Статті в журналах: "Ambala City"

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Singh, Abhishek, NandKishore Singh, Ashish Bansal, Shewtank Goel, PawanKumar Goel, and Pankaj Chhikara. "A rapid appraisal of traffic policemen about auditory effects of traffic noise pollution from Ambala city." Medical Journal of Dr. D.Y. Patil University 8, no. 1 (2015): 12. http://dx.doi.org/10.4103/0975-2870.148826.

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Saini, Surjit Singh, S. P. Kaushik, and Ravinder Jangra. "Flood-risk assessment in urban environment by geospatial approach: a case study of Ambala City, India." Applied Geomatics 8, no. 3-4 (August 16, 2016): 163–90. http://dx.doi.org/10.1007/s12518-016-0174-7.

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Gupta, Amitesh, Udit Asopa, and Rajarshi Bhattacharjee. "Land Subsidence Monitoring in Jagadhri City Using Sentinel 1 Data and DInSAR Processing." Proceedings 24, no. 1 (June 13, 2019): 25. http://dx.doi.org/10.3390/iecg2019-06230.

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DInSAR is a renowned method for estimating land subsidence based on the principles of interferometric synthetic aperture radar using different series of the temporal dataset. The present study has been performed using GMTSAR software with Sentinel 1 SAR data of C band for the duration of 2017–2019 (January to April) and focused particularly over the area of Jagadhri city which is situated 100 km away from Chandigarh, which has been identified under the potential threat of land subsidence. The DInSAR method has been applied in this study that came up with an outcome of three interferograms and yearly displacement that broadcast an update on the diagnosis of subsidence activity in the area. A total of six Single Look Complex (SLC) datasets were selectively chosen with a minimum temporal and spatial baseline so that the problem of decorrelation would be minimal. Goldstein filtering has been applied to the deburst interferograms which reduced the noise and, in turn, improved the quality of output. The city is located on the western bank of river Yamuna and about 55 km on the east of Ambala. Due to the presence of unconsolidated sediments in the aquifer system and over-exploitation of groundwater to meet the domestic needs has led to surface deformation in and around the city area. The outcome of this study identifies the area of depression quite distinctly while the accuracy has been assessed by ground survey. The rate of subsidence estimated approximately 4.98 cm/year which can prove to be disastrous over the course of time.

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Singh, Harshpreet, Anu Bhardwaj, Zahid Ali Khan, Anshu Mittal, Muzamil Nazir, and Parul Jain. "A Study of Knowledge and Awareness Regarding Pulmonary Tuberculosis in Patients Under Treatment for Tuberculosis in Tuberculosis Unit Ambala City (Haryana)." Indian Journal of Public Health Research & Development 10, no. 10 (2019): 455. http://dx.doi.org/10.5958/0976-5506.2019.02849.3.

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Kaur, Harsimar, and Gopalakrishnan Narayanamurthy. "Sasta Bhojan Sewa: the pricing dilemma." Emerald Emerging Markets Case Studies 11, no. 1 (February 15, 2021): 1–17. http://dx.doi.org/10.1108/eemcs-06-2020-0235.

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Learning outcomes After studying this case, students should be able to: understand the process of opportunity identification for forming social enterprises (knowledge), discuss various concepts related to social entrepreneurship and not-for-profit firms (comprehension), apply tools to differentiate between social and commercial enterprises (application), analyze the role of environmental factors like culture in influencing business (analysis) and develop decision-making skills by critically evaluating the options (evaluation). Case overview/synopsis Sasta Bhojan Sewa (SBS) was one of the key projects of Parupkar Sewa Society. The social venture initiated by Jaswinder Singh, a young resident of Ambala (a small town in Haryana, India), got registered as a not-for-profit society in the year 2018. Mr. Singh initiated various social welfare projects since the year 2006 when he got inspired from the history of Sikh Gurus. As years passed, he was able to employ more and more people. This led to the development of a social venture, which had 33 employees at the end of the year 2019. The society was running seven major projects with the help of dasvandh (donations). Project SBS was about providing home-like hygienic meals to people at merely INR10. There were 11 canteens in Ambala city and cantonment, which were being run under that project. Around 1,500 people were eating daily in those canteens, out of which around 70–80 people were not able to pay even INR10. The project had employed 30 people. The salaries of the staff and other operating expenses like liquid petroleum gas (LPG) expense, transportation cost and electricity were met through dasvandh (donations) from the local households. When the project was initiated, the cost of preparing a meal was INR10, but by the end of 2019, the cost went up to INR12 per meal due to food inflation. The meal was still being sold at INR10 at a loss of INR2 per meal. On December 28, 2019, as founder of the society, Mr. Singh was thinking of raising the selling price to INR12 per meal, which had to be implemented on January 01, 2020 but he was doubtful in doing so. He thought increasing the price might defeat the purpose of starting SBS as he was reflecting on how poor people were and how each rupee mattered to them. He was also considering that it might affect the goodwill of the society that was known for selling food at an extremely low price. By using the example of SBS, we explain various concepts of not-for-profit social enterprises like opportunity identification, key drivers, business model canvas and environmental effects in this teaching note. The teaching note also provides cost–benefit analysis of the available options to facilitate effective decision-making. Complexity academic level Undergraduate and graduate-level business programs. Supplementary materials Teaching notes are available for educators only. Subject code CSS 3: Entrepreneurship.

