bluuebunny/crossref_metadata_2025 huggingface dataset:
Crio-conservación de variedades del género Phaseolus mediante la viabilidad en la Parroquia Quiroga, Cantón Cotacachi
Authors: López Flores María Fernanda , Bravo Palacios Santiago Andrés
Published: September 2023

La Parroquia Quiroga del Cantón Cotacachi posee una amplia gama de variedades nativas del género Phaseolus, este es un género que pertenece a la familia Fabaceae, son conocidos como fríjol, fréjol o poroto, pero en los últimos años las variedades de este género han sufrido una disminución de su variabilidad genética, debido los impactos antropogénicos perdiendo así los conocimientos ancestrales del lugar. Por esta razón se ha visto la necesidad de conservar la genética de las variedades del género Phaseolus, mediante la crioconservación para mantener su viabilidad en función del tiempo. Dentro de la investigación se realizó la identificación de la zona de estudio, estableciendo cinco puntos de muestreo,donde se llevó a cabo la colecta de 23 variedades fréjol.Posteriormente se realizó el protocolo de crioconservación a través de la técnica “desecación y congelación rápida de semillas”, donde las muestras fueron sometidas a una temperatura de -196 °C en nitrógeno líquido, como comparador se utilizó la técnica tradicional de “almacenamiento en frío de semillas”, donde las muestras fueron sometidas a una temperatura de -10 °C, estas dos pruebas se llevaron a cabo por un periodo de 6 meses. Al finalizar la investigación se logró demostrar la eficacia de la Crioconservación, ya que las semillas sometidas al tratamiento con nitrógeno líquido mantuvieron su viabilidad con un 83% de poder germinativo, mientras que las semillas sometidas a la técnica tradicional de congelación fueron perdiendo su viabilidad obteniendo un 43% de poder germinativo.
Clasificación de Maderas Mediante el Uso de Tecnologías de Olfato Electrónico
Authors: Mantilla Ramírez Naren Arley , Ortega Boada Homero , Ruiz Jiménez Luisa Fernanda , Sepúlveda Sepúlveda Franklin Alexander
Published: September 2023

Entre las principales causas del acelerado proceso de deforestación y degradación de los bosques en Colombia, se encuentra la extracción ilegal de madera. Para las autoridades es difícil determinar la condición de legalidad o ilegalidad de una carga específica pues, a pesar de contar con expertos en ingeniería forestal y algunas herramientas para la identificación de especies maderables, estos recursos son insuficientes por su escasez o baja disponibilidad. Entre otras estrategias, se propone el uso de nuevas tecnologías como una opción interesante en el desarrollo de soluciones que satisfagan las necesidades técnicas, operativas y económicas. Existen avances sobre dispositivos novedosos, de bajo costo y de fácil acceso: los sistemas de olfato electrónico (narices electrónicas). La Universidad Industrial de Santander cuenta con experiencia en el uso de narices electrónicas para otras aplicaciones, pero es de interés involucrar esta y otras tecnologías en el monitoreo ambiental. Por ello, se propone una metodología basada en narices electrónicas para clasificar especies maderables de acuerdo con los compuestos volátiles que emanan, es decir, su olor. Se realizó un primer caso de estudio utilizando 29 muestras de dos especies maderables: cedro y móncoro, aserradas en diferentes zonas de Santander (Colombia). Se pudo demostrar, como se esperaba, la separabilidad de estas dos clases de madera a partir de su huella odorífica, con una alta tasa de acierto. Esta investigación de tipo exploratorio permite comprender el alcance de herramientas como las narices electrónicas en diferentes aplicaciones. Así mismo, invita a continuar investigando en la viabilidad de su uso para la clasificación de especies maderables como una aplicación del monitoreo ambiental, pues deja abiertos muchos interrogantes que pueden contribuir al desarrollo de una herramienta más robusta. Todo esto busca generar un impacto positivo en la lucha contra la ilegalidad, así como constituirse en un piloto para diferentes aplicaciones donde se puede involucrar el uso de tecnología.
Gestión pública y gobernanza, un camino hacia el desarrollo sostenible del distrito de Cajamarca
Authors: Pérez García Carlos Alberto , Veramendi Vernazza Rossana Teresa , Martinez Sánchez Yrene Edelmira
Published: September 2023

Es importante conocer que la gestión pública busca utilizar de la manera más eficiente los recursos que tiene el Estado en beneficio de la ciudadanía, la gobernanza por su parte busca tender puentes que involucren a la sociedad y a la empresa privada con el estado y de esta manera den solución a las necesidades de los pobladores. En ese sentido, este estudio puede ayudar a tomar decisiones con el fin de buscar un equilibrio entre el desarrollo económico social y el ámbito medioambiental, y gracias a ello alcanzar la sustentabilidad inmersa dentro del desarrollo sostenible, que dará paso a una mejora sustancial de la calidad de vida de los pobladores. Por esta razón el objetivo de la investigación es determinar la incidencia de la gestión pública y la gobernanza en el desarrollo sostenible. La investigación fue de enfoque cuantitativo, de diseño no experimental, transversal correlacional causal y nivel explicativo, con una muestra conformada por 120 ciudadanos. Se realizó la recolección de los datos por medio de tres cuestionarios debidamente validados por juicio de expertos y se determinó su nivel de confiabilidad con una prueba piloto a 44 ciudadanos, obteniendo el alfa de Cronbach de 0.896, 0.800 y 0.884 respectivamente. El análisis estadístico se hizo mediante el modelo de regresión logística ordinal. Como resultado se obtuvo que el 40.8% (Nagelkerke) de la variabilidad del desarrollo sostenible se explica por la gestión pública y la gobernanza en el distrito de Cajamarca. Es así, que el estudio concluye enunciando la incidencia de la gestión pública y la gobernanza en el desarrollo sostenible del distrito de Cajamarca.
Causas de la corrupción en la Gestión Pública Peruana
Authors: Rodríguez Cruzado Benyta Ivonne , Rojas Camacho Jeny Judith , Torres Saravia Jorge Luís
Published: September 2023

