bluuebunny/crossref_metadata_2025 huggingface dataset:
Rancang Bangun Sistem Informasi Realisasi Anggaran Kegiatan Berbasiskan Web dan Mobile pada Dinas Perhubungan Komunikasi dan Informatika Provinsi Sumatera Barat
Authors: Kamil Husnil , Lathifah S Aisyatul
Published: May 2017

Intisari — Dinas Perhubungan Komunikasi dan Informatika (Dishubkominfo) Provinsi Sumatera Barat merupakan suatu instansi pemerintahan yang bertugas untuk melaksanakan kewenangan Desentralisasi dan tugas Dekosentrasi di bidang Perhubungan Darat, Laut, Udara, Komunikasi dan Informatika serta tugas pembantuan yang diberikan oleh pemerintah. Salah satu komponen utama pada instansi ini adalah anggaran kegiatan. Anggaran kegiatan termasuk salah satu hal yang bersifat sensitif dan membutuhkan fungsi pelaksanaan dan pengelolaan yang baik. Berdasarkan analisis yang telah dilakukan didapatkan informasi bahwa sistem realisasi anggaran kegiatan yang sedang berjalan pada Dishubkominfo Provinsi Sumatera Barat masih belum optimal dan ditemukan masalah seperti data dan informasi yang tidak valid, proses pengolahan data yang cukup lama, dan sulitnya akses informasi tentang anggaran kegiatan. Untuk itu dibutuhkan sistem yang dapat digunakan untuk mengatasi permasalahan dalam realisasi anggaran Dishubkominfo Provinsi Sumatera Barat. Tujuan penelitian ini yaitu untuk menganalisis sistem realisasi anggaran kegiatan yang sedang berjalan, merancang, membangun, serta melakukan pengujian terhadap aplikasi sistem informasi realisasi anggaran kegiatan pada Dishubkominfo Provinsi Sumatera Barat berbasis web dengan akses mobile. Metode penelitian yang digunakan mengadopsi metode pengembangan perangkat lunak waterfall. Dari penelitian ini dihasilkan sebuah aplikasi sistem informasi realisasi anggaran kegiatan berbasis web dan mobile. Aplikasi ini telah diuji dengan metode black box serta telah menjalani UAT. Hasil pengujian menunjukkan aplikasi yang dibangun sesuai dengan kebutuhan Dishubkominfo Provinsi Sumatera Barat.
Sistem Informasi Geografis Sebagai Alat Monitoring Terhadap Apotek Kerja Sama PT Bayer Indonesia
Authors: Arismunandar Reksi
Published: May 2017

Apotek kerja sama (APKS) merupakan salah satu channel yang bekerja sama dengan PT Bayer Indonesia untuk memasarkan produk-produk yang di produksi oleh PT Bayer Indonesia terutama pada bisnis pharmaceuticals di Indonesia. Jumlah dari APKS tercatat sekitar 366 apotek yang tersebar di beberapa daerah di Indonesia, seperti Jakarta, Jawa Barat, Jawa Tengah, Yogyakarta, dan Jawa Timur. Jumlah APKS yang cukup banyak dan tersebar di beberapa wilayah di Indonesia, membuat departemen business channel kesulitan untuk memantau (monitoring) dan mengambil keputusan dalam hal pendistribusian dan penjualan produk-produk pada APKS. Oleh karena itu, dalam hal ini dibutuhkan suatu sistem informasi yang dapat memetakan data-data penjualan dari semua APKS sesuai dengan wilayah geografisnya. Sehingga departemen business channel dapat mendapatkan pemahaman yang lebih baik tentang distribusi dan penjualan produk-produk melalui peta digital serta membantu pengambilan keputusan dalam hal pengembangan channel APKS, sales, dan tim pemasaran. Kata Kunci— APKS, sistem informasi geografis, penjualan, monitoring, metode FAST.
Dashboard Monitoring System Berbasis Web Sebagai Pemantau Layanan liteBIG Instant Messenger
Authors: Nama Gigih Forda , Munif Hanafi Abdul , Bagus Nurfaif Muhammad , Tesar Sandikapura M
Published: May 2017

Saat ini hampir semua pengguna ponsel pintar menggunakan layanan perpesanan instan sebagai media komunikasi dikarenakan layanan perpesanan instan lebih hemat biaya dengan hanya menggunakan jaringan internet dibandingkan layanan pesan singkat (SMS). Layanan yang diberikan harus dapat melayani pengguna dengan baik agar pesan yang dikirim oleh pengirim dapat diterima oleh penerima dengan cepat dan akurat. Layanan ini juga harus dijaga keandalannya untuk menjamin kualitas pelayanan dan untuk menghindari ketidaknyamanan pengguna. Sehingga, diperlukan adanya sistem pemantauan berupa perangkat lunak untuk pengawasan status layanan setiap saat dapat diakses dari manapun dan kapanpun. PT.Sandika Cahaya Mandiri memiliki produk layanan perpesanan instan dengan brand name liteBIG Messenger. Perusahaan ini memerlukan perangkat lunak untuk pemantauan layanan liteBIG Messenger. Dengan adanya perangkat lunak pemantauan layanan, petugas pemantauan dapat melihat secara realtime status layanan utama pada setiap komputer server, pemakaian sumber daya (cpu, memory, dan harddisk), dan statistik pengguna baru liteBIG Messenger  melalui antarmuka web. Petugas pemantauan juga akan mendapat pemberitahuan ketika terjadi masalah pada layanan sehingga masalah dapat lebih dini diketahui dan downtime dapat dikurangi.
Perancangan Sistem Informasi Pelaporan Transaksi Online Dengan Menggunakan Bahasa Pemrograman PHP dan MySQL Pada PT Pos Indonesia (Persero) Batam 29400
Authors: Tukino Tukino , Amrizal Amrizal
Published: May 2017

