Journal of the Ruhunu Clinical Society最新文献

The outcome and the renal status of children at least five years after an initial diagnosis of primary vesicoureteral reflux 初次诊断为原发性膀胱输尿管反流至少五年后儿童的预后和肾脏状况

Journal of the Ruhunu Clinical Society Pub Date : 2023-12-28 DOI: 10.4038/jrcs.v28i1.127

N. Vithanage, I. Kankananarachchi, Dulshanie Silva, U. K. Jayantha

引用次数: 0

Prevalence and the correlations of chronic widespread pain among loaders (Nattami) in Pettah, Sri Lanka 斯里兰卡佩塔地区搬运工（Nattami）中慢性广泛性疼痛的患病率和相关性

Journal of the Ruhunu Clinical Society Pub Date : 2023-12-28 DOI: 10.4038/jrcs.v28i1.134

MA Prasanna, Pari Kulathunga, PN Kariyawasam, PV De Silva

{"title":"Prevalence and the correlations of chronic widespread pain among loaders (Nattami) in Pettah, Sri Lanka","authors":"MA Prasanna, Pari Kulathunga, PN Kariyawasam, PV De Silva","doi":"10.4038/jrcs.v28i1.134","DOIUrl":"https://doi.org/10.4038/jrcs.v28i1.134","url":null,"abstract":"Introduction: Chronic widespread pain (CWP) is a cardinal symptom of fibromyalgia, which is a non-inflammatory condition of the musculoskeletal system. It has become a highly prevalent condition and a major health problem in the community and working population. Loaders are a vulnerable group of people engage in an occupation that has a higher risk of developing musculoskeletal pain. Psychological distress is also associated with CWP. The main aim of this study was to identify the prevalence and associated factors of CWP among loaders in Pettah, Sri Lanka. Further, the association of psychological distress and the health-seeking behaviors of loaders with CWP was assessed in this study.Methods: A cross sectional study was carried out in a convenience sample of 174 loaders in the main bazaar, Pettah, Sri Lanka. A criterion given in the “Manchester Definition” for CWP was used for the identification of CWP. Data were collected using a self-administered structured questionnaire and Perceived Stress Scale was used to identify the psychological distress. Descriptive and inferential statistics were used to analyze the data with SPSS version 21.Results: The mean age (SD) of the study participants was 42.65 (±12.21)ranged between 19 and 66 years. The level of education of the majority (61.5%) were between grade 6-11. The mean working years as a loader was 20.84 years and the mean weight that the participants carried per turn was 62kg. The prevalence of CWP was 18.4% (n=32) and the lower back pain was the most prevalent (64%) individual problem. High level of stress was perceived by 51.7% of the study participants. Age and the perceived stress were significantly associated with the CWP (p<0.05). Most of the participants (88%) used substances and among them 29.6 % used substances to relieve pain. High level of perceived stress was found in 51.7% of loaders.Conclusion: CWP is a significant occupational health issue which is associated with high level of stress among loaders in Pettah, Sri Lanka.","PeriodicalId":312372,"journal":{"name":"Journal of the Ruhunu Clinical Society","volume":"85 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139151851","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

Physical exercise for depression: Time for implementation is now 体育锻炼治疗抑郁症：现在是实施的时候了

Journal of the Ruhunu Clinical Society Pub Date : 2023-12-28 DOI: 10.4038/jrcs.v28i1.132

V. Dharmawardene

引用次数: 0

Neuromyelitis optic spectrum disorder following COVID- 19 (ChAdOx1-S) vaccine 接种 COVID- 19 (ChAdOx1-S) 疫苗后出现神经脊髓炎视谱系障碍

Journal of the Ruhunu Clinical Society Pub Date : 2023-12-28 DOI: 10.4038/jrcs.v28i1.138

Gunarathna Rds, RM Roshiban, Jayatissa Avgam, SS Walatharaarachchi, Fernando Ahn

引用次数: 0

A case of Takayasu arteritis with normal coronary arteries presenting as stable angina 一例冠状动脉正常但表现为稳定型心绞痛的高安动脉炎患者

Journal of the Ruhunu Clinical Society Pub Date : 2023-12-28 DOI: 10.4038/jrcs.v28i1.139

S. A. P. N. Samarasingha, A. Kirubaharan, J. A. Vasanthan, H. Jayawardena, W. A. Jayanaga

引用次数: 0

Screening for diabetes complications and associated factors in primary care in Galle, Sri Lanka 斯里兰卡加勒初级保健中的糖尿病并发症及相关因素筛查

Journal of the Ruhunu Clinical Society Pub Date : 2023-12-28 DOI: 10.4038/jrcs.v28i1.135