No existe país, que no esté preocupado por mejorar los resultados de su gestión pública, en efecto, investigaciones para mejorar, los procesos, la estructura orgánica, innovación y otros aspectos relacionados con la mejora de la eficiencia en la gestión pública invaden los repositorios y las bibliotecas, se han generado incluso estudios académicos especializados para preparar al recurso humano en el manejo del aparato público. Sin embargo, todo este esfuerzo, no puede tener resultados auspiciosos, si las normas legales lejos de jugar a favor lo hacen en contra; dado que tanto la Constitución Política del Estado como las leyes específicas permiten que cualquier ciudadano sin preparación alguna asuma la gestión de la máxima magistratura del país. Por ello este artículo hace un análisis teórico en la normatividad y en la teoría de la gestión, para determinar si es correcto, justificado y gerencial que esta situación permanezca como tal, haciendo una comparación de la complejidad de operaciones, magnitud de objetivos e interesados, entre la administración pública y privada y la exigencia de requisitos a sus gestores.
Corrupción en la gestión pública en el Perú: Origen y causas. Una revisión sistemática
Authors: Torres Saravia Jorge Luís , Rojas Camacho Jeny Judith , Rodríguez Cruzado Benyta Ivonne
Published: September 2023

A lo largo de la historia la corrupción siempre ha existido, desde épocas muy remotas a la era republicana, y se ha ido trasmitiendo de generación en generación, en cada periodo de gobierno ha afectado la gestión del estado peruano, como consecuencia el Perú no ha podido crecer ni desarrollarse como deseaba, generando estancamiento en el desarrollo socioeconómico, con pérdidas materiales considerables y una situación social cada vez con mayor pobreza y desigualdad, es por ello que se ha formulado el presente estudio teórico sobre las principales causas de la corrupción en la gestión pública peruana, encontrándose que dichas causas son originadas por un lado en las personas encargadas del gobierno, quienes se centran en conseguir poder y dinero para sí mismos; y por otro lado, las causas externas relacionados a la normativa de gestión y control, en tal sentido es importante atacar estos dos aspectos que no permiten una gestión transparente y efectiva del estado peruano para mejorar el crecimiento y desarrollo del país.
Gestión de Proyectos de Inversión para impulsar el cierre de brechas económicas y sociales en los Gobiernos subnacionales: Una revisión del Modelo de Ejecución de Inversiones Públicas- MEIP, en Perú
Authors: Cruzalegui Guadianos Jorge I. , Guerra Zambrano Yahandra T. , García Altamirano Luis A. , León Ramírez Segundo V.
Published: September 2023

Esta investigación exploratoria aborda la revisión de una herramienta que puede emplearse para Gestionar los Proyectos de Inversión bajo un nuevo esquema, desde una revisión exploración del estado del arte. Para ello revisamos una serie de artículos y documentos científicos sobre el tema siendo la referencia más destacada la experiencia del evento deportivo llevado a cabo en el Perú en el año 2019 denominado Juegos Panamericanos en su versión XVIII y los Juegos Parapanamericanos en su sexta edición. La ejecución del proyecto para la realización de estos juegos deportivos utilizó una herramienta para agilizar las inversiones, gestionándolas y ejecutándose eficientemente, es por ello que actualmente se ha propuesto un nuevo Modelo de Ejecución de Inversiones Públicas en base a dicha experiencia, el cual viene siendo replicado en los Proyectos Especiales de Inversión Pública. Esta propuesta recoge las mejores experiencias en gestión de inversiones bajo estándares de calidad de nivel internacional y se proyecta que con ello se contribuirá a mejorar el cierre de brechas económicas y sociales en el Perú. Estas herramientas comprendidas en el Modelo de Ejecución de Inversiones Públicas servirán para evaluar posibles herramientas que los gestores en materia de Inversiones Públicas, utilicen para mejorar la fase de ejecución de proyectos públicos en el Perú.
Transformation of learning and writing in English: An analysis of strategies and competences in Peruvian university students
Authors: Rodriguez Barboza Jhonny Richard , Avila Sánchez Geraldine Amelia , Sánchez Aguirre Flor de María , Andrade Díaz Elba María , Méndez Ilizarbe Gliria Susana , Colichón Chiscul María Emilia , Erazo Moreno Milagros María
Published: September 2023