PT. Pos Indonesia (Persero) Batam 29400 adalah salah satu perusahaan perseroan yang bergerak dibidang jasa perposan.Dimana dalam pelaksanaan kerjanya terdapat beberapa bagian yang mempunyai tugas dan tanggung jawab yang berbeda, salah satunya bagian akuntansi yang pelaksanaan tugasnya mencakup pengolahan data transaksi. Pada proses pengolahan data transaksi masih menggunakan sistem yang masih sederhana yaitu berupa manual aplikasi dan di bantu  Microsoft Word dan Microsoft  Excel untuk dokumen.Hal ini mengakibatkan proses aplikasi dan pengerjaan pengolahan data transaksi tidak efektif dan efisien.Sebagai solusi pemecahan masalah, penulis membuat suatu aplikasi dan sistem pelaporan transaksi yang menunjang pelaporan data transaksi. Adapun metode penelitian yang digunakan adalah metode pendekatan pengembangan sistem yang terdiri dari studi kelayakan, rancangan sistem. Hasil yang didapat dari penelitian berupa sistem informasi pelaporan transaksi dengan dengan menggunakan Pemrograman berbasis web pada PT Pos Indonesia (Persero) Batam 29400 dimana sistem ini dapat lebih mudah diterapkan dan lebih mudah dipahami oleh user sehingga dapat menghasilkan informasi yang cepat, tepat dan akurat.
Optimalisasi K-MEDOID dalam Pengklasteran Mahasiswa Pelamar Beasiswa dengan CUBIC CLUSTERING CRITERION
Authors: Defiyanti Sofi , Jajuli Mohamad , Rohmawati Nurul
Published: May 2017

Beasiswa merupakan salah satu bantuan belajar yang diberikan kepada mahasiswa. Salah satu beasiswa yang ada adalah beasiswa yang diberikan oleh negara dengan nama Bantuan Belajar Mahasiswa (BBM). Pengelompokan data mahasiswa penerima beasiswa berguna untuk menentukan mahasiswa yang berhak, dipertimbangkan atau tidak berhak. Dengan pengelompokan mahasiswa penerima beasiswa ini dapat memudahkan pihak tata usaha dalam menentukan penerima beasiswa khususnya beasiswa BBM. Pengelompokan tersebut dalam dilakukan dengan menggunakan teknik klustering berbasis partisi yaitu dengan algoritma K-Medoids.  Data-data yang didapat untuk dilakukan pengelompokan terdiri dari atribut SKS, IPK, Tanggungan orang tua dan jumlah penghasilan orang tua. Dari data-data yang didapat memiliki nilai yang beragam dan memiliki rentang satu dengan yang lainnya berjauhan. Maka dilakukan tiga buah skenario, yaitu 1: semua data yang didapat dilakukan pengelompokan dengan K-Medoids, 2 : sebagian data yang didapat dilakukan kodefikasi, 3 : semua data yang ada dilakukan kodefikasi. Dari ketiga skenario yang dilakukan didapat nilai Cubic Clustering Criterion (CCC). Dataset kodifikasi keseluruhan menunjukkan nilai CCC berada diantara 2 sampai 3 ini menunjukkan bahwa dataset kodifikasi keseluruhan mempunyai keseragaman yang baik. Hal ini dikarenakan semua nilai pada setiap atribut memiliki nilai yang hampir sama.
Implementasi AJAX pada Peta Wisata “esbatu” Sistem Informasi Jejaring Wisata Kota Batu
Authors: Sasmito Agung Panji , Zahro' Hani Zulfia , Zahro' Hani Zulfia , Maghfiroh Rofila El , Maghfiroh Rofila El
Published: May 2017

Minimnya informasi terkait kepariwisataan di Kota Batu yang bisa diakses online dan terintegrasi membuat potensi pariwisata di Batu kurang begitu dikenal oleh wisatawan domestik maupun mancanegara. Sejauh ini informasi wisata di Kota Batu baru sebatas media cetak dan media elektronik, dan belum ada penyebaran informasi melalui internet seperti peta wisata yang dapat diakses secara online. Tujuan penelitian adalah mengembangkan peta wisata berbasis AJAX pada “esbatu” sistem informasi jejaring wisata Kota Batu. Rancangan penelitian adalah penelitian pengembangan yang dilakukan pada Dinas Pariwisata dan Kebudayaan Kota Batu. Pengembangan dilaksanakan dengan menggunakan waterfall model dengan pengujian BlackBox testing. Validitas peta wisata diukur dengan menggunakan DeLone and McLean Model of Information Systems Success. Hasil pengujian dengan BlackBox testing menunjukkan bahwa secara fungsionalitas semua fitur pada peta wisata berjalan lancar. Hasil validasi kepada ahli sistem informasi, ahli pariwisata Kota Batu, dan beberapa calon pengguna peta wisata pada sistem informasi “esbatu” menunjukkan bahwa peta wisata sangat valid dari segi sistem informasi dan informasi pariwisata sehingga layak digunakan tanpa revisi.
Sistem Informasi Pusat Data Dampak Kebakaran Hutan Dan Lahan Berbasis Mobile Web Di Propinsi Riau
Authors: Fitriansyah Aidil , . Alfirman
Published: May 2017

Abstract—Land and forest fires in Indonesia has been a problem that continues from year to year. While the information anywhere region or pin-point the fire became the most important hurdle to get the position or location of the fire area. as long as this information is granted only in terms of the quantity and location of land and forest fires. While information about the victim impact from forest fires and land not owned. In this research, using a local based system (LBS) to indicate the position where the only occurrence of forest fire by sending the position coordinates. So also the victims as victims affected by ISPA, Died and displaced reportedly accompanied by coordinate neighborhoods' victims and the number of victims. The positions are then displayed shipped in a separate system in the form of Geographic Information System (GIS). In this report the system can display the position of the affected region and complete with the number of victims. Reporting data can be in the form of short Message System (SMS) and mobile web. Keyword—  Land and forest fires, local based system (LBS), Geographic Information System (GIS), , short Message System  (SMS), web mobile Intisari—Kebakaran hutan dan lahan di Indonesia telah menjadi permasalahan yang terus berlanjut dari tahun ke tahun. Sedangkan Informasi mengenai dimana saja wilayah atau titik posisi kebakaran menjadi rintangan paling utama untuk mendapatkan posisi atau letak daerah yang terbakar. selama ini informasi yang diberikan hanya dalam bentuk jumlah dan lokasi terjadinya kebakaran hutan dan lahan. Sementara informasi mengenai korban dampak dari kebakaran hutan dan lahan tidak dimiliki. Pada penelitian ini, menggunakan sistem local based system (LBS) untuk menandakan posisi dimana saja terjadinya kebakaran hutan dan lahan dengan cara mengirimkan posisi koordinat. Begitu juga mengenai korban seperti korban terkena ISPA, Meninggal dan mengungsi dilaporkan dengan disertai koordinat wilayah yang terdapat korban dan jumlah korban. Posisi-posisi yang dikirimkan tersebut kemudian di tampilkan di dalam sebuah sistem tersendiri dalam bentuk Geographic Information System (GIS). Pada sistem laporan ini dapat di tampilkan posisi wilayah yang terkena dampak dan lengkap dengan jumlah korban. Pelaporan data bisa dalam bentuk short Message System  (SMS), dan web mobile
Aplikasi Sistem Informasi Geografis Produksi Padi dan Cabe di Kabupaten Lima Puluh Berbasis Android
Authors: Harison Harison , Kurniawan Fuji
Published: May 2017

Kabupaten Lima Puluh Kota merupakan salah satu daerah produksi padi dan cabe. Saat ini pemasaran hasil produksi hanya di antarkan ke pasar terdekat, pada hal dengan sentuhan sistem informasi geografis maka hasil  panen petani akan dicari oleh marketing ke kebun langsung, karna kebutuhan akan padi dan cabe ini sangat di cari pasar.  Aplikasi Sistem informasi geografis produksi padi dan cabe berbasis android  dirancang dengan menggunakan bahasa pemograman java dan database MySqLite dan untuk GIS memanfaatkan google maps dan langsung mengambil titik koordinat pada setiap Nagari atau Desa yang ada pada Kabupaten Limapuluh Kota.
Analisis dan Perancangan Sistem Informasi Perkawinan Non-muslim pada Dinans Kependudukan dan Catatan Sipil PangkalPinang
Authors: . Hamidah , Yuniarti Indah , Rizan Okkita , Rizan Okkita
Published: May 2017

Intisari— Kemajuan teknologi yang begitu pesat dalam bidang komputer sekarang ini mendorong banyak kalangan untuk menggunakan sistem komputerisasi dalam proses administrasinya, mulai dari lembaga lembaga instansi pemerintahan, dunia industri, perdagangan, pariwisata, dan sebagainya. Hal ini, menunjukan betapa penting dan vitalnya teknologi komputer dalam semua bidang, khususnya dalam dunia bisnis. Untuk level bisnis kalangan menengah kebawah, tidak semuanya dapat menggunakan sistem komputerisasi tersebut, dikarenakan adanya kemungkinan keterbatasan finansial dan sumber daya manusia yang dimilikinya. Hal ini mendorong penulis untuk mencoba meng-aplikasikan teknologi informasi ke dalam proses pemerintahan, khususnya kependudukan dan pencatatan sipil. Karena masih ada diantaranya yang belum menggunakan sistem komputerisasi, dalam aktifitas bisnisnya. Oleh sebab itu penulis mencoba meng-implementasikan salah satu program aplikasi ke dalam proses aktivitas perkawinan non muslim, di Dinas Kependudukan dan Pencatatan Sipil Kota Pangkalpinang yang berada di daerah Bangka Belitung, yang dalam hal ini, proses perkawinan non muslim di dinas tersebut masih bersifat manual. Disini penulis membuat suatu program aplikasi, untuk sistem informasi perkawinan non muslim pada Dinas Kependudukan dan Pencatatan Sipil Kota Pangkalpinang, dengan menggunakan Microsoft Visual Basic Studio 2008.
Analisis Daya Saing untuk Meningkatkan Kualitas Layanan terhadap Pelanggan dengan Pendekatan CRM di CV. BLITZSPOT
Authors: Muhammad Suryadi , Dharmayanti Dian
Published: May 2017

CV. Blitzspot adalah perusahaan yang bergerak di bidang jasa penyediaan layanan internet (internet service provider), yang berkantor pusat di Komplek Padasuka Indah Ruko Blok A-1, Cimahi, Jawa Barat. Berdasarkan hasil wawancara dan hasil observasi pada data transaksi CV. Blitzspot, konsumen CV. Blitzspot yang melakukan transaksi tiap tahunnya selalu berkurang, hal ini dikarenakan konsumen sering membandingkan layanan-layanan yang ditawarkan oleh para pesaing CV. Blitzspot. Bila permasalahan tersebut belum teratasi, konsumen CV. Blitzspot akan menurun tiap tahunnya dan akan selalu berpindah ke pesaing CV. Blitzspot. Direktur Utama CV. Blitzspot ingin menganalisis daya saing untuk menentukan layanan-layanan yang akan diberikan kepada pelanggan CV. Blitzspot dan penentuan strategi untuk mempertahankan konsumen CV. Blitzspot.  Metode Analisis daya saing yang digunakan adalah Model Analisis Berlian Porter dan Metode Pengelompokkan Pelanggan yang digunakan adalah Metode LRFM. Berdasarkan hasil pengujian dan pembahasan yang telah dibuat, maka dapat ditarik kesimpulan bahwa Direktur Utama dapat menganalisis daya saing CV. Blitzspot dengan menggunakan Berlian Porter untuk meningkatkan kualitas layanan terhadap pelanggan CV. Blitzspot.
Pengembangan Sistem Database Terpadu Berbasis Web Untuk Penyediaan Layanan Informasi Website Desa
Authors: Mansur Mansur , Kasmawi Kasmawi
Published: May 2017

