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Exposure to loud noise and risk of vestibular schwannoma
Results from the INTERPHONE international case-control study Objective: Studies of loud noise exposure and vestibular schwannomas (VS) have shown conflicting results. The population-based INTERPHONE case?control study was conducted in 13 countries during 2000–2004. In this paper, we report the results of analyses on the association between VS and self-reported loud noise exposure. Methods: Self-reported noise exposure was analyzed in 1024 VS cases and 1984 matched controls. Life-long noise exposure was estimated through detailed questions. Odds ratios (OR) and 95% confidence intervals (CI...
Relationships of neurosensory disorders and reduced work ability to alternative frequency weightings of hand-transmitted vibration
Objective: This cohort study aims to compare the performance of alternative frequency weightings of hand-transmitted vibration (HTV) for the assessment of the exposure–response relationships for neurosensory disorders and reduced work ability among HTV-exposed workers. Methods: In a 3-year follow up study, the occurrence of neurosensory symptoms and reduced work ability, and the response to quantitative sensory testing (grip force, manipulative dexterity, touch sensation) were investigated in 249 HTV-exposed workers and 138 healthy controls. Among the HTV-exposed workers, the sensory outcomes...
Collecting Data on Worker Hearing Loss: Epidemiology in Action
Hearing loss is one of the most common chronic health conditions in the United States. Among older adults, it is third after high blood pressure and arthritis. Nearly 1 in 4 cases of hearing loss among workers is caused by exposures on the job. These exposures include loud noise and chemicals that can damage hearing, such as organic solvents, heavy metals and asphyxiants. To prevent more workers from losing their hearing, we need to know the size of the problem, identify the workers most at risk, and monitor trends in worker hearing loss for improvement. This requires epidemiological surveillance...
Associations of work activities requiring pinch or hand grip or exposure to hand-arm vibration with finger and wrist osteoarthritis
A systematic review Objective : We systematically reviewed the epidemiologic evidence linking finger and wrist osteoarthritis (OA) with work activities requiring pinch or hand grip or exposure to hand-arm vibration. Methods : PubMed and Embase databases were searched up to June 2013. We selected studies providing quantitative risk estimates of radiographic diagnosed finger and/or wrist joint OA (hand OA) in relation to work activities involving pinch or hand grip or exposure to hand-arm vibration. We used specific criteria to evaluate completeness of reporting, potential confounding, and bias....

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