Hearing Loss and Irritability Reporting Without Vestibular Differences in Explosive Breaching Professionals.
Hearing Loss and Irritability Reporting Without Vestibular Differences in Explosive Breaching Professionals.
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DOI：
10.3389/fneur.2020.588377
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发表时间：
2020
影响因子：
3.4
通讯作者：
Carr W
中科院分区：
文献类型：
--
作者：
Modica CM;Johnson BR;Zalewski C;King K;Brewer C;King JE;Yarnell AM;LoPresti ML;Walker PB;Dell KC;Polejaeva E;Quick A;Arnold B;Wassermann EM;Stone JR;Ahlers ST;Carr W
背景：爆炸暴露是现代军事行动和训练中的潜在危险，特别是对于某些军事职业。军事人员佩戴的头盔、外围装甲、听力保护装置和眼睛保护装置可以提供一些针对爆炸效应的急性保护，但可能无法完全保护人员免受职业生涯中反复经历的爆炸超压波的累积影响。目前的研究旨在描述经验丰富的职业操作员反复暴露于原发爆炸过压的长期结果，重点是听力和前庭结果的评估。方法：参与者包括经验丰富的“破坏者”（通过受控引爆炸药进入建筑物的军事和执法爆炸物专业人员）和年龄相仿且经验丰富的“非破坏者”（非破坏军事和执法人员）。比较了对临床访谈的反应以及听力学和前庭测试的表现。结果：破坏者比非破坏者更常见听力损失、耳鸣、烦躁以及对光或噪音敏感。违反者报告的战斗经历比非违反者更多，随后，记忆丧失和注意力难以集中与违反和战斗暴露有关。破坏者和非破坏者之间的前庭和眼部运动结果没有差异。结论：与听力相关、易怒和敏感的结果与违规职业相关。未来研究爆炸暴露的长期影响应采取措施控制战斗暴露。
Background: Blast exposure is a potential hazard in modern military operations and training, especially for some military occupations. Helmets, peripheral armor, hearing protection, and eye protection worn by military personnel provide some acute protection from blast effects but may not fully protect personnel against cumulative effects of repeated blast overpressure waves experienced over a career. The current study aimed to characterize the long-term outcomes of repeated exposure to primary blast overpressure in experienced career operators with an emphasis on the assessment of hearing and vestibular outcomes. Methods: Participants included experienced “breachers” (military and law enforcement explosives professionals who gain entry into structures through controlled detonation of charges) and similarly aged and experienced “non-breachers” (non-breaching military and law enforcement personnel). Responses to a clinical interview and performance on audiological and vestibular testing were compared. Results: Hearing loss, ringing in the ears, irritability, and sensitivity to light or noise were more common among breachers than non-breachers. Breachers reported more combat exposure than non-breachers, and subsequently, memory loss and difficulty concentrating were associated with both breaching and combat exposure. Vestibular and ocular motor outcomes were not different between breachers and non-breachers. Conclusion: Hearing-related, irritability, and sensitivity outcomes are associated with a career in breaching. Future studies examining long-term effects of blast exposure should take measures to control for combat exposure.
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影响因子：
3.4
作者：
Ahlers ST;Vasserman-Stokes E;Shaughness MC;Hall AA;Shear DA;Chavko M;McCarron RM;Stone JR
通讯作者：
Stone JR
影响因子：
4.2
作者：
Stone JR;Avants BB;Tustison NJ;Wassermann EM;Gill J;Polejaeva E;Dell KC;Carr W;Yarnell AM;LoPresti ML;Walker P;O'Brien M;Domeisen N;Quick A;Modica CM;Hughes JD;Haran FJ;Goforth C;Ahlers ST
通讯作者：
Ahlers ST
影响因子：
1.2
作者：
Kamimori, Gary H;LaValle, Christina R;Wang, Kevin K W
通讯作者：
Wang, Kevin K W
影响因子：
1.9
作者：
Akin, Faith W.;Murnane, Owen D.;Riska, Kristal M.
通讯作者：
Riska, Kristal M.
影响因子：
3.4
作者：
Carr, Walter;Yarnell, Angela M.;LoPresti, Matthew L.
通讯作者：
LoPresti, Matthew L.