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Sakhwar, Dr Nilesh Kumar. "Solid Waste Pollution: With special Reference to Ambah City (M.P.)." Indian Journal of Applied Research 4, no. 6 (October 1, 2011): 227–28. http://dx.doi.org/10.15373/2249555x/june2014/70.

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Kalyanasundaram, Madhanraj, Amarjeet Singh, and Navpreet Singh. "How ‘Healthy’ are Villages in District Ambala, Haryana: A Pilot Study?" Journal of Postgraduate Medicine, Education and Research 48, no. 1 (2014): 19–23. http://dx.doi.org/10.5005/jp-journals-10028-1094.

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ABSTRACT Background A ‘healthy village’ concept as a healthy setting approach is lacking in India, where approximately 70% of population lives in villages. Despite various village development programs, the quality of life in Indian villages continues to be poor. Objective To evaluate some villages in district Ambala as healthy villages. Materials and methods This cross-sectional study of seven villages under a sub center was conducted during January to April 2010. These villages were compared on the basis of scores obtained on a checklist developed for evaluating ‘healthy village’. The village headmen, committee members, various health workers, accredited social health activists and anganwadi workers were also interviewed. Results The sub center headquarter, the largest village, scored maximum among seven villages (90/130; 69.2%). Lowest score was observed in the smallest village (49/130; 37.7%). Most villages faired poorly on intersectoral coordination, youth activities, and historical/cultural heritage. Performance of all villages on ‘availability of basic statistics’ and ‘animal shelter’ was excellent. Conclusion Apparently, population size of a village was linked with its being a healthy village. None of the village had an excellent score. Overall, an average rating can be assigned to these villages as healthy village. How to cite this article Kalyanasundaram M, Singh A, Singh N. How ‘Healthy’ are Villages in District Ambala, Haryana: A Pilot Study? J Postgrad Med Edu Res 2014;48(1):19-23.

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Goyes-Balladares, Andrea Cristina, and Roberto Carlos Moya-Jiménez. "Aprovechamiento y presentación de potencialidades sostenibles en el modelo de movilidad urbana del centro de la ciudad de Ambato." Revista Hábitat Sustentable 12, no. 2 (December 31, 2022): 66–83. http://dx.doi.org/10.22320/07190700.2022.12.02.05.

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The intensified urbanization process of recent decades has highlighted the need to plan cities, suitably considering people’s mobility. The goal of this article is to analyze the mobility conditions of Ambato city center using a sustainability approach. The methodology used was based on a theoretical review and analysis of official documents, fieldwork, and observation records. The results were obtained by analyzing objective and technical variables that show the study area’s potentialities and weaknesses to develop active and less polluting modes of transport. A reflection on the characteristics of pedestrians, cyclists, and mass public transport is presented to propose management strategies that aim at strengthening the current mobility model.

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Fafard, Mary-Beth, Robert E. Hanlon, and Elizabeth A. Bryson. "Jose P. v. Ambach: Progress toward Compliance." Exceptional Children 52, no. 4 (January 1986): 313–22. http://dx.doi.org/10.1177/001440298605200402.

