Case study particularities in occupational hearing impairment diagnosis
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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 l.jpg

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!


Noise l.jpg
Noise impairment diagnosis

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

STOP THAT NOISE!


Occupational noise l.jpg
Occupational noise impairment diagnosis

  • One of the most frequent hazard in very different work places

  • Mechanization of the production processes increased the intensity of noise

STOP THAT NOISE!


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STOP THAT NOISE! impairment diagnosis


Slide5 l.jpg

STOP THAT NOISE! impairment diagnosis


Slide6 l.jpg

STOP THAT NOISE! impairment diagnosis


Slide7 l.jpg

STOP THAT NOISE! impairment diagnosis


Slide8 l.jpg

STOP THAT NOISE! impairment diagnosis


Slide9 l.jpg

STOP THAT NOISE! impairment diagnosis


Case presentation l.jpg

M.D. male, age 39 impairment diagnosis

engine technician

power plant

I. G. male, age 49

locksmith

steel foundry

Case presentation

STOP THAT NOISE!


Diagnosis l.jpg

COPD Cor pulmonale- work related disease impairment diagnosis

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!


Professional route l.jpg

Exposure= 23 years impairment diagnosis

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!


Medical history l.jpg

Two medical evaluations- local hospital impairment diagnosis

2005- complete medical evaluation, diagnosis, recommendations- occupational medicine clinic

2001- complete medical evaluation, diagnosis, recommendations- occupational medicine clinic

Medical history

STOP THAT NOISE!


Consequences l.jpg

Job restrictions/ preventive measures impairment diagnosis

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!


Hazard l.jpg

coal dust impairment diagnosis

noise >87 dB

vibrations

outdoor work conditions

silica dust

noise > 87 dB

indoor work conditions

Hazard

STOP THAT NOISE!


Expected occupational disease l.jpg

Coal miner’s pneumoconiosis impairment diagnosis

Occupational loss of hearing

Occupational musculoskeletal disease

Silicosis

Occupational cancer

Occupational loss of hearing

Occupational musculoskeletal disease

Expected occupational disease

STOP THAT NOISE!


Diagnosed occupational disease l.jpg

Occupational loss of hearing impairment diagnosis

Occupational loss of hearing

Diagnosed occupational disease

STOP THAT NOISE!


Possible causes l.jpg

Lack of personal protective equipment impairment diagnosis

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!


Preventive measures l.jpg
Preventive measures impairment diagnosis

  • Occupational risk acknowledgment

  • Pre-employment medical evaluation

  • Periodical medical examination

  • Education

STOP THAT NOISE!


Occupational risk acknowledgment l.jpg
Occupational risk acknowledgment impairment diagnosis

  • Assessment of occupational hazards endangering hearing other than occupational noise

  • Epidemiological studies

STOP THAT NOISE!


Medical examination l.jpg
Medical examination impairment diagnosis

  • Early stage diagnosis; professional reorientation; prevention of disease aggravations

  • Occupational physician in charge of medical evaluation and follow-ups

STOP THAT NOISE!


Education l.jpg

Employer impairment diagnosis

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!


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STOP THAT NOISE! impairment diagnosis

STOP THAT NOISE!