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.