Journal of the Postgraduate Institute of Medicine最新文献_第9页

A patient with cerebral venous thrombosis associated with severe anaemia – a case report 脑静脉血栓形成合并严重贫血1例

Journal of the Postgraduate Institute of Medicine Pub Date : 2020-12-29 DOI: 10.4038/jpgim.8299

M. H. M. Dilruk, M. Jansz

引用次数: 0

Walking Pattern Deviation in 10-15 years old Obese Children at Lady Ridgeway Hospital, Colombo. 科伦坡Lady Ridgeway医院10-15岁肥胖儿童的行走模式偏差

Journal of the Postgraduate Institute of Medicine Pub Date : 2020-12-24 DOI: 10.4038/jpgim.8272

S. M. Withanage, S. P. Maddumage, P. Wickramasinghe

{"title":"Walking Pattern Deviation in 10-15 years old Obese Children at Lady Ridgeway Hospital, Colombo.","authors":"S. M. Withanage, S. P. Maddumage, P. Wickramasinghe","doi":"10.4038/jpgim.8272","DOIUrl":"https://doi.org/10.4038/jpgim.8272","url":null,"abstract":"Background and objectives Childhood obesity, a major health concern, could lead to many complications including alterations of the gait. Therefore, the aim of the study was to identify the deviation in walking pattern of 10-15 year old obese children from their non-obese counterparts. Methods A cross sectional comparative study was done at the Lady Ridgeway Hospital, Colombo involving 50 obese and 50 non-obese children aged 10-15 years. A simple random sampling method was used, and the participants were asked to walk along a 12m walkway with a 6m center recording zone, at a self-selected walking speed. The step length, stride length and cadence were measured by foot print analysis. A frontal stationary camera and a lateral running camera were used for two-dimensional walking analysis. Single limb and double limb support time was assessed by a Motion view 8.0 video analyzer using captured videos. Data was analyzed using the independent sample t test on SPSS 25. Ethics clearance was obtained from the Ethics Review Committee, Faculty of Medicine, University of Colombo. Results Non-obese children had a significantly higher mean step length, right stride length, left stride length and cadence than obese children (p 0.05). Conclusion There is an association between childhood obesity and alterations in gait characteristics such as step length, stride length and cadence.","PeriodicalId":425054,"journal":{"name":"Journal of the Postgraduate Institute of Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129375407","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

Mixed connective tissue disease with secondary immune thrombocytopenic purpura -- a case report 混合性结缔组织病伴继发性免疫性血小板减少性紫癜1例

Journal of the Postgraduate Institute of Medicine Pub Date : 2020-12-23 DOI: 10.4038/jpgim.8294

S. Rupasinghe, W. Kularatne

引用次数: 0

Idiopathic Multicentric Castleman Disease 特发性多中心Castleman病

Journal of the Postgraduate Institute of Medicine Pub Date : 2020-11-12 DOI: 10.4038/jpgim.8293

S. Rupasinghe, W. Kularatne, T. Arikaran

引用次数: 2

Nonketotic Hyperglycemic Hemi-chorea – A diagnostic challenge for the treating physician 非酮症高血糖半舞蹈病——对治疗医生的诊断挑战

Journal of the Postgraduate Institute of Medicine Pub Date : 2020-10-27 DOI: 10.4038/jpgim.8288

Inoka Shyamali Gunathilake, S. Jayarathne, V. Sivasadana, M. Rifath, S. Weerasinghe

引用次数: 0

Cross-cultural adaptation of the Morisky Green Levine medication adherence scale for use in patients with Ischaemic Heart Disease in Sri Lanka Morisky Green Levine药物依从性量表在斯里兰卡缺血性心脏病患者中的跨文化适应性

Journal of the Postgraduate Institute of Medicine Pub Date : 2020-08-21 DOI: 10.4038/jpgim.8274

