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Modern surgery; dynamic frontiers and blurring boundaries 现代手术;动态边界和模糊边界
Galle Medical Journal Pub Date : 2020-12-30 DOI: 10.4038/GMJ.V25I4.8053
S. Goonesinghe, E. Waidyarathne
{"title":"Modern surgery; dynamic frontiers and blurring boundaries","authors":"S. Goonesinghe, E. Waidyarathne","doi":"10.4038/GMJ.V25I4.8053","DOIUrl":"https://doi.org/10.4038/GMJ.V25I4.8053","url":null,"abstract":"","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123004119","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
Continuing metamorphosis of evidence-based medicine; the past, present and the future 循证医学的持续蜕变;过去，现在和未来
Galle Medical Journal Pub Date : 2020-12-30 DOI: 10.4038/GMJ.V25I4.8054
A. Gunaratne, U. Jayarajah, A. Abeygunasekera
{"title":"Continuing metamorphosis of evidence-based medicine; the past, present and the future","authors":"A. Gunaratne, U. Jayarajah, A. Abeygunasekera","doi":"10.4038/GMJ.V25I4.8054","DOIUrl":"https://doi.org/10.4038/GMJ.V25I4.8054","url":null,"abstract":"","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116422117","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
Laparoscopic resection and Roux-en-Y reconstruction of a hilar cholangiocarcinoma 腹腔镜下胆管癌切除术及Roux-en-Y重建
Galle Medical Journal Pub Date : 2020-12-30 DOI: 10.4038/GMJ.V25I4.8059
A. B. Jayathilake, A. Darmapala, B. Dasanayake, A. S. M. G. B. B. Agalawatta, U. D. P. Madushanka, J. Udupihilla, V. Pinto, K. Galketiya
{"title":"Laparoscopic resection and Roux-en-Y reconstruction of a hilar cholangiocarcinoma","authors":"A. B. Jayathilake, A. Darmapala, B. Dasanayake, A. S. M. G. B. B. Agalawatta, U. D. P. Madushanka, J. Udupihilla, V. Pinto, K. Galketiya","doi":"10.4038/GMJ.V25I4.8059","DOIUrl":"https://doi.org/10.4038/GMJ.V25I4.8059","url":null,"abstract":"","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115648424","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
Postnatal care of the woman and her baby during hospital stay; bridging the gap in reproductive healthcare 产妇及其婴儿住院期间的产后护理;缩小生殖保健方面的差距
Galle Medical Journal Pub Date : 2020-12-30 DOI: 10.4038/GMJ.V25I4.8057
D. Dasanayake, I. Goonewardene
{"title":"Postnatal care of the woman and her baby during hospital stay; bridging the gap in reproductive healthcare","authors":"D. Dasanayake, I. Goonewardene","doi":"10.4038/GMJ.V25I4.8057","DOIUrl":"https://doi.org/10.4038/GMJ.V25I4.8057","url":null,"abstract":"Postnatal care of the woman and her newborn baby, is the weakest and the most neglected component of reproductive health care. As the first day of the postpartum period carries the highest risk of adverse outcomes for the woman and her baby, it is essential that comprehensive postnatal care is initiated immediately after delivery and continued until the woman is discharged from hospital. The aspects of postnatal care which should be initiated on the first postpartum day itself include: pain management; perineal care; bladder care; care of the new born; postpartum contraception; lactation management; and assessment of psychological wellbeing. The World Health Organisation (WHO) has issued detailed, evidence-based recommendations for postnatal care. These WHO recommendations, as well as other, evidence-based recommendations, especially for postpartum contraception, are feasible and applicable in Sri Lanka, and therefore should be implemented.","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"151 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127026844","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
Association between bone mineral density and vertebral fractures among patients with diabetes attending Teaching Hospital Karapitiya 卡拉皮提亚教学医院糖尿病患者骨密度与椎体骨折的关系
Galle Medical Journal Pub Date : 2020-11-02 DOI: 10.4038/gmj.v25i3.8040
P. L. T. C. Liyanage, S. Lekamwasam, T. Weerarathna, B. Samarawickrama
{"title":"Association between bone mineral density and vertebral fractures among patients with diabetes attending Teaching Hospital Karapitiya","authors":"P. L. T. C. Liyanage, S. Lekamwasam, T. Weerarathna, B. Samarawickrama","doi":"10.4038/gmj.v25i3.8040","DOIUrl":"https://doi.org/10.4038/gmj.v25i3.8040","url":null,"abstract":"","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"174 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":"116089841","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
Community screening for undiagnosed dysglycaemia in a semi-urban locality in Sri Lanka 斯里兰卡半城市地区未确诊的血糖异常的社区筛查
Galle Medical Journal Pub Date : 2020-11-02 DOI: 10.4038/gmj.v25i3.8038
A. Amarasinghe, S. Lekamwasam, T. Weerarathna, M. Sumanatilleke
