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Blast Overpressures as a Military and Occupational Health Concern.

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Title: Blast Overpressures as a Military and Occupational Health Concern.
Authors: Cacace, Anthony T.1 cacacea@wayne.edu, Berri, Batoul1,2
Source: American Journal of Audiology. Dec2023, Vol. 32 Issue 4, p779-792. 14p.
Subject Terms: *Leisure, *Hearing disorders, *Quality of life, *Audiometry, Cognition disorder risk factors, Mortality risk factors, Vagus nerve physiology, Tinnitus, Well-being, Industrial safety, Transcranial magnetic stimulation, Postural balance, Gait in humans, Occupational exposure, Disasters, Health status indicators, Risk assessment, Electric stimulation, Accidental falls, Diagnosis, Industrial hygiene, Sound, Mineral industries, Military personnel, Environmental exposure, Disease risk factors
Abstract: Purpose: This tutorial reviews effects of environmental stressors like blast overpressures and other well-known acoustic contaminants (continuous, intermittent, and impulsive noise) on hearing, tinnitus, vestibular, and balance-related functions. Based on the overall outcome of these effects, detailed consideration is given to the health and well-being of individuals. Method: Because hearing loss and tinnitus are consequential in affecting quality of life, novel neuromodulation paradigms are reviewed for their positive abatement and treatment-related effects. Examples of clinical data, research strategies, and methodological approaches focus on repetitive transcranial magnetic stimulation (rTMS) and electrical stimulation of the vagus nerve paired with tones (VNSt) for their unique contributions to this area. Results: Acoustic toxicants transmitted through the atmosphere are noteworthy for their propensity to induce hearing loss and tinnitus. Mounting evidence also indicates that high-level rapid onset changes in atmospheric sound pressure can significantly impact vestibular and balance function. Indeed, the risk of falling secondary to loss of, or damage to, sensory receptor cells in otolith organs (utricle and saccule) is a primary reason for this concern. As part of the complexities involved in VNSt treatment strategies, vocal dysfunction may also manifest. In addition, evaluation of temporospatial gait parameters is worthy of consideration based on their ability to detect and monitor incipient neurological disease, cognitive decline, and mortality. Conclusion: Highlighting these respective areas underscores the need to enhance information exchange among scientists, clinicians, and caregivers on the benefits and complications of these outcomes. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Blast Overpressures as a Military and Occupational Health Concern.
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  Data: <searchLink fieldCode="AR" term="%22Cacace%2C+Anthony+T%2E%22">Cacace, Anthony T.</searchLink><relatesTo>1</relatesTo><i> cacacea@wayne.edu</i><br /><searchLink fieldCode="AR" term="%22Berri%2C+Batoul%22">Berri, Batoul</searchLink><relatesTo>1,2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Audiology%22">American Journal of Audiology</searchLink>. Dec2023, Vol. 32 Issue 4, p779-792. 14p.