Chandima Kumara Walpita Gamage, P. de Zoysa, A. Balasuriya, N. Fernando

{"title":"Cross-cultural adaptation of the Morisky Green Levine medication adherence scale for use in patients with Ischaemic Heart Disease in Sri Lanka","authors":"Chandima Kumara Walpita Gamage, P. de Zoysa, A. Balasuriya, N. Fernando","doi":"10.4038/jpgim.8274","DOIUrl":"https://doi.org/10.4038/jpgim.8274","url":null,"abstract":"Background Ischaemic Heart Disease (IHD) is a major constituent of cardiovascular disease in the world at present and has become the leading cause of death in Sri Lanka. Poor adherence to medication in IHD is related to increased re-hospitalisation and mortality. Therefore, continuous assessment of medication adherence is extremely important among these patients. The Morisky Green Levine Medication Adherence Scale (MGLS) is a widely used instrument to evaluate medication adherence in the clinical setting. The study aimed to translate the MGLS into Sinhala and cross-culturally adapt it to the Sri Lankan setting. Methods A Delphi process was conducted with a panel of experts where content and consensual validity of the scale was assessed after translation, back translation and pre-testing of the original scale. The ratings received from the first round of the Delphi process were noted and the amended translation re-sent for a second round. The re-ratings were evaluated for the degree of consensus and Items for the MGLS Sinhala version were chosen based on the following criteria: (i) the item was reworded or removed if 70% or more of the re-ratings were in category 0–3. If reworded, the Delphi Process was repeated for that item, (ii) the item was kept with no change if 70% or more of the re-ratings were in categories of 4–6 and 7–9. Results No items were removed from the original scale. Some items were reworded according to the experts’ suggestions to retain the conceptual meaning when translated into Sinhala. The Sinhala version of the MGLS exhibited adequate content and consensual validity. Conclusion The Sinhala version of the MGLS can be used in research, medication adherence evaluations and IHD prevention programmes in Sri Lanka.","PeriodicalId":425054,"journal":{"name":"Journal of the Postgraduate Institute of Medicine","volume":"146 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122608960","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

Authorship 作者

Journal of the Postgraduate Institute of Medicine Pub Date : 2020-07-24 DOI: 10.4038/jpgim.8291

E. Corea, H. Molligoda

引用次数: 0

Adult-onset Still's disease presenting with acute liver failure caused by hemophagocytic lymphohistiocytosis: a case report 成人发病斯蒂尔氏病伴噬血细胞性淋巴组织细胞增多症引起急性肝功能衰竭1例

Journal of the Postgraduate Institute of Medicine Pub Date : 2020-06-30 DOI: 10.4038/jpgim.8261

N. Ranaweera, R. Kalupahana, G. Karthick

引用次数: 0

A case of colonic carcinoma presenting as acquired haemophilia A 以获得性血友病A为表现的结肠癌1例

Journal of the Postgraduate Institute of Medicine Pub Date : 2020-06-30 DOI: 10.4038/jpgim.8251

A. Srirangan, J. Indrakumar

引用次数: 0

Pattern of utilization of facilities in the intensive care unit by elective surgical patients in a tertiary care institution: Can the services be provided by high dependency units in surgical wards? 三级医疗机构中选择性外科病人对重症监护病房设施的利用模式:这些服务是否可以由外科病房的高依赖性病房提供?

Journal of the Postgraduate Institute of Medicine Pub Date : 2019-12-30 DOI: 10.4038/jpgim.8239

Seneetha De Silva, A. Pathirana, Asoka Gunaratna, Minidu Ravinda Chandraguptha

{"title":"Pattern of utilization of facilities in the intensive care unit by elective surgical patients in a tertiary care institution: Can the services be provided by high dependency units in surgical wards?","authors":"Seneetha De Silva, A. Pathirana, Asoka Gunaratna, Minidu Ravinda Chandraguptha","doi":"10.4038/jpgim.8239","DOIUrl":"https://doi.org/10.4038/jpgim.8239","url":null,"abstract":"Introduction Intensive care is indicated for patients requiring intensive monitoring and/or organ support. It is a costly and time limited resource utilized by those with reversible pathologies and reasonable likelihood of survival. Patients awaiting elective surgery with preoperative intensive care unit (ICU) bookings need to compete with emergency and unanticipated admissions leading to cancellation and postponement of elective surgery, a disadvantage to both the patient and the institution. Hence this study is aimed at evaluating the extent of ICU care utilized by elective surgical patients and to analyse the indications vs. utilization of ICU care by them. Methods This was a retrospective cross-sectional study carried out in the surgical ICU of Colombo South Teaching Hospital, enrolling 47 elective surgical patients admitted to the ICU over a period of 3 months. Data was collected using a pre structured data collection form. Results Majority of the patients were middle aged, belonged to the American Society of Anaesthesiologists Physical Status 2 (68.1%) and underwent colorectal (26%), upper gastrointestinal (GI) (15%) or hepatobiliary (13%) surgeries. Main comorbidities amongst the study population were diabetes and hypertension. Mean duration of ICU stay was 2 days. Most patients were monitored non-invasively within the ICU (68%). Organ support was required by only 17% of patients. Most frequent indication for preoperative ICU booking was the surgical/anaesthetic complexity determined by British United Provident Association (BUPA) schedule of procedures (83%). However, ICU resources were mainly utilized for provision of analgesia particularly in the form of epidural infusions (52%). Recommendations We recommