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"Latar Belakang: Faktor predisposisi utama pada otitis media supuratif kronik (OMSK) adalah gangguan fungsi tuba eustachius (TE). Adanya gangguan fungsi TE memungkinkan terjadinya OMSK berulang walaupun telah diterapi. Variasi anatomi dari telinga berupa ukuran TE berkaitan dengan perbedaan fungsi fisiologis  TE. Tujuan: Membantu memperkirakan status gangguan fungsi TE berdasarkan pemeriksaan HRCT mastoid. Metode: Data sekunder status fungsi TE berdasarkan pemeriksaan timpanometri automatic Toynbee Eustachian Tube Function Test 2 (ETF2) terdiri dari tanpa gangguan fungsi TE dan dengan gangguan fungsi TE, kemudian dilakukan pengukuran panjang TE, diameter TE pre-timpani, dan regio isthmus pada pemeriksaan High Resolution Computed Tomography (HRCT) mastoid tebal irisan 1 mm potongan sagital oblik dan aksial berdasarkan bidang Ku-Copson dari sistem Picture Archiving and Communication System (PACS). Pasien dengan kolesteatoma dieksklusi. Rerata panjang TE, diameter TE pre-timpani, dan regio isthmus dengan gangguan fungsi TE dibandingkan tanpa gangguan fungsi TE dianalisis menggunakan uji-T tidak berpasangan. Hasil: Didapatkan perbedaan signifikan rerata panjang TE, diameter TE pre-timpani, dan regio isthmus pada gangguan fungsi TE dibandingkan tanpa gangguan fungsi TE (p<0,001), dimana nilai rerata panjang TE dengan gangguan fungsi TE lebih pendek (35,2 ± 1,5 mm) dibandingkan tanpa gangguan fungsi TE (37,4 ± 1,7 mm) dan diameter pre-timpani serta diameter isthmus TE lebih kecil pada pasien dengan gangguan fungsi TE (diameter pretimpani: 3,5 ± 0,1 mm; diameter isthmus: 0,89 ± 0,09 mm) dibandingkan tanpa gangguan fungsi TE (diameter pretimpani: 3,9 ± 0,1 mm; diameter isthmus: 1,08 ± 0,07 mm). Simpulan: Ukuran TE dengan gangguan fungsi TE lebih kecil dibandingkan tanpa gangguan fungsi TE pada pasien OMSK tipe aman. 

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Background: The main predisposing factor in chronic suppurative otitis media (CSOM) is dysfunction of the eustachian tube (ET). The presence of ET function disorders allows CSOM to recur even though it has been treated. Anatomical variations of the ear in the form of ET size are related to differences in ET physiological function. 

Objectives: To estimate the status of impaired ET function based on mastoid HRCT examination. 

Methods: Secondary data on ET function status based on the Toynbee ETF2 automatic tympanometry examination consisted of without ET function disorder and with ET function disorder, then ET length, pre-tympanic ET diameter, and isthmus region were measured on HRCT mastoid examination with 1 mm thick slice of the mastoid oblique sagittal section and axial based on the Ku-Copson plane of the Picture Archiving and Communication System (PACS). Patients with cholesteatoma were excluded. The mean ET length, pre-tympanic ET diameter, and isthmus region with impaired ET function compared to those without impaired ET function were analysis using an unpaired T-test. 

Results: There were significant differences in the mean ET length, ET diameter in the pre-tympani region, and isthmus region in ET function disorders compared to those without ET function disorders (p<0.001), where the mean ET length with ET function disorders was shorter (35.2 ± 1 .5 mm) compared to those without ET function disorder (37.4 ± 1.7 mm) and the pre-tympani diameter and ET isthmus diameter were smaller in patients with ET function disorder (pre-tympanic diameter: 3.5 ± 0.1 mm; isthmus diameter : 0.89 ± 0.09 mm) compared to no ET function disorder (pre-tympanic diameter: 3.9 ± 0.1 mm; isthmus diameter: 1.08 ± 0.07 mm). 

Conclusion: ET size with impaired ET function is smaller than without impaired ET function in CSOM patients with benign type."

"Rumah sakit sebagai instansi pelayanan kesehatan tidak terhindar dari bahaya bising. Efek yang ditimbulkan bising dapat berupa efek auditori dan efek non auditori. Salah satu efek non auditori yang ditimbulkan bising adalah burnout syndrome. Penelitian ini merupakan studi potong lintang untuk mencari prevalensi risiko tinggi burnout syndromepekerja RSUPNCM dan hubungannya dengan kebisingan ruangan yang ditentukan peneliti. Analisis statistik dilakukan untuk mencari hubungan antara faktorjenis kelamin, usia, status pernikahan, serta pengalaman kerja dengan risiko tinggi burnout syndrome. Peneliti melakukanaudiometri nada murni, timpanometri, dan pemeriksaan emisi otoakustik untuk kemudian dicari hubungannya antara hasil pemeriksaan dengan risiko tinggi burnout syndrome. Pekerja diminta mengisi kuesioner Maslach Burnout Inventoryuntuk skrining risiko tinggi burnout syndrome. Satu dari 77 subyek penelitian ditemukan memiliki risiko tinggi burnout syndrome. Prevalensi risiko tinggi burnout syndrome pada pekerja RSUPNCM adalah 1,3%. Analisis statistik menunjukkan tidak terdapat hubungan antara jenis kelamin, usia, status pernikahan, pengalaman kerja, audiometri nada murni, timpanometri, serta otoakustik emisi dengan risiko tinggi burnout syndrome.

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Hospital as public health service can not avoid noise hazard. Effect of hospital noise including auditory effect and non auditory effect. One of the non auditory effect is burnout syndrome. This research is a cross sectional study in order to find the prevalence of high burnout syndrome risk on CMCGH workers and its relation with certain noise room which have determined by researcher. Statistic analysis have conducted in order to find relationship between several factors including gender, age, marital status,working history with high burnout syndrome risk. Researcher examine workers including pure tone audiometry, tympanometry, otoaccoustic emission. Relationship analysis between those examination and high burnout syndrome risk haveconducted. Researcher instruct workers to fill the Maslach Burnout Inventory questionnaire as screening for high burnout syndrome risk. One of 77 workers have been revealed having high risk.The prevalence of high burnout syndrome risk is 1,3 %. There is no relationship between gender, age, marital status, working history, pure tone audiometry, tympanometry, acoustic emission with high burnout syndrome risk due to statistic analysis."