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All Journal E-Jurnal Medika Udayana Archives of The Medicine and Case Reports
I Gede Wahyu Adi Raditya
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Health Professions Medicine & Pharmacology Nursing Public Health

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PERBEDAAN PERSENTASE KEJADIAN LOW BACK PAIN (LBP) ANTARA SUPIR BUS YANG MENGENDARAI BUS ERGONOMIS DAN TIDAK ERGONOMIS DI TERMINAL UBUNG DAN MENGWI, BALI I Gede Wahyu Adi Raditya; I Putu Adiartha Griadhi
E-Jurnal Medika Udayana vol 3 no 11(2014):e-jurnal medika udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (133.14 KB)

Abstract

Tingginya penggunaan fasilitas bus meningkatkan beban kerja supir bus sebagai fasilitator jasa perjalanan.Kecenderungan supir bus untuk duduk dan sedikit bergerak dalam waktu lama di bus merupakan salah satu risiko terjadinya Low Back Pain (LBP).Hingga saat ini belum ada laporan tentang angka kejadian LBP pada supir bus yang diakibatkan perjalanan bus.Tujuan dari penelitian ini adalah untuk mengetahui perbedaan persentase kejadian LBP pada supirbus yang mengendaraibus ergonomis dan supirbus yang mengendarai bus non ergonomis. Penelitian ini merupakan penelitian analitik dengan desain penelitian cross sectional study. Penelitian ini menggunakan sampel 80 orang supir bus di Terminal Ubung dan Mengwi yang diperoleh secara consecutive sampling. Data diolah secara statistik dengan menggunakan Chi-Square dan didapatkan kejadian LBP berhubungan dengan kondisi ergonomis bus yang digunakan (p<0,05).  
The Silent Sequelae: Irreversible Profound Sensorineural Hearing Loss Following Mumps Parotitis in a Pediatric Patient I Made Wiranadha; Ni Putu Oktaviani Rinika Pranitasari; I Gede Wahyu Adi Raditya; Janris Sitompul
Archives of The Medicine and Case Reports Vol. 7 No. 1 (2026): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v7i1.844

Abstract

Mumps-associated Sudden Sensorineural Hearing Loss (SSNHL) is a rare but catastrophic complication of epidemic parotitis, historically estimated to occur in 1 per 20,000 cases. Despite global vaccination efforts, the re-emergence of mumps in adolescent populations due to waning immunity poses significant otologic risks. This report documents a case of unilateral, profound SSNHL in a vaccinated pediatric patient, highlighting the diagnostic challenges when auditory symptoms manifest after the resolution of systemic parotitis. An 11-year-old Balinese male presented with acute-onset tinnitus and hearing loss in the left ear, occurring one week after the clinical resolution of bilateral parotid swelling. The patient had a history of basic immunization. Audiometric evaluation revealed profound sensorineural hearing loss in the left ear with a Pure Tone Average of 110 dB, while the right ear remained normal. Serological analysis confirmed acute mumps infection with a highly positive IgM titer (Index 11.0). Hematological profiling demonstrated leukopenia with a neutrophil shift. Despite a prompt and aggressive multimodal treatment protocol including high-dose intravenous methylprednisolone, oxygen therapy, and neurotrophic support, follow-up audiometry at 14 days revealed no functional improvement (Pure Tone Average 91.25 dB). In conclusion, mumps-induced SSNHL is characterized by rapid, irreversible cochlear destruction that frequently exhibits resistance to corticosteroid therapy. The dissociation between the resolution of systemic parotitis and the onset of otologic sequelae requires high clinical vigilance. This case emphasizes the critical need for serological confirmation in pediatric SSNHL and underscores the poor prognosis associated with this specific viral etiology.
Co-Authors I Made Wiranadha I Putu Adiartha Griadhi Janris Sitompul Ni Putu Oktaviani Rinika Pranitasari