Criteria for diagnosing the state of the hearing organ based on the results of the study of acoustic reflex
- Authors: Dragan S.P.1, Olenina I.V.1, Bogomolov A.V.1
-
Affiliations:
- State Scientific Center of the Russian Federation — Burnazyan Federal Medical Biophysical Center FMBA of Russia
- Issue: Vol 102, No 3 (2023)
- Pages: 247-251
- Section: OCCUPATIONAL HEALTH
- Published: 24.04.2023
- URL: https://medjrf.com/0016-9900/article/view/638596
- DOI: https://doi.org/10.47470/0016-9900-2023-102-3-247-251
- ID: 638596
Cite item
Full Text
Abstract
Introduction. This study is relevant due to the practice’s need for physiologically adequate criteria for diagnosing the state of the hearing organ of personnel exposed to the cumulative effects of high-intensity pulsed low-frequency noise.
The aim of the study was the theoretical and experimental substantiation of the criteria for diagnosing the state of the hearing organ according to the results of the study of the acoustic reflex.
Materials and methods. Using the two-microphone technique of acoustic measurements, experimental studies of changes in the acoustic reflex were carried out in representatives of the experimental (subjected to cumulative effects of high-intensity pulsed low-frequency noise, n=5) and control (not subjected to such effects, n=12) groups. A total of 256 measurements were made within 6 days (191 in the control group and 65 in the experimental group) before exposure (background) and at the end of the working day. The measurement results were processed using methods of mathematical statistics: tests to determine outliers in the data set, estimates of the coefficient of variation, standard deviation, and boundaries of the 99% confidence interval of changes in the studied indicators were calculated.
Results. Studies of the effect of high-intensity impulse noise on the organ of hearing showed that with minor changes in the threshold of the acoustic reflex, significant changes in the similarity coefficient were recorded in the experimental group, compared with the control group, which indicates its diagnostic informativeness. In the future, to establish new hygienic standards for regulation the load of high-intensity impulse noise, more extensive studies of the acoustic reflex threshold and the similarity coefficient are needed, as the most informative and sensitive methods for assessing adverse effects.
The limitations of the study are determined by its focus on use in screening medical examinations of personnel exposed to the cumulative effects of high-intensity low-frequency impulse noise.
Conclusion. The obtained results demonstrate the potential for studying the acoustic reflex threshold as an objective approach to early detection and prediction of negative changes in the state of the hearing organ of personnel exposed to the cumulative effect of high-intensity low-frequency impulse noise.
Compliance with ethical standards. The study was approved by the local ethics committee of the State Scientific Center of the Russian Federation — Burnazyan Federal Medical Biophysical Center FMBA of Russia.
Contributions:
Dragan S.P. — the concept and design of the study, the collection of material and data processing, statistical processing, writing the text;
Olenina I.V. — collection of material and data processing, writing the text;
Bogomolov A.V. — data processing, writing and editing text.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.
Conflict of interest. The authors declare no conflict of interest.
Acknowledgment. The study had no sponsorship.
Received: October 10, 2022 / Accepted: March 24, 2023 / Published: April 20, 2023
About the authors
Sergey P. Dragan
State Scientific Center of the Russian Federation — Burnazyan Federal Medical Biophysical Center FMBA of Russia
Author for correspondence.
Email: s.p.dragan@rambler.ru
ORCID iD: 0000-0003-1576-3759
MD, PhD, DSci., head of the Department of Non-ionizing radiation of the State Scientific Center of the Russian Federation — Burnazyan Federal Medical Biophysical Center FMBA of Russia, 123098, Moscow.
