In Indonesia, the prevalence of CSOM is relatively high with most disease occurring in rural areas. The high rates in rural Bali with early progression to tympanosclerosis suggest a significant burden of potentially vaccine preventable illness.
Background: Tinnitus is the perception of sound heard by a person in the absence of an external stimulus. About 10-14.5% of the world's population experience tinnitus, with the most common age group being 40-60 years. As many as 10-12 million people in the United States suffer from severe tinnitus and feel disturbed enough to seek treatment. The management of tinnitus is still a challenge for researchers. Existing therapies include counseling, cognitive therapy, hearing aids, and tinnitus retraining, but until now, there has been no significant therapy. The last therapy that is available is to make artificial sounds that imitate the sound of tinnitus so that it can mask the actual tinnitus sound. In addition, therapy using music is expected to reduce the stress level of tinnitus patients. Methods: This research is action research, a follow-up study from previous research, with consecutive sampling and in accordance with the inclusion and exclusion criteria. After getting the frequency and amplitude of tinnitus, a sound stimulus is made in the form of combining tone variations and sound generators obtained from audiometric masking. Tone variations are made using a basic tone that matches the patient's tinnitus frequency. After that, the patient will assess the results of the merger. Results: The results showed the frequency and amplitude of tinnitus, suitability with masking, type of tinnitus, degree of deafness, and all participants were comfortable when listening to sound therapy from a sound generator. Discussion: The patient will use a tinnitus sound generator for 2 hours for 2 days, so the amplitude is safely limited to less than 91 dB. In this study, we set the tinnitus sound as closely as possible with the frequency, amplitude, tinnitus pulsating or not, appropriate music and paying attention to the hearing threshold.
Background: Noise pollution or noise is an unwanted sound which is disturbing to human beings.However small or soft the sound, if it is undesirable it is considered as noise. Noise induced hearingloss is a sensorineural hearing loss that is commonly encountered second to presbycusis. Purpose: Toknow the effect of traffic noise exposure on hearing impairment to the employees of the Parking DistrictCompany of the Denpasar city and to improve diagnostic detection on hearing impairment caused bynoise. Method: A cross sectional study was conducted at the Parking District Company office. Thepopulations of this study were the employees of the Parking District Company. Samples of this study were the employees who were exposed to traffic noise and control samples were an employee who was unexposed. Samples were selected by simple random sampling. Results: From 40 parking attendants,27 persons (67.5%) aged above 35 years old. The parking attendants who had been working for ten to fifteen years were 36 persons (90%) and no history using ear protection when working. Seven persons(17.5%) had referred DPOAE upon examination with increase hearing threshold on audiogram result.In this study the parking attendants who had hearing deficit induced by noise were 7 persons (17.5%)and only one person (2.5%) in control group. There was a statistically significant effect of traffic noiseto hearing function deficit (p<0.05). Conclusion: Traffic noise has effect in hearing function deficit onthe parking attendants.ORLI Vol. 40 No. 2 Tahun 2010Key words: NIHL, parking attendant, audiometry, DPOAE.
Background: Tinnitus is the perception of sound heard by a person without an external stimulus. About 10-14.5% of the world's population experience tinnitus, with the most common age group being 40-60. The management of tinnitus is still a challenge for researchers. Until now, there has been no effective management of tinnitus. The last therapy available is to make artificial sounds that imitate the tinnitus sound so that it can mask the actual tinnitus sound. In addition, music therapy is expected to reduce the stress level of tinnitus patients. Methods: This research is a follow-up study from previous research with 26 subjects. After getting the frequency and amplitude of tinnitus, a sound stimulus is made by combining tone variations and good generators obtained from audiometric masking. Tone variations are made using a basic tone that matches the patient's tinnitus frequency. After that, the patient will assess the results of the merger. Then all the participants will listen to dan evaluate the mixing song. Results: Of all subjective tinnitus sound generators, 3-5% have frequencies below 20 Hz and above 20,000 Hz. Songs made by recording in a soundproof room also have a frequency of 20 Hz and above 20,000 Hz, about 5 – 7%, where the song has an unnecessary frequency. The subjective tinnitus sound generator with the created song has an amplitude of < 85dB so that it can be adjusted with the volume control on the speaker. Conclusion: Tinnitus songs were made with the addition of Piano and Violin and Flute music, and Guitar, Bass and Balinese gamelan had a frequency of 20 – 20,000 Hz with an amplitude of < 85 dB, which can be adjusted with the volume so that it is safe and comfortable for tinnitus sufferers.
