[A complex of informative indices of adaptive and compensatory mechanisms for individual prognostication of occupational hypoacusis upon exposure to noise in combination with vibration and dust].

A differential diagnostic complex of 11 physiological, anthropometric, and biochemical parameters of most informative value that reliably (over 98% reliability) characterize the status of adaptive and compensatory mechanisms upon exposure to in-plant noise in combination with local and total vibration, and dust in terms of individual noise sensitivity. Testing the proposed procedure showed its high accuracy to define the terms "exhaustion" and "normal" specific adaptation, high (81.2%) significance of individual (5-year) prediction of occupational hypoacusis, an 50%-increase in detection rates of risk groups among workers. The procedure developed is recommended to use in regular professional surveys for specific adaptation, individual prediction and detection of early disorders, to enhance the accuracy of diagnosis of occupational hypoacusis, to employ in professional selection, to define the allowable time of labour activity, and to make priority. The proposed procedure defended by copyright has been introduced into practice.