This study aims to understand the impact of learning strategies on students' ability to produce effective texts in English. Additionally, it seeks to identify the students' discursive and functional competencies by analyzing their relationship with the use of learning strategies. The study follows a basic design with a quantitative approach, utilizing a hypothetical-deductive method and adopting a non-experimental correlational descriptive approach within a positivist paradigm.The relationship between learning strategies and the production of texts in English was examined among university students. The findings indicate that 18.6% of the participants always employ learning strategies, while 44.3% use them quite often. A significant portion of the students (47.14%) frequently utilize cognitive and control strategies. Additionally, 32.9% of the students sometimes employ learning support strategies. Regarding discursive and functional competencies, 35.7% of students demonstrate a regular level in both,while 31.4% display a good level in both competencies. Encouragingly, 40% of the students achieve a good level in text production, and 24.3% reach an excellent level. These findings provide valuable insights for the design of educational strategies. This study contributes knowledge and validity to the teaching of English as a foreign language and text production in the university context. It holds significant value by enhancing students' English text production skills and preparing them to tackle communication challenges in diverse academic and professional settings.
Relación entre la participación ciudadana y presupuesto participativo de la Municipalidad distrital de Moro, Provincia del Santa – Ancash, 2021
Authors: Lara Rivera Oswaldo Pablo
Published: September 2023

La participación ciudadana es un derecho constitucional que puede tener grandes impactos en la sociedad dependiendo del nivel de involucramiento de la población. En este trabajo, se estudió la relación entre la participación ciudadana y el presupuesto participativo en la Municipalidad Distrital de Moro para el año 2021. Se utilizó un tamaño muestral de 315 personas, las cuales fueron sometidas a 2 cuestionarios, validados previamente por 5 expertos en el tema. Los resultados revelaron que el mayor porcentaje de la población del estudio (38.73%) tiene un nivel bajo de Participación ciudadana, sin embargo, un porcentaje ligeramente inferior (35.51%) tiene un nivel alto de participación ciudadana. Además, encontramos que la dimensión social, política y administrativa tienen alta correlación con la variable presupuesto participativo, y al mismo tiempo, al evaluar las variables participación ciudadana y presupuesto participativo, se observa alta correlación (r=-0.910) significativamente estadística (p<0.05). Por el cual, se afirma que la variable participación ciudadana influye significativamente en el presupuesto participativo. Estos resultados evidencian la influencia de los aspectos políticos, sociales y administrativos en el involucramiento de la población en asuntos de priorización de proyectos y tomas de decisiones.
La COVID-19 y la afectación de derechos humanos de personas privadas de la libertad
Authors: Núñez Marín Deyssy , Chipana Fernández Yolanda Maribel Mercedes , Ludeña González Gerardo Francisco , Cueva Quezada Nilton Isaias
Published: September 2023

El artículo de revisión tuvo el objetivo de analizar e identificar la mejor evidencia científica disponible sobre la influencia de la COVID-19, en la afectación de derechos de las personas privadas de la libertad. Se realizaron búsquedas en diversas bases de datos y páginas web para encontrar artículos científicos sobre COVID-19, derechos humanos y personas privadas de la libertad de los últimos cinco años. Se aplicó una metodología de revisión de la producción científica y se excluyeron los artículos publicados antes de 2018 y aquellos que no estaban disponibles para su descarga gratuita. Se encontró que el hacinamiento en las cárceles fue un factor de riesgo para la propagación de la COVID-19 que afecta a los reclusos. Es necesario que los Estados implementen políticas públicas urgentes para proteger los derechos de esta población vulnerable. Se identifican problemas en las prisiones relacionadas con el hacinamiento, la falta de inversión en infraestructura y servicios, y la asistencia psicológica durante la pandemia.
Peningkatan Kompetensi Self-Help Konseling Realita Berbasis Online
Authors: Ramli M , Hidayah Nur , Saputra Nur Mega Aris , Hanafi Husni
Published: September 2023

The problems faced by students are currently increasingly complex with the uncontrollable developments of the times and the impact caused by the co-19 pandemic. One solution that can be applied is the use of self-help online reality counseling to help overcome student problems, however, counselors have low competence in the development and application of self-help online reality counseling. Low competence both in terms of understanding and application is shown by service partners who have never implemented self-help-based counseling services for students. Therefore, the implementation of this service provides training in the application of self-help online-based reality counseling to counselors in Malang Raya. The training activity took place in the D3 FIP UM hall with the Malang Raya High School MGBK partner. The results of training on the application of self-help online reality counseling show that in terms of understanding, counselors experience a change from low to moderate to high. Counselors have the ability of counselors to design and use online reality counseling self-help applications.
Edukasi Hak Anak di Sekolah Menengah Pulau Terluar—Belakang Padang, Batam, Perbatasan Indonesia-Singapura
Authors: Niko Nikodemus , Yahya Glory Yolanda , Rani Marnia , Kustiawan Kustiawan , Sakti Tiara , Astriyanti Mery Pemilia , Ahsan Zikri Raudhatul , Pusfita Dela
Published: September 2023

Tulisan ini menyoroti perlunya perhatian khusus terhadap anak-anak yang tinggal di pulau ini, karena mereka sering menghadapi tantangan unik dan terbatasnya akses terhadap layanan pendidikan yang memadai. Dalam konteks ini, edukasi tentang hak anak menjadi sangat penting. Anak-anak di pulau ini memiliki hak yang sama dengan anak-anak di tempat lain untuk mendapatkan pendidikan berkualitas, kesehatan, perlindungan, dan partisipasi dalam proses pembelajaran. Tulisan ini akan membahas strategi dan upaya yang dapat dilakukan oleh sekolah menengah di Pulau Terluar Belakang Padang untuk memastikan bahwa hak-hak ini dihormati dan dipenuhi. Melalui penekanan pada edukasi hak anak, diharapkan para siswa di pulau ini dapat mengembangkan pemahaman yang lebih baik tentang hak-hak mereka, mendorong partisipasi aktif dalam kehidupan sekolah, dan meningkatkan kualitas pendidikan mereka secara keseluruhan. Dengan meningkatnya kesadaran dan perhatian terhadap hak anak di sekolah menengah ini, diharapkan akan tercipta lingkungan pendidikan yang inklusif, adil, dan berdaya guna bagi anak-anak di Pulau Terluar Belakang Padang.
Legal Protection of Bank Customer Regarding Bank Credit Agreements According to the Consumer Protection Law
Authors: Sinambela Hotman
Published: September 2023