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  Data: *<searchLink fieldCode="DE" term="%22Leisure%22">Leisure</searchLink><br />*<searchLink fieldCode="DE" term="%22Hearing+disorders%22">Hearing disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br />*<searchLink fieldCode="DE" term="%22Audiometry%22">Audiometry</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorder+risk+factors%22">Cognition disorder risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Mortality+risk+factors%22">Mortality risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Vagus+nerve+physiology%22">Vagus nerve physiology</searchLink><br /><searchLink fieldCode="DE" term="%22Tinnitus%22">Tinnitus</searchLink><br /><searchLink fieldCode="DE" term="%22Well-being%22">Well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Industrial+safety%22">Industrial safety</searchLink><br /><searchLink fieldCode="DE" term="%22Transcranial+magnetic+stimulation%22">Transcranial magnetic stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Postural+balance%22">Postural balance</searchLink><br /><searchLink fieldCode="DE" term="%22Gait+in+humans%22">Gait in humans</searchLink><br /><searchLink fieldCode="DE" term="%22Occupational+exposure%22">Occupational exposure</searchLink><br /><searchLink fieldCode="DE" term="%22Disasters%22">Disasters</searchLink><br /><searchLink fieldCode="DE" term="%22Health+status+indicators%22">Health status indicators</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Electric+stimulation%22">Electric stimulation</searchLink><br /><searchLink fieldCode="DE" term="%22Accidental+falls%22">Accidental falls</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Industrial+hygiene%22">Industrial hygiene</searchLink><br /><searchLink fieldCode="DE" term="%22Sound%22">Sound</searchLink><br /><searchLink fieldCode="DE" term="%22Mineral+industries%22">Mineral industries</searchLink><br /><searchLink fieldCode="DE" term="%22Military+personnel%22">Military personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Environmental+exposure%22">Environmental exposure</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Purpose: This tutorial reviews effects of environmental stressors like blast overpressures and other well-known acoustic contaminants (continuous, intermittent, and impulsive noise) on hearing, tinnitus, vestibular, and balance-related functions. Based on the overall outcome of these effects, detailed consideration is given to the health and well-being of individuals. Method: Because hearing loss and tinnitus are consequential in affecting quality of life, novel neuromodulation paradigms are reviewed for their positive abatement and treatment-related effects. Examples of clinical data, research strategies, and methodological approaches focus on repetitive transcranial magnetic stimulation (rTMS) and electrical stimulation of the vagus nerve paired with tones (VNSt) for their unique contributions to this area. Results: Acoustic toxicants transmitted through the atmosphere are noteworthy for their propensity to induce hearing loss and tinnitus. Mounting evidence also indicates that high-level rapid onset changes in atmospheric sound pressure can significantly impact vestibular and balance function. Indeed, the risk of falling secondary to loss of, or damage to, sensory receptor cells in otolith organs (utricle and saccule) is a primary reason for this concern. As part of the complexities involved in VNSt treatment strategies, vocal dysfunction may also manifest. In addition, evaluation of temporospatial gait parameters is worthy of consideration based on their ability to detect and monitor incipient neurological disease, cognitive decline, and mortality. Conclusion: Highlighting these respective areas underscores the need to enhance information exchange among scientists, clinicians, and caregivers on the benefits and complications of these outcomes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of American Journal of Audiology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=173998882
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1044/2023_AJA-23-00125
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      – Code: eng
        Text: English
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        PageCount: 14
        StartPage: 779
    Subjects:
      – SubjectFull: Leisure
        Type: general
      – SubjectFull: Hearing disorders
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Cognition disorder risk factors
        Type: general
      – SubjectFull: Mortality risk factors
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      – SubjectFull: Vagus nerve physiology
        Type: general
      – SubjectFull: Tinnitus
        Type: general
      – SubjectFull: Well-being
        Type: general
      – SubjectFull: Industrial safety
        Type: general
      – SubjectFull: Transcranial magnetic stimulation
        Type: general
      – SubjectFull: Postural balance
        Type: general
      – SubjectFull: Gait in humans
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      – SubjectFull: Occupational exposure
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      – SubjectFull: Disasters
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      – SubjectFull: Health status indicators
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      – SubjectFull: Risk assessment
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      – SubjectFull: Electric stimulation
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      – SubjectFull: Accidental falls
        Type: general
      – SubjectFull: Diagnosis
        Type: general
      – SubjectFull: Industrial hygiene
        Type: general
      – SubjectFull: Sound
        Type: general
      – SubjectFull: Mineral industries
        Type: general
      – SubjectFull: Military personnel
        Type: general
      – SubjectFull: Environmental exposure
        Type: general
      – SubjectFull: Disease risk factors
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      – TitleFull: Blast Overpressures as a Military and Occupational Health Concern.
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            – D: 01
              M: 12
              Text: Dec2023
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              Y: 2023
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