The adaptation of noise-induced temporary hearing threshold shift predictive models for modelling the public health policy
Autor: | Adam Dudarewicz, Małgorzata Pawlaczyk-Łuszczyńska, Kamil Zaborowski, Niels Henrik Pontoppidan, Anna Wolniakowska, Lars Bramsløw, Jeppe Høy Christensen, Panagiotis Katrakazas, Dario Brdaric, Senka Samardžić, Mariola Śliwińska-Kowalska |
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Jazyk: | angličtina |
Rok vydání: | 2023 |
Předmět: | |
Zdroj: | International Journal of Occupational Medicine and Environmental Health, Vol 36, Iss 1, Pp 125-138 (2023) |
Druh dokumentu: | article |
ISSN: | 1232-1087 1896-494X |
DOI: | 10.13075/ijomeh.1896.01681 |
Popis: | Objectives It has been shown that monitoring temporary threshold shift (TTS) after exposure to noise may have a predictive value for susceptibility of developing permanent noise-induced hearing loss. The aim of this study is to present the assumptions of the TTS predictive model after its verification in normal hearing subjects along with demonstrating the usage of this model for the purposes of public health policy. Material and Methods The existing computational predictive TTS models were adapted and validated in a group of 18 bartenders exposed to noise at the workplace. The performance of adapted TTS predictive model was assessed by receiver operating characteristic (ROC) analysis. The demonstration example of the usage of this model for estimating the risk of TTS in general unscreened population after exposure to loud music in discotheque bars or music clubs is provided. Results The adapted TTS predictive model shows a satisfactory agreement in distributions of actual and predicted TTS values and good correlations between these values in examined bartenders measured at 4 kHz, and as a mean at speech frequencies (0.5–4 kHz). An optimal cut-off level for recognizing the TTS events, ca. 75% of young people (aged ca. 35 years) may experience TTS >5 dB, while |
Databáze: | Directory of Open Access Journals |
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