The main objective of the research is to find out, describe and analyze whether the standard clauses in Rural Bank credit agreements (BPR) reflect the credit agreement and do not conflict with the principles of freedom of contract and the principle of balance as well as the impact of implementing standard clauses in Rural Bank credit agreements and legal protection. against customers who are harmed by the application of the standard clause. The research results reveal that the application of standard clauses in BPR credit agreements has fulfilled the principles of freedom of contract, balance and the principle of consensualism because in their application they still open up room for negotiation with customers so that an agreement is reached. The impact of implementing the standard clauses of Rural Bank credit agreements on customers' rights as consumers is that customers do not have room to defend their rights or to file complaints due to the application of standard clauses which are detrimental or burdensome, especially with the "take it or leave it" analogy to the terms. - conditions determined by the bank, which include the bank's authority to unilaterally at any time without any reason and without prior notice terminate the credit withdrawal permit. In the case of sales of collateral whose credit is bad, the BPR has the authority to unilaterally determine the selling price of the collateral. Legal protection for customers who are harmed by the application of standard clauses in credit agreements is the customer or consumer. The customer can apply to the BPR according to the protection provided by Article 19 of the Consumer Protection Law
Culture Of Self-Efficacy And Mental Health Against Stop Stunting
Authors: Nour Sriyanah  , Suradi Efendi  , Imelda Iskandar  , Lili Purnama Sari  , Nofianti  , Kens Napolion  , Ayu Sri Wahyuni  , Halmina Ilyas  , Noyumala
Published: September 2023

Stunting is enough problems quaint for developing countries including Indonesia. The reason is that stunting is a problem of chronic malnutrition. This caused intake deficiency nutrition in children, especially toddlers, for quite a long time. Practically, the Can result in disturbances in growth nutrition in children, starting with more height short from standard as well as no weight growth. efficacy and also mental health improvement from a moderate mother's breast-feeding role alone. Study This is its own objective. To use knowledge about influence from efficacy self and mental health coaching against behavior from the mother inside prevention stunting problem. The method of research used is quasi-experimental, with a pre-test, post-test, and control group design. The result of the study showed a difference in behavior as well as efficacy before as well as after treatment in the second group with a p value of 0.05. Study This gives the conclusion that there is influence from mental health coaching and also modules on behavior and efficacy from self to mother.
Gender Discrimination: A Long Moving Pace Towards Progress
Authors: Dr. Santosh Choubey
Published: September 2023

Gender discrimination at the workplace remains a significant issue in India despite progress in gender equality. This paper provides an overview of gender discrimination at the workplace in India, including its prevalence, types, causes, and consequences. It analyses the legal framework and policies in place to address the issue, as well as the challenges faced in their implementation. The paper also examines the impact of gender discrimination on women's career opportunities, earnings, and mental health, as well as the broader economic and social implications of this issue. Finally, the paper concludes by suggesting ways to promote gender equality in the workplace and advocating for a cultural shift toward gender sensitivity and inclusivity. Keeping in mind, the study has focused on the analytical aspect and 285 women professionals were chosen to get to know their perception towards gender discrimination in various professions. The findings disclosed that still women face challenges and they are lagging behind in every possible manner. Therefore, there is a need to foster open thoughts and revolutionize the world in reducing the gender gap.
Propuesta de Implantación de la Norma ISO 45001:2018 en “SEROVIQ S.A.”
Authors: Zambrano Alvarez María Gabriela , Triviño Díaz Amy Linett , Angulo Guerrero Ronny Joel
Published: September 2023

La presente propuesta de implantación de un SG-SST de la ISO 45001:2018, se desarrolló en la Empresa “servicios industriales “SEROVIQ S.A.”, la cual se dedica a actividades de Ingeniería Mecánica en la Industria Petrolera, misma que pretende reducir y controlar los riesgos asociados a sus actividades, garantizando el bienestar y salud de sus trabajadores. Para la estructura del trabajo se utilizó el método inductivo, ya que toda la información se obtuvo directamente desde la fuente, donde se recopilo toda la información necesaria para el desarrollo del TFM. La propuesta de implantación del sistema en la empresa, partió desde el diagnóstico inicial, evaluando el estado de la organización, y estableciendo los parámetros que se están o no cumpliendo bajo la Norma ISO 45001:2018, mismos resultados permitieron realizar un conjunto de documentos para la posible implantación del sistema en la organización.
Optimizing Bank Marketing Strategies Through Analysis Using Lightgbm
Authors: Diaz Aditya Erindra Reynaldi , Yudha Satria Dhian Kartika
Published: September 2023