Layanan informasi desa sangat berperan penting dalam menciptakan transparansi informasi desa untuk disampaikan kepada masyarakat secara luas.  Hal tersebut erat kaitannya dengan media penyimpanan data yang disebut dengan database. pemerintah Kabupaten Bengkalis sangat mendorong setiap desa untuk memiliki halaman website yang berfungsi sebagai media dalam menyampaikan informasi kepada masyarakat secara luas serta dapat dapat menyampaikan program kegiatan maupun realisasi penggunaan anggaran dilingkungan pemerintahan desa. Selain itu, keberadaan website desa juga dapat dimanfaatkan untuk mempromosikan potensi yang dimiliki oleh setiap desa secara luas. Untuk itu, perlu pengembangan sistem database terpadu berbasis web untuk penyediaan layanan informasi desa. Database tersebut dibangun berdasarkan rancangan database konseptual, logical dan pisikal dengan memperhatikan kriteria dalam perancangan database. Perancangan database tersebut dilanjutkan dengan pembuatan website desa sebagai bentuk pengujian database terpadu, dalam hal ini data yang dijadikan contoh adalah data desa sungaialam dan desa meskom kabupaten bengkalis. Sistem database terpadu mampu menampung data desa lebih dari satu dalam satu database sehingga hal ini dapat memberikan rekomendasi bagi pihak kecamatan untuk mengumpulkan data dari setiap desa yang ada dan penyimpanan data dapat dilakukan secara optimal.
Melindungi Aplikasi dari Serangan Cross Site Scripting dengan Metode Metacharacter
Authors: Yulianingsih Yulianingsih
Published: May 2017

Kebutuhan masyarakat atas penggunaan jasa internet semakin meluas dan mencakup berbagai bidang kehidupan hal ini mengakibatkan turut meningkatkannya kejahatan dalam dunia internet. Keamaanan aplikasi yang tidak baik mengakibatkan data penting dan kerahasiaan pengguna menjadi terancam. Hal ini tentu saja merugikan bagi pihak pengguna maupun penyelenggara. Untuk itu perlu dikedepankan metode–metode terbaik dalam keamanan berinternet dan untuk menentukan tindakan penanggulangan yang tepat terlebih dahulu harus dipahami cara kerja dari jenis kejahatan tersebut. Cross Site Scripting merupakan jenis serangan injection terhadap situs dengan mengandalkan kelemahan dari target atau pengguna internet. Penyerang akan memanfaatkan kelemahan pengguna melalui ajakan atau bujukan untuk mengikuti arahan menuju suatu kondisi tertentu yang telah dimuati oleh usaha untuk pencurian data, kerahasiaan atau perintah tertentu melalui code scripting oleh penyerang.Dalam penelitian ini dilakukan Sejumlah Eksperimen untuk mencari pengaruh perlakuan tertentu terhadap yang lain dalam kondisi yang terkendalikan, yaitu dengan menanamkan metacharacter kedalam code scripting sebelum dan sesudah proses berjalan. Tujuan yang hendak dicapai melalui penelitian ini adalah pembuktian terhadap fungsi metacharacter dalam menutup celah kerentanan keamanan aplikasi
Sistem Pendukung Keputusan Pembelian Mobil dengan Membandingkan Metode Analytic Hierachy Process dan Fuzzy Associative Memory
Authors: Awalinah Annisya Agustina , Arifin Satria Perdana , Saf Maksum Ro'is Adin
Published: May 2017

Seiring dengan perkembangan dunia otomotif di Indonesia yang semakin meningkat, perusahaan pabrikan mobil saling bersaing untuk memproduksi dan memasarkan mobil-mobil baru dengan spesifikasi yang semakin beragam. Hal ini membuat para calon pembeli mobil kesulitan untuk menentukan sendiri mobil mana yang sesuai dengan kriteria dan kebutuhannya. Berdasarkan permasalahan tersebut maka dibangunlah sebuah sistem pendukung keputusan untuk pembelian mobil guna mempermudah para calon pembeli mobil untuk menentukan mobil mana yang akan dibeli. Sistem ini dibangun dengan membandingkan metode Analytic Hierarchy Process (AHP) dengan metode Fuzzy Associative Memory (FAM). Kemudian, dilakukan dua buah pengujian terhadap sistem yaitu pengujian blackbox menggunakan UAT yang menghasilkan bahwa sistem 100% berhasil dibangun dan berjalan sesuai dengan yang diinginkan, dan pengujian terhadap responden dengan menggunakan kuesioner yang menghasilkan bahwa hasil rekomendasi mobil oleh metode FAM lebih sesuai dengan harapan pengguna dibanding hasil dari metode AHP. Selain itu, dari segi kualitas usability calon pembeli mobil menyatakan bahwa sistem dengan menggunakan metode FAM 80 % lebih berguna, 100% lebih mudah digunakan, 100% lebih mudah dipelajari, serta 100% lebih menarik dibandingkan sistem dengan menggunakan metode AHP.
Aplikasi Sistem Pendukung Keputusan Guru Terbaik Berdasarkan Kinerja dengan Metode Analytical Hierarchy Process (AHP)
Authors: Paramita Aulia , Mustika Fanisya Alva , Farkhatin Naely
Published: May 2017

Abstract— Teacher is professional educator who have the duty, function, and important role in educating the nation. In order for the functions and duties inherent in the functional position of teacher conducted in accordance with the applicable rules, it is necessary to assess the performance of teacher who guarantee a quality learning process. Determine the performance of teacher can encourage an increase in the quality of education and increase motivation and professionalism of teacher in performing the tasks. The headmaster made 15 criteria to determine the best teacher, namely: attendance, discipline rules, responsibility and productivity, social interaction, motivation and self-development, innovative, responsive and initiative, flexibility in other tasks, communication, teamwork, honesty, friendly and polite, aesthetic dress, effective in using the gadget, cleanliness and tidiness class. To determine the performance of the teacher, then one decision that can be done using the Analytical Hierarchy Process (AHP). With the decision making is expected to choose an effective teacher performance. Determination of the teacher's performance is further processed by the criterium Decision Plus (CDP). The results of this study are the order of 4 of the best teachers at Yayasan Lentera Insan.
Hearing Evaluation of Neonates with Hyperbilirubinemia by Otoacoustic Emissions and Brain Stem Evoked Response Audiometry
Authors: Mirajkar Swapnil Chandrakant , Rajadhyaksha Surekha
Published: May 2017

