scholarly journals Factors Affecting Intratympanic Corticosteroids Injection Therapy Results in Sudden Deafness Patients at Dr Mohammad Hoesin Hospital Palembang

2021 ◽  
Vol 5 (11) ◽  
pp. 988-996
Author(s):  
Abla Ghanie ◽  
Listya Paramita ◽  
Fiona Widyasari ◽  
Ahmad Hifni ◽  
Erial Bahar

Background. Sudden deafness is an emergency in the Ear Nose Throat Department, a subset of sensorineural hearing loss within a 72-hour window period and consists of a decrease in hearing of 30 decibels affecting at least three consecutive frequencies. The therapy given is corticosteroids, systemic corticosteroids or intratympanic corticosteroids injection, or both. The prognosis of sudden deafness depends on several factors. Patient with sudden hearing loss does not always have the same result in hearing improvement. This study was aimed to determine the factors that affect the results of intratympanic corticosteroid injection therapy in patients with sudden deafness.Methods. This study is an observational study with a cross-sectional design. The data were collected using medical records on 96 ears given intratympanic corticosteroid injection therapy at Dr. Mohammad Hoesin Hospital Palembang from July 2018 to February 2021.Results. From 96 ears conducted in the study, the improvement of therapeutic results on intratympanic corticosteroid injection in patients with sudden deafness was 72.9%. The study found factors that influenced the outcome of therapy, namely age (p=0.002), the onset of therapy (p = 0.003), and the use of a combination of systemic steroids (p=0.010). From the logistic regression test, it was found that the factors that most influenced the results of intratympanic corticosteroid injection therapy were young age 18-40 years (p=0.016) with (OR) 6.654 (CI95% 1.418-31.222) and therapy onset less than two weeks (p=0.027) with (OR) 3.108 (95% CI 1.134-8.515).Conclusions. The factors associated with the improvement in the outcome of intratympanic corticosteroid injection therapy in patients with sudden hearing loss were patient age and early onset of therapy.

2021 ◽  
Vol 5 (4) ◽  
pp. 898-906
Author(s):  
Abla Ghanie ◽  
Listya Paramita ◽  
Fiona Widyasari ◽  
Ahmad Hifni ◽  
Erial Bahar

Background. Sudden deafness is an emergency in the Ear Nose Throat Department, a subset of sensorineural hearing loss within a 72-hour window period and consists of a decrease in hearing of 30 decibels affecting at least three consecutive frequencies. The therapy given is corticosteroids, systemic corticosteroids or intratympanic corticosteroids injection, or both. The prognosis of sudden deafness depends on several factors. Patient with sudden hearing loss does not always have the same result in hearing improvement. This study was aimed to determine the factors that affect the results of intratympanic corticosteroid injection therapy in patients with sudden deafness.Methods. This study is an observational study with a cross-sectional design. The data were collected using medical records on 96 ears given intratympanic corticosteroid injection therapy at Dr. Mohammad Hoesin Hospital Palembang from July 2018 to February 2021.Results. From 96 ears conducted in the study, the improvement of therapeutic results on intratympanic corticosteroid injection in patients with sudden deafness was 72.9%. The study found factors that influenced the outcome of therapy, namely age (p=0.002), the onset of therapy (p = 0.003), and the use of a combination of systemic steroids (p=0.010). From the logistic regression test, it was found that the factors that most influenced the results of intratympanic corticosteroid injection therapy were young age 18-40 years (p=0.016) with (OR) 6.654 (CI95% 1.418-31.222) and therapy onset less than two weeks (p=0.027) with (OR) 3.108 (95% CI 1.134-8.515).Conclusions. The factors associated with the improvement in the outcome of intratympanic corticosteroid injection therapy in patients with sudden hearing loss were patient age and early onset of therapy.