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Jose P. v. Ambach is a class action lawsuit involving the rights of handicapped students to be referred, evaluated, and placed in a timely fashion into appropriate educational programs and services in the New York City public schools. The role of this case as a vehicle in the restructuring of the delivery of special education services is discussed. The major issues, including timely evaluation and placement, due process procedures, accessibility of facilities, and systematic monitoring of the delivery of services, are analyzed in terms of the impact on the delivery of special education services. The current status of this ongoing litigation, the progress toward compliance, and some of the implications for special education are presented.

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Morales-Fiallos, Fabian, Lenin Maldonado Narváez, Galo Nuñez-Aldás, Geovanny Paredes-Cabezas, and Rodney Hechavarría. "Filtro con elementos de bagazo de caña de azúcar para el tratamiento de aguas residuales de lavadoras de autos en la ciudad de Ambato, Ecuador." Tecnología y ciencias del agua 13, no. 5 (September 1, 2022): 365–95. http://dx.doi.org/10.24850/j-tyca-13-05-10.

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Castro Analuiza, Juan Carlos, Cristina Checa Morales, and José Perea. "Consumer’s perceptions of organic foods in Ambato, Ecuador." ESIC MARKET Economic and Business Journal 51, no. 2 (May 20, 2020): 263–80. http://dx.doi.org/10.7200/esicm.166.0512.1.

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Objective: The aim of this study was to identify the factors that explain consumers purchasing behavior towards organic food products in Ambato (Ecuador). Methodology: Data were collected from a survey of 1,500 organic consumers and other 1,500 consumers who prefer conventional foods, and analyzed using multivariate techniques. Results: Principal component analysis identified four factors which explain the buying behavior of organic consumers: Belief in health benefits, quality and taste attributes; belief in environmental benefits; and contextual issues. Cluster analysis identified three groups of organic consumers: organic consumers interested in self benefit and highly influenced by contextual aspects (Group I), organic consumers interested in expected environment benefits (Group II) and organic consumers very interested in self benefits and less affected by contextual aspects (Group III). The relationships established in organic consumers are different to conventional consumers. This defines different variables that explain the purchase process. The socio-demographics profiles were different in gender and occupation; women and free license workers were more frequently interested in buying organic foods. Limitations: The study was carried out in the city of Ambato that could be considered representative of the Ecuadorian urban society. The results should be complemented by future studies focused on other cities or rural areas. Practical implications: Results suggest that the Ecuadorian organic sector follows the developing patterns identified in the Western countries. This implies that the promotion and practical support for the organic sector should be focused on strengthening positive attitudes towards organic purchases.

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Wibawanto, Sigit. "Neophilia dan Dampaknya Bagi Kualitas Pengalaman Penikmat Makanan Lokal Kota Kebumen." Fokus Bisnis : Media Pengkajian Manajemen dan Akuntansi 19, no. 1 (July 31, 2020): 65–75. http://dx.doi.org/10.32639/fokusbisnis.v19i1.522.

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This study is limited to the discussion of food consumption which is explored from the dimensions of local food preferences in destinations. This study has three objectives: to establish the neophilic tendency of foods to determine the consumption of new foods; how is the quality of food experiences with neophilia personalities; and how tourist food experiences are moderated by travel motives for new experiences about food in the places visited. This study illustrates a descriptive research scheme, tested on travelers who happen to pass through the city of Kebumen who enjoy "Ambal" satay food by 100 respondents. The study used a partial statistical test (t-test) and Moderated Regretion Analysis (MRA) to look for the effect of variable X on the Y variable. The results showed neophilia personality had a positive effect on the quality of experience. Travel motives that moderate the neophilia personality are not able to moderate the relationship of the neophilia personality to the quality of experience. The conclusions of the study show the higher the neophilia personality and travel motives, the more it can affect the quality of the experience but not with moderation.

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Sinha, Smita. "Adolescent Health-Tackling Menstrual Hygiene Issue through Social Marketing of Sanitary Napkins Scheme: An Evaluation Study from Haryana." Journal of Postgraduate Medicine, Education and Research 47, no. 3 (2013): 127–30. http://dx.doi.org/10.5005/jp-journals-10028-1069.

