Journal of Community Health Provision

Literature Review: The Effect of Folic Acid and Vitamin B6 Content in Dates on Ovulation Quality in Women of Childbearing Age

Sarmila Mustakim, Nasruddin Andi Mappaware, Suzanna J.M Siegers — Thu, 04 Jun 2026 00:00:00 +0700

Ovulation quality is a crucial component of reproductive health in women of childbearing age because it plays a role in successful fertilization and the sustainability of the reproductive process. Ovulation quality is influenced by oocyte maturation, follicle development, hormonal balance, and ovarian environmental conditions. Nutritional status, particularly adequate intake of folic acid and vitamin B6, is known to play a crucial role in supporting this process. Dates (Phoenix dactylifera L.) are a natural food source containing folic acid, vitamin B6, and bioactive compounds that have the potential to support ovarian function. This study aims to examine the effect of folic acid and vitamin B6 content in dates on ovulation quality in women of childbearing age. The method used was a literature review with a narrative design. Data were obtained from national and international journal articles relevant to the nutritional content of dates, the role of folic acid and vitamin B6, and their relationship to ovulation quality. Data were analyzed descriptively by grouping findings based on the biological mechanisms involved in ovulation. The study results indicate that folic acid plays a role in deoxyribonucleic acid synthesis and oocyte maturation through the one-carbon metabolic pathway, while vitamin B6 plays a role in regulating homocysteine metabolism and ovarian metabolic balance. Furthermore, the bioactive compounds in dates have the potential to help suppress oxidative stress, which can damage oocyte quality. The conclusions of this study suggest that dates have the potential to support ovulation quality through complementary nutritional and biological mechanisms, although further clinical research is needed to strengthen the evidence directly.

Management of Paranoid Schizophrenia with Suicide Risk and Command Hallucinations in a Religious Leader Post-COVID-19 Infection: A Case Report

Gemilang Mutsaqqofa Arsyadana, Era Catur Prasetya — Thu, 04 Jun 2026 00:00:00 +0700

Paranoid schizophrenia is a severe mental disorder manifested by hallucinations and delusions. This case report presents the comprehensive management of a thirty three year old male religious leader diagnosed with paranoid schizophrenia, who exhibited a high psychiatric emergency risk of suicide attempts driven by command hallucinations. Clinical evaluation revealed that the exacerbation of psychotic symptoms was triggered by the interaction between neurobiological vulnerability post coronavirus infection and chronic psychosocial stress due to severe financial debt. The patient displayed somatic symptoms, panic attacks, and massive suicidal ideation. Combination pharmacotherapy using chlorpromazine and risperidone proved effective in reducing positive symptoms and acute agitation during the stabilization phase. Nevertheless, the prognosis is considered poor due to persistent environmental stressors including family conflicts. A holistic approach involving psychoeducation is absolutely necessary to prevent relapse and mitigate fatal risks in the future.

The Effect of Ajwa Date (Phoenix dactylifera L., var. Ajwa) Phytonutrients in the Regulation of Male Reproductive Hormones (LH, FSH, Testosterone): A Literature Review

Mutiara, Nasruddin Andi Mappaware, Nasaruddin Nawir — Thu, 04 Jun 2026 00:00:00 +0700