2021 ◽  
Vol 2 (2) ◽  
pp. 30-40
Author(s):  
Chairil Syadudin ◽  
Asyiah Simanjorang ◽  
Jamaludin Jamaludin ◽  
Lucia Lastiur

Work stress is caused by many factors from workplace, family, home, or environment. Excessive work stress will make someone anxious until developing excessive fatigue. Fatigue will decrease performance and increase work error rate that cause fatal workaccident.This study aimed to analyze influence of working stressors against nurses fatigue in patien room in haji hospital Medan. This study was quantitative method with a cross-sectional design, with a sample of 53 respondents. This study used questioners of the NIOSH Generic Job Stress Questionaire and Industrial Fatigue Research Committee which has been translated into Indonesian and has cheeked for validity and reliability. The results of the study regarding the influence  work fatigue and work stress (P-value 0,000, r : 1,000), the influence  workload and work fatigue (P-value 0,000, r : 1,000), the influence  interpersonal conflict and work fatigue (P-value 0,000, r : 1,000), the influence  job satisfaction and work fatigue (P-value 0,000, r : -0,588), the influence  social support and work fatigue (P-value 0,000, r : -0,892), and based on the logistic regression test workload were variables the most influential, with an odds ratio of 94,5. The conclusion shows that workload is a variable that has strong influence on fatigue. Nurses with heavy workload are 94,5 times more likely to experience fatigue. So that the hospital needs to monitor and evaluate the performances of the nurses so the workload can be fixed and adjusted with the right capacity and ability of the nurses in providing services


2021 ◽  
Vol 2 (2) ◽  
pp. 58-68
Author(s):  
Dherma Wati Bangun ◽  
Dherma Wati Bangun ◽  
Vivi Eulis Diana

Patients in health services have different behaviors in deciding to take advantage of health services. Patients used various considerations to make decisions based on the health products or services for re-treatment. The study aimed to analyze the factors that influence the patient's decision in using health services for re-treatment. This research was quantitative with cross-sectional design and conducted at Tanjung Pura Regional Hospital. The population was 3.946 people, and the sample were 247 respondents taken by using purposive sampling. Data analysis was univariate and bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level (a= .05). The results showed that the factors that influenced the patient's decision to use health services for re-treatment at the Tanjung Pura Regional Hospital were the service quality of doctors / nurses (p= .000), distance (p=.049), facilities (p=0.000), and service speed (p = .000). The factors that did not influence we age (p=.461). gender (p=.895), education (p=.371), occupation (p=.593). The most dominant factor influencing is facilities with Exp (B)/OR =14.477, meaning that respondents who stated that the hospital facilities were good, had the opportunity to use health services for re-treatment by 14.4 times higher the respondents who stated that the hospital facilities were not good. It is suggested to Tanjung Pura Regional Hospital to propose and allocate a budget for improving hospital facilities that are still lacking and adding new service facilities so that it can increase public confidence for repeat treatment


2018 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Fitri Widyacahya

Prelimanary survey result showed the employee job involvement rate of Rumah Sakit Mata Undaan Surabaya reached 65,26%. It meant that employee job involvement rate was low (standard 80%) . Job involvement consist of three factors there are support from co-workers, employee participation in decision making, and the dependence of the tasks.The aim of this study was to analyze the influence supervision and working condition to employee job involvement. Observational analysis was used in this research with the cross sectional design. The data was obtained through questionnaire with simple random sampling involving 62 employees as the sample of the research. The obtained data were analyzed using logistic regression test univariate (α=0,05) to examine the influence of supervision and working condition toward the employee’s job involvement. The test result indicated that supervision significantly influenced employee job involvement at significance value was0,000201. Better supervison made better employee job involvement. On the other hand, working condition did not influence the employee job involvement (significance value was0,097), but crosstabulation result indicated that better working condition made better employee job involvement. It canbe concluded that supervision affects job involvement while working condition does not affect the job involvement.  Keywords: job involvement, supervision, working condition 


2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Uliyatul Laili

Analysis of factors Affecting The Participant Pregnant Women Gymnactics in BPS Nina Surabaya. Pregnant women should get treatment during pregnancy. Treatment during pregnancy or antenatal care can be done via examination of pregnancy, pregnancy exercise, nutrition and other compliance requirements. Pregnancy exercise is an exercise undertaken to prepare and train the muscles so that it can be used to function optimally in a normal delivery.This study uses an analytical method with cross sectional design prospective. Sampling using total sampling technique. The independent variable is education, parity and maternal knowledge, while the dependent variable is exclusive breastfeeding. Data were analyzed using chi square test.The results showed a correlation between age and support of husband / family with the participation of pregnant women during pregnancy exercise with a p-value of <0.05, whereas for education and parity are not related to the participation of pregnant women against pregnancy exercise with a value of p>0.05.The conclusions of this study are the factors that influence the participation of pregnant women during pregnancy exercise is aged and the support of husband / family.