Marketing campaigns in a bank are one of the ways for the bank to achieve its organizational goals. Optimal marketing is a crucial factor for a bank's success in attracting and retaining customers. Therefore, if a bank's marketing campaigns are carried out suboptimally, it will be challenging to achieve the goals of those campaigns. In this case study, it can be observed that the number of customers who subscribe to fixed-term deposits is lower, with a proportion of 5289 customers making deposits and 5873 customers not making deposits. This research aims to optimize bank marketing strategies by applying analysis using the LightGBM algorithm, which is a highly effective and efficient Gradient Boosting Decision Tree algorithm. This approach facilitates the design of more optimal marketing strategies. The accuracy score of the predictive model generated is 0.8584, with an F1 score of 0.8564, including 974 true negatives and 943 true positives.
Attendance System Implementation Existing Android Platform Using React Native Framework
Authors: Arif Bakti Nugraha Arif , Rizcky Hikmawan Muhammad
Published: September 2023

In a school that has hundreds of students, the attendance system or attendance recording is a problem in terms of practicality and data capture. Especially during a pandemic like this, learning is carried out online or in a network, commonly called distance learning (PJJ). Currently, various applications of technological advances have been created and begun to replace conventional systems. One of them is an Android-based attendance application system. The purpose of this study is to analyze and design an application that can help manage attendance data more easily and accurately. System modeling uses Unified Modelling Language (UML) to describe visually, then implemented with PHP and JavaScript programming languages, React Native Framework, and MySQL database as a database. With the mobile-based attendance system, it can make it easier for teachers to conduct attendance effectively and efficiently.
Analyzing the Impact of Personal Scorecards, Organizational Commitment, Functional Competence, and Managerial Competence on Financial Management Employee Performance
Authors: Amri Andi
Published: September 2023

This study aimed to assess and examine the impact of personal scorecards, organizational commitment, functional competence, and managerial competence on the performance of financial management personnel. The study population consisted of all employees (n = 99) employed at the Makassar City Financial and Asset Management Agency. Sixty individuals were included in this study, as determined by using the Slovin formula. The primary data source is information researchers directly obtain from respondents using questionnaire tools. The proposed data analysis approach encompasses several key components, including descriptive statistical analysis, validity testing, reliability testing, normality testing, heteroscedasticity testing, multicollinearity testing, and hypothesis testing using multiple linear regression analysis. Additionally, the research will involve conducting partial tests, simultaneous tests, and determination coefficient tests. This study's findings suggest a statistically significant and positive relationship between personal scorecard variables, organizational commitment, functional competence, and managerial competence, and the performance of financial management employees at the Makassar City financial and asset management agency.
Assessment of Bacterial Profile and Antimicrobial Susceptibility Pattern of Bacterial Isolates from Blood Culture in Tertiary Level Paediatric Hospital of Nepal
Authors: Shrestha Anil Kumar , Sharma Nisha , Bhattrai Pratiksha , Pokhrel Nayanum , Bajracharya Sohani , Sah Umesh Prasad , Paudel Prajwal
Published: September 2023

Introduction: Bloodstream infection is a major cause of morbidity and mortality which requires antibiotic treatment. Antimicrobial resistance is an emerging serious public health threat in both developed and developing countries. Children are more susceptible to infections requiring an appropriate choice of antibiotic based on blood culture. This study aims to investigate the bacteriological profile and antibiotic sensitivity pattern of blood culture isolates and compare the yield of bacterial growth between Brain Heart Infusion Broth (BHIB) or BD BACTEC culture media.

Methods: A total of 12,795 blood samples were sent for bacteriological culture either for BHIB or BACTEC techniques, 10994 and 1801 samples respectively. Chi-square test was used for showing association between BACTEC and BHIB among isolates.

Results: The findings showed that the BACTEC method detected more positive isolates than the BHIB method. The rate of isolation was found highest among children under five years. The most common pathogens isolated were Staphylococcus species (28.1%), Staphylococcus aureus (25.6%), Acinetobacter species (12%), Pseudomonas species (8.2%), Klebsiella species (6.6%), CONS (4.4%), Escherichia coli (4.4%), Salmonella Typhi (3.5%), Enterobacter species (3.2%) and Streptococcus species (0.3%).

Conclusions: Staphylococcus aureus was the commonest isolate identified in the current study. BACTEC culture method detected the higher percentage of isolates than BHIB method.
Behavioural Profile, Linguistic skills, Adaptive Behaviours and Intellectual Functioning of School aged Children with History of Early Language Delay
Authors: Gupta Arpita , Nair MKC , George Babu , ML Leena
Published: September 2023

Introduction: Language is a fundamental skill and a foundation stone for multiple cognitive and socio-emotional aspects of development. Considering that well-developed language abilities enable children to negotiate the social-relational demands of school life and provide the foundational knowledge upon which academic skills are built, there is a higher chance of scholastic difficulties, social and, behavioural and emotional maladjustments resulting in poor mental health in those who have language delay.

Methods: An ambispective study conducted at a tertiary centre after taking ethical approval from the institutional review board. Children with isolated early language delay were reassessed at school age for intelligence quotient, language development, adaptive behaviours and behavioural issues.

Results: out of 57 children, persistence of poor language skills was seen in 65%, mean IQ score was 90 ( ± 17. 067) and mean VABS score was 94 ( ± 15). 61.4% children had significant behavioural issues. On interview, most worrisome issue reported by children was ‘being teased by friends’ due to poor language skills. Additionally, lower social competence level was noted in children who had poor language skills.

