Journal of Community Health Provision

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

Anniza Putri Abduh — 2026-03-26

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

Fendi Ntobuo — 2026-03-26

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

Zahlah Levia Redini Umar — 2026-03-26

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

Nikmah Elsah Rustam — 2026-03-26

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

Aiman Idrus Alatas — 2026-04-14

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.