Auditivni efekti bojevog gađanja iz automatske puške kod profesionalnih vojnih lica Živaljević, Zvonko, 1963- Buka kao jedan od velikih zagađivača životne i radne sredine predmet je interesovanja naučnika iz različitih naučnih oblasti, a zbog svog ekstraauditivnog i auditivnog uticaja na zdravlje ljudi aktuelna je u medicini. Kod gađanja iz pešadijskog naoružanja nastaje impulsna buka, koja dovodi do pojave auditivnih efekata. Oni se ispoljavaju u vidu zujanja, oštećenja sluha ili pritiska na jednom ili oba uva. Cilj istraživanja je utvrđivanje i provera relevantnih činjenica vezanih za uticaj bojevog gađanja iz automatske puške na pojavu auditivnih efekata kod profesionalnih vojnih lica. Istraživanje, kao prospektivna opservaciona studija, sprovedeno je nad 104 profesionalna pripadnika Vojske Srbije starosti od 19-60 godina na Kabinetu za uvo, grlo i nos Vojnomedicinskog centra Karaburma, Centra vojnomedicinskih ustanova Beograd i na formacijskom strelištu «Bubanj Potok». U istraživanju, u cilju pronalaženja veze sa mogućim nastankom oštećenja sluha ili pojavom drugih poremećaja zdravlja koji nastaju kao posledica izlaganja impulsnoj buci prilikom gađanja iz automatske puške AP M70 7,62 mm, statistički su obrađeni upitnici koje su ispitanici popunjavali pre i posle bojevog gađanja, klinički orl pregled i audiogrami pre i posle gađanja. Na osnovu sveobuhvatnog ispitivanja uslova i učesnika bojevog gađanja iz automatske puške AP M 70 7.62 mm, dokazano je da dolazi do pojave auditivnih efekata. Takođe je potvrđeno da je od svih auditivnih efekata najznačajniji gubitak sluha. Potvrđena je i značajnost korišćenja ličnih zaštitnih sredstava od buke prilikom bojevog gađanja. Na osnovu dobijenih rezultata i zaključaka predlažu se preventivne mere za sprečavanje ili umanjenje štetnog dejstva impulsne buke na organ čula sluha. One direktno utiču na smanjenje učestalosti oštećenja sluha, a na taj način i na ukupne troškove lečenja pacijenata kod kojih takvo oštećenje nastane i prati ih dalje kroz život. Noise is one of the major polluters of the living and working environment. It is subject of interest of experts from different fields of science, and due to its auditive and extra auditive impact on human health, it is in a field of interest for human medicine. A high-intensity noise from a gunshot impulse, that occurs when using infantry weapon, can result in onset of auditory symptoms, such as tinnitus, impaired hearing or feeling of pressure in one or both ears. The aim of this study is to determen and verify relevant factors related to the impact of live ammunition shooting, from an automatic rifle, on the sense of hearing in professional military personnel. This research was done in a form of a prospective observation study. It was conducted on 104 Serbian military professional soldiers, aged 19-60 years. The study was done in Military Medical Center Karaburma, the Center of Military Medical Institutions in Belgrade on the othorinolaringology ward, and on the formational shooting field "Bubanj Potok". In order to determen a connection between the occurrence of hearing loss or of some other health disorders, and exposure to impulse gunshot noise from the automatic rifle AP M70 7.62 mm, the questionnaires, were filled by the respondents prior and after the shooting. The respondents had underdone audyography and clinical othorinolaringological examination prior and after the shooting. On the base of this comprehensive examination of the respondents, it has been proven that shooting from the automatic rifle AP M 70 7.62 mm, have negative audible effects. It is also confirmed that most significant negative audible effects is loss of hearing. The significance of personal noise protective gear use, was also confirmed. On the basis of the obtained results and conclusions, the preventive measures for reducing the harmful effect of impulse noise on the hearing sensory body are proposed. The measures directly affect the reduction in the frequency of hearing impairment, and complementary the decrease in overall cost of treatment for patients with acute noise caused hearing impairment. Prilozi Datum odbrane: 09.10.2017. null Živić, Ljubica, 1952- Erdevički, Ljiljana, 1956- Baletić, Nenad, 1968- Đonović, Nela, 1968- 2017 2017 2017 2017 2017 2017 baccalaureate Dissertation 117 listova 5103316 bytes o:871 ID=524318869 ; D-3108 thesis:5472 cobiss:524318869 https://phaidrakg.kg.ac.rs/o:871 Thesis:5472 Cobiss:524318869 srp CC BY-NC-ND 2.0 AT http://creativecommons.org/licenses/by-nc-nd/2.0/at/