2020 ◽  
Vol 12 (1) ◽  
pp. 10
Author(s):  
Kartika Elisabet Krisnanti ◽  
Lilis Sulistyorini

Introduction: Hearing loss events often occur in communities who exposed to high-intensity noise and for long periods. Residents who lived around the railway tracks had a high risk of experiencing hearing loss. This study aims to analyze the potential risk of hearing loss in housewives who for 1x24 hours was always exposed to train noise. Method: This research was an observational analytic study with a cross-sectional design. The sample of this study was 42 housewives who were divided into 2 groups: 21 people exposed to noise and 21 people not exposed to noise. Respondents were selected using a simple random sampling technique. Research data obtained through interviews and observations. Measurement of noise intensity using a whisper test. Result and Discussion: Measurement of day and night noise (L = 65,9 dBA) has exceeded the noise quality standard set for residential areas which were 55 dBA. The results showed that noise (p = 0,030; OR = 5,846) had a strong correlation with hearing loss. While age (p = 0,416), length of stay (p = 1,000), the presence of a barrier (p = 0,465) did not have a significant correlation with hearing loss. Conclusion: Housewives who were exposed to noise have the potential risk of hearing loss. Therefore, efforts must be made to adjust the distance of the settlement and the installation of sound dampers to reduce the risk of hearing loss.


1973 ◽  
Vol 82 (1) ◽  
pp. 2-12 ◽  
Author(s):  
Victor Goodhill ◽  
Irwin Harris ◽  
Seymour J. Brockman ◽  
Oscar Hantz

In 1971, one of the authors reported sudden deafness associated with labyrinthine window membrane ruptures. Eighteen additional cases have been explored surgically since then. Data on 21 cases are presented. Sudden profound cochlear deafness has now been encountered in 21 cases which were surgically explored. In 15 instances, fistulae of round, oval, or both windows were encountered and repaired. In 10 of the 15, there was a definite history of sudden exertion or trauma prior to onset. The oval window alone was ruptured in nine patients, the round window alone in one, and both windows were ruptured in five patients. The oldest patient was 62 years and the youngest 11 years of age. Differential audiological studies showed profound losses in all cases. Almost every case was studied by pure tone AC-BC and speech audiometry, Békésy, and impedance tests. Whenever possible other audiologic tests, such as recruitment, tone decay, and SISI were performed. These findings are presented in detail. Vestibular function was studied by electronystagmography (ENG) in 15 of the 21 cases surgically explored. There was evidence of vestibular dysfunction in almost every case with sudden hearing loss. Significant ENG details are presented. Surgical repairs of ruptured window membranes were followed by improvements in some of the patients. Postoperative audiologic data are presented. The theoretical aspects include discussion of possible cerebrospinal fluid (CSF) perilymph pathways between cochlear aqueduct and scala tympani and between internal auditory meatus and scala vestibuli. It is concluded that spontaneous labyrinthine window ruptures must now be added to the etiologic factors in “sudden hearing loss.” It is premature to set down criteria for surgical intervention in such cases. Further careful studies are necessary.


2017 ◽  
Vol 41 (S1) ◽  
pp. S264-S264
Author(s):  
E. Albani ◽  
E. Kotrotsiou ◽  
M. Gouva ◽  
A. Bargiota ◽  
G. Hadjigeorgiou ◽  
...  