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ABSTRACT Background and objectives Menstrual hygiene is far from satisfactory among a large proportion of Indian women. To overcome the barriers for using sanitary napkins among rural women in Haryana, a social marketing scheme was launched. As the program is in nascent stage of implementation the factors influencing it need to be evaluated. Therefore, this study aimed to analyze the stakeholder's perspectives and factors influencing this scheme. Materials and methods We carried out a qualitative study during April’ 2011 in Lalpur, Naraingarh, Ambala, Northern India. The experience and opinion of rural girls, women, ANM, ASHA and Sakshar Mahila Samooh (SMS) members were elicited during 10 in-depth interviews and four FGDs. Results Majority of women were motivated to use sanitary napkins. They perceived that use of sanitary napkin was beneficial for them. The grass root workers involved in production work of sanitary napkins were disappointed with irregular flow of funds. The other stakeholders in the community were not actively involved in the implementation of this scheme. Conclusion To conclude, there is a huge marketing potential of low cost sanitary napkins in this rural area of Haryana. The program needs to actively involve various stakeholders and to ensure regular flow of fund. How to cite this article Sinha S, Singh A. Adolescent Health-Tackling Menstrual Hygiene Issue through Social Marketing of Sanitary Napkins Scheme: An Evaluation study from Haryana J Postgrad Med Edu Res 2013;47(3):127-130.

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Rattan, Vidya, and Utkal Mohanty. "Tobacco Habits among the 8 to 15 Years School Children of Rural Haryana." Journal of Postgraduate Medicine, Education and Research 48, no. 4 (2014): 183–85. http://dx.doi.org/10.5005/jp-journals-10028-1127.

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ABSTRACT Aim The present cross-sectional study was undertaken to determine the prevalence and age at initiation of tobacco use among school children in rural areas of Haryana. Materials and methods A cluster sample design was used to produce a representative sample of schools from Panchkula and Ambala district. All students were included from the selected schools and information regarding tobacco use was collected from students of class 3 to 10 (8-15 years) through a self-administered questionnaire. Results A total of 3526 students with average age of 12.2 ± 2.3 years were screened for tobacco use. About 182 (5.1%) school children were found to be ever users of tobacco and 79 (2.2%) were current tobacco users in any form. Peer pressure was found to be the most common cause of initiating tobacco use by the students. Conclusion Prevalence of tobacco use among the school children of rural Haryana is lower than that reported in urban areas by Global Youth Tobacco Survey (GYTS). However, the downward shift of the age at initiation (<10 years) is a matter of grave concern, which needs to be tackled by creating suitable school environment through health promotion and strengthening anti tobacco laws. How to cite this article Rattan V, Mohanty U, Goyal A. Tobacco Habits among the 8 to 15 Years School Children of Rural Haryana. J Postgrad Med Edu Res 2014;48(4):183-185.

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Maddaloni, Ernesto, Giovanlorenzo Pastore, Marco Giuseppe Del Buono, Aldostefano Porcari, Mario Fittipaldi, Francesco Garilli, Claudio Tiberti, et al. "High Prevalence of Autoimmune Diabetes and Poor Glycaemic Control among Adults in Madagascar: A Brief Report from a Humanitarian Health Campaign in Ambanja." Journal of Diabetes Research 2017 (2017): 1–5. http://dx.doi.org/10.1155/2017/3860674.

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Madagascar is a geographically isolated country considered a biodiversity hotspot with unique genomics. Both the low-income and the geographical isolation represent risk factors for the development of diabetes. During a humanitarian health campaign conducted in Ambanja, a rural city in the northern part of Madagascar, we identified 42 adult subjects with diabetes and compared their features to 24 randomly enrolled healthy controls. 42.9% (n=18) of diabetic subjects showed HbA1c values ≥ 9.0%. Unexpectedly, waist circumference and BMI were similar in people with diabetes and controls. Different from the healthy controls, diabetic subjects showed a low prevalence of obesity (5.7% versus 30%, p=0.02). Accordingly, we found a high prevalence of autoimmune diabetes as 12% of people with diabetes showed positivity for the autoantibody against glutamic acid decarboxylase. Diabetic subjects with positive autoantibody had higher HbA1c values (11.3 ± 4.1% versus 8.3 ± 2.6%, p=0.03) compared to diabetic subjects with negative autoantibody. In conclusion, here we describe the presence of diabetes and its features in a rural area of Northern Madagascar, documenting poor glycaemic control and a high prevalence of autoimmune diabetes. These data highlight that the diabetes epidemic involves every corner of the world possibly with different patterns and features.