Vgm Sanjeewa, W. Kodikara-Arachchi, PV De Silva

{"title":"Screening for diabetes complications and associated factors in primary care in Galle, Sri Lanka","authors":"Vgm Sanjeewa, W. Kodikara-Arachchi, PV De Silva","doi":"10.4038/jrcs.v28i1.135","DOIUrl":"https://doi.org/10.4038/jrcs.v28i1.135","url":null,"abstract":"Introduction: Diabetes (DM) and its complications show an increasing trend and pose a huge burden on the health system. Thus, early detection of complications is essential. Primary care institutions treat and follow up patients with diabetes in their territories. The aim of the study was to assess awareness, practices, and service-related factors associated with screening for diabetes complications among patients attending the medical clinics of primary care level hospitals in the Galle district.Methods: A descriptive cross-sectional study was conducted at three Divisional Hospitals in Galle District, among patients attending medical clinics. Data was collected through an interviewer-administered questionnaire designed to assess awareness and screening practices for diabetes complications, screening done for diabetes complications, and associated factors were analyzed.Results: Four hundred patients with diabetes participated in the study. The majority (more than 95%) were aware of common organs affected by DM and were aware of investigations and their availability at primary care institutions (more than 85.0%). Adherence to recommended screening tests and frequency was very low (ranging from 3% to 16%) and nearly half of the patients never had any form of screening. Older age was associated with better retinopathy screening {OR = 0.61 95% CI (0.41-0.91)} while having co-morbidities was associated with better screening for retinopathy {OR = 1.67 95% CI (1.02-2.71)} and ischemic heart disease.{OR = 2.03 95% CI (1.22-3.40)}. A better awareness was associated with better screening for DM complications.Conclusions: In conclusion, awareness about screening for diabetes complications was satisfactory among the study sample. However, the screening practices were sub-optimal as the recommended screening protocols have not been followed. Better screening was associated with better awareness, older age, having comorbidities, and being employed.","PeriodicalId":312372,"journal":{"name":"Journal of the Ruhunu Clinical Society","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139149956","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

Acute myeloid leukaemia masquerading as transverse myelitis 伪装成横贯性脊髓炎的急性髓性白血病

Journal of the Ruhunu Clinical Society Pub Date : 2023-12-28 DOI: 10.4038/jrcs.v28i1.137

J. Janya, S. A. P. N. Samarasingha, D. Serasinghe, H. Jayawardhana, W. A. Jayanaga

引用次数: 0

Meniere’s disease – A century old mystery 美尼尔氏病--一个世纪之谜

Journal of the Ruhunu Clinical Society Pub Date : 2023-12-28 DOI: 10.4038/jrcs.v28i1.133

J. Jayaweera

引用次数: 0

Construct validity and factor structure of Sinhalese version of Epworth Sleepiness Scale 僧伽罗语版埃普沃斯嗜睡量表的结构效度和因子结构

Journal of the Ruhunu Clinical Society Pub Date : 2023-12-28 DOI: 10.4038/jrcs.v28i1.136

D. Gunawardane

{"title":"Construct validity and factor structure of Sinhalese version of Epworth Sleepiness Scale","authors":"D. Gunawardane","doi":"10.4038/jrcs.v28i1.136","DOIUrl":"https://doi.org/10.4038/jrcs.v28i1.136","url":null,"abstract":"Objective: This study is the first to validate the Epworth Sleepiness Scale (ESS) in Sri Lanka population. ESS is a tool used to evaluate patients’ habitual sleepiness during the day and is used worldwide. This work examined the psychometric properties of the Sinhalese version of eight items ESS among heavy vehicle drivers in Sri Lanka.Methods: A sample of 403 participants was randomly split into two to evaluate dimensionality by exploratory factor analyses (EFA) and confirmatory factor analyses(CFA).Results: Study findings suggest that the single version of ESS is a reliable and valid instrument for sleep evaluation. The analysis identified two-factor structures for the Sinhalese version of ESS. Factor one included sitting and talking, watching TV, car in traffic, sitting in public and sitting and reading, summarized as sitting and doing something. Factor two included lying down, being a car passenger, and sitting quietly, indicating sitting without engaging in any particular activity.Conclusions: Sinhalese version of the ESS is a bi-dimensional instrument that is reliable and valid for assessing daytime Sleepiness in Sri Lankan heavy vehicle drivers. However, the Sinhalese version of the ESS needs further evaluation among the general population and those with sleep disturbances.","PeriodicalId":312372,"journal":{"name":"Journal of the Ruhunu Clinical Society","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139150024","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

Partial Empty Sella Syndrome Presenting with Panhypopituitarism and Masked Central Diabetes Insipidus 部分空蝶鞍综合征表现为垂体全功能低下和隐蔽性中枢性尿囊症

Journal of the Ruhunu Clinical Society Pub Date : 2022-12-23 DOI: 10.4038/jrcs.v27i1.124

W. Wathurapatha, U. Dissanayake

引用次数: 0