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Case study: particularities in occupational hearing impairment diagnosis

Case study: particularities in occupational hearing impairment diagnosis. Claudia Handra- MD Prof. Eugenia Naghi- MD, Ph D Chair of Occupational Medicine, UMF<Carol Davila> Occupational Medicine Clinic, Hospital Colentina, Bucharest. Noise.

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Case study: particularities in occupational hearing impairment diagnosis

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  1. Case study: particularities in occupational hearing impairment diagnosis Claudia Handra- MD Prof. Eugenia Naghi- MD, Ph D Chair of Occupational Medicine, UMF<Carol Davila> Occupational Medicine Clinic, Hospital Colentina, Bucharest STOP THAT NOISE!

  2. Noise • Dictionary= sound or a mixture of discordant, strong sounds, disagreeable for the hearing STOP THAT NOISE!

  3. Occupational noise • One of the most frequent hazard in very different work places • Mechanization of the production processes increased the intensity of noise STOP THAT NOISE!

  4. STOP THAT NOISE!

  5. STOP THAT NOISE!

  6. STOP THAT NOISE!

  7. STOP THAT NOISE!

  8. STOP THAT NOISE!

  9. STOP THAT NOISE!

  10. M.D. male, age 39 engine technician power plant I. G. male, age 49 locksmith steel foundry Case presentation STOP THAT NOISE!

  11. COPD Cor pulmonale- work related disease Ischemic heart disease Occupational loss of hearing Spondilarthrosys Chronic bronchitis- work related disease High blood pressure Occupational loss of hearing Dorsal scoliosis Neurasthenic syndrome Diagnosis STOP THAT NOISE!

  12. Exposure= 23 years 1982- 1986 - excavator operator- power plant 1986- 1987-military service 1987- 2005- engine technician- power plant Exposure= 25 years 1974- 1976- locksmith- steel foundry 1976- 1977- military service 1977- 1980- locksmith-steel foundry 1980- 2005- locksmith- steel foundry Professional route STOP THAT NOISE!

  13. Two medical evaluations- local hospital 2005- complete medical evaluation, diagnosis, recommendations- occupational medicine clinic 2001- complete medical evaluation, diagnosis, recommendations- occupational medicine clinic Medical history STOP THAT NOISE!

  14. Job restrictions/ preventive measures Irreversible loss of hearing Severe aggravation of work related diseases Medical retirement Freequent hospitalizations Job restrictions/ preventive measures Irreversible loss of hearing Aggravation diseases Frequent hospitalizations Consequences STOP THAT NOISE!

  15. coal dust noise >87 dB vibrations outdoor work conditions silica dust noise > 87 dB indoor work conditions Hazard STOP THAT NOISE!

  16. Coal miner’s pneumoconiosis Occupational loss of hearing Occupational musculoskeletal disease Silicosis Occupational cancer Occupational loss of hearing Occupational musculoskeletal disease Expected occupational disease STOP THAT NOISE!

  17. Occupational loss of hearing Occupational loss of hearing Diagnosed occupational disease STOP THAT NOISE!

  18. Lack of personal protective equipment Unsuitable pace and duration of work activities Lifestyle Lack of personal protective equipment Unsuitable pace and duration of work activities Lifestyle Possible causes STOP THAT NOISE!

  19. Preventive measures • Occupational risk acknowledgment • Pre-employment medical evaluation • Periodical medical examination • Education STOP THAT NOISE!

  20. Occupational risk acknowledgment • Assessment of occupational hazards endangering hearing other than occupational noise • Epidemiological studies STOP THAT NOISE!

  21. Medical examination • Early stage diagnosis; professional reorientation; prevention of disease aggravations • Occupational physician in charge of medical evaluation and follow-ups STOP THAT NOISE!

  22. Employer Adequate technical and administrative measures of prevention Employee Personal hygiene Personal protection equipment First- aid measures First symptom acknowledgement Awareness of the importance of medical follow-ups Education STOP THAT NOISE!

  23. STOP THAT NOISE! STOP THAT NOISE!

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