Musical instruments are generally designed to radiate sound effectively. A high-impedance part of the instrument, such as a string, transmits vibrations through a bridge (intermediate impedance) to a sound board (lower impedance). The soundboard then moves the still lower-impedance air. Without bridge and soundboard, the instrument does not transmit enough sound to the air, and is too quiet to be performed with. An electric guitar has no soundboard; it uses a microphone pick-up and artificial amplification. Without amplification, electric guitars are very quiet.
Stethoscopes roughly match the acoustical impedance of the human body, so they transmit sounds from a patient's chest to the doctor's ear much more effectively than the air does. Putting an ear to someone's chest would have a similar effect.
Acoustic transmission in building design refers to a number of processes by which sound can be transferred from one part of a building to another. Typically these are: