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Zuriati Muhamad
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Journal of Community Health Provision
Published by Pusat Studi Pembangunan dan Pemberdayaan
ISSN : 27761150     EISSN : 27761169     DOI : https://doi.org/10.55885/jchp
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Journal of Community Health Provision ISSN 2776-1150 (print), 2776-1169 (online) that focuses on the provision of health issue in the community. It covers all areas in health science including Occupational Health and Safety, Midwifery, Health Care Administration, Hospital Science and Management, Health Care Delivery, Health Care Research, Epidemiology, Medical Care, Nursing, Nursing Education, Neonatal nurse, Home Health Nursing Community and Home care, Information Technology in Nursing, Innovations in Patient Care, Veterinary Nursing, Medical Sciences and Pharmaceutical Sciences, Hospital and Clinical Pharmacy, Pathology, Physiotherapy & Rehabilitation, Ergonomics, Food and Nutrition, Veterinary Medicines, Public Health, Health Psychology, Social Health, Physical health, Quaternary Care, Secondary Care.
Arjuna Subject : Umum - Umum
Articles 103 Documents
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Case Report: Triple Negative Ulcerated Breast Cancer with Immunosuppressive Cold Tumor Environment Iin Asriani; Andy Visi Kartika; M. Akram Chalid
Journal of Community Health Provision Vol. 6 No. 2 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i2.976

Abstract

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.
Pathophysiological Mechanisms Linking Myocardial Infarction to Cardiac Arrest: A Literature Review Andi Suleha; Akina Maulidhany Tahir; Fadillah Maricar; Priscilla Sasmita Rido; Nurhikmawati Nurhikmawati
Journal of Community Health Provision Vol. 6 No. 2 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i2.978

Abstract

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
Journal of Community Health Provision Vol. 6 No. 2 (2026): Journal of Community Health Provision
Publisher : PSPP JOURNALS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jchp.v6i2.984

Abstract

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.

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