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Comparison of maternal and foetal outcomes between adolescent and adult pregnancies; a descriptive cross sectional study 青少年与成人妊娠的母婴结局比较一项描述性横断面研究
Galle Medical Journal Pub Date : 2020-11-02 DOI: 10.4038/gmj.v25i3.8039
D. Dasanayake, W. Kularathna
{"title":"Comparison of maternal and foetal outcomes between adolescent and adult pregnancies; a descriptive cross sectional study","authors":"D. Dasanayake, W. Kularathna","doi":"10.4038/gmj.v25i3.8039","DOIUrl":"https://doi.org/10.4038/gmj.v25i3.8039","url":null,"abstract":"","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116806192","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: 0
Vertical transmission of dengue haemorrhagic fever; anticipation and early detection leading to success in management 登革出血热的垂直传播;预见和早期发现导致管理的成功
Galle Medical Journal Pub Date : 2020-11-02 DOI: 10.4038/gmj.v25i3.8042
V. P. Sinhabahu, M. L. Silva, M. Sanjeewa
{"title":"Vertical transmission of dengue haemorrhagic fever; anticipation and early detection leading to success in management","authors":"V. P. Sinhabahu, M. L. Silva, M. Sanjeewa","doi":"10.4038/gmj.v25i3.8042","DOIUrl":"https://doi.org/10.4038/gmj.v25i3.8042","url":null,"abstract":"Dengue is a vector borne disease responsible for nearly 4 billion infections annually, prevalent in the tropics with seasonal outbreaks (1). Aedes spp. act as the vector (1). There were 105,049 cases of dengue reported in Sri Lanka in 2019 (2). Neonatal dengue infection can result from vertical transmission through placenta (3). We report a case of a newborn with dengue haemorrhagic fever due to vertical transmission. Anticipation and early detection was the key to successful management.","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125962799","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: 0
A case of fatal haemorrhage due to ruptured varicose veins 静脉曲张破裂致大出血1例
Galle Medical Journal Pub Date : 2020-11-02 DOI: 10.4038/gmj.v25i3.8041
R. Rathnaweera
{"title":"A case of fatal haemorrhage due to ruptured varicose veins","authors":"R. Rathnaweera","doi":"10.4038/gmj.v25i3.8041","DOIUrl":"https://doi.org/10.4038/gmj.v25i3.8041","url":null,"abstract":"Presence of varicose veins in lower limbs is a common condition in the community affecting 14 to 59% of the population (1). It has been estimated that >20 million people in the United States have some form of symptomatic chronic varicose veinrelated conditions (2). Varicose veins appear as tortuous dilated veins with associated oedema and induration of the skin (1). The most frequently affected veins are the superficial veins of the lower extremities (3). While complications such as leg oedema, varicose eczema and ulceration are not unusual, fatal haemorrhage from rupture is a rare event in most forensic practices. This rupture can happen spontaneously or as a result of minor trauma and in general is not fatal (2). However, if unattended, a fatal outcome can occur in a small percentage of cases (3). The investigation of such cases is usually straightforward, although the amount of blood at the scene, and the elderly and frail nature of many of the victims may raise the possibility of an assault.","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129078600","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: 0
Demographic influences on the performance of three memory tests by Sri Lankan older adults 人口统计学对斯里兰卡老年人三项记忆测试表现的影响
Galle Medical Journal Pub Date : 2020-06-16 DOI: 10.4038/gmj.v25i2.8021
C. Senadheera, K. Pathirana, K. Jayasekara, P. Kodituwakku, M. L. Silva
{"title":"Demographic influences on the performance of three memory tests by Sri Lankan older adults","authors":"C. Senadheera, K. Pathirana, K. Jayasekara, P. Kodituwakku, M. L. Silva","doi":"10.4038/gmj.v25i2.8021","DOIUrl":"https://doi.org/10.4038/gmj.v25i2.8021","url":null,"abstract":"Introduction: Loss of memory is the hallmark of dementia. In Sri Lanka, validated tests are not available for assessment of memory. The objective of the project was to study performance of Sri Lankan older adults on three memory tests: Lankan Verbal Learning Test (LVLT), Benton Visual Retention Test (BVRT) and Modified Enhanced Cued Recall Test (MECRT). Methods: Participants were 241 healthy individuals aged between 50 to 80 years. They were individually administered the tests by a research assistant. The LVLT is a verbal list learning task. The BVRT contains geometric figures that are presented in the recognition memory format. The MECRT assesses the memory for pictures aided with semantic cues. Means of test scores were calculated and compared for gender, age and levels of education. Multiple linear regression models were used. Results: The mean age was 63 (SD=7.7) years. Gender effect was prominent on verbal memory scores. The test scores were influenced by gender and education level. Gender, age and education together explained 15.6% and 9.6% of the variance of verbal memory score and visual recognition memory score respectively. Variance of MECRT scores were minimally explained by demographic variables. Conclusion: MECRT is the least influenced by demographic factors and could be used for Sri Lankan older persons irrespective of their gender, age and education.","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"270 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123056401","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: 0
Why is COVID-19 killing more African Americans than Whites in the United States? 为什么在美国，新冠肺炎导致的非裔美国人死亡人数多于白人?