Introduction: Neonatal hyperbilirubinemia is one of the most important factors affecting the auditory system and can cause sensorineural hearing loss. This study evaluated the hearing status in neonates with hyperbilirubinemia and results obtained from Otoacoustic emissions (OAE) and Brain stem evoked response audiometry (BERA) analysis were compared with each other’s.Material and Methods:This study was performed on fifty eligible term neonates with hyperbilirubinemia requiring either phototherapy or exchange transfusion or both. Hearing analysis was done by OAE and BERA.Results: Out of fifty eligible neonates, twenty one (42%) had hearing impairment as per OAE analysis, eight (16%) had hearing impairment; two (4%) neonate had inconclusive hearing analysis as per BERA analysis. Out of twenty one neonates having hearing impairment by OAE only five had hearing impairment as per BERA analysis. While the eight neonates who had hearing impairment by BERA analysis, five had hearing impairment by OAE.Conclusion: The study showed hearing impairment by OAE analysis in 42% neonates while the BERA analysis showed hearing impairment in 16 % neonates. The increased level of Serum bilirubin has not shown the increase in percentage of hearing impairment.J Nepal Paediatr Soc 2016;36(3):310-313
Viewing the Unseen: Scrub Encephalopathy as an Important Differential Diagnosis of AES
Authors: Mishra Sidharth Sekhar , Mishra Reshmi , Nitika - , Jain Mukesh , Sahoo Bandya
Published: May 2017

Japanese encephalitis (JE) is the important cause of Acute Encephalitis Syndrome (AES). However, in large proportion of AES cases, the specific cause cannot not be established. For this, scrub typhus is one such emerging cause. In line with this, first such case report on AES in Odisha due to scrub encephalopathy in paediatric age group is presented.J Nepal Paediatr Soc 2016;36(3):307-309
Scorpion Sting Envenomation
Authors: Lakhkar Bhavana Bhushan , Patil M.M. , Patil S.V.
Published: May 2017

Scorpion sting envenomation is very common problem in rural India especially where the climate is hot and dry. Management techniques have improved tremendously over the time leading to reduced morbidity and mortality. Mortality is mainly when ignorant patients go to the traditional faith healers (Tantrics) and come late to the facility where better management is available. Indian red scorpion (Mesobhuthustamulus) is the main species in India. Autonomic storm caused by venom acting on sodium gated and other channels is the main cause of manifestations in a scorpion sting victim. Cardio-myopathy is the main cause for morbidity and mortality. Many grading systems have been suggested for categorizing and simplifying the treatment. The mainstay of treatment where systemic involvement is there are alpha-1 blocker Prazosin hydrochloride, Fluids and newly arrived purified anti-venom. Scorpion envenomation being a problem of rural remote areas and most patients being from lower socio-economic status, anti-venom use is limited. Hence the treatment of choice remains Prazosin hydrochloride. Risk factors, peculiarities of presentation and dose titration of Prazosin based on severity will be discussed as per personal experience and literature review.J Nepal Paediatr Soc 2016;36(3):284-287
Poor Prognostic Indicators of Scrub Typhus
Authors: Yadav Shankar Prasad , Yadav Sunil Kumar , Kanodia Piush , Shah Gauri Shankar , Bhattari Narayan Raj , Uranw Surendra
Published: May 2017

Scrub typhus is an emerging disease in the eastern part of Nepal. Varied clinical presentation and lack of laboratory resources make diagnosis difficult. As this was the first known epidemic in this part of Nepal, unawareness resulted in late presentation with multiple complications and mortality. Hence this cases series alerts the clinician to be speculative for early diagnosis and management.J Nepal Paediatr Soc 2016;36(3):314-316
Post-Natal Gestational Age Assessment Using Sonographic Measurement of Femoral Length
Authors: Deka Anupama , Manoj G.M. , Prabhu B.J.
Published: May 2017

Introduction: An accurate Gestational Age (GA) is a better predictor of neonatal outcome than birth weight. GA assessment has many diagnostic and therapeutic importance. The methods available for GA estimations are LMP, new Ballard score and each methods has its own drawback which makes them either over estimate or under estimate GA. Antenatal 2nd trimester ultrasound measured femoral length gives more accurate GA estimation. Using similar principles we hypothesized that biometry of long bones with sonography imaging is feasible after birth and may be used to assess GA. The objectives of this study were to assess Post-natal gestational age using sonographic measurement of femoral length and then compare values with antenatal standards and further comparison of validity of each value with gestational age assessment by new Ballard score and the GA by LMP.Material and Methods: Ninety neonates from 32 weeks to 40 weeks of GA according to accurate LMP were subjected ultrasonographic measurement of femoral length.Results: GA calculated using accurate LMP as standard and compared with GA calculated from New Ballard score over estimated the GA. Post natal femoral length measured using sonographic method showed increase in femoral length with increasing GA similar to antenatal femoral standard and showed no statistical difference (p-value 0.375).Conclusions: post natal femoral length measured by ultrasonographicaly is a safe, feasible, objective and fastest method of GA estimation.  J Nepal Paediatr Soc 2016;36(3):268-272
Comparison of Vitamin D Status Between Urban and Rural South Indian Mothers and Their Newborns
Authors: Kumar K. Jagadish , Chavan Abhishek , Shushma K. , Murthy Srinivasa
Published: May 2017

