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Case study: particularities in occupational hearing impairment diagnosis

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... in occupational hearing impairment diagnosis. Claudia ... Occupational loss of hearing. Occupational loss of hearing. STOP THAT NOISE! 18. Possible causes ... – PowerPoint PPT presentation

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Title: Case study: particularities in occupational hearing impairment diagnosis


1
Case study particularities in occupational
hearing impairment diagnosis
  • Claudia Handra- MD
  • Prof. Eugenia Naghi- MD, Ph D
  • Chair of Occupational Medicine, UMFltCarol Davilagt
  • Occupational Medicine Clinic, Hospital Colentina,
    Bucharest

2
Noise
  • Dictionary sound or a mixture of discordant,
    strong sounds, disagreeable for the hearing

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

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Case presentation
  • M.D. male, age 39
  • engine technician
  • power plant
  • I. G. male, age 49
  • locksmith
  • steel foundry

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

12
Professional route
  • 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

13
Medical history
  • Two medical evaluations- local hospital
  • 2005- complete medical evaluation, diagnosis,
    recommendations- occupational medicine clinic
  • 2001- complete medical evaluation, diagnosis,
    recommendations- occupational medicine clinic

14
Consequences
  • 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

15
Hazard
  • coal dust
  • noise gt87 dB
  • vibrations
  • outdoor work conditions
  • silica dust
  • noise gt 87 dB
  • indoor work conditions

16
Expected occupational disease
  • Coal miners pneumoconiosis
  • Occupational loss of hearing
  • Occupational musculoskeletal disease
  • Silicosis
  • Occupational cancer
  • Occupational loss of hearing
  • Occupational musculoskeletal disease

17
Diagnosed occupational disease
  • Occupational loss of hearing
  • Occupational loss of hearing

18
Possible causes
  • 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

19
Preventive measures
  • Occupational risk acknowledgment
  • Pre-employment medical evaluation
  • Periodical medical examination
  • Education

20
Occupational risk acknowledgment
  • Assessment of occupational hazards endangering
    hearing other than occupational noise
  • Epidemiological studies

21
Medical examination
  • Early stage diagnosis professional
    reorientation prevention of disease aggravations
  • Occupational physician in charge of medical
    evaluation and follow-ups

22
Education
  • 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

23
  • STOP THAT NOISE!
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