The Ceylon medical journal最新文献_第5页

Cervical ripening with self administered iso sorbide mononitrate vaginally, in uncomplicated singleton pregnancies at 39 weeks gestation: a double blind randomised controlled trial 在妊娠39周的无并发症单胎妊娠中，阴道自行给药单硝酸异山梨苷使宫颈成熟:一项双盲随机对照试验

The Ceylon medical journal Pub Date : 2016-12-30 DOI: 10.4038/cmj.v61i4.8378

K. Attanayake, M. Goonewardene

{"title":"Cervical ripening with self administered iso sorbide mononitrate vaginally, in uncomplicated singleton pregnancies at 39 weeks gestation: a double blind randomised controlled trial","authors":"K. Attanayake, M. Goonewardene","doi":"10.4038/cmj.v61i4.8378","DOIUrl":"https://doi.org/10.4038/cmj.v61i4.8378","url":null,"abstract":"Introduction\u0000Vaginal iso sorbide mononitrate (ISMN) is effective in pre induction cervical ripening in post dated pregnancies.\u0000\u0000\u0000Objectives\u0000To determine the effectiveness and acceptability of ISMN self-administered vaginally at home, in causing cervical ripening in uncomplicated singleton pregnancies at 39 weeks gestation.\u0000\u0000\u0000Methods\u0000Consecutive women with uncomplicated singleton pregnancies, presenting between 01 October 2013 and 31 March 2014, with a modified Bishop score (MBS) of < 5 at a gestational age (GA) of 273 days to the University Obstetric Unit of Teaching Hospital Mahamodera Galle, were allocated by stratified (primip/multip) block randomisation to self-administer vaginally at home every other day, five doses of 60 mg of sustained release form of ISMN (ISMN-SR); (n = 72, cases), or pyridoxine 10 mgs (n=72, controls), from GA 273 to 282 days.\u0000\u0000\u0000Results\u0000The mean MBS and the mean change of MBS at 282 days, and the proportions with spontaneous onset of labour (SOL) by GA 282 days, were not significantly different between the two groups. A vast majority were satisfied with outpatient therapy (80% cases vs.76% controls), were happy to use it in a subsequent preg-nancy (89% cases vs. 86% controls) and would recom-mend it to a friend (93% cases vs. 90% controls).\u0000\u0000\u0000Conclusions\u0000Home adminstrated vaginal ISMN therapy from GA 39 weeks was not effective in causing significant cervical ripening or promoting SOL, but it was acceptable to women.","PeriodicalId":122256,"journal":{"name":"The Ceylon medical journal","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128301263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Prevalence of gestational diabetes mellitus in a Suburban District in Sri Lanka: a population based study 斯里兰卡郊区妊娠期糖尿病患病率:一项基于人群的研究

The Ceylon medical journal Pub Date : 2016-12-30 DOI: 10.4038/cmj.v61i4.8379

B. Sudasinghe, P S Ginige, C N Wijeyaratne

{"title":"Prevalence of gestational diabetes mellitus in a Suburban District in Sri Lanka: a population based study","authors":"B. Sudasinghe, P S Ginige, C N Wijeyaratne","doi":"10.4038/cmj.v61i4.8379","DOIUrl":"https://doi.org/10.4038/cmj.v61i4.8379","url":null,"abstract":"Introduction\u0000GDM is a leading metabolic cause of morbidity to mother and offspring. Determining its prevalence is important for health planning and implementation.\u0000\u0000\u0000Objective\u0000Assess prevalence of GDM in the District of Gampaha.\u0000\u0000\u0000Method\u0000Community based cross-sectional study was conducted in women attending field-based ante-natal clinics in two Medical Officer of Health (MOH) areas between January 2014 to March 2015. Consecutive women were recruited by cluster sampling with probability proportionate to size using strict exclusion criteria. GDM diagnosis was based on fasting 75 g OGTT, WHO 1999. All responders underwent 2 hr PPBS in first trimester- >200 mg/dl with symptoms identified as abnormal, probably diabetes in pregnancy (DIP); those >120 and <200 mg/dl proceeded to OGTT before 16 weeks POA; all negatives were tested by OGTT between 24-28 weeks. Negatives for GDM at 24-28 weeks underwent OGTT between 32-36 weeks; venous plasma glucose tested by accredited laboratory.\u0000\u0000\u0000Results\u0000Sample consistedof 160, non-response 4.2% (67); 1533 underwent 2 hr PPBS with 40 exceeding 120mg: 4 >200 mg diagnosed as GDM / DIP, 36 (PPBS >120 < 200 mg) underwent OGTT before 16 weeks with 15 GDM. One hundred and thirty four (8.38%) miscarried including one with early abnormal OGTT. Of 1381 eligible for OGTT (24- 28 weeks) 150 had GDM (10.86%). Only 344 (27.94% of normal 1231) consented for third trimester OGTT, of whom 25 had GDM- yielding a total of 194 with GDM (13.9%).\u0000\u0000\u0000Conclusions\u0000The current community prevalence of GDM in the suburban Gampaha District, Sri Lanka is high.","PeriodicalId":122256,"journal":{"name":"The Ceylon medical journal","volume":"139 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127458693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Pathological characteristics of fifty patients with renal amyloidosis in Sri Lanka 斯里兰卡50例肾脏淀粉样变的病理特征分析