IntroductionChronic diseases such as childhood diabetes mellitus constitute a challenge for both the affected children and their families. Childhood diabetes mellitus is characterized by complex therapeutic management and has a profound physical and psychological impact on the whole family and a number of losses for the parents.Aim and objectivesTo recognize and quantify the factors affecting shame feelings for parents of children with diabetes mellitus.MethodA cross-sectional design was performed. A sample of 316 parents (110 men–206 women, mean age 40.6 years, SD = 6.0 ranged 17–57) participated to the present study. The questionnaire included: (a) social-demographic characteristics, (b) The Other As Shamer Scale (OAS), (c) The Experience of Shame Scale (ESS). SPSS for Windows 20.0 was used for the statistical analysis.ResultsAge and the place of residence of the parents, the duration and the severity of disease were identified as significant multivariate factors on internal and external shame.ConclusionFeeling of shame consist a significant psychological burden of the parents with children suffering from diabetes mellitus. Screening for psychological distress in parents of children is indicated, and preventive interventions are needed, targeted according to the increased needs as suggested in the research results.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2019 ◽  
Vol 13 (2) ◽  
pp. 188-202 ◽  
Author(s):  
Noorshella Binti Che Nawi ◽  
Abdullah Al Mamun ◽  
Noorul Azwin Md Nasir ◽  
Azwan Abdullah ◽  
Wan Nurulasiah Wan Mustapha

Purpose This study aims to examine the factors affecting brand image and consumer satisfaction towards Islamic travel package in Malaysia. Design/methodology/approach This study used a cross-sectional design and quantitative method in examining the factors affecting the brand image and consumer satisfaction on Islamic travel package. This study has chosen Google form as a platform to collect the data. Findings The findings revealed that product quality, Islamic physical attribute and Islamic belief have a significant positive effect on brand image and consumer satisfaction. The findings confirmed that product quality, Islamic physical attribute and Islamic beliefs are the crucial tools for brand image that leads to the satisfaction of Muslim consumers on the Islamic travel package. Originality/value This paper addresses understudied aspects of brand image and consumer satisfaction towards Islamic travel package in Malaysia. It provided useful insights into the product quality, Islamic physical attribute and Islamic belief on brand image and consumer satisfaction towards Islamic travel packages. Tourism companies should improve and update their package based on the religious perspective to attract Muslim consumers.


2017 ◽  
Vol 6 (2) ◽  
pp. 107
Author(s):  
Dessy Triana ◽  
Elvira Rosana ◽  
Rizkianti Anggraini

Indonesia merupakan salah satu negara yang masih berisiko terhadap malaria dengan prevalensi sebesar 1,4% dan angka insiden sebesar 0,3% dengan angka Annual Parasite Incidence (API) tahun 2015 sebesar 0,85%. Provinsi Bengkulu memiliki angka prevalensi sebesar 1,5% dan angka insiden sebesar 5,7% dengan angka API sebesar 2,03% yang menduduki urutan ke-6 angka API terbesar di seluruh Indonesia. Tujuan penelitian ini adalah untuk mengetahui hubungan antara pengetahuan dan sikap terhadap perilaku dalam penanggulangan Malaria. Penelitian ini merupakan observasional analitik dengan rancangan penelitian cross sectional. Sampel dipilih secara acak. Analisis data dilakukan dengan uji regresi logistik. Hasil penelitian menunjukkan bahwa terdapat hubungan bermakna antara pengetahuan tentang malaria terhadap perilaku penanggulangan malaria (p value= 0,001; OR=4,237), tetapi tidak terdapat hubungan yang signifikan antara sikap tentang malaria terhadap perilaku penanggulangan malaria (p value = 0.392). Proporsi pengaruh variabel pengetahuan dan sikap terhadap variabel perilaku penanggulangan malaria sebesar 17,9%. Indonesia has a risk of Malaria with the prevalence of 1.4%, incidence rate of 0.3%, and Annual Parasite Incidence (API) rate in 2015 of 0.85%. Bengkulu Province had prevalence rate of 1.5% and incidence rate of 5.7% with API rate of 2.03% which ranked 6th highest API ratein Indonesia. The purpose of this study was to determine association between knowledge and attitude with behavior in Malaria prevention. This research was analytical observational study with cross sectional design. Sample was randomly selected. Data were analyzedwith logistic regression test. The results showed that there was significant association between Malaria knowledge with Malaria prevention behavior (p value = 0,001; OR = 4,237), but there was no significant association between Malaria attitude with Malaria prevention behavior (p value = 0.392). The proportion of knowledge and attitude variables’ influence to Malaria prevention behavior variable was 17,9%.


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