Latar belakang: Deviasi septum diduga sebagai salah satu predisposisi terjadinya disfungsi tuba Eustachius, terutama di telinga ipsilateral pada sisi hidung yang tersumbat. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara derajat obstruksi hidung pada pasien deviasi septum nasi dengan disfungsi tuba Eustachius. Metode: Diskriptif dan analitik pada penelitian yang kami lakukan di poliklinik THT-KL RSUP Sanglah Denpasar, diikuti 58 orang yang terbagi dalam kelompok disfungsi tuba Eustachius sebanyak 29 responden dan kelompok fungsi tuba Eustachius normal sebesar 29 responden. Hasil: Analisis penelitian didapatkan hubungan yang bermakna yaitu derajat obstruksi hidung kanan pada pasien deviasi septum meningkatkan risiko kejadian 2,85 kali lebih tinggi dengan terjadinya disfungsi tuba Eustachius kanan. Pada sisi kiri juga didapatkan hubungan yang bermakna yaitu derajat obstruksi hidung kiri pada pasien deviasi septum meningkatkan risiko kejadian 2,17 kali lebih tinggi dengan dengan terjadinya disfungsi tuba Eustachius kiri. Pada derajat sumbatan hidung diketahui pada sisi kanan dan pada sisi kiri dengan hasil responden yang mengalami sumbatan hidung derajat berat secara bermakna meningkatkan risiko terjadinya disfungsi tuba Eustachius pada sisi yang sama dengan nilai (p< 0,05). Kesimpulan: Pada penelitian ini didapatkan hubungan yang bermakna antaraderajat obstruksi hidung pada pasien deviasi septum yang meningkatkan risiko terjadinya disfungsi tuba Eustachius pada sisi yang sama.Kata kunci: Disfungsi tuba Eustachius, obstruksi hidung, deviasi septum nasi. ABSTRACTBackground: Septal deviation is suspected as one of the predisposing factor in Eustachian tube dysfunction, especially in the ipsilateral ear on the side of the obstructed nose. Purpose: To find out the relationship between the degree of nasal obstruction in septal deviation patient with Eustachian tube dysfunction. Method: Descriptive analytic studies that we conducted in ENT clinic Sanglah Hospital that divided 58 people into 29 respondents as the Eustachian tube dysfunction group and 29 others as the normal Eustachian tube function group. Result: We found prevalence of right Eustachian tube dysfunction in 21 respondents and the prevalence on the left Eustachian tube dysfunction in 8 respondents, which was on the same side with the obstructed nose in the case group as measured byPNIF. Bivariate analysis found a significant relationship that increased the risk of occurence was 2,85 times higher in septal deviation patients with right obstructed nose with the right Eustachian tube dysfunction. The left side also showed a significant association 2,17 times. Degree of nasal obstruction performed analysis known on the right side and on the left side showed that respondents with severe degrees of nasal obstruction significantly increased the risk of Eustachian tube dysfunction on the ipsilateral side (p<0,05). Conclusion: In this study we have significant association between the degree of nasal obstruction in septal deviation patients which increased the risk of Eustachian tube dysfunction incidence on the ipsilateral side.Keywords: Eustachian tube dysfunction, nasal obstruction, nasal septal deviation.
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