Publications by authors named "R Sushma"

12 Publications

Prevalence of neonatal near miss and associated factors in Nepal: a cross-sectional study.

BMC Pregnancy Childbirth 2021 Jun 9;21(1):422. Epub 2021 Jun 9.

Women's Health Development Unit, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.

Background: The rate of neonatal mortality has declined but lesser than the infant mortality rate and remains a major public health challenge in low- and middle-income countries. There is an urgent need to focus on newborn care, especially during the first 24 h after birth and the early neonatal period. Neonatal near miss (NNM) is an emerging concept similar to that of maternal near miss. NNM events occur three to eight times more often than neonatal deaths. The objective of this study was to establish the prevalence of NNM and identify its associated factors.

Methods: A hospital-based cross-sectional study was conducted in Koshi Hospital, Morang district, Nepal. Neonates and their mothers of unspecified maternal age and gestational age were enrolled. Key inclusion criteria were pragmatic and management markers of NNM and admission of newborn infants to the neonatal intensive care unit (NICU) in Koshi Hospital. Non-Nepali citizens were excluded. Consecutive sampling was used until the required sample size of 1,000 newborn infants was reached. Simple and multiple logistic regression was performed using SPSS® version 24.0.

Results: One thousand respondents were recruited. The prevalence of NNM was 79 per 1,000 live births. Severe maternal morbidity (adjusted odds ratio (aOR) 4.52; 95% confidence interval (CI) 2.07-9.84) and no formal education (aOR 2.16; 95% CI 1.12-4.14) had a positive association with NNM, while multiparity (aOR 0.52; 95% CI 0.32-0.86) and caesarean section (aOR 0.44; 95% CI 0.19-0.99) had negative associations with NNM.

Conclusions: Maternal characteristics and complications were associated with NNM. Healthcare providers should be aware of the impact of obstetric factors on newborn health and provide earlier interventions to pregnant women, thus increasing survival chances of newborns.
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June 2021

A study to assess communication hindrances by the means of work authorization for fixed dental prosthesis: A survey.

J Indian Prosthodont Soc 2020 Apr-Jun;20(2):208-213. Epub 2020 Apr 7.

Department of Prosthodontics and Crown and Bridge, School of Dental Sciences, Krishna Institute of Medical Sciences Deemed to be University, Karad, Satara, Maharashtra, India.

Aim: The aim of the study was to assess the hindrances in communication between the prosthodontic office and the laboratory technicians through work authorization.

Setting And Design: A questionnaire-based survey was carried out to assess communication gap between dentist and lab technicians through work authorization for FDPs.

Materials And Methods: A total of 114 dental laboratory technicians were provided with a questionnaire regarding work authorization form via Google doc files. The survey focused questions pertaining to fulfilling the following areas of work authorization: patient's information, name of the prescribing dentist, material for the prosthesis, pontic design of the prosthesis, shade description, and date of completion of work.

Statistical Analysis Used: The number of responses received was statistically evaluated using Fisher's -test and nonparametric Spearman's correlation coefficient ( ≤ 0.05).

Results: Eighty-five (74.5%) out of 114 laboratory technicians surveyed responded to the questionnaire. The patient's general information was satisfactorily filled in 75%-100% of the forms. Information regarding the pontic design, staining diagram, and preferred margin were on the lower side of the scale ranging between 25% and 50%.

Conclusions: The survey concluded that areas of work authorization with respect to fixed dental prosthesis require attention and need to be adequately filled by the dentist. In addition, the study suggests that the foundation of communication skill training programs in work authorization should be laid from the undergraduate curriculum. The concerned authorized bodies/specialty organizations should formulate a standardized work authorization format which can bridge the wide gap between the crown and bridge office and laboratory.
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April 2020

Surgical treatment of a primary malignant pericardial mesothelioma: case report.

Acta Chir Belg 2020 Mar 18:1-3. Epub 2020 Mar 18.

Department of Trent Cardiac Centre, Nottingham University Hospitals, Nottingham, UK.