Conclusions: persistence of language, cognitive and behavioural dysfunctions in children with seemingly benign ‘speech and language delay’ at an early age, emphasizes the importance of comprehensive reassessment of these children at school age for early recognition and management.
Diagnostic Accuracy of Haematological Scoring System in Paired cord Blood and Peripheral Venous Blood for early Detection of Neonatal Sepsis – A Prospective Analytical Study
Authors: Shukla Gagandeep , Goyal Prachi , Arya Sunil
Published: September 2023

Introduction: Sepsis is one of the major causes of neonatal morbidity and mortality. Early recognition and diagnosis of early onset neonatal sepsis (EONS) is difficult. Hence, there is a need for early predictive screening method for EONS, for which Haematological Scoring System (HSS) is used. It comprises of total leucocyte count, immature / total neutrophil ratio, total PMN count, immature PMN count, degenerative changes in PMN and platelet count.

Methods: 100 inborn neonates with two or more risk factors for EONS, chosen by sequential sampling method were included in this prospective analytical study. Blood samples were collected from umbilical cord and peripheral vein and analysed for haematological parameters. Blood cultures were performed as gold standard for diagnosing neonatal sepsis and sepsis screen was done to corroborate the diagnosis of EONS.

Results: Out of 100 neonates, 21 had sepsis, 14 had probable sepsis and 65 had no sepsis. Among the variables of HSS it was observed that elevated I:T ratio, thrombocytopenia, elevated I:M ratio and elevated immature neutrophil count have shown significant correlation with EONS with statistically significant p values (p value < 0.05), with raised I:T ratio being highly sensitive in identifying neonatal sepsis and degenerative changes in neutrophils being highly specific.

Conclusions: The HSS was found to be satisfactory in identifying EONS. It can be used as a simple, quick, cost effective and readily available screening test with decent sensitivity and high specificity, for detection of EONS.
Factors Associated with Exclusive Breastfeeding among Working Mothers Attending Maternal and Child Health Clinic
Authors: Sigdel Narayani Devi , Sapkota Sochana , Acharya Sharada
Published: September 2023

Introduction: Breast milk is a natural and perfect food that protects against illness and death by acting as the baby’s first immunization. The employment of the mother is considered to be one of the most important barriers to exclusive breastfeeding (EBF).

Methods: A hospital-based descriptive cross-sectional study was done to find out the associated factors with EBF among working mothers. A total of 150 working mothers having children six to 24 months were selected. Self-developed semi-structured interview schedule was used. Pre-testing was done on 15 (10%) of the total sample and necessary modifications were done. Data were analyzed by using descriptive (Frequency, percentage) and inferential statistics (Chi-square and odds ratio).

Results: A total of 52 (34.66%) working mothers reported to have practice of EBF for six months. Majority (80%) of the working mothers fed colostrum. Majority (92.85%) of the working mothers gave powdered milk due to inadequate milk secretion. Regarding Expressed Breast Milk (EBM) storage, more than 50% had no idea about EBM and 47 (31.33%) of the mothers had a breastfeeding room at their workplace. 80 (53.33%) mothers had allowed children in their workplace while 47 (88.0%) had family support. EBF was associated with mode of delivery (OR = 0.440, 95% CI: 0.214 - 0.903), child hospitalization in the past (OR = 0.139, 95% CI: 0.031 - 0.618), facility of express breastmilk (OR = 4.087, 95% CI: 0.978 - 17.079) and flexible working environment (OR = 4.2, 95% CI: 1.789 - 9.863).

Conclusions: About only one-third of working mothers had given EBF to their child. Vaginal delivery, child hospitalization in the past, a facility of EBM at home, and a flexible working environment were associated factors with EBF among working mothers.
Feasibility of Telemedicine for Follow up of Children with Established Seizure Disorder- A Tertiary Care Center Prospective Study
Authors: Bajracharya Luna , Shrestha Merina
Published: September 2023

Introduction: Medical information exchanged via electronic communications to improve a patient’s clinical health status by a physician without in-patient visit is telemedicine. Control of seizures with antiepileptic drugs, reassurance for compliance to drugs, regular monitoring of adverse effects of drugs in patient with established seizure can be possible through telemedicine. The main objective of this study was to evaluate feasibility of telemedicine for follow up of children with established seizure disorder.

Methods: This study was conducted among children of age one to 16 years with an established seizure due to any cause presenting to the Paediatric Neurodevelopmental OPD of Tribhuvan University Teaching Hospital (TUTH) between October 1, 2018 and September 30, 2020. Mobile phone as a modality of telemedicine was used to inquire about seizure every month for 12 months and whenever necessary.

Results: When parameters as seizure control, total cost and time spent per hospital visit, distance to TUTH were analyzed, more than 75% caregivers were satisfied with telemedicine. Greater age, appropriate development, focal onset of seizure, normal electroencephalogram and seizure adequately controlled by single antiepileptic drug were the favorable factors in better seizure control in children using telemedicine.

Conclusions: Telemedicine for follow up of children with established seizure disorder seems to be a feasible and satisfactory option when implemented with caution and proper patient selection as it decreases unnecessary high expenses and time to hospital visit
Hand Washing – its Awareness and Practices Among School Children and Facilities Available in Rural Government Schools of District Rohtak, Haryana
Authors: Anvesha  , Vashisht B M , Saha Arup , Jyotsana  , Pratibha
Published: September 2023

Introduction: Hand washing with soap (HWWS) is one of the single most cost-effective public health interventions. HWWS is effective in reducing diarrhea and can reduce its risk up to 48% and acute respiratory infections by more than 20%. Government of India launched Swachh Bharat Swachh Vidyalaya program, which also provided guidelines for hand washing i.e., availability of soap at hand washing stations, hand washing to be done before mid-day meal and also after use of toilet or urinal. The objective of the study was to assess knowledge and practices of hand washing among school children along with adequacy of available hand washing facilities and contributors responsible for it.