The Ceylon medical journal Pub Date : 2016-12-30 DOI: 10.4038/cmj.v61i4.8388

D L P Dasanayaka, S. Wijetunge, N. Ratnatunga

引用次数: 1

Inguinal ureteral hernia 腹股沟输尿管疝

The Ceylon medical journal Pub Date : 2016-12-30 DOI: 10.4038/cmj.v61i4.8396

B. Sayanthan, G. Rathnasiri, A. Silva

引用次数: 1

Gender differences in suicide in Sri Lanka – what does it tell us? 斯里兰卡自杀的性别差异——这告诉我们什么?

The Ceylon medical journal Pub Date : 2016-12-30 DOI: 10.4038/cmj.v61i4.8377

Thilini Rajapakse, Sampath Tennakoon

引用次数: 7

Real time surveillance of dengue fever – a preliminary study 登革热的实时监测——初步研究

The Ceylon medical journal Pub Date : 2016-12-30 DOI: 10.4038/cmj.v61i4.8393

Y. Warnasekara, S B Agampodi, P. Marage, A A S D Athurupana, S. D. Koonthota, N. Dahanayaka

引用次数: 4

Rice variety and processing: contribution to glycaemic response 水稻品种和加工:对血糖反应的贡献

The Ceylon medical journal Pub Date : 2016-12-30 DOI: 10.4038/cmj.v61i4.8381

T. U. Nisanka, S. Ekanayake

{"title":"Rice variety and processing: contribution to glycaemic response","authors":"T. U. Nisanka, S. Ekanayake","doi":"10.4038/cmj.v61i4.8381","DOIUrl":"https://doi.org/10.4038/cmj.v61i4.8381","url":null,"abstract":"Introduction\u0000Glycaemic index (GI) of different varieties of rice (Oryza sativa L.) commonly consumed in Sri Lanka are not widely studied even though it is the staple food.\u0000\u0000\u0000Objectives\u0000To determine the proximate compositions and the GI of three different rice meals, namely Bg 360 Samba (raw), Basmati At 405 (raw) and parboiled Nadu Bg 352.\u0000\u0000\u0000Methods\u0000The study was a randomised cross over study using healthy volunteers (n=11). GI was determined as the ratio between the incremental areas under curve obtained for the test food and the standard glucose (WHO/FAO method). Proximate compositions were determined by standard methods.\u0000\u0000\u0000Results\u0000The GI value so obtained were, 66±8 (medium GI) for Bg 360 Samba, 73±7 (high GI) for Basmati At 405 and 40±4 (low GI) for Nadu Bg 352. Parboiled variety had a significantly low GI and the lowest peak glucose concentration. Significant differences were observed in insoluble dietary fibre (IDF), total dietary fibre (TDF) and moisture contents of the rice varieties. Non significant negative correlations between IDF (r = -0.94, p = >0.05, n = 3) and TDF (r = - 0.90, p = >0.05, n = 3) and GI of the rice varieties were observed.\u0000\u0000\u0000Conclusions\u0000Parboiled Nadu Bg 352 and Bg 360 Samba (raw) are of nutritional significance to individuals seeking to control the energy intake and glycaemic response.","PeriodicalId":122256,"journal":{"name":"The Ceylon medical journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126533777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Scientific research-based evidence used in drug promotion material distributed in Sri Lanka 斯里兰卡分发的药物宣传材料中使用的基于科学研究的证据

The Ceylon medical journal Pub Date : 2016-12-30 DOI: 10.4038/cmj.v61i4.8394

M. Kommalage, D. Nayanarasie, S. Basnayake

引用次数: 3

Endocarditis in melioidosis 类鼻疽引起心内膜炎

The Ceylon medical journal Pub Date : 2016-12-30 DOI: 10.4038/cmj.v61i4.8390

L. B. Piyasiri, S. Wickramasinghe, V. C. Lekamvasam, E. Corea, R. Gunarathne, U. Priyadarshana

引用次数: 5

Estimation of provider cost and the out of pocket expenditure for cataract surgery at a base hospital 估计基层医院白内障手术的提供者费用和自付费用

The Ceylon medical journal Pub Date : 2016-12-30 DOI: 10.4038/cmj.v61i4.8395

C. Perera, D. De Silva, L. Perera

引用次数: 3