Pericardial malignant mesothelioma (MM) is a rare tumour which accounts for about 1% of all mesotheliomas, 4% of the primary heart and pericardial tumours. It carries an extremely poor prognosis, with a reported overall survival of less than 6 months. Clinical symptoms and signs are frequently nonspecific, and the diagnosis is usually made after surgery or at autopsy. We report a case of a 72 years old woman with primary pericardial malignant mesothelioma involving the right atrium. Nine months following surgery, the patient is alive with good performance status.
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March 2020

A clinical comparative study to assess the efficacy of a new centric registration technique with a conventional technique.

J Indian Prosthodont Soc 2019 Oct-Dec;19(4):290-295. Epub 2019 Oct 10.

Department of Prosthodontics, School of Dental Sciences, Krishna Institute of Medical Sciences and Deemed University, Karad, Maharashtra, India.

Aim: The aim and objectives of this study were to assess and compare the efficacy of a new copyrighted technique (wax ball technique, L-77997/2018) and design (denture base design for the wax ball technique, L-78006/2018) for recording centric relation (CR).

Settings And Designs: - comparative study.

Materials And Methods: This study was conducted on sixty consented edentulous patients. The study participants were divided into Group I and Group II. CR in Group I patients was recorded using Dawson's bimanual technique (technique 1). For participants in Group II, CR was recorded using the authors' copyrighted technique (technique 2). Time taken and accuracy of CR records by both the techniques were evaluated.

Statistical Analysis Used: Descriptive statistics such as frequency and percentage were calculated for categorical variables, mean and standard deviation were calculated for quantitative variables. Independent -test was used to compare the time taken to record the CR between the two groups. The accuracy of both the techniques was assessed by Mann-Whitney U-test.

Results: The mean time taken for technique 1 was 56.47 s, whereas for technique 2, it was 5.97 s, with an overall mean difference of 50.5 s between the two techniques. Both techniques were found to be accurate, as the CR recorded during jaw relation matched with CR during trial in all the cases in both the groups (frequency 30 (N) and cumulative percentage 100%).

Conclusion: From the study, it was found that, time taken for technique 2 was statistically less compared to that of technique 1, and both the techniques were found to be equally accurate.
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October 2019

A comparative study of the mechanical properties of clear and pink colored denture base acrylic resins.

Ann Afr Med 2018 Oct-Dec;17(4):178-182

Department of Prosthodontics, School of Dental Sciences, KIMSDU, Karad, Maharashtra, India.

Context: Pink colored acrylic does not always satisfactorily replicate the natural gingival color, especially in individuals with pigmented mucosa. In such situation clear acrylic denture base material can be used. Hence, there is a need of a comparative study of the mechanical properties of the clear and pink colored denture base resins.

Aims: The aim of this study is to compare the mechanical properties, i.e., tensile, flexural, compressive, and impact strength (IS) of clear and pink colored denture base resins.

Settings And Design: This was comparative in vitro study.

Materials And Methods: A total of 80 specimens were divided into two groups of 40 specimens each of clear and pink colored acrylic resin. Specimens for testing flexural, tensile, compressive, and ISs of acrylic resin (10 in each group) were divided. A universal testing machine was used for measuring flexural, tensile, and compressive strength (CS) while the Izod/Charpy impact tester was used for IS.

Results: The mean tensile strength for clear resin (n = 10) was 30.90 ± 1.663 MPa and that for pink resin (n = 10) was 31.30 ± 8.166 MPa. The mean residual flexural strength for clear resin (n = 10) was 75.60 ± 17.212 MPa, whereas for pink resin (n = 10) was 76.10 ± 14.130 MPa. The mean CS for clear resin (n = 10) was 84.60 ± 2.503 MPa and for pink resin (n = 10) was 85.40 ± 16.222 MPa. The mean IS for clear resin (n = 10) was 11.50 ± 5.104 MPa. While for pink resin (n = 10) was 11.90 ± 1.370 MPa.

Conclusions: The results show that clear acrylic resin denture base material has mechanical properties similar to that of pink acrylic resin denture base material.
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August 2019