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Wahyuni, Reka, Sri Fitria Retnowaty, and Yulia Fitri. "ANALISA DAMPAK BUNYI YANG DIHASILKAN OLEH BANDAR UDARA (BANDARA) SULTAN SYARIF KASIM II (SSK II) TERHADAP AMBANG PENDENGARAN SISWI SMK NEGERI PERTANIAN TERPADU PEKANBARU." Photon: Jurnal Sain dan Kesehatan 3, no. 2 (May 30, 2013): 13–17. http://dx.doi.org/10.37859/jp.v3i2.155.

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The airport of Sultan Syarif Kasim II Pekanbaru is the only one airport located in Pekanbaru city, Riau province and it is the media of air transportation that operates airplane. Sound intensity of plane could create the noisy that effect to psychological disturbance, physical disturbance and communicative disturbance. According to firmness of the head of ministry LH No.48/MENLH/11/1996 about standard quality of noisy level for environmental activities around school is 55 dBA. The objective of this study was to measure sound intensity at state vocational high school integrated agriculture Pekanbaru located at noisy area using Sound level meter digital and in order to find out its effect to the level of students’ auditory using Gurputala. On the results of research the intensity of sound obtained each day since Monday to Saturday was on average 69.46 dBA and the higher intensity was 93.1 dBA. And the results of inspection using garputala with 10 female students that for Rinne test 100% normal, but for Weber test 50% the students faced lateralization on right ear. And then for Schwbach the auditory of female students decreases. Thus, the attention of people and government is needed to overcome this problem, one of the ways is planting many trees at school environment and simple air proof in classroom. To obtain the score of auditory step it needs furthermore study using Audiometry to measure auditory step.

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Ambadi, Sahla, and Anuroopa Pudukulangara. "Accuracy of Periodontal Screening and Recording as a Screening Tool for Assessing Periodontal Status and Estimation of Periodontal Treatment Needs and Its Comparison with Routine Periodontal Examination." Journal of Health Sciences & Research 6, no. 2 (2015): 33–36. http://dx.doi.org/10.5005/jp-journals-10042-1017.

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ABSTRACT Aims Conventional periodontal examination methods used for the determination of periodontal disease and assessment of disease severity, though precise and effective for diagnostic purposes, are time-consuming. The current study is aimed at checking the accuracy of periodontal screening and recording (PSR) as a diagnostic index in assessing periodontal diseases and to compare it with routine periodontal examination. Materials and methods Study population consisted of 100 subjects in which both PSR and routine periodontal examination and recording are carried out. Results It was observed that lesser time was required to record PSR index (mean: 2.20 minutes) when compared to routine periodontal examination (mean: 15.28 minutes). Also the probing depth and bleeding on probing had similar findings in all subjects examined (100%), whereas a 10 and 7% difference was seen with respect to presence of calculus and/ or defective margins. Conclusion It can be concluded that PSR is accurate enough as a diagnostic index and can be used as a time saving screening tool for periodontal examination. How to cite this article Ambadi S, Pudukulangara A. Accuracy of Periodontal Screening and Recording as a Screening Tool for Assessing Periodontal Status and Estimation of Periodontal Treatment Needs and Its Comparison with Routine Periodontal Examination. J Health Sci Res 2015;6(2):33-36.

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Jad, Beena, Sanjay Raina, and P. Grover. "Prevalence of intestinal parasites among patients of a tertiary hospital in Ambala city, Haryana, India." International Journal of Research in Medical Sciences, 2015, 3753–58. http://dx.doi.org/10.18203/2320-6012.ijrms20151435.

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Balwant Ray and Prof. Dr. Madhusoodan. "Effectiveness of Protocol Based Nursing Care of Patients with Intravenous Line Cannula in Selected Hospital at Ambala City." International Journal of Advanced Research in Science, Communication and Technology, March 5, 2022, 102–9. http://dx.doi.org/10.48175/ijarsct-2638.

