovers that one of her students can also hear the hum, the two strike up an unlikely and intimate friendship. Finding themselves increasingly isolated from their families and colleagues, they fall in with a disparate group of people who also perceive the sound. What starts out as a kind of neighbourhood self-help group gradually transforms into something much more extreme, with far-reaching, devastating consequences. The Listeners is an electrifying novel that treads the thresholds of faith, conspiracy and mania. Compelling and exhilarating, it forces us to consider how strongly we hold on to what we perceive, and the way different views can tear a family apart.

For twenty-two years, Katherine Bouton had a secret that grew harder to keep every day. An editor at The New York Times, at daily editorial meetings she couldn't hear what her colleagues were saying. She had gone profoundly deaf in her left ear; her right was getting worse. As she once put it, she was "the kind of person who might have used an ear trumpet in the nineteenth century." Audiologists agree that we're experiencing a national epidemic of hearing impairment. At present, 50 million Americans suffer some degree of hearing loss—17 percent of the population. And hearing loss is not exclusively a product of growing old. The usual onset is between the ages of nineteen and forty-four, and in many cases the cause is unknown. Shouting Won't Help is a deftly written, deeply felt look at a widespread and misunderstood phenomenon. In the style of Jerome Groopman and Atul Gawande, and using her experience as a guide, Bouton examines the problem personally, psychologically, and physiologically. She speaks with doctors, audiologists, and neurobiologists, and with a variety of people afflicted with midlife hearing loss, braiding their stories with her own to illuminate the startling effects of the condition. The result is a surprisingly engaging account of what it's like to live with an invisible disability—and a robust prescription for our nation's increasing problem with deafness. A Kirkus Reviews Best Nonfiction Book of 2013

In the Occupational Safety and Health Act of 1970, Congress declared that its purpose was to assure, so far as possible, safe and healthful working conditions for every working man and woman and to preserve our human resources. In this Act, the National Institute for Occupational Safety and Health (NIOSH) is charged with recommending occupational safety and health standards and describing exposure concentrations that are safe for various periods of employment-including but not limited to concentrations at which no worker will suffer diminished health, functional capacity, or life expectancy as a result of his or her work experience. By means of criteria documents, NIOSH communicates these recommended standards to regulatory agencies (including the Occupational Safety and Health Administration [OSHA]) and to others in the occupational safety and health community. Criteria documents provide the scientific basis for new occupational safety and health standards. These documents generally contain a critical review of the scientific and technical information available on the prevalence of hazards, the existence of safety and health risks, and the adequacy of control methods. In addition to transmitting these documents to the Department of Labor, NIOSH also distributes them to health professionals in academic institutions, industry, organized labor, public interest groups, and other government agencies. In 1972, NIOSH published Criteria for a Recommended Standard: Occupational Exposure to Noise, which provided the basis for a recommended standard to reduce the risk of developing permanent hearing loss as a result of occupational noise exposure [NIOSH 1972]. NIOSH has now evaluated the latest scientific information and has revised some of its previous recommendations. The 1998 recommendations go beyond attempting to conserve hearing by focusing on preventing occupational noise-induced hearing loss (NIHL). This criteria document reevaluates and reaffirms the recommended exposure limit (REL) for occupational noise exposure established by the National Institute for Occupational Safety and Health (NIOSH) in 1972. The REL is 85 decibels, A-weighted, as an 8-hr time-weighted average (85 dBA as an 8-hr TWA). Exposures at or above this level are hazardous. By incorporating the 4000-Hz audiometric frequency into the definition of hearing impairment in the risk assessment, NIOSH has found an 8% excess risk of developing occupational noise-induced hearing loss (NIHL) during a 40-year lifetime exposure at the 85-dBA REL. NIOSH has also found that scientific evidence supports the use of a 3-dB exchange rate for the calculation of TWA exposures to noise. The recommendations in this document go beyond attempts to conserve hearing by focusing on prevention of occupational NIHL. For workers whose noise exposures equal or exceed 85 dBA, NIOSH recommends a hearing loss prevention program (HLPP) that includes exposure assessment, engineering and administrative controls, proper use of hearing protectors, audiometric evaluation, education and motivation, recordkeeping, and program audits and evaluations. Audiometric evaluation is an important component of an HLPP. To provide early identification of workers with increasing hearing loss, NIOSH has revised the criterion for significant threshold shift to an increase of 15 dB in the hearing threshold level (HTL) at 500, 1000, 2000, 3000, 4000, or 6000 Hz in either ear, as determined by two consecutive tests. To permit timely intervention and prevent further hearing losses in workers whose HTLs have increased because of occupational noise exposure, NIOSH no longer recommends age correction on individual audiograms.