Regulation of reproductive hormones is an important component of male reproductive health because it plays a crucial role in spermatogenesis, sexual function, and fertility. The balance of luteinizing hormone (LH), follicle-stimulating hormone (FSH), and testosterone is influenced by the integrity of the hypothalamic–pituitary–gonadal axis and the condition of the testicular microenvironment. Oxidative stress and inflammation are known to impair Leydig cell function and reduce the efficiency of steroidogenesis. Ajwa dates (Phoenix dactylifera L., var. Ajwa) are a natural food source rich in phytonutrients, including polyphenols and flavonoids, which exhibit antioxidant activity and protective effects on testicular tissue. This literature review aims to examine the role of Ajwa date phytonutrients in the regulation of male reproductive hormones, particularly LH, FSH, and testosterone. The method used was a literature review with a narrative review design, conducted through searches of the PubMed, Google Scholar, and ScienceDirect databases. The literature analyzed included experimental studies, clinical studies, and review articles published within the last ten years. Data were analyzed descriptively and narratively by grouping findings according to key biological mechanisms. The results indicate that phytonutrients from Ajwa dates and other parts of the date palm contribute to the reduction of oxidative stress and inflammation, improvement of testicular structure and function, and enhancement of testosterone production, with generally minimal changes in LH and FSH levels. In addition, under certain conditions, Ajwa dates show potential as hormonal modulators that help stabilize the balance of the hypothalamic–pituitary–gonadal axis. The conclusion of this review suggests that Ajwa dates have the potential to support the regulation of male reproductive hormones, although further clinical studies are still required.

The Relationship Between Diabetes Mellitus and Cataract Incidence at the JEC Orbita Makassar Main Eye Clinic

Fri, 05 Jun 2026 00:00:00 +0700

Diabetes Mellitus (DM) is a chronic non-communicable disease with an increasing incidence rate and the potential to cause various complications, including ocular disorders such as cataracts. Cataracts are the leading cause of blindness worldwide and occur more frequently in DM patients due to chronic hyperglycemia that accelerates lens opacity. This study aims to determine the relationship between diabetes mellitus and the occurrence of cataracts at the JEC Orbita Eye Clinic in Makassar. This is an observational analytic study with a cross-sectional design using a quantitative approach. Data were obtained from patient medical records in January 2025-December 2025. The sample was taken using a total sampling method with a total of 250 patients. Data were analyzed univariately and bivariately using the Chi-Square test. Out of 250 patients, the largest age group was ≥ 60 years (36.8%), followed by 45–59 years (33.2%). The gender distribution was balanced between males and females (50% each). A total of 205 patients (82%) had diabetes mellitus. The Chi-Square test showed a significant association between diabetes mellitus and cataract (p < 0.05). Cataract was more commonly found in adult and elderly patients with a balanced gender proportion. Most cataract patients had diabetes mellitus, and there was a significant association between diabetes mellitus and cataract.

Case Report: Triple Negative Ulcerated Breast Cancer with Immunosuppressive Cold Tumor Environment

Iin Asriani, Andy Visi Kartika, M. Akram Chalid — Tue, 09 Jun 2026 00:00:00 +0700

Breast cancer is the most common malignancy among women worldwide according to Global Cancer Observatory (GLOBOCAN) data. One aggressive clinical form is ulcerative breast cancer, which is often categorized as locally advanced breast cancer (LABC). We report a case of a 42-year-old woman presenting with a left breast mass for 7 months that progressively developed into an ulcer with brownish, tea-colored discharge, without pain in the early phase and without systemic symptoms. Physical examination revealed an ulcerative mass with irregular margins, granulation tissue, and superficial collateral veins. Histopathological findings from FNAB and incisional biopsy confirmed invasive breast carcinoma of no special type (NST), WHO grade 3, with lymphovascular space invasion (LVSI+). Radiological evaluation showed no distant metastasis. The absence of pain and systemic inflammation in this case may be associated with the predominance of immunosuppressive cytokines such as IL-10 and TGF-β, which suppress nociceptor activation and systemic inflammatory responses, despite ongoing local inflammation. Management was carried out using a multimodal approach including supportive therapy, antibiotics, and planned mastectomy as definitive treatment. This case highlights the importance of clinical vigilance, as ulcerative breast cancer may progress without significant systemic symptoms.