Methods: A descriptive cross-sectional study was carried out in all Government schools of Lakhan Majra block, Rohtak, Haryana, India. Thirty-Eight schools for provision of facilities and 613 students for assessing knowledge, practice and behavior change were included in the study employing stratified random sampling technique. Semi-structured interview schedule was used for data collection.

Results: All schools had hand washing facilities. Soap was available in 63.2% and 97.2% students knew benefits of hand washing while 88.9% of them were promoting it also. Less than one fifth of the students could demonstrate the correct steps of hand washing.

Conclusions: Majority of students were aware of washing hands before and after critical times. Soap availability in schools was inadequate
Impact of Quality Improvement (QI) Initiatives on Neonatal Mortality in NICU: A Retrospective Analysis in Tertiary Care Centre in Western India
Authors: Hasbi Prabhudev Basavaraj , Jain Jitendra Kumar , Ajmera Mohit , Sharma Gopikishan , Meena Chetan , Mayanger Amrita
Published: September 2023

Introduction: The global “under-five mortality” has dropped 60% from 93 deaths per 1,000 live births in 1990 to 37 in 2020 in the last three decades. It is vital to adopt proven quality improvement initiatives to provide quality care to improve neonatal mortality and morbidity. Aim of the study was to assess the impact of the quality improvement interventions and strategies in reducing the neonatal mortality statistics.

Methods: The study was conducted in a 500 bedded Government Hospital in India. The management implemented various tactics, such as enhancing the existing infrastructure, upgrading equipment, augmenting the workforce, and implementing established clinical protocols, to enhance the quality of intensive care services provided in the NICU. The QI points were identified based on the shortcomings that were identified and shortlisted based on the working of NICU pre QI implementation. The outcome was measured as neonatal mortality indicators and the data was compared between pre and post implementation period.

Results: After implementing quality improvement measures, there were notable enhancements in the total floor area, availability of skilled personnel, and equipment. The number of total admissions to the NICU increased by 79%, and mortality reduced from 20.93% to 7.82%. There was a statistically significant decrease in disease-specific neonatal mortality rates, with a p-value of less than 0.001.

Conclusions: This study concludes that implementation of proper and comprehensive QI interventions and strategies in NICUs can help in decreasing the neonatal mortality.
Incidence of Acute Kidney Injury in 1 - 14 years old Critically ill Children in a Tertiary care Center
Authors: Pooja Vijaykumar , John BM , Kalra Suprita , Devgan Amit
Published: September 2023

Introduction:Acute Kidney injury (AKI) is associated with poor outcomes in critically ill hospitalized children. There are very few studies on incidence of AKI based on urine output criteria of KDIGO (Kidney Disease: Improving Global Outcome) and time lag between the fall in urine output and rise in serum creatinine. This study was therefore aimed at determining the same.

Methods: A prospective study was conducted in the Department of Paediatrics of a tertiary care hospital. 171 critically ill children between one to 14 years who were admitted in PICU were enrolled. Hourly urine output and eight hourly serum creatinine levels were measured and incidence of AKI was calculated along with lag time between fall in urine output and rise in serum creatinine. Outcome of children with AKI was also studied. Data analysis was done using SPSS software version 25.0 and Microsoft excel 2007.

Results: The mean age + SD of children in the study was 5.5 years ± 3.76 with a range of one to 14 years, with 62.6 % of them being boys. The incidence of AKI in the study population was 14.62%. The mean lag time between fall in urine output and rise in serum creatinine was found to be 13.21 hours. AKI had a significant association with mortality, use of nephrotoxic drugs, inotropes and mechanical ventilation.

Conclusions: A significant number of critically ill children develop AKI and its occurrence portends a poor outcome. Utilization of the KDIGO reduced urine output criteria as a marker of AKI allows for early detection and intervention
Modified Sick Neonatal Score (MSNS) in Predicting the Outcome of Neonates in Tertiary Care Hospital
Authors: Twanbasu Sajal , Amatya Puja , Shah Ganesh
Published: September 2023

Introduction: Neonatal disease severity scoring systems are widely used to predict severity of illness. Existing scoring systems contain variables like pH, PO2 / FiO2 ratio, and base excess, which are difficult to obtain in resource-limited settings. Modified sick neonatal score (MSNS) is based on eight clinical variables which are easy to calculate and are also accurate enough at the same time. This study was done to evaluate MSNS for predicting the outcome of neonates in our settings.

Methods: This was prospective observational study done at neonatal intensive care unit (NICU) of tertiary care hospital in Nepal from February 2021 to January 2022. The parameters required for the score were recorded at admission. Total score was calculated and outcome was noted. Data collected was analyzed using SPSS Statistics for Windows, v21.0. Chi square test, Mann-Whitney U test and ROC analysis were used for statistical analysis.