Teaches managers and leaders to cut through the static and hone their focusing skills In the current digital age, it is becoming increasingly more difficult to stay focused. Smartphones, tablets, smart watches, and other devices constantly vie for our attention. In both business and life, we are constantly bombarded with tweets, likes, mentions, and a constant stream of information. The inability to pay attention impacts learning, parenting, prioritizing, and leading. Not surprisingly, attention spans have gotten shorter. Already being pulled in a dozen directions every minute, managers and business leaders often struggle to address important issues and focus on everything that needs attention. Noise: Living and Leading When Nobody Can Focus teaches managers and leaders how to help themselves and others sharpen their focusing skills. In this follow-up to his first book Brief—the proven, step-by-step approach to clear, concise, and effective communication—author Joseph McCormack helps readers cut through the static and devote their attention to what is important. This engaging, informative book will help you: Apply effective, real-world techniques to hone your focus and reduce interference Learn the lessons taught to organizations such as Harley-Davidson, BMO Harris Bank, MasterCard, and the US Army Understand how modern technology can actually strengthen your focus if used correctly Avoid becoming a casualty of “weapons of mass distraction” Noise: Living and Leading When Nobody Can Focus is a valuable resource for leaders and managers seeking to develop laser-sharp focus and apply it to everything you do.

Environmental Noise Pollution: Noise Mapping, Public Health and Policy addresses the key debates surrounding environmental noise pollution with a particular focus on the European Union. Environmental noise pollution is an emerging public policy and environmental concern and is considered to be one of the most important environmental stressors affecting public health throughout the world. This book examines environmental noise pollution, its health implications, the role of strategic noise mapping for problem assessment, major sources of environmental noise pollution, noise mitigation approaches, and related procedural and policy implications. Drawing on the authors' considerable research expertise in the area, the book is the first coherent work on this major environmental stressor, a new benchmark reference across disciplinary, policy and national boundaries. - Highlights recent developments in the policy arena with particular focus on developments in the EU within the context of the European Noise Directive - Explores the lessons emerging from nations within the EU and other jurisdictions attempting to legislate and mitigate against the harmful effects of noise pollution - Covers the core theoretical concepts and principles surrounding the mechanics of noise pollution as well as the evidence-base linking noise with public health concerns

Millions of Americans experience some degree of hearing loss. The Social Security Administration (SSA) operates programs that provide cash disability benefits to people with permanent impairments like hearing loss, if they can show that their impairments meet stringent SSA criteria and their earnings are below an SSA threshold. The National Research Council convened an expert committee at the request of the SSA to study the issues related to disability determination for people with hearing loss. This volume is the product of that study. Hearing Loss: Determining Eligibility for Social Security Benefits reviews current knowledge about hearing loss and its measurement and treatment, and provides an evaluation of the strengths and weaknesses of the current processes and criteria. It recommends changes to strengthen the disability determination process and ensure its reliability and fairness. The book addresses criteria for selection of pure tone and speech tests, guidelines for test administration, testing of hearing in noise, special issues related to testing children, and the difficulty of predicting work capacity from clinical hearing test results. It should be useful to audiologists, otolaryngologists, disability advocates, and others who are concerned with people who have hearing loss.