User:Nswanson24/sandbox


 * Is the article's content relevant to the topic? Are some areas under- or over-developed?
 * Would talk about how noise induced hearing loss has a strong correlation to tinnitus and the statistics of factory workers with tinnitus.
 * Would discuss the different severity of tinnitus and how they impact a person more.
 * https://www.ata.org/understanding-facts/impact-tinnitus
 * Is it written neutrally?
 * Mostly, There are a few points that could be a bit more neutral
 * Does each claim have a citation? Are the citations reliable?
 * Severity section could use more information and citation
 * https://www.ata.org/understanding-facts/impact-tinnitus
 * More citation on the testing for tinnitus
 * https://www.ata.org/understanding-facts/measuring-tinnitus


 * Intro
 * It is usually described as a ringing noise but, in some patients, it takes the form of a high-pitched whining, electric buzzing, hissing, humming, tinging or , whistling sound or as , ticking, clicking, roaring, "crickets" or , "tree frogs" or , "locusts (cicadas)", tunes, songs, beeping, sizzling, or sounds that slightly resemble human voices or even a pure steady tone like that heard during a hearing test. It has also been described as a "whooshing" sound because of acute muscle spasms, as of wind or waves.[not in citation given]
 * Causes
 * Hearing loss may have many different causes, but among tinnitus subjects, the major cause is cochlear damage. The most common cause of tinnitus is noise-induced hearing loss.  Such hearing loss may also be present in a hidden form, i.e., in persons showing a normal audiogram. In some cases, people with normal hearing can still experience tinnitus due to hidden hearing loss which causes decreased auditory input to the brain but does not show a hearing loss on an audiogram. Citation: Schaette, R., & Mcalpine, D. (2011). Tinnitus with a Normal Audiogram: Physiological Evidence for Hidden Hearing Loss and Computational Model. Journal of Neuroscience,31(38), 13452-13457. doi:10.1523/jneurosci.2156-11.2011 Ototoxic drugs can also cause subjective tinnitus, as they may cause hearing loss, or increase the damage done by exposure to loud noise. Those damages can occur even at doses that are not considered ototoxic. Over 260 medications have been reported to cause tinnitus as a side effect. Tinnitus can also occur due to the discontinuation of therapeutic doses of benzodiazepines. It can sometimes be a protracted symptom of benzodiazepine withdrawal and may persist for many months. Medications such as bupropion may also result in tinnitus.   In many cases, however, no underlying cause can be identified for tinnitus.
 * Diagnosis
 * Even when tinnitus is the primary complaint, audiological evaluation is usually preceded by examination by an ENT If experiencing tinnitus, an audiologist will perform a comprehensive evaluation to help diagnose and treat the symptoms. In some cases, a referral to an Ear Nose and Throat Physician is necessary to diagnose treatable conditions like middle ear infection, acoustic neuroma, concussion, otosclerosis, etc.  Evaluation of tinnitus   will  can include a hearing test (audiogram), measurement of acoustic parameters of the tinnitus like pitch and loudness, and psychological assessment of comorbid conditions like depression, anxiety, and stress that are associated with severity of the tinnitus.
 * Prevention
 * Prolonged exposure to loud sound or noise levels can lead to tinnitus. Ear plugs or other measures can help with prevention. Those who work in noisy environments are exposed to high levels of sound on a daily basis are at high risk for developing tinnitus. Employers utilize Hearing Loss Prevention Programs (HLPP) to help educate and prevent dangerous levels of exposure to noise. Groups like NIOSH and OSHA help set regulations to ensure employees, if following the protocol, should have minimal risk to permanent damage to their auditory system. Citation: National Institute for Occupational Safety and Health. (2019, February 4). CDC - NIOSH Program Portfolio : Hearing Loss Prevention : Program Description. Retrieved February 10, 2019, from https://www.cdc.gov/niosh/programs/hlp/default.html  Several medicines have ototoxic effects, and can have a cumulative effect that can increase the damage done by noise. If ototoxic medications must be administered, close attention by the physician to prescription details, such as dose and dosage interval, can reduce the damage done.
 * Management
 * If there is an underlying cause, treating it may lead to improvements. Otherwise, the primary treatment for tinnitus is talk therapy and sound therapy ;  or hearing aids. At this time, there are no effective medications or supplements that have been proven as effective treatments for tinnitus symptoms. Citation: Drug Therapies. (2016, December 14). Retrieved from https://www.ata.org/managing-your-tinnitus/treatment-options/drug-therapies