title: [The problem of severe noise induced hearing loss (author's transl)].
abstract: It can be observed that even after severe and long-lasting occupational exposure to noise the hardness of hearing caused by that noise is usually only low or medium-grade. Therefore the question is being examined whether there are any particular causal conditions for those rare cases in which the hardness of hearing caused by noise is more than medium-grade. High noise levels and high frequencies, together with continual constrained physical posture during work, seem to be such conditions according to the statistical evaluation of a wide range of observation data. In such cases the expert is required to assume a highly critical attitude. The diagnosis and in particular the simulation and aggravation tests call for improvement by way of an objectification.
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001161:Arteriosclerosis / Q000150:complications; D001299:Audiometry; D004427:Ear Diseases / Q000150:complications; D005260:Female; D006317:Hearing Loss, Noise-Induced / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D006973:Hypertension / Q000150:complications; D007348:Insurance, Health; D008297:Male; D008669:Metallurgy; D008875:Middle Aged; D013783:Textile Industry; D013997:Time Factors
vernacular_title: Zum Problem der höhergradigen Schwerhörigkeit durch Lärm