Galle Medical Journal Pub Date : 2020-06-16 DOI: 10.4038/gmj.v25i2.8018
S. Hewa
{"title":"Why is COVID-19 killing more African Americans than Whites in the United States?","authors":"S. Hewa","doi":"10.4038/gmj.v25i2.8018","DOIUrl":"https://doi.org/10.4038/gmj.v25i2.8018","url":null,"abstract":"A social gradient in mortality and morbidity exists within countries owing to structural inequalities. Disease and health are not neutral to social, political, and economic relations, but they interact, and the human body is the stage on which these social contradictions are played out.","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129392325","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: 4
Iodination - the need to enforce quality assurance 碘化-需要加强质量保证
Galle Medical Journal Pub Date : 2020-06-16 DOI: 10.4038/gmj.v25i2.8016
C. Ratnatunga
{"title":"Iodination - the need to enforce quality assurance","authors":"C. Ratnatunga","doi":"10.4038/gmj.v25i2.8016","DOIUrl":"https://doi.org/10.4038/gmj.v25i2.8016","url":null,"abstract":"The Medical Research Institute (MRI) helped by the WHO, has monitored the effects of iodination by conducting surveys on school children nationwide every five years (1 4) beginning from 20002001. The requirement of iodine (as iodate) at consumer level was brought down from 25 ppm at the beginning to 15 ppm in 2005, as surveys monitoring urinary iodine content in the sampled children, showed a median concentrations above the target level 100 mg/L.","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126911728","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: 0
Maternal competencies among mothers with infants at early infancy in Sri Lanka; a qualitative evaluation 斯里兰卡早期婴儿母亲的产妇能力;定性评价
Galle Medical Journal Pub Date : 2020-06-16 DOI: 10.4038/gmj.v25i2.8023
A. Karunanayaka, C. Wijesinghe, K. Somasiri
{"title":"Maternal competencies among mothers with infants at early infancy in Sri Lanka; a qualitative evaluation","authors":"A. Karunanayaka, C. Wijesinghe, K. Somasiri","doi":"10.4038/gmj.v25i2.8023","DOIUrl":"https://doi.org/10.4038/gmj.v25i2.8023","url":null,"abstract":"Introduction: Maternal competencies among mothers with infants at early infancy are sparsely described in the literature. This study explores the dimensions of competencies among mothers with infants at early infancy in the Sri Lankan context. Methods: An exploratory qualitative study was conducted using focus group discussions with mothers, fathers, and grandparents of infants aged up to 6 months and in-depth interviews with health personnel providing maternal and child health services for these mothers and infants. The Framework approach for qualitative data analysis was used to identify dimensions of parenting competencies in mothers at early infancy. Results: Five dimensions of maternal parenting competencies were identified i.e.; feeding the infant, maintaining hygiene, dealing with crying, dealing with illnesses and recognizing the normal growth and development. Conclusions: The findings can be used to develop culturally specific tools to assess the level of parenting competencies in mothers and to design maternal educational interventions to reinforce their parenting skills.","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"317 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124483900","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: 0
Severe rhabdomyolysis without acute kidney injury in a female with acute dengue fever; an uncommon complication of a common disease 女性急性登革热伴严重横纹肌溶解无急性肾损伤1例一种常见疾病的罕见并发症
Galle Medical Journal Pub Date : 2020-06-16 DOI: 10.4038/gmj.v25i2.8026
H. Senarathna, A. Abayagunawardana, T. Weerarathna
{"title":"Severe rhabdomyolysis without acute kidney injury in a female with acute dengue fever; an uncommon complication of a common disease","authors":"H. Senarathna, A. Abayagunawardana, T. Weerarathna","doi":"10.4038/gmj.v25i2.8026","DOIUrl":"https://doi.org/10.4038/gmj.v25i2.8026","url":null,"abstract":"","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123151847","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: 0