{"title":"Community screening for undiagnosed dysglycaemia in a semi-urban locality in Sri Lanka","authors":"A. Amarasinghe, S. Lekamwasam, T. Weerarathna, M. Sumanatilleke","doi":"10.4038/gmj.v25i3.8038","DOIUrl":"https://doi.org/10.4038/gmj.v25i3.8038","url":null,"abstract":"Introduction: Previous studies on the prevalence of pre-diabetes and diabetes in Sri Lanka have shown conflicting results. We studied the prevalence of pre-diabetes and diabetes using fasting plasma glucose (FPG) and 75g oral glucose tolerance (OGTT) test among a representative sample of adults in a semi-urban locality in Southern Sri Lanka. Sensitivity and specificity of FPG over OGTT in diagnosing pre-diabetes and diabetes were calculated. Methods: Healthy adults, aged 20-75 years, selected by multi-stage random sampling from one medical officer of health area in Southern Sri Lanka were screened with FPG and 75g OGTT. Subjects known to have diabetes were excluded. Results: Mean (SD) age of men (n=234) and women (n=593) were 44 (10.1) and 43(10.8) years, respectively. With OGTT, 157 (19.0%) subjects had impaired glucose tolerance while another 60(7.3%) had diabetes. WithFPG, 270 (32.6%) had impaired fasting glycaemia while another 51(6.2%) had diabetes. Prevalence of prediabetes or diabetes was not different among men and women by OGTT; 55 (23.5%) vs 162 (27.3%), p=0.293while it was significantly different by FPG; 107 (45.7%) vs 214 (36.1%), p=0.011. Prevalence of pre-diabetes or diabetes was significantly higher in age group ???45 yrs compared to age Conclusions: Prevalence of pre-diabetes is higher than in previous studies in Sri Lanka. Significantly higher proportion of males compared to females, had pre-diabetes or diabetes by FPG test. Compared to subjects age <45 years, the prevalence of pre-diabetes or diabetes was significantly higher among those ???45 years. FPG lacks adequate sensitivity and specificity to detect those with diabetes or dysglycaemia.","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"14 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":"121048459","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
Medical research; ethical propriety and conformity 医学研究;道德规范与一致性
Galle Medical Journal Pub Date : 2020-11-02 DOI: 10.4038/gmj.v25i3.8034
S. Goonesinghe, E. Waidyarathne
{"title":"Medical research; ethical propriety and conformity","authors":"S. Goonesinghe, E. Waidyarathne","doi":"10.4038/gmj.v25i3.8034","DOIUrl":"https://doi.org/10.4038/gmj.v25i3.8034","url":null,"abstract":"","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"23 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":"133528722","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
The World Health Organization dengue case classifications 世界卫生组织登革热病例分类
Galle Medical Journal Pub Date : 2020-11-02 DOI: 10.4038/gmj.v25i3.8036
U. Jayarajah, U. Dissanayake, K. Edirisinghe, S. Seneviratne
{"title":"The World Health Organization dengue case classifications","authors":"U. Jayarajah, U. Dissanayake, K. Edirisinghe, S. Seneviratne","doi":"10.4038/gmj.v25i3.8036","DOIUrl":"https://doi.org/10.4038/gmj.v25i3.8036","url":null,"abstract":"","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"13 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":"130478848","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: 2
Constipation in children: the bird’s eye view 小儿便秘:鸟瞰
Galle Medical Journal Pub Date : 2020-11-02 DOI: 10.4038/gmj.v25i3.8035
S. Rajindrajith, N. Devanarayana
{"title":"Constipation in children: the bird’s eye view","authors":"S. Rajindrajith, N. Devanarayana","doi":"10.4038/gmj.v25i3.8035","DOIUrl":"https://doi.org/10.4038/gmj.v25i3.8035","url":null,"abstract":"","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"61 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":"126249517","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: 1
Clinical pattern, associated factors and impact of disease on quality of life among individuals with melasma visiting the dermatology clinic at Teaching Hospital Karapitiya 在卡拉皮提亚教学医院皮肤科就诊的黄褐斑患者的临床模式、相关因素和疾病对生活质量的影响
Galle Medical Journal Pub Date : 2020-11-02 DOI: 10.4038/gmj.v25i3.8037
C. Wanniarachchi, B. K. S. Wijenayaka
{"title":"Clinical pattern, associated factors and impact of disease on quality of life among individuals with melasma visiting the dermatology clinic at Teaching Hospital Karapitiya","authors":"C. Wanniarachchi, B. K. S. Wijenayaka","doi":"10.4038/gmj.v25i3.8037","DOIUrl":"https://doi.org/10.4038/gmj.v25i3.8037","url":null,"abstract":"","PeriodicalId":194530,"journal":{"name":"Galle Medical Journal","volume":"26 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":"121918574","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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