Purpose This study aims to empirically investigate the relationship of perceived transparency, perceived accountability and perceived responsiveness with overall public trust in local government. Moreover, it addressed the “why” and “how” questions about the existence of this relationship by examining the underlying mechanism of the government response to COVID-19. Design/methodology/approach Quantitative research design is applied in the current study. Data was collected from two cities situated in Indonesia via a cross-sectional survey at local administration levels. The final data set of 330 respondents was then analyzed using Smart partial least square (PLS)3 by testing through the measurement and structural model. Findings Results revealed positive associations among the study variables. Also, the mediatory role of the government response to COVID-19 was supported by the results. Originality/value This study aims to bring awareness and contribution in the body of knowledge about the importance of elements of good governance in building and sustaining public trust in local governments based on the fact that in countries such as Indonesia, there is a dearth of literature in this context. Further, it provides strategic and practical suggestions to the state regarding the advantages of using good governance practices in their communication with citizens in certain and uncertain situations, especially nowadays during the COVID-19 pandemic.

BACKGROUND OF THE STUDY: Severe Acute Respiratory Syndrome Corona virus-2 (SARS CoV-2) is a virus that causes covid-19. The initial symptoms put forward by WHO since 2020 is fever accompanied by cough and shortness of breath. Currently, the loss of smell and taste, accompanied by other symptoms, tends to be a strong predictor of COVID-19. The nose is the entrance for air, that's why the nose has an important role in the breathing process. In addition to warming, humidifying, and filtering incoming air, the nose can also maintain respiratory tract homeostasis. The use of nasal irrigation with isotonic saline solution (NaCl 0.9%) is a way to improve mucociliary clearance function by activating cilia as an olfactory sensory system.   AIM OF THE STUDY: To evaluate the effect of nasal irrigation to covid patients who has mild symptoms in the upper respiratory tract   METHODOLOGY: The purpose of this study was to see the effectiveness of nasal irrigation using 0.9% NaCl in COVID-19 patients with mild symptoms, by looking at the average duration of time complaints felt by patients compared to those without nasal irrigation intervention                                                                                                                                                                                                                                               RESULTS: This study found a significant difference (p-value = 0.000) between the control group and the intervention group where the mean duration of symptoms in the intervention group was shorter than the control group.   CONCLUSION: anosmia is a symptom in covid-19 which is almost always accompanied by symptoms of loss of taste, various theories on the cause of anosmia have been put forward since the covid-19 pandemic broke out. Improvements in symptom duration were found to be shorter in COVID-19 patients who performed nasal irrigation using 0.9% NaCl independently for 10 days so that in the future it is hoped that nasal irrigation will become part of the comprehensive management of COVID-19 patients who have mild symptoms, especially symptoms related to nasal and upper respiratory complaints.  

Obesity is an increase in total body fat, that is if found to be overweight > 20% in men and 25% in women due to fat. Increased obesity cannot beseparated from lifestyle, such as decreased physical activity.    One complication   that   can   be   caused   by   obesity   is   hearing   loss, especiallysensorineural hearing loss caused by microangiopathic abnormalities, especially in the inner ear. But the relationship of events between obesity withhearing loss is still often a debate, because there is no definite consensus. The purpose of this research determine the relationship of obesity with sensorineural hearing loss. This research is an analytic study by obtaining cross-sectional study, with data obtained from the assessment of bodyweight and height to see the status of the mass index, physical examination of the ear, and audiometric examination. Data analysis techniques using the chi square test statistics. Research result obtained relationship between obesity with sensorineural hearing loss as much as 49.09% and the highest degree of hearing loss is mild degrees as much as 27.07%. Research conclusions there is a significant relationship between obesity with sensorineural hearing loss. Keyword:  Hearing Loss, Obesity, Obesity with Hearing Loss, Pure Tone Audiometry, Sensorineural Hearing Loss,

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