Noise and Military Service

by Humes, Larry E.

• ISBN13: 9780309099493
• ISBN10: 0309099498
• Edition: 1st
• Format: Paperback
• Copyright: 2006-01-01
• Publisher: NATL ACADEMY OF SCIENCE

Summary

Presents findings on presence of hazardous noise in military settings. Stresses importance of conducting hearing tests at beginning and end of military service for all military personnel. Identifies research needs emphasizing topics specific to military service, and more. For military personnel. Softcover. DNLM: Noise-adverse effects.

Table of Contents

Executive Summary	1	(14)
Overview of the Problem and Introduction	15	(18)
Charge to the Committee	16	(2)
Acoustics and Noise	18	(3)
The Measurement of Hearing and Tinnitus	21	(1)
Studying the Effects of Noise on Hearing and Tinnitus	22	(3)
Approaches to Hearing Conservation	25	(2)
Evaluating the Strength of Evidence	27	(4)
The Committee's Report	31	(1)
References	31	(2)
Noise-Induced Hearing Loss	33	(39)
Mechanisms and Models of Noise-Induced Hearing Loss	33	(11)
Time Relation between Exposure to Noise and the Development of Hearing Loss and Cochlear Damage	44	(3)
Risk Factors for Noise-Induced Hearing Loss: Individual Differences and Nonacoustic Factors	47	(7)
Estimating Noise-Induced Hearing Loss	54	(10)
References	64	(8)
Noise and Noise-Induced Hearing Loss in the Military	72	(44)
Noise in the Military Environment	72	(11)
Evidence Regarding the Effects of Noise on Hearing Among U.S. Military Personnel	83	(6)
Evidence Based on Average Hearing Thresholds	89	(10)
Evidence Based on Variations in Hearing Thresholds Within Groups	99	(10)
Epidemiological Studies of Noise-Induced Hearing Loss in Individuals with Prior Military Service	109	(1)
Findings	110	(1)
References	111	(5)
Tinnitus	116	(30)
Background	117	(4)
Issues in Studying Tinnitus	121	(1)
Occurrence of Tinnitus	122	(1)
Tinnitus and Noise Exposure	123	(10)
Tinnitus and Hearing Loss	133	(2)
Other Risk Factors	135	(3)
Tinnitus and U.S. Military Personnel	138	(2)
References	140	(6)
Responding to Noise Risks: Hearing Conservation Programs in the Military	146	(44)
Hearing Conservation Programs	146	(1)
History of Military Hearing Conservation Programs	147	(12)
Assessing the Adequacy of Hearing Conservation Programs	159	(3)
Assessing the Adequacy of Hearing Conservation Programs in the Military	162	(19)
References	181	(9)
Reports of Audiometric Testing in Service Medical Records of Military Veterans	190	(11)
Study Methods	191	(3)
Results	194	(4)
Compliance with Regulations	198	(2)
References	200	(1)
Conclusions and Comments	201	(114)
APPENDIXES
A. Legislative Language from P.L. 107-330	209	(3)
B. Agendas for Information-Gathering Meetings	212	(5)
C. Definitions	217	(6)
D. Summary Tables on Epidemiological Studies	223	(76)
E. Results from Alternative Analyses of Data on Reports of Audiometric Testing in Service Medical Records	299	(2)
F. Selected Sources of Information on Sound Pressure Levels Measured in and Around Military Systems and Equipment	301	(4)
G. Department of Defense Hearing Conservation Report Forms	305	(10)
H. Biographical Sketches of Committee Members	315