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Health team members are always bound to be right for the betterment of patient, but when it becomes difficult to keep up there comes the need for a guidance to lead them on the right track. Nurses have to perform many important procedures while caring patients and one among those is the administration of intravenous fluids. The process is being so common but a standard protocol is needed to follow in order to prevent the arising complications. Material and Methods: A true experimental design to evaluate the Effectiveness of protocol based nursing care of patients with intravenous line cannula in a selected hospital at Ambala city. Thestudy was conducted on 30 samples each in experimental and control group having cannula for Intravenous Therapy. Data was collected from October 2019 to December 2019.A structured observational check list was used to evaluate the effectiveness of nursing care on patients with intravenous line cannula in selected hospital. Result: The data revealed that, patients with intravenous line cannula in control group were in inadequate levels of nursing care outcome of intravenous line cannula care whereas in experimental group (13.3%) had moderate nursing care outcome, (86.7%) had adequate level of nursing care outcome and none were in the inadequate level of nursing care outcome. Comparison of the mean scores of nursing care outcome of intravenous line cannula care in terms of starting daily monitoring and the removal of intravenous line cannula between control group and experimental group was assessed by unpaired‘t’ test analysis. The calculated unpaired‘t’ value for protocol based starting of intravenous line cannula is 23.8 (Table value-2) for protocol based daily monitoring of intravenous line cannula is 20.767 (Table Value-2) and for protocol based removal of cannula is 25.336 (Table Value-2). The result shows that calculated value is more than table value at 0.05 level of significance. Comparison of outcome assessment of intravenous line cannula care in terms of complication between control group and experimental group shows that in control group majority (56.7%) of patients with intravenous line cannula had 2 attempted pricks whereas in experimental group majority (63.3%) had one prick only. In control group about 53.3% of patient with intravenous line cannula had cannula change and site changes whereas in experimental group it is only 30%. Percentage of infiltration in control group is 40% and in experimental group it is 13.3%. Also the percentage of thrombophlebitis in control group is 20% whereas it is 7% in experimental group. The association between the nursing care outcome of intravenous line cannula care among experimental group and their selected variables like site of insertion (2(1) = 0.084) are not significant, since calculated value is less than table value (3.84). Duration of intravenous line cannula (2(2) = 6.036) is significant at P<0.05 level of significance because calculated value is greater than table value (5.99). Thus the result suggests protocol based nursing care of patients with intravenous cannula was effective in prevention of complications. Conclusion: After the detailed analysis of this study it shows that effective use of protocol based nursing care of patients with intravenous cannula was effective in prevention of complications.

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pandey, Sarvesh, Mukti Sharma, and Harneet Narula. "CLINICAL PROFILE AND MRI FINDINGS IN CEREBRAL PALSY AND THEIR CORRELATION WITH TYPE OF CEREBRAL PALSY." INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, February 1, 2021, 69–71. http://dx.doi.org/10.36106/ijsr/6835772.

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Introduction: Cerebral palsy is well-dened as a cluster of permanent disorders of movement and posture causing activity limitations that are attributed to non-progressive damage in developing fetal or infant brain. Aim:To study the clinical prole and MRI ndings in cerebral palsy and their correlation with type of cerebral palsy. Material and Methods: This Hospital based prospective observational study was carried out in Department of Paediatrics at Maharishi Markandeshwar Institute of Medical Science And Research, Mullana (Ambala), Haryana in collaboration with Department of Radio-diagnosis, MMIMSR, Mullana (Ambala). Study was undertaken in 50 neonate, infants and children with clinical diagnosis of Cerebral Palsy. Results: The majority of patients were delivered term (58%) followed by preterm delivery (42%). The majority of patients had spastic quadriplegia type of cerebral palsy. Periventricular leukomalacia was the most common abnormality found on imaging. Abnormal radiological ndings were observed in 94% cases. Conclusion: To establish an aetiology and prognosis in children with cerebral palsy MRI neuroimaging is recommended as the initial investigation as MRI ndings closely relate to the type of CP, neurological decits and gestational age of patients with brain insults

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SK, Meghana, Praveen Kumar Reddy Mopuri, and A. K. Bhardwaj. "“CORRELATION OF PROCALCITONIN WITH SEPSIS SCREEN AND BLOOD CULTURE IN NEONATAL SEPSIS”." INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, January 1, 2022, 54–60. http://dx.doi.org/10.36106/ijsr/5704823.