e-mail: s.p.dragan@rambler.ru
Russian FederationIrina V. Olenina
State Scientific Center of the Russian Federation — Burnazyan Federal Medical Biophysical Center FMBA of Russia
Email: noemail@neicon.ru
ORCID iD: 0000-0003-0297-5779
Russian Federation
Aleksey V. Bogomolov
State Scientific Center of the Russian Federation — Burnazyan Federal Medical Biophysical Center FMBA of Russia
Email: noemail@neicon.ru
ORCID iD: 0000-0002-7582-1802
Russian Federation
References
- Dvoryanchikov V.V., Akhmetzyanov I.M., Mironov I.V., Gavrilov E.K., Zinkin V.N., Gushchin P.S. The main directions of prevention of noise pathology in the armed forces. Vestnik Rossiyskoy voenno-meditsinskoy akademii. 2018; (3): 26–7. (in Russian)
- Kovalenko I.Yu., Stepanov A.V., Seleznev A.B., Sayfullin R.F., Ponomarev D.B. Pathogenetic rationale for the formation of somatic pathology with prolonged exposure to low-frequency noise. Vestnik Rossiyskoy voenno-meditsinskoy akademii. 2017; (2): 249–56. (in Russian)
- Akhmetzyanov I.M., Greben’kov S.V., Lomov O.P. Noise and Infrasound: Hygienic Aspects [Shum i infpazvuk: gigienicheskie aspekty]. St. Petersburg: Bip; 2002. (in Russian)
- Vasil’eva I.N., Bespalov V.G., Zinkin V.N. Low-frequency noise as a hazard increasing occurrence of chromosomal aberrations and promoting cell death. Meditsina truda i promyshlennaya ekologiya. 2017; (3): 22–5. (in Russian)
- Slivina L.P., Kuklin D.A., Matveev P.V., Sheshegov P.M., Zinkin V.N. Infrasound and low-frequency noise as harmful production factors. Bezopasnost’ truda v promyshlennosti. 2020; (2): 24–7. https://doi.org/10.24000/0409-2961-2020-2-24-30 (in Russian)
- Vasilyeva I., Bespalov V., Semenov A., Baranenko D., Zinkin V. The effects of low-frequency noise on rats: evidence of chromosomal aberrations in the bone marrow cells and the release of low-molecular-weight DNA in the blood plasma. Noise and Health. 2017; 19(87): 79–5. https://doi.org/10.4103/nah.NAH-39-16
- Zinkin V., Vasilyeva I., Bespalov V., Osetrov A. High-intensity low-frequency acoustic vibrations have the critical effect on the lungs. Akustika. 2019; 32: 5–4.
- Zinkin V.N., Sheshegov P.M. Mechanisms of action of aircraft noise on professional performance and reliability. Noise Theory and Practice. 2021; 2(7): 165–18. (in Russian)
- Ivanov N.I., Zinkin V.N., Slivina L.P. Biomechanical mechanisms of action of low-frequency acoustic vibrations on a person. Rossiyskiy zhurnal biomekhaniki. 2020; (2): 216–6. https://doi.org/10.15593/RZhBiomeh/2020.2.09 (in Russian)
- Bogomolov A.V., Dragan S.P., Olenina I.V. A hardware-software complex for ipsilateral measurements of the acoustic reflex threshold. Pribory i tekhnika eksperimenta. 2021; (4): 95–15. https://doi.org/10.31857/S0032816221040029 (in Russian)
- Dragan S.P., Bogomolov A.V., Kotlyar-Shapirov A.D., Kondrat’eva E.A. A method for investigation of the acoustic reflex on the basis of impedance measurements. Biomed. Eng. 2017; 51(1): 72–6. https://doi.org/10.1007/s10527-017-9687-6
- Bogomolov A.V., Dragan S.P. A new approach to the study of impedance characteristics of tympanic membrane. Doklady Biochemistry and Biophysics. 2015; 464(1): 269–71. https://doi.org/10.1134/S1607672915050014
- Dragan S.P., Bogomolov A.V., Kotlyar-Shapirov A.D., Kondrat’eva E.A. Experimental study of displays in contralateral acoustic reflex auditory stimulation. Doklady Biochemistry and Biophysics. 2016; 1(468): 224–4. https://doi.org/10.1134/S1607672916030182
- Dragan S.P., Bogomolov A.V. A method of non-invasive diagnostics of the condition of the tympanic membrane using probing polyharmonic sound signals. Meditsinskaya tekhnika. 2016; (6): 21–3. (in Russian)
Supplementary files
