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All Journal Journal Orthopaedi and Traumatology Surabaya (JOINTS) JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH
Wijaya, Ramadhani Hengki
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Health Professions Medicine & Pharmacology Public Health

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Association Between Birth Weight, Birth Length, and Stunting: A Case Analysis at Lempake Public Health Center, East Kalimantan, Indonesia Rahayu, Hanis Kusumawati; Muhlis, Abdu Nafan Aisul; Bakhtiar, Rahmat; Wijaya, Ramadhani Hengki; Akbar, M. Fachrian; Dzakwan, Sya'idah Alawiah; Rozi, Imam Fathur; Rusdi, Alief Fikri
Journal of Community Medicine and Public Health Research Vol. 6 No. 1 (2025): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v6i1.61270

Abstract

Stunting remains a significant public health concern in Indonesia, as it affects early childhood growth and development, leading to long-term health and cognitive impairments. Birth length and birth weight are critical predictors of stunting, as inadequate growth parameters at birth may contribute to poor nutritional status and delayed development. Toddlers, particularly those in low-resource settings, are among the most vulnerable age groups to dietary deficiencies, making early identification of risk factors essential for prevention efforts. This study aimed to assess the association between birth weight, birth length, and the incidence of stunting among children at Lempake Community Health Center in Samarinda, Indonesia. A quantitative analytic observational study with a case-control design was conducted to evaluate the relationship between these perinatal factors and stunting risk. The findings revealed that stunting was more prevalent among male infants (51.1%) aged 0–11 months. A statistically significant association was observed between birth weight and stunting (p = 0.00), with an odds ratio of 0.414 (95% CI: 0.23–0.72), indicating that children born with a birth weight of <2500 grams had a higher likelihood of experiencing stunting. Similarly, birth length was significantly associated with stunting (p =0.02), with an odds ratio of 0.264 (95% CI: 0.13–0.50), suggesting that infants with a birth length of <48 cm were at an increased risk. These findings underscore the importance of monitoring birth weight and length as early indicators for stunting prevention strategies in Indonesia.
Medial Plantar Artery Flap for Soft Tissue Coverage of Heel Defect: A Case Report Wijaya, Ramadhani Hengki; Fachrizal, Achmad
(JOINTS) Journal Orthopaedi and Traumatology Surabaya Vol. 13 No. 1 (2024): April 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/joints.v13i1.2024.41-46

Abstract

Background: Numerous flap options exist for providing soft tissue coverage for defects on the heel region. This study presents a case where a bone-exposed wound on the left heel region was successfully reconstructed using a medial plantar artery flap. Case Report: A 16-year-old girl presented with a necrotic wound on the left heel region with calcaneus, malleolus, and talus fractures following trans-ankle external fixation on her left leg. After debridement and necrotomy, the wound revealed exposed calcaneus and implant. A medial plantar artery flap was dissected, preserving its vascularization. The flap was then carefully transferred to the wounded area and sutured appropriately. A skin graft harvested from the ipsilateral femoral region was used to cover the donor site. Discussion: This case demonstrates the efficacy of the medial plantar artery flap as a local flap option for heel defect coverage. It is a relatively easy-to-perform procedure that provides a strong and thin skin flap. Moreover, it offers a favorable cosmetic outcome for the patient, as the surgical scar can be be relatively easy to hide with footwear. However, limitations of the medial plantar artery flap include its size and depth constraints, as well as loss of vascularization from a medial plantar artery on the plantar region. Conclusion: The medial plantar artery flap is a feasible option as a local flap for the heel region. It is relatively easy to perform, provides a strong thin skin flap, and can results in a preferable cosmetic outcome.
Co-Authors Akbar, M. Fachrian Bakhtiar, Rahmat Dzakwan, Sya'idah Alawiah Fachrizal, Achmad Hanis Kusumawati Rahayu Muhlis, Abdu Nafan Aisul Rozi, Imam Fathur Rusdi, Alief Fikri