Introduction: Though pregnant mothers are at risk of developing Vitamin D deficiency, their level differs among the urban and rural population and has various implications on newborns. This study was undertaken to compare the vitamin D status in urban and rural population of South India among pregnant women and their newborns.Material and Methods: Ninety one pregnant women and their newborns (46 urban and 45 rural) were recruited. Maternal Vitamin D levels and serum concentrations of calcium, phosphorus, alkaline phosphatase and Vitamin D were measured in the cord blood.Results: Eighty two (90%) of the pregnant women, 38 from rural and 44 from urban, had vitamin D deficiency. However, the mean vitamin D levels were low in urban (9.42 ± 12.2) compared to rural women (35.86 ± 16.3,p=0.037).Hypovitaminosis D was noted in 88% of the newborns, deficiency being more in neonates born to urban women. Though the dietary calcium intake was uniformly low, it was lower in rural (960.1 ± 139.9 mg/d) Vs urban mothers (1060.1 ± 150.6 mg/d, p< 0.001). Urban mothers were found to be exposed to sun for lower duration of 0.3 hours compared to rural mothers 0.5 hours. Similarly the surface area of body exposed to sun was lower in urban mothers (7.5%) compared to rural mothers (15%, p=0.0001). A moderate positive correlation between mother-neonate pair was noted.Conclusions: The magnitude of Hypovitaminosis D observed among pregnant women and their newborn warrants public health intervention in terms of vitamin D supplementations during pregnancy.J Nepal Paediatr Soc 2016;36(3):243-249
Chiari Malformation Type 1 as Cause of Recurrent Pneumonia with Failure to Thrive
Authors: Roy Soumya , Chakrabartty Subroto
Published: May 2017

Diagnosing the cause of recurrent pneumonia with failure to thrive (FTT) can be difficult. A nine months age presented with recurrent pneumonia and failure to thrive. Investigation for the same led to the diagnosis of Chiari 1 malformation. Screening for latent neurological disorders should be done in such patients.J Nepal Paediatr Soc 2016;36(3):288-290
Right Inguinal Obstructed Littre's Hernia in a Child
Authors: Rattan Kamal Nain , Bansal Shruti , Arora Ishani , Dhamija Aastha , Tanwar Manpreet
Published: May 2017

Littre’s hernia, in which the hernia sac contains a Meckel’s diverticulum, is extremely uncommon in paediatric population. We are reporting a case of Littre hernia in a 4.5 year old male child who presented with an irreducible mass in right inguinal region. The diagnosis was made peroperatively. The patient was successfully managed by diverticulectomy and herniotomy and is doing well in follow up.J Nepal Paediatr Soc 2016;36(3):300-302
Behavioural Problems and Parental Over-protectiveness in Children with Asthma
Authors: Sawant Neena Sanjiv , Bhargava Juhi , Deshmukh Chandrahas T.
Published: May 2017

Introduction: Asthma in children often leads to behavioural problems due to the chronic nature of the disease. Parents also tend to be overprotective and many may not even consult a doctor for the same. The objectives were to study the various behavioural problems seen in children having asthma as compared to those with minor ailments, parental awareness about the same and their parenting styles.Material and Methods: 75 parents of children of bronchial asthma and 75 parents of children having short term minor ailments formed the asthma and control groups respectively. The Behaviour Problem Index was used to assess the behavioural problems in children as documented by parents and parental overprotectivenesswas assessed using the Vulnerable Child/ Overprotecting Parent Scale.Results:The demographic variables were comparable in both the groups. Behavioural problems on all domains and parental over protectiveness in the asthma group were found to be statistically significant as compared to control group. However there was no significant correlation between the parental over-protectivenessand the behavioural problems in both the groups.Conclusions: Early referral to the psychiatrist with parental counselling will result in better outcomes for the child.J Nepal Paediatr Soc 2016;36(3):232-237
Rotavirus Diarrhoea among Children under Five Years in a Tertiary Level Government of Rajasthan
Authors: Ari Abhijit , Chaudhary Ruchi , Sharma S.D.
Published: May 2017

Introduction: Rotavirus is the leading cause of severe, dehydrating diarrhoea in young children globally. Studies indicate that rotavirus causes approximately 40 percent of childhood diarrhoea hospitalization worldwide and around 39 percent in India in less than 5 years of age. This study aimed to estimate the prevalence of rotavirus diarrhea among hospitalized children aged under five years.Materials and Method: Stool samples were collected from children who fall within the age range of 0-5 years with acute diarrhea and samples are tested for rotavirus by the enzyme linked immunosorbent assay (ELISA).Result: Out of 349 samples, 104(29.8%) cases were positive for rotavirus by ELISA. Therefore the prevalence of rotavirus infection among hospitalized patient under this study was 29.8%.Conclusion: Rotavirus is an important cause of diarrhea in hospitalized children.J Nepal Paediatr Soc 2016;36(3):273-276
Umbilical Granuloma in an Eight Year Child
Authors: George Susan Mary
Published: May 2017

Discharging lesions in the umbilical region are rare but well known in neonatal period. Omphalitis, umbilical granuloma, patent urachus and persistent vitelo-intestinal duct are some of the commonest causes. If such a lesion is found in an older child, a careful detailed history and examination of the lesion can give clue to the diagnosis. We present one such case of a rare case of umbilical granuloma.
Efficacy of Probiotic Saccharomyces boulardii as an Adjuvant Therapy in Acute Childhood Diarrhoea
Authors: Dash Dillip Kumar , Dash Mrutunjaya , Mohanty M.D. , Acharya Naresh
Published: May 2017

Introduction: Administration of S. boulardii in addition to rehydration therapy in diarrhea found to be beneficial in many aspects owing to a variety of causes and importantly it is was not associated with any adverse effects.Material and Methods: We conducted a prospective study of children suffering from acute diarrhoea, at a private tertiary care hospital. Children were divided into 2 groups randomly as per odd(Group 1 ) and even (Group 2) bed allotted in indoor at the time of admission: Group 1 included children on oral rehydration therapy (ORT) + Zinc + Saccharomyces boulardii (Probiotic 5 billion CFU twice daily) and Group 2 comprised of children on ORT+ Zinc. Our objective was to systematically review data on the effect of S. boulardii on acute childhood diarrhoea.Results: Out of a total of 126 children less than 2 years, 2-6 years and 6-14 years were 72 (57.14%), 42(33.33%) and 12(09.52%) respectively. The duration of diarrhoea in Group 1 was 26.31 hours and Group 2 was 47.81 hours (p<0.01). The frequency of diarrhoea showed improvement within 24 and 72 hours in Group 1 and Group 2 respectively (p<0.01).Similarly, the mean duration of hospital stay was 2.68 days in Group 1 and 4.8 days in Group 2.The treatment cost was INR 850 and INR 1650 while social cost was INR 1250 and 2600 in Group 1 and 2 respectively.Conclusion:This study shows that S. boulardii reduced the duration, frequency and hospital stay of diarrhoea thereby reducing the treatment and social costs.J Nepal Paediatr Soc 2016;36(3):250-255
Neurodevelopmental Outcome at 12 Months of Postnatal Magnesium Sulphate Therapy for Perinatal Asphyxia
Authors: Prakash Raj , Savitha M.R. , Krishnamurthy B.
Published: May 2017

