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https://www.noiseandhealth.org/article.asp?issn=1463-1741;year=2009;volume=11;issue=42;spage=26;epage=32;aulast=Li
Potentiation of aminoglycoside-induced ototoxicity by concurrent exposure to noise has been investigated since the 1960s when animals receiving aminoglycosides appeared to be more susceptible to noise-induced hearing loss and reported conclusively by Gannon and Tso in 1969 and in subsequent animal studies., These observations were confirmed by Jack Vernon's group …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2713742/
The average hearing threshold shifts across tested frequencies were 16 and 17 dB in conditions 1 and 2, while the shift was 62 dB in condition 3 instead of a linear summation of about 20 dB (17 ±3 dB). The histological analysis on hair cell loss presented a very similar synergistic trend.
https://lupinepublishers.com/otolaryngology-journal/fulltext/synergistic-effect-of-carbon-monoxide-noise-smoking-and-hypertension-on-hearing-of-steel-industry-workers.ID.000106.php
It has been observed that the noise levels measured in SMS, RMS, MBF s &Power plant sections is more than PEL i.e. 8 hours, TWA 90 dBA specified in the state regulations. Workers were not using ear protection devices. Study indicate the prevalence of hearing impairment was significantly more in CEG (85.14%) as compared to IEG (14.81%).
http://cazeb.lasalute.info/Individual-And-Synergistic-Effects-Of-Smoking-And-Noise-On-Hearing:-Effects-Of-Smoking-And-Noise-On-Hearing|S.G.R.-Prakash.cgi
Individual And Synergistic Effects Of Smoking And Noise On Hearing: Effects Of Smoking And Noise On Hearing|S, How To Make A Baby Girl|Les Toth, Quarterly Bulletin Of Northwestern University Medical School Volume 3-4|Northwestern University. School, Practical Guide To Diagnostic Parasitology|Lynne S. Garcia
https://www.osha.gov/noise
OSHA requires employers to implement a hearing conservation program when noise exposure is at or above 85 decibels averaged over 8 working hours, or an 8-hour time-weighted average (TWA). Hearing conservation programs strive to prevent initial occupational hearing loss, preserve and protect remaining hearing, and equip workers with the knowledge and hearing protection …
https://www.synergisticmedical.net/
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