Development of a Portable Digital Device Based on a Gas Sensor for Self-Detection of Halitosis

Shafa Marwah Aurilla Kusdinar, Diyah Fatmasari, Supriyana — Thu, 11 Jun 2026 00:00:00 +0700

Halitosis is a highly prevalent oral health problem that impacts quality of life and social interactions. However, it often goes undetected due to individuals' limited ability to recognize their own breath odor. The limitations of available examination methods, which are often subjective and impractical for self-monitoring, highlight the need for a portable and user-friendly device. This study aimed to develop and evaluate the feasibility of a portable gas sensor-based prototype for self-monitoring oral malodor indicators. The study employed a Research and Development (R&D) approach consisting of needs identification, prototype development, expert validation, and user feasibility testing involving 50 respondents. Content validity was assessed using Aiken’s V, while user acceptance was evaluated descriptively based on the Technology Acceptance Model (TAM). The results showed an Aiken’s V value of 0.916, indicating very high validity in terms of functionality, design, and usability. User feasibility testing demonstrated positive acceptance, with the prototype perceived as useful, practical, and easy to use. These findings indicate that the developed prototype is feasible and acceptable as a self-monitoring tool to support oral health awareness. Further studies are required to evaluate technical performance and clinical validity before wider implementation.

Pathophysiological Mechanisms Linking Myocardial Infarction to Cardiac Arrest: A Literature Review

Thu, 11 Jun 2026 00:00:00 +0700

Myocardial infarction (MI) is a leading cause of cardiac arrest and sudden cardiac death worldwide. The pathophysiological link involves complex interactions between cellular, electrophysiological, hemodynamic, and neurohormonal mechanisms. The objective of the research to comprehensively review the pathophysiological mechanisms linking myocardial infarction to cardiac arrest. The methods of the research was a descriptive-analytic literature review was conducted using PubMed, ScienceDirect, SpringerLink, and Google Scholar databases (2021–2025). Study selection followed PRISMA guidelines. The results of the showed that eight studies were included. Key mechanisms include myocardial ischemia leading to ATP depletion and acidosis, ionic imbalance, arrhythmogenic substrate formation, sympathetic overactivation, inflammatory response and oxidative stress, and hemodynamic collapse. Cardiac arrest following MI is primarily driven by fatal ventricular arrhythmias and pump failure. Understanding these mechanisms is essential for improving prevention and management strategies.

Application of Mozart Classical Music Therapy to Reduce Auditory Hallucinations in Mentally Ill Patients in the Larasati Room of Dr. Arif Zainuddin Surakarta

Reyhanna Rizqi Utami, Arif Widodo — Fri, 12 Jun 2026 00:00:00 +0700

Auditory hallucinations are one of the most common positive symptoms experienced by patients with mental disorders and can disrupt psychological and social functioning, as well as their quality of life. Treatment of auditory hallucinations is generally through pharmacological therapy, but non-pharmacological interventions are needed as complementary therapies to improve the holistic success of treatment. One such non-pharmacological intervention is Mozart's classical music therapy. This study aims to determine the effectiveness of Mozart's classical music therapy in reducing auditory hallucinations in patients with mental disorders in the Larasati Ward of Dr. Arif Zainuddin Hospital, Surakarta. This study used a case study design with a nursing care approach. The subjects were two patients with mental disorders experiencing auditory hallucinations, selected purposively according to inclusion and exclusion criteria. The Mozart classical music therapy intervention was administered for approximately 15–20 minutes, three times a week for one month. Data were collected through a nursing assessment using interviews and observations, which included subjective and objective data before and after the intervention. Data analysis was conducted descriptively by comparing the patients' conditions before and after the intervention. The study showed a reduction in auditory hallucination symptoms after Mozart classical music therapy. Subjectively, patients reported a reduction in the number of voices or whispers they heard. Objectively, patients appeared calmer, more relaxed, more cooperative, decreased the frequency of self-talk, and were able to focus during therapy. The conclusion of this study is that Mozart classical music therapy is effective as a non-pharmacological nursing intervention in reducing auditory hallucinations in patients with mental disorders and can be recommended as a supportive therapy in psychiatric nursing care.