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BACKGROUND – Sepsis in neonates may be difcult to differentiate from other conditions, because the clinical signs are non-specic. It is a common cause of morbidity and mortality amongst neonates in NICU. Neonatal sepsis is a clinical syndrome which is accompanied by signs and symptoms of infection during rst 4 weeks of life. Neonatal mortality accounts for about 40% deaths under ve years of age. Global incidence of neonatal deaths caused by sepsis is only 15% but in a developing country like our sepsis accounts for about 30% -50% of neonatal mortality. Delay of even few hours in initiating treatment can increase mortality and morbidity considerably. AIMS AND OBJECTIVESAIM- To correlate procalcitonin with sepsis screen and blood culture in neonatal sepsis. OBJECTIVESA. To compare procalcitonin and CRP with culture positivity in diagnosing neonatal sepsis. B. To Determine sensitivity, specicity and predictive value of Procalcitonin as an indicator of neonatal sepsis in comparison with blood culture. C. To predict the value of altered WBC and platelet counts in diagnosing neonatal sepsis. D. To correlate culture proven sepsis with maturity of neonate, birth weight and mode of delivery. Material: 100 clinically suspected cases of Sepsis in neonates admitted to MMIMSR, Mullana, Ambala. Methods: All neonates who were suspected clinically as a case of sepsis based on sepsis score and categorized into (0- 72 hours PNL) EOS or LOS (>72hours PNL) depending on day of presentation of clinically suspected sepsis. Detailed history along with clinical ndings of neonates were noted. SERUM PROCALCITONIN, SEPSIS SCREEN with predetermined cut off values and during the same time blood culture was taken and sent. Depending on clinical condition CSF analysis, Urine analysis, Chest Xray were sent. Sensitivity, specicity and predictive values of procalcitonin, CRP and other parameters were assessed. RESULTS- In this study of 100 neonates with clinical suspicion of sepsis admitted in NICU in MMIMSR over a period of 16 months from JAN 2020 to JUNE 2021. Out of 100 cases of the number of male neonates included in this study was greater than the female neonates suggesting that in clinically suspected neonatal sepsis male neonates were affected more than female neonates. Out of 100 neonates 63 neonates were male (63%) and 37 were female (37%). Laboratory nding of positive blood culture of sepsis of male neonates is 10 (56%), whereas female neonates of positive blood culture of sepsis is 8 (44%). Culture positivity showed only a slight rise in male neonates than females which was not much of a difference. . About three-fold increase in culture positivity was seen in preterm neonates (55%) when compared to term neonates (19%). Laboratory nding of positive blood culture of SGA neonates is 10 (19%), AGA is 8 (17%). Culture positivity showed SGA neonates has greater sepsis cases than AGA neonates. Association of sepsis score with procalcitonin value. On applying regression analysis, we found there is no association with R square 0.004. Association of CRP value with procalcitonin value. On applying regression analysis, it was found very mild association with R square 0.028. shows Association of absolute leucocyte count value with procalcitonin value. On applying regression analysis, we found very mild association with R square 0.069. Association of blood culture with procalcitonin. On applying t test between positive and negative blood culture with procalcitonin value we found significant association of procalcitonin value (p value <0.05). CONCLUSION-In this study the risk factors commonly associated with neonatal sepsis were found to be LBW, VLBW, ELBW, Prematurity, LSCS, instrumental delivery that is assisted vaginal. delivery. EONS was more common than LONS. Procalcitonin was found to be a sensitive tool for diagnosis and it also helps predicting the outcome of sepsis as compared to CRP but it cannot be used as a sole marker as its neither 100% sensitive and it's not 100% specic. The predictability can be achieved by a combination of markers of neonatal sepsis rather than a single marker but as of now BLOOD CULTURE remains the gold standard in diagnosis of neonatal sepsis.

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Morales Fiallos, Fabian, Lenin Maldonado Narváez, Galo Nuñez Aldás, Geovanny Paredes Cabezas, and Rodney Hechavarría. "Filtro con elementos de bagazo de caña de azúcar para el tratamiento de aguas residuales de lavadoras de autos, en la ciudad de Ambato, Ecuador." Tecnología y ciencias del agua, May 26, 2022, 01–28. http://dx.doi.org/10.24850/j-tyca-13-5-10.

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