Journal of Community Health Provision

Evaluation of the Clinical Picture and Effectiveness of Antifungal Therapy in Tinea Corporis Cases in Tropical Areas: Literature Review

2026-01-07T11:05:24+07:00

Tinea corporis is a superficial dermatophyte infection of the skin commonly found in tropical regions due to hot and humid environmental conditions. This disease is characterized by well-defined, scaly, annular lesions accompanied by pruritus, and is influenced by various risk factors such as age, gender, personal hygiene, and comorbidities. Various topical and systemic antifungal therapies have been used in the treatment of tinea corporis, but their effectiveness can vary depending on the clinical presentation and patient characteristics. This study is a literature review conducted by reviewing research articles related to the clinical presentation and effectiveness of antifungal therapy in cases of tinea corporis in tropical regions. The literature search was conducted through Google Scholar, PubMed, ResearchGate, Elsevier, and NCBI databases. A total of 10 articles published between 2021 and 2025 that met the inclusion criteria were analyzed descriptively and synthesized narratively. The review indicates that Trichophyton rubrum is the most common cause of tinea corporis. Topical antifungal therapy is effective in mild to moderate cases, while systemic therapies such as itraconazole, terbinafine, and griseofulvin are more effective in extensive, chronic, or resistant cases. The combination of topical and systemic therapy shows a higher cure rate and reduces recurrence rates. The clinical presentation and response to therapy for tinea corporis in tropical regions are influenced by environmental factors, patient characteristics, and the choice of antifungal regimen. Appropriate clinical evaluation and rational use of antifungal therapy, both topical and systemic, are crucial for achieving optimal cure and preventing recurrence.

The Influence of Conformity on Group Decisions in the Boalemo Police Environment

2025-09-29T10:20:15+07:00

This study aimed to examine the influence of conformity on group decision making in the Boalemo Police Department. The research employed a quantitative approach using simple linear regression analysis. The participants consisted of 30 members of the Boalemo Police Department selected through total sampling. Data were collected using conformity and group decision-making scales in the form of questionnaires. The results showed a significant positive relationship between conformity and group decision making, with a correlation coefficient of 0.604 and a significance value of p < 0.01. These findings indicate that higher levels of conformity are associated with higher levels of group decision making among members of the Boalemo Police Department. In the organizational context of the police, conformity appears to support consensus building, coordination, and the efficiency of collective decision-making processes. Thus, this study highlights that conformity is an important socio-psychological factor in shaping group decision making within a hierarchical work environment.

The Role of Malassezia Spp. in Pityrasis Versicolor: A Literature Review

2026-01-19T10:06:09+07:00

Pityriasis versicolor (PV) is a skin disease caused by the fungus Malassezia, common in tropical regions with high humidity, such as Indonesia. Pityriasis versicolor is characterized by hypopigmented or hyperpigmented patches, primarily on the chest, back, neck, and face, with some cases accompanied by itching. Risk factors include oily skin, immune conditions, genetics, and hot and humid environments. Further research is needed to understand the role of Malassezia in Pityriasis versicolor to improve treatment and prevent recurrence. To determine the role of Malassezia spp. in Pityriasis versicolor (PV) based on a literature review. Literature review with a narrative review design. Based on several reviewed journals, it can be concluded that Malassezia spp., which are part of the normal skin microbiota, can become pathogenic in individuals with certain predisposing factors. The transformation from yeast to hyphae, as well as the production of virulence factors such as lipase, protease, phospholipase, azelaic acid, melanin-like pigments, and the ability to form biofilms, play a role in the development of Pityriasis versicolor lesions. Interaction with the host occurs through direct mechanisms (irritant metabolites, keratinase) and immunological mechanisms (activation of inflammatory and allergic pathways), leading to skin barrier disruption, pigmentation changes, fine scaling, and potential alopecia. Variation in species and virulence profiles contributes to differences in clinical manifestations and responses to antifungal therapy. Malassezia spp. plays a key role in the development of Pityriasis versicolor through multifactorial virulence mechanisms and interactions with host predisposing factors, which influence clinical manifestations and treatment outcomes.