Introduction: Postnatal magnesium therapy has been proposed as a novel neuroprotective agent for perinatal asphyxia. A few studies reported short term neurological benefit with magnesium. It is uncertain whether magnesium therapy has any long term effect on neurodevelopment.Material and Methods: We randomly assigned 120 term asphyxiated infants to receive either magnesium sulphate infusion or placebo postnatally in first 48 hours of life. Babies were treated as per the standard treatment protocol for asphyxia. Short term outcome at discharge was previously reported and a follow up evaluation at 12 months was done. The primary outcome was a composite of death or disability, developmental delay and neuromotor tone abnormality at 12 months.Results: Out of 120 infants, 69 infants had moderate-severe hypoxic-ischemic encephalopathy (HIE) during initial NICU stay. Among 69 infants with moderate-severe HIE, 41 infant could be followed up. Out of 41 infants, 22 were in magnesium group and 19 in placebo group. Of 22 infants assigned to magnesium therapy, 3(13.6%) died or survived with neurodevelopmental disability as compared with 5 of 19 infants (26.3%) assigned to placebo (p=0.32). The developmental outcome evaluated found developmental delay in 3 of 22 infants in magnesium group vs 5 of 19 infants in placebo group (p=0.32). Ameil-Tisonneuromotor tone assessment revealed tone abnormality in 3 of 22 infants in study group vs 4 of 19 infants in placebo group (p=0.53).Conclusion: Magnesium therapy for perinatal asphyxia may not result in favourable long term neurodevelopmental outcome, though no significant adverse effect has been documented.J Nepal Paediatr Soc 2016;36(3):256-262
Neonatal Leukemoid Reaction: A Diagnostic Dilemna
Authors: Bhatia Ravi , Bhatia Gunjan
Published: May 2017

Leukemoid reaction is defined as an absolute neutrophil count(ANC) of >30,000/cumm. First described by Holland and Maurer in 1963 leukemoid reaction is associated with infection, anemia, bronchopulmonary dysplasia, use of antenatal steroids, prematurity. Neonatal leukemoid reaction is seen as a neonatal response to hypoxia and can mimic leukemia. In our case the baby was premature and the leukemoid reaction was due to early onset sepsis. Clinicians need to keep sepsis in mind while dealing with neonatal leukemoid reaction.J Nepal Paediatr Soc 2016;36(3):298-299
Breast Feeding as Analgesia in Neonates: A Randomized Controlled Trial
Authors: Singh Rajesh Kumar , Simalti Ashish Kumar , Singh Daljit
Published: May 2017

Introduction: Major myth regarding neonatal pain suggests that neonates because of their neurological immaturity do not experience pain. Although exact mechanism is not known, it is proposed that breast feeding through combination of various senses and the closeness of the infant’s mother, saturates the senses thus reducing perception of noxious stimuli. The objective of this study was to investigate the analgesic effect of breastfeeding during blood sampling through heel lance in healthy term neonates.Material and Methods: This was a Randomized controlled trial done in a Tertiary level Neonatal Intensive Care Unit. Sixty healthy term newborns, undergoing heel prick were included in study. Neonates were randomly assigned to two groups: Group I (breastfed) with; Group II (not breast fed). Babies were given heel prick and crying time, Heart rate, SpO2 and BP monitored. Changes in various physiological parameters following a heel prick were studied in two groups.Results: Neonates in both groups expressed pain by crying, increase in heart rate, fall in transcutaneous oxygen saturation and rise in blood pressure. Compared to control group, the babies who were breast fed were found to have lesser crying time (40.04 sec and 69.09 sec respectively, p<0.05) and lesser rise in heart rate (rise of 21.78 and 34.46 bpm respectively, p<0.03). In the breast fed group there was a trend to a lesser decrease in oxygen saturation and lesser rise in blood pressure though this was not statistically significant.Conclusion: Breast feeding offers a quick and effective means of reducing pain in neonates during routine neonatal procedures.J Nepal Paediatr Soc 2016;36(3):238-242
Pattern of Constipation and Response to Polyethylene Glycol in Children
Authors: Saha Sudip , Bose Kallol , Das Kallol , Mridha Dhrubojyoti , Das Ira , Mondal Piyasi
Published: May 2017

Introduction: Constipation is a common problem in children with worldwide prevalence between 0.7% and 29.6%.Materials and Methods: Total number of children was 232 out of which 16 were discarded due to loss in follow up. Inclusion criteria: Any child aged one month to ten years presenting with constipation. We used NASPGHAN definition of constipation. Exclusion criteria: Critically sick and hemodynamically unstable patients were excluded from the study. Data were collected for age, sex, duration of constipation, symptoms and signs such as stool frequency, stool consistency, pain during defecation, presence of blood in stool, fecal and urinary incontinence, and presence of fecal impaction or an abdominal mass. Clinical evaluation (history and physical examination) of all patients was done by the same physician to avoid bias in clinical finding. Polyethylene glycol (PEG) was tried in all patients in a dose of 0.3 to 2.1g/kg. Response was defined as passage of at least one semisolid stool without discomfort with use of PEG for at least 4 weeks.Results: In our prospective study done on 232 patients with constipation over three year period (dividing patient’s into1month to 5months, 6months to 5year and 6 years to 10 years) revealed that constipation is mostly prevalent in 6 months to 5 year age group with slight male preponderance. Most of them had symptom onset after six months of age. Commonest symptom was hard stool in general (79.6%) but prevalence of pain abdomen increases with age and peaks in above five year group. Commonest sign is palpable fecal mass. Complications-urinary dysfunction, fecal incontinence, fissure are common in older age group. Functional constipation was the commonest cause (96.2%). Hirschprung disease was diagnosed in 1.4%. Polyethylene glycol shows good response in above 6 months of age groups.Conclusion: Functional constipationis the commonest cause of constipation. Mostly affected group is six months to five years. Polyethelene Glycol is an effective treatment especially after six months.  J Nepal Paediatr Soc 2016;36(3):263-267.
Transient Non-Ketotic Hyperglycinemia in a Newborn
Authors: Choudhury Tarak , Kundu Soumi , Das G.C. , Dasgupta Malay Kumar
Published: May 2017