Development and assessment of the psychometric properties of a new scale (15 item PSB-CL) to monitor the psychosocial burden of chronic lymphoedema in filariasis 用于监测丝虫病慢性淋巴水肿心理社会负担的新量表(15项PSB-CL)的开发和心理测量特性评估
Galle Medical Journal Pub Date : 2020-06-16 DOI: 10.4038/gmj.v25i2.8022
J. Ruben, T. C. Yahathugoda, M. Weerasooriya, M. W. Punchihewa, C. Senadheera, K. Somasiri, B. Perera
{"title":"Development and assessment of the psychometric properties of a new scale (15 item PSB-CL) to monitor the psychosocial burden of chronic lymphoedema in filariasis","authors":"J. Ruben, T. C. Yahathugoda, M. Weerasooriya, M. W. Punchihewa, C. Senadheera, K. Somasiri, B. Perera","doi":"10.4038/gmj.v25i2.8022","DOIUrl":"https://doi.org/10.4038/gmj.v25i2.8022","url":null,"abstract":"Introduction: Chronic lymphoedema (CL) of lymphatic filariasis causes severe psychosocial burdens (PSB) to its victims. Currently-established scales to measure PSB of CL are not culturally adaptable to Sri Lankan patients. In this study, we developed and assessed the psychometric properties of a disease-specific questionnaire (15 item PSB-CL). Methods and Results: A detailed literature search was done to identify scales related to PSB of CL patients. Questions were developed through collected expressions from semi-structured interviews with 46 CL patients. A response scale was developed from the collected pool of possible responses, and they were scored using a visual analogue scale. Face and content validity were carried out using an initial questionnaire (31 questions). They were reduced to 27 by removing unclear, ambiguous, double-stranded ones and those with value-laden words. This new questionnaire was administrated on 92 patients by a group of doctors for item reduction by the analysis of internal consistency (Cronbach’s alpha > 0.7) and factor analysis (Principal Component Analysis; Eigenvalues > 1). After the patient survey and factor analysis, the final questionnaire PSB-CL was formed with 15 questions that had four subscales (factors), physical, social, fear and humiliation. Patients (n=92) reported quite a large percentage (42% - 69%) of problems under each dimension. Conclusion: The scale to measure the psychosocial burden of chronic lymphoedema in lymphatic filariasis patients in Sri Lanka. Further validation of the tool is needed.","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114556520","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: 0
A brutal case of physical child abuse 一起虐待儿童的残酷案件
Galle Medical Journal Pub Date : 2020-06-16 DOI: 10.4038/gmj.v25i2.8024
R. Rathnaweera, E. G. U. N. Gunarathna
{"title":"A brutal case of physical child abuse","authors":"R. Rathnaweera, E. G. U. N. Gunarathna","doi":"10.4038/gmj.v25i2.8024","DOIUrl":"https://doi.org/10.4038/gmj.v25i2.8024","url":null,"abstract":"The precise definition of child abuse varies from countries to cultures in given periods of time. However, in 1999, the World Health Organization formulated the following definition: “Child abuse or maltreatment constitutes all forms of physical and or emotional ill-treatment, sexual abuse, neglect or negligent treatment or commercial or other exploitation, resulting in actual or potential harm to the child's health, survival, development or dignity in the context of a relationship of responsibility, trust or power” (1). Further to that, the physical child abuse is defined as “That which results in actual or potential physical harm from an interaction or lack of an interaction, which is reasonably within the control of a parent or person in a position of responsibility, power or trust. There may be single or repeated incidents” (2).","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124066679","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: 0
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