The Relationship Between Social Support and Work Stress in Nurses at Bhayangkara Hospital, Gorontalo

2026-02-02T09:55:13+07:00

This study aims to determine the relationship between social support and work stress among nurses at Bhayangkara Hospital, Gorontalo. This research uses a uatitative research design with a population of 80 nurses. The total sample was 80 nurses using the technique total sampling. The research result showed that the work stress level of nurses was in the medium category for 61nurses with a percentage of 76,3%. The social support of nurses is in the medium category as many as 61 nurses with a percentage of 76,3%. Based on the results of the correlation test rank spearmen with correlation value (r) of – 0.592 and a sig value (p) = 0,000 (p<0.05). so it can be concluded that there is a significant negative relationship between social support and work stress in nurses at Bhayangkara Hospital, Gorontalo. This Shows that the higher the social support, the lower the work stres for nurses.

Microbiological Characterization of KPC-Producing Klebsiella Pneumoniae: A Systematic Review

2026-03-26T14:06:31+07:00

Klebsiella pneumoniae (K. pneumoniae) is an opportunistic bacterium that causes nosocomial infections and usually affects people with malfunctioning immune systems. These bacteria can also cause potentially fatal community-acquired diseases. A high fatality rate has been documented in carbapenem-resistant K. pneumoniae, particularly carbapenemase-producing cases. This is due to few antibiotic therapy choices. This study aims to assess the microbiological characteristics of KPC-K. pneumoniae in terms of their genotypic features. This article reported a systematic review that used the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 guidelines to identify articles related to carbapenem-resistant K. pneumoniae. Pubmed and SagePub, two online databases, were searched using pre-established inclusion and exclusion criteria. The search turned up six studies that showed K. pneumoniae contains numerous gene mutations that cause carbapenem resistance, including blaKPC, blaKPC-2, blaKPC-3, and blaKPC-23. The mutations in porins OmpK35, OmpK36, and OmpK37 also significantly contribute to this resistance. These findings indicated that the optimal combination of antibiotics should be tailored to the specific strain of K. pneumoniae with a carbapenem-resistant genotype, especially for KPC-Kp strains with a mutation in OmpK36. The findings of this systematic review offer vital information for creating successful strategies to fight carbapenem-resistant K. pneumoniae infections.

Acne Infection (Acne Vulgaris) and the Relationship between Cutibacterium Acnes Colonization and Severity

2026-03-10T11:00:35+07:00

Acne vulgaris is a chronic inflammatory disorder of the pilosebaceous unit that commonly affects adolescents and young adults and can significantly impair quality of life. Recent evidence indicates that acne severity is influenced not only by the presence of Cutibacterium acnes but also by the characteristics of specific bacterial strains, their virulence factors, and interactions within the skin microbiome. This study aimed to analyze the relationship between C. acnes colonization and the severity of acne vulgaris through a narrative literature review. Secondary data were obtained from scientific publications indexed in databases such as PubMed, Google Scholar, DOAJ, and other open-access journal portals. The literature search used keywords including “Cutibacterium acnes,” “acne vulgaris,” “biofilm,” “microbiome,” “strain virulence,” and “antibiotic resistance.” Articles published between 2020 and 2025 in Indonesian or English were included. Ten studies met the inclusion criteria and were analyzed using narrative synthesis. The findings indicate that pathogenic phylotypes, particularly IA1 and IC, are more frequently associated with moderate to severe inflammatory acne lesions. These strains demonstrate higher virulence through increased lipase and porphyrin production, strong biofilm formation, and activation of inflammatory pathways such as TLR2-mediated cytokine release. Additionally, microbiome dysbiosis and rising antibiotic resistance to clindamycin and macrolides contribute to persistent inflammation and treatment challenges. Overall, acne severity is influenced more by strain characteristics and microbial interactions than by bacterial quantity alone, highlighting the importance of strain-level analysis and precision-based therapeutic strategies in acne management.