In encephalopathic infants, cerebrospinal fluid hyperglycinemia and elevated cerebrospinal fluid to plasma glycine ratio are considered pathognomonic of Non-ketotic hyperglycinemia (NKH). It is due to a defect of the glycine cleavage system and has poor prognosis. We present a case of transient NKH presented to us with hypotonia, recurrent apnea and seizure. Increased ratio of cerebrospinal fluid to plasma glycine concentrations of 0.16 was seen as a strong diagnostic indicator of Non-ketotic hyperglycinemia.J Nepal Paediatr Soc 2016;36(3):303-306
A Study of Variation in the Tube Feeding Rate by Nurses in a Tertiary NICU
Authors: Krishnegowda Sushma , Vasudev Prajwala Hassan , Doreswamy Srinivasa Murthy , Veena S. , Hemavathi M.
Published: May 2017

Introduction: 50-60% of the low birth weight babies in a neonatal unit are on gravity feed via gavage tube as they often are not strong enough to sustain on oral feeds. Successful feeding depends on nursing skill and individual variation can be expected. As with many other nursing practices in NICU, considerable variation can be expected in gravity feeding rate as well. The objective was to determine the intra individual and inter individual variation in the rate of gravity feeding among the nurses.Material and Methods: This was a Prospective study done in a Tertiary Neonatal care unit. Babies weighing < 2 kgon enteral feeds were included in study. The nurses carried out feeding in the standard prescribed manner. Time taken for feeds was noted.Results: 21 nurses participated in the study. 15 babies were included and there were 342 feed events. During 75(22%) feeding events, the nurses had an assignment of less than four babies. During rest of the 267 (78%) feeding events, they had more than four babies assigned for care. The median volume of feed was 14 ml and median duration was 8 minutes. Feeding rate variation within same nurse varied from one to 37.5 times their base line rate and in between the nurses varied by minimum of 17 times.Conclusion: A wide intra and interpersonal variation among the nurses, with respect to the rate of feeding of newborns was observed in our study.
Vitamin D Deficiency and Acute Lower Respiratory Tract Infection in Toddlers
Authors: Mandal Anirban , Sahi Puneet Kaur
Published: May 2017

No abstract availableJ Nepal Paediatr Soc 2016;36(3):319
Esophageal Stricture Post Accidental Corrosive Ingestion: A Case Report
Authors: Joshi Binita Gurubacharya , Lamichhane Ritu , Ghimire Madhu
Published: May 2017

Corrosive substance ingestion is a seriouspublic health hazard. Mostly, children are victim due to accidental ingestion occurring commonly in less than five years. Whether acid or alkali, the ingestion may have catastrophic effects and the outcomes can vary from minimal injury to perforation and death. Esophagogastroduodenoscopy should be done 12-24 hours of ingestion in order to assess the extent of mucosal injury. Esophageal stricture remains one of the major sequel usually seen after three weeks of ingestion. Endoluminal dilatation is current recommendation for initial treatment of stricture and surgery should follow for strictures refractory to dilatation. We here present a case of a five year old child with accidental corrosive ingestion at her school which led to esophageal stricture. She underwent multiple dilatation of stricture followed by esophageal corrective surgery which again led to post-surgical stricture requiring further dilatations.
Hurler Syndrome
Authors: Rao Kalipatnam Seshagiri , Adhikari Sudhir , Singh Sandeep , Poudel Shankar , Basnet Sahisnuta , Bishwakarma Ganesh
Published: May 2017

We report a case of Hurler syndrome in 10 years old boy diagnosed on the basis of classical clinical and radiological features. Early diagnosis, genetic counseling and regular follow up with recent modalities of treatment can decrease mortality significantly and the child may grow normally.J Nepal Paediatr Soc 2016;36(3):295-297
Assessment of Intelligence of Duchenne Muscular Dystrophy (DMD) Children and Adolescents and Parental Stress in a Muscular Dystrophy Center in Nepal
Authors: Rana Mita , Adhikari Sirjana , Pradhan Monalisa
Published: May 2017

Correction: On 21st May 2017 the word 'Adults' was changed to 'Adolescents' in the title of the article on NepJOL. The PDF was correct and has not been changed.Introduction: Duchene Muscular Dystrophy (DMD) is an X-linked developmental disorder characterized by progressive muscle weakness, demanding many psychosocial adjustments for both parents and children; learning and behavioral problems, changing values, expectations, roles and responsibilities, separation and loss that lead to parental stress. This study is an attempt to explore the level of Intelligence Quotient of children and adolescents with DMD and further elucidate aspects of parental stress.Material and Methods: The study involved 30 children and adolescents with DMD, chosen by convenient sampling method and one parent each, during their regular medical evaluation at the Duchene Muscular Dystrophy Foundation in Nepal. Measures used to collect data were the Draw a Man Test and Cohen’s Perceived Stress Scale.Results: Age of the DMD children and adolescents ranged between 4 to 19 years with mean age 12.01 ± 6.26 years, 93.94% were male. 53.33% of the parents reported having average level of stress and 63.33% of DMD children and adolescents had average level of Intelligence Quotient (IQ > 70), 16.67% had mild (IQ between 50-69) and 10% each were found to have moderate and severe intellectual disability. Significant negative correlation (r = -0.393, p=0.05) was found between the level of intellectual functioning of DMD children and level of parent’s perceived stress.Conclusion: Most of the parents experienced average to severe level of stress based on the duration of illness and the level of intellectual functioning of their DMD child. Parents experienced greater level of stress with children having low intelligence.  J Nepal Paediatr Soc 2016;36(3):227-231