Written in clear and accessible language, Occupational Hearing Loss provides a comprehensive overview of the hazards of occupational noise exposure, causes of hearing loss, testing of hearing, criteria to distinguish occupational hearing loss, and more. This third edition features expanded discussion of topics such as autoimmune inner ear disease and diagnosing occupational hearing loss. It includes new chapters on auditory evoked potentials, sudden sensorineural hearing loss, malignancies of the ear, otologic complications of scuba diving, and hearing in dogs. This text also contains updated and revised material on auditory processing disorders, systemic causes of hearing loss, and more.
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.
Exposure to loud noise continues to be the largest cause of hearing loss in the adult population. The problem of NIHL impacts a number of disciplines. US standards for permissible noise exposure were originally published in 1968 and remain largely unchanged today. Indeed, permissible noise exposure for US personnel is significantly greater than that allowed in numerous other countries, including for example, Canada, China, Brazil, Mexico, and the European Union. However, there have been a number of discoveries and advances that have increased our understanding of the mechanisms of NIHL. These advances have the potential to impact how NIHL can be prevented and how our noise standards can be made more appropriate.
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.
The auditory system is one of the finest structures in the human body. Although its anatomical structure is so small compared to other organs, without it, it would greatly affect a person’s basic life. Hearing loss, also known as hearing impairment, is a partial or total inability to hear. When people communicate with others, listening is always the first step. That is why Helen Keller once said, “Blindness separates people from things; deafness separates people from people.” To avoid the “epidemic” of hearing loss in the near future, it is necessary to promote early screening, change public attitudes toward noise, and wear hearing aids appropriately. Based on the contributions of many authors, whom I sincerely respect, this book incorporates updated developments as well as future perspectives in the ever-expanding field of hearing loss. This book can also serve as a reference for persons who are involved in this field whether they are clinicians, researchers, or patients.
The Institute of Medicine carried out a study mandated by Congress and sponsored by the Department of Veterans Affairs to provide an assessment of several issues related to noise-induced hearing loss and tinnitus associated with service in the Armed Forces since World War II. The resulting book, Noise and Military Service: Implications for Hearing Loss and Tinnitus, presents findings on the presence of hazardous noise in military settings, levels of noise exposure necessary to cause hearing loss or tinnitus, risk factors for noise-induced hearing loss and tinnitus, the timing of the effects of noise exposure on hearing, and the adequacy of military hearing conservation programs and audiometric testing. The book stresses the importance of conducting hearing tests (audiograms) at the beginning and end of military service for all military personnel and recommends several steps aimed at improving the military services' prevention of and surveillance for hearing loss and tinnitus. The book also identifies research needs, emphasizing topics specifically related to military service.
The brain is the most complex organ in our body. Indeed, it is perhaps the most complex structure we have ever encountered in nature. Both structurally and functionally, there are many peculiarities that differentiate the brain from all other organs. The brain is our connection to the world around us and by governing nervous system and higher function, any disturbance induces severe neurological and psychiatric disorders that can have a devastating effect on quality of life. Our understanding of the physiology and biochemistry of the brain has improved dramatically in the last two decades. In particular, the critical role of cations, including magnesium, has become evident, even if incompletely understood at a mechanistic level. The exact role and regulation of magnesium, in particular, remains elusive, largely because intracellular levels are so difficult to routinely quantify. Nonetheless, the importance of magnesium to normal central nervous system activity is self-evident given the complicated homeostatic mechanisms that maintain the concentration of this cation within strict limits essential for normal physiology and metabolism. There is also considerable accumulating evidence to suggest alterations to some brain functions in both normal and pathological conditions may be linked to alterations in local magnesium concentration. This book, containing chapters written by some of the foremost experts in the field of magnesium research, brings together the latest in experimental and clinical magnesium research as it relates to the central nervous system. It offers a complete and updated view of magnesiums involvement in central nervous system function and in so doing, brings together two main pillars of contemporary neuroscience research, namely providing an explanation for the molecular mechanisms involved in brain function, and emphasizing the connections between the molecular changes and behavior. It is the untiring efforts of those magnesium researchers who have dedicated their lives to unraveling the mysteries of magnesiums role in biological systems that has inspired the collation of this volume of work.
According to the National Institutes of Occupational Safety and Health, approximately 30 million employees are exposed to dangerous noise levels at work and an additional nine million workers are at risk for hearing loss from other ototoxins such as metals and solvents. Millions of children and young adults are also at risk for noise-induced hearing loss in non-occupational settings. Hearing Conservation: In Occupational, Recreational, Education, and Home Settingsis the most current text to cover all major topics related to noise-induced hearing loss, including the military, construction, manufacturing, mining, transportation, the music industry, the home environment, education settings, and recreational arenas. From the underlying principles of hearing loss to audiometric testing procedures to assessment of hearing conservation programs, this book is packed with information for audiologists and other members of the interdisciplinary team who provide hearing conservation services for at-risk groups.Special Features: Many examples of audiometric data, that enhance understanding of all types of hearing impairment, test procedures, and standard threshold shift calculations Protocols for comprehensive audiological, tinnitus, and auditory processing evaluations Clinical pathways and follow-up action steps when a standard threshold shift is confirmed, including decisions about worker compensation in occupational settings Assessment of the effectiveness of a wide range of hearing conservation programs and correction of deficiencies, along with training, educational, and motivational techniques The most current information about hearing protection and enhancement devices, related regulations, selection and fitting, and training workers in how to use them for optimal results A set of discussion questions at the end of each chapter that stimulate review and classroom dialogue Comprehensive in scope, easily accessible, and useful to both clinicians and investigators,Hearing Conservation: In Occupational, Recreational, Education, and Home Settings is essential for audiologists, occupational hearing conservationists, otolaryngologists, internists, occupational nurses, noise control engineers, and any other practitioner who plays a role in developing, implementing, and maintaining hearing conservation measures. It is also an excellent text for graduate level audiology courses in hearing conservation.
Topics covered include fundamentals of sound, vibration and hearing, elements of a hearing conservation program, noise interference and annoyance, regulations, standards and laws.