The Influence of Health Promotion on the Incidence of Measles in Children: A Systematic Review

2026-03-05T10:26:55+07:00

Measles, an infectious disease, remains a serious health problem throughout Indonesia. The government has provided an effective and affordable vaccine, but immunization coverage remains low, contributing to the increase and high number of measles cases in Indonesia. One contributing factor is maternal knowledge about immunization and other contributing factors. Health promotion is an effort to improve maternal knowledge. This systematic review aims to find evidence based on published articles related to health promotion and the factors contributing to measles incidence. The criteria for this study were original articles and respondents located in Indonesia, with articles published between 2020 and 2025. The review method used was PRISMA, obtained from databases such as PubMed, Google Scholar, and Scient Direct. The review resulted in 15 articles out of 1,223 selected articles. Measles incidence is influenced by maternal factors, child factors, immunization compliance, and promotional media used. Conclusion: The role of health promotion significantly influences individuals' knowledge and decision-making regarding immunization of their children.

The Relationship Between Increased Neutrophils and the Incidence of Diarrhea in Children at Haji Regional Hospital, Makassar City

2026-02-23T12:21:01+07:00

Childhood diarrhea remains a major public health problem in developing countries, including Indonesia, with a prevalence of 10–12% among children under five. Globally, it accounts for approximately 1.7 billion cases and 525,000 deaths annually. Diarrhea is commonly caused by viral infections such as rotavirus, which trigger lymphocyte-dominant immune responses, while bacterial infections such as Escherichia coli and Shigella are associated with neutrophil activation. In tropical regions like Sulawesi, poor hygiene, malnutrition, and seasonal factors further increase the burden of disease. This study aimed to analyze the association between diarrhea and neutrophil elevation in pediatric patients at RSUD Haji Makassar. An analytical observational study with a cross-sectional design was conducted using medical record data of 49 children from July to December 2025. Data were analyzed using univariate and bivariate (chi-square) methods. The results showed that neutrophil elevation occurred in 38.8% of patients, normal levels in 32.7%, and decreased levels in 28.6%. Most patients were male (57.14%) and aged 12–24 months. Statistical analysis revealed no significant association between neutrophil levels and diarrhea incidence (p=0.767). These findings suggest that pediatric diarrhea cases are predominantly influenced by viral infections, which are not associated with neutrophilia, and may also be affected by dehydration and nutritional factors.

The Relationship Between Self-Compassion and Body Dissatisfaction in Second-Year Nursing Students at the Gorontalo Ministry of Health Polytechnic

2025-10-02T13:51:39+07:00

This study aimed to examine the relationship between self compassion and body dissatisfaction among second year nursing students at the Gorontalo Ministry of Health Polytechnic. The study employed a quantitative correlational design involving nursing students as respondents. Data were collected using a self compassion scale based on Neff’s concept and a body dissatisfaction scale based on Cooper’s framework. The data were analyzed using Pearson correlation analysis with the assistance of SPSS version 26. The findings showed that most respondents had moderate levels of self compassion and moderate levels of body dissatisfaction. The Pearson correlation test indicated a significant negative relationship between self compassion and body dissatisfaction, with a correlation coefficient of r equals negative 0.225 and a significance value of p equals 0.05. This finding suggests that students with higher self compassion tend to experience lower body dissatisfaction, whereas students with lower self compassion are more likely to report higher dissatisfaction with their body image. The study highlights the importance of self compassion as a psychological resource that may help nursing students develop healthier body acceptance and reduce negative evaluations of physical appearance. These findings also imply the need for supportive educational and psychological interventions that strengthen self kindness, common humanity, and mindfulness among students who face body image pressures in academic and social environments.