Results: Total of 195 neonates were discharged and 37 expired. The mean MSNS score among expired was 8.16 ± 1.625 and discharged was 10.99 ± 1.753. For a cutoff score of ≤ 10, sensitivity and specificity; Positive and negative predictive value were 89.2% and 60.5%; 30.7% and 98.3% respectively. The area under the curve (AUC) of MSNS was 0.875 (CI 95%; 0.817 - 0.934). Lower MSNS score was also associated with requirement of iontrope and ventilator support.

Conclusions: MSNS can be used as an important clinical tool for predicting the severity of disease in neonates in resource limited settings.
Parental Satisfaction with the Care of Admitted Children in a Tertiary Level Hospital
Authors: Pandey Kabita , Shrestha Sanjana , Shrestha Sarala
Published: September 2023

Introduction: The quality care is an essential aspect of hospital service in improving health outcomes. Quality of children’s care can be assessed by measuring the parental satisfaction.

Methods: A descriptive cross-sectional design was used. Non-probability purposive sampling was used to select 167 parents of children who were admitted in Kanti Children Hospital. Data were collected by interviewing either the father or mother as roomed-in by using the Pediatric family satisfaction questionnaire (PFSQ) containing three domains as modified to suit to local context. Data were entered, cleaned and analyzed in statistical package for the social sciences SPSS version 22. Chi-square test and Spearman rank correlation coefficient were used to analyze the data.

Results: Findings revealed that the overall satisfaction among majority (59.9%) of the respondents was low. However, domain wise, almost all (94.6%) respondents were satisfied in medical care followed by 89.2% in nursing care and lowest proportion (42.5%) was satisfied with hospital services and accommodation. Parental overall satisfaction was significantly higher among those admitted in surgical unit (p = 0.00) and among those with days of hospitalization as more than 6 days (p = 0.01). Findings also showed a moderate correlation between the satisfaction with nursing care and medical care (r = 0.64).

Conclusions: Parents tend to have low satisfaction with the care provided to the admitted children whereas domain wise satisfaction is high in medical and nursing care and low in hospital services. Therefore, in order to increases the parental satisfaction, more focus should be given to improve the quality of hospital services and accommodation.
Prevalence and Associated Factors of Malnutrition in Under Five Children in Eastern Nepal: A Hospital Based Study
Authors: Shrestha Manju , Rai Basant , Agrawal Jyoti , Chaudhary Shipra , Shrestha Kala , Bhandari Singh Rupa Raj
Published: September 2023

Introduction: Malnutrition among children remains one of the most important causes of morbidity and mortality in the developing countries like Nepal. Multiple interrelated determinants are involved in causing malnutrition that needs to be catered. This study aims to assess the prevalence and associated factors of malnutrition among under-five children in eastern Nepal.

Methods: This is a hospital-based correctional study. The enrolment occurred between Jan 2018 and Dec 2019 among children who visited nutrition clinic in our hospital. The data analyses were performed using Logistic regression and 95% confidence interval along with p-value. A p-value < 0.05 was considered statistically significant.

Results: A total of 310 children were analyzed for malnutrition. Among them, the prevalence of underweight, stunting and wasting was 34.10, 32.45, 17.54 % respectively. Among them, majority of the mother belonged to young age group between 18- 25 years, 216 (69.68%) were females and 120 (38.71%) and Majority of malnutrition fell in the age group of 12 – 23 months. Mother’s age, mother’s education, family size, economic status, child’s age and sex, exclusive breast, ethnicity, mother’s occupation and total family size were found to be significantly associated with malnutrition.

Conclusions: This study highlights serious concern of malnutrition among under five years old children in eastern part of Nepal. Multiple hierarchically interrelated determinants associated with child, mother and the social environmental factors were found significant in malnutrition among the children.
Spectrum of Paediatric Dermatoses in a Private Medical College
Authors: Bhatia Ravi , Bhardwaj Shivani , Anandh Sarat , Rajwaniya Dinesh
Published: September 2023

Introduction: Dermatoses in children puts a huge burden on the parents as well as their development. Severity of these dermatoses vary from location to location. Environment plays an important role, especially in children and presentation of these dermatoses maybe quite different than those in adults.

Methods: This is a six months prospective study. All children who presented to the Paediatrics / Dermatology OPD with any skin ailment were included. Diagnosis was done clinically, investigations if required were done. Based on age, cases were divided into six groups. Skin disorders were categorized into 17 groups. The demographic data and other clinical details were recorded on a pre-designed performa.

Results: 206 children were included in our study. Males were 136 (66.01%) and females were 70 (33.98%) with M:F ratio 1.94:1. The spectrum of skin diseases were infections and exanthems (40.29%), eczematous diseases (19.41%), disorders of sebaceous and sweat glands (13.10%), papulosquamous diseases (6.31%), hypersensitivity syndromes (5.82%), disorders of pigmentation (5.33%), disorders of hair and nail (3.39%), cutaneous tumor and tumor syndromes (1.94%), vascular disorders (1.45%), disorders of cornification (0.97%), photo-dermatoses(0.97%), histiocytosis and malignant skin tumors (0.48%), and miscellaneous (0.48%). Dermatoses according to age were neonatal (0.97%), infant (4.36%), toddlers (9.70%), preschool (18.44%), school-age-children (30.58%), and adolescents (35.92%).

Conclusions: Skin infections and infestations being the majority explains the status of developing countries like India. This study can help identify (or diagnosing) and treating common dermatological conditions in children and this would also sensitize our fellow paediatricians to this common but often neglected aspect of childcare.