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[Noise-induced hearing loss excess risk: indicators and criteria the problem of choosing]
L V Prokopenko1, N N Courierov1, A V Lagutina1
1Acad. N.F. Izmerov Scientific Research Institute of Labor Medicine, Moscow, Russia.
Introduction:
The optimal indicators and adequate criteria for the quantitative assessment of hearing loss excess risk with noise exposure above 80 dBA is urgently needed determination.
Methods:
The technology for calculating hearing thresholds according to the model of the third edition of the ISO 1999.3:2013 standard, depending on gender, age, length of service and noise exposure, based on MSExcell tables, for population percentiles 1÷99% in 1% steps has been developed. Rules for selecting optimal indicators and criteria for hearing loss for the early signs of hearing loss excess risk and the excess risk of occupational noise-induced hearing loss have been developed.
Result:
The excess risk of hearing loss for men on the age, length of service and the level of noise exposure dependences are calculated. The optimal indicators and criteria for hearing loss to identify early signs of the effect of noise on the hearing organ and to calculate the excess risk of hearing loss when exposed to noise are identified.
Conclusions:
Calculated by the average binaural hearing threshold at frequencies of 0.5; 1.0; 2.0 and 3.0 kHz with an 30 dB assessment criterion excess risk most adequately solves the risk of occupational hearing loss determining problem. For the determine of early signs of hearing loss excess risk the average binaural threshold for hearing at frequencies of 4 and 6 kHz with an assessment criterion of 20 dB is useful better.
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