Immature Senile Cataract: Case Report

2026-03-30T11:53:37+07:00

Senile cataract is a degenerative ocular condition characterized by lens opacity that leads to progressive visual impairment and remains the leading cause of blindness globally, particularly in developing countries. Aging is the primary cause, while systemic conditions such as hypertension significantly accelerate cataract formation through oxidative stress and metabolic disruption in the lens. This study employed a descriptive literature-based approach by reviewing relevant scientific articles, clinical reports, and epidemiological data related to cataract pathophysiology, risk factors, classification, diagnosis, and management, with emphasis on the role of hypertension and surgical interventions. The findings indicate that cataractogenesis is multifactorial, involving protein aggregation, lens hydration, and oxidative damage. Hypertension contributes through inflammatory pathways and impaired ion transport in lens epithelial cells. Cataracts are classified based on age of onset, morphology, and etiology, with senile cataracts being the most prevalent. Clinical manifestations include blurred vision, glare, and gradual vision loss. Diagnostic approaches include visual acuity testing and slit-lamp examination. Surgical management, particularly phacoemulsification and delayed sequential bilateral cataract surgery (DSBCS), provides effective visual restoration with minimal complications. Senile cataracts significantly impact quality of life, and hypertension is an important modifiable risk factor. Early detection, risk control, and appropriate surgical intervention are essential to prevent blindness and improve patient outcomes.

Analysis of Administrative Registration Service Factors on Patient Satisfaction (A Case Study at Ibnu Sina Hospital Makassar)

2026-04-16T10:47:40+07:00

The purpose of this study is to analyze the influence of administrative service speed, accuracy of administrative information, as well as the attitude and friendliness of administrative staff on patient satisfaction at Ibnu Sina Hospital, Makassar. Registration administrative services represent the patient’s initial contact with the hospital; therefore, their quality plays a crucial role in shaping perceptions of service quality and patient satisfaction levels. The method used was a quantitative approach involving 100 patient respondents who utilized registration administrative services, including both outpatient and inpatient care. Data were collected via a Likert-scale questionnaire and analyzed using the Multiple Step Interval (MSI) method. Data analysis included validity and reliability tests, classical assumption tests, and multiple linear regression analysis. All 60 items were found to be valid and reliable, with Cronbach’s Alpha values ranging from 0.88 to 0.90. The research model met classical assumptions, namely normally distributed residuals (Asymp. Sig. 0.200), no multicollinearity (VIF < 1.50), no heteroscedasticity (Sig. > 0.34), and no autocorrelation (Durbin–Watson = 1.928).The results indicate that, partially, the speed of administrative service has a significant positive effect on patient satisfaction (β = 0.287; t = 3.842; Sig. 0.000), the accuracy of administrative information has a significant positive effect and is the most dominant variable (β = 0.314; t = 4.215; Sig. 0.000), and the attitude and friendliness of administrative staff have a significant positive effect on patient satisfaction (β = 0.298; t = 3.991; Sig. 0.000). Simultaneously, the three variables significantly influence patient satisfaction (F = 59.102; Sig. 0.000) with a contribution of 71.6% (R² = 0.716). The conclusion indicates that the speed of administrative service, the accuracy of administrative information, as well as the attitude and friendliness of administrative staff fall into the good to high categories and have a significant effect, both partially and simultaneously, on patient satisfaction at Ibnu Sina Hospital in Makassar, with the accuracy of administrative information being the most dominant factor.

