Evidence map›Paper›PMID 42311337›Full record

ArticleRevista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT

Combined exposure to noise and ototoxic solvents: contributions to the revision of legal limits based on the literature.

Marcos Jorge Gama Nunes, Osvaldo Luiz Gonçalves Quelhas, Maria de Lurdes Costa Domingos

Abstract read
In one paragraph

Article in Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Marcos Jorge Gama NunesUniversidade Federal Fluminense (UFF), Departamento de Engenharia, Niterói, RJ, Brazil.ORCID https://orcid.org/0009-0004-0190-1369
Osvaldo Luiz Gonçalves QuelhasUniversidade Federal Fluminense (UFF), Departamento de Engenharia, Niterói, RJ, Brazil.ORCID https://orcid.org/0000-0001-6816-1677
Maria de Lurdes Costa DomingosUniversidade Federal Fluminense (UFF), Departamento de Engenharia, Niterói, RJ, Brazil.ORCID https://orcid.org/0000-0002-5591-7743

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Work-related hearing loss resulting from combined exposure to noise and ototoxic solvents remains underestimated in occupational prevention practices. Substances such as toluene, xylene, and styrene, which are widely present in industrial environments, potentiate auditory damage even at levels below the tolerance limits considered safe. By conditioning the implementation of the Hearing Conservation Program solely on the action level for isolated noise exposure, Brazilian legislation proves insufficient in addressing the complexity of contemporary occupational risks. This opinion article proposes a critical reflection on the current regulatory limits and advocates for the revision of occupational hearing health prevention policies. Integrated strategies are discussed, including the simultaneous monitoring of exposure to noise and ototoxic chemical agents, the revision of occupational exposure limits, the continuous training of professionals in the field, and the adoption of hierarchical control measures. Protecting workers' hearing health requires more comprehensive approaches capable of recognizing the interaction among different risk agents and promoting truly safe work environments.

Indexed as

hearing lossnoiseoccupational.occupational exposureototoxicity

Identifiers

PMID42311337
PMCPMC13271037

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.