Comparison of Diazepam and Magnesium Sulfate (MgSO₄) Administration in Patients with Eclampsia

2026-04-16T10:24:15+07:00

Eclampsia is a serious obstetric complication characterized by seizures in pregnant or postpartum women with preeclampsia and remains a leading cause of maternal morbidity and mortality, particularly in developing countries. Management of eclampsia focuses on the prevention and control of seizures using anticonvulsants, with diazepam and magnesium sulfate (MgSO₄) being the most commonly used drugs. However, the efficacy and safety of these two agents show significant differences. This literature review aims to compare the effectiveness of diazepam and magnesium sulfate (MgSO₄) in patients with eclampsia in terms of seizure prevention, maternal mortality, and maternal and neonatal outcomes. This study employed a literature review design using a narrative review approach. Literature searches were conducted via PubMed, Google Scholar, ScienceDirect, DOAJ, PLOS ONE, BMC, Cureus, and SINTA using keywords related to eclampsia, magnesium sulfate, and diazepam. Relevant research articles from 2020–2025 and textbooks from 2015–2025 were analyzed narratively based on methodological quality and topic relevance. Most studies indicate that MgSO₄ is more effective than diazepam in preventing recurrent seizures, reducing maternal mortality, and yielding better maternal and neonatal outcomes. Diazepam is associated with lower efficacy and a higher risk of adverse effects. Major barriers to the use of MgSO₄ include resource constraints and the readiness of healthcare facilities. Magnesium sulfate (MgSO₄) is the first-line therapy and the gold standard in the management of eclampsia. Strengthening policies, improving the competence of healthcare workers, and ensuring the availability of MgSO₄ must be prioritized to reduce maternal mortality due to eclampsia.

Analysis of Sleep Quality on Performance in U-17 Volleyball Athletes from Kendal Regency Dissporsa Club

2026-02-12T12:03:36+07:00

Sleep is a process that affects almost all body systems, such as the neurological, immune, cardiovascular, and endocrine systems. During sleep, the body produces ATP, which serves as the body's energy source. Energy is needed for muscle contraction so the body can carry out daily activities. This study was conducted to determine whether sleep quality affects performance and whether there is a relationship between the two variables. The data collection method used was filling out the PSQI questionnaire and conducting MFT. The sampling technique used was purposive sampling. Data analysis was carried out using SPSS 22, by conducting normality tests, linearity tests, and correlation tests. The subjects in this study were 15 U-17 athletes from the Dissporsa club. The results showed that 11 athletes had "good" sleep quality and 4 others had "poor" sleep quality. 6 athletes had "very good" endurance, 7 others were in the "good" category, and the remaining 2 were in the "moderate" category. Based on the results of the correlation test, it was known that the Sig. value was 0.011 (p <0.05) with a correlation coefficient value of 0.635. Therefore, it can be concluded that sleep quality and performance have a very strong, significant relationship.

The Role of Ultrasound in Detecting Residual or Recurrent Breast Carcinoma: A Case Report of a Patient Following Wide Excision in the Contralateral Breast

2026-04-21T10:44:54+07:00

Breast carcinoma represents the most prevalent malignancy among women, rendering routine surveillance using ultrasonography (USG) essential for early detection and monitoring. This case report describes a 49-year-old female presenting with a palpable mass and pain in the left breast, occurring one year after undergoing wide excision in the right breast, with prior histopathological findings of microglandular adenosis. Physical examination revealed bilateral breast masses without evidence of axillary lymphadenopathy. Breast ultrasonography demonstrated a cystic lesion with a solid component in the right breast and a cystic lesion in the left breast, both classified as BI-RADS III. This case underscores the critical role of post–wide excision surveillance using ultrasonography in identifying residual or recurrent lesions in the breast, including the contralateral side. Consistent monitoring and an appropriate clinical approach are expected to prevent diagnostic delays and improve clinical outcomes in patients with residual or recurrent breast lesions.

Effectiveness of Implementation of Hospital Management Information System (Sim-Rs) and Commitment to the Quality of Health Services Towards the Efficiency of Health Services and Its Implications on Patient Satisfaction

2026-04-22T10:46:51+07:00

Digital transformation in healthcare requires hospitals to provide effective, efficient, and patient-satisfaction-oriented services. One strategic effort is the implementation of a Hospital Management Information System (SIM-RS), supported by a commitment to quality healthcare services. Analyze the influence of the effectiveness of the implementation of SIM-RS and the commitment to the quality of health services on the efficiency of health services and their implications for patient satisfaction at Ibnu Sina Hospital Makassar. This study uses a quantitative approach with a survey method. Data were collected through distributing questionnaires to respondents and analyzed using path analysis to test the direct and indirect influences between research variables. Shows that the effectiveness of SIM-RS implementation and commitment to quality healthcare services have a positive effect on healthcare service efficiency. Healthcare service efficiency also has a positive effect on patient satisfaction. Furthermore, healthcare service efficiency has been shown to act as a mediating variable in the relationship between SIM-RS implementation effectiveness and commitment to quality healthcare services on patient satisfaction. These findings emphasize that the success of hospital digitalization needs to be balanced with a strengthened commitment to quality to achieve efficient services and optimal patient satisfaction.

Caregivers in Hemodialysis Patient Care: Psychosocial Burden, Impact on Quality of Life, and Implications for Psychosocial Interventions (Narrative Literature Review)

2026-02-12T12:07:16+07:00

Chronic kidney disease (CKD) is a global health problem with a rising prevalence that often requires long-term renal replacement therapy, including hemodialysis. Although hemodialysis can sustain patient survival, this therapy is frequently accompanied by various psychological impacts, such as stress, anxiety, depression, and decreased quality of life. The psychological burden experienced by patients not only affects their individual well-being but also has significant consequences for family members as primary caregivers, manifesting as caregiver burden, emotional, social, and financial strain. This study aims to examine the role of family caregivers in the care of hemodialysis patients, particularly in relation to psychosocial burden, its impact on quality of life, and the implications of psychosocial interventions based on a narrative literature review. The research employed a narrative literature review method by searching scientific articles published between 2020 and 2025 across sources such as Google Scholar, PubMed, and relevant national and international journals. Inclusion criteria were articles that addressed the psychological aspects of hemodialysis patients and their impact on families. The collected data were analyzed descriptively to identify the forms, levels, and impacts of psychological burden. The review found that hemodialysis patients generally experience moderate to severe psychological burden, characterized by anxiety, depression, chronic stress, and reduced psychological well-being. These conditions contribute to an increased caregiving burden for families, including emotional exhaustion, impaired quality of life, social limitations, and financial stress. Adequate family support, psychosocial interventions, and caregiver assistance programs were found to play a crucial role in reducing the psychological burden on both patients and caregivers. In conclusion, the psychological burden of hemodialysis patients has multidimensional consequences for families. Therefore, a holistic care approach involving both patients and families is essential to improve the quality of life for both parties.

Formulation and Activity Testing of n-Hexane Fraction of Brotowali Leaves (Tinospora crispa L.) for a Diabetic Ulcer Treatment

2026-04-29T14:39:28+07:00

Diabetes mellitus is one of many degenerative illness with topmost number of cases in the world. One of the complications often created by diabetes mellitus is diabetic ulcer, which is susceptible to bacterial infection, obe of which is Staphylococcus aureus. This research wish to formulate an n-hexane fraction cream preparation from brotowali leaves (Tinospora crispa L.) and evaluate its antibacterial activity. Brotowali leaves were ectracted using 96% ethanol and the maceration method, then fractionates using n-hekxane. Then, antibacterial tests were implemented on the n-Hexane fraction using the disc method and formulates into a cream preparation with concentrations of 12,5%, 25% and 50%. The evaluation of the preparation was implemented by testing its spreadability, pH, homogeneity and organoleptic properties. Derived from the outcome of the study, it was shown that the n-Hexane fraction and Brotowali leaf cream formulation had inhibitory activity against Staphylococcus aureus, with the largest inhibition zone at a concentration of 50%. The n-Hexane fraction Brotowali leaf cream has the potential to be developed as a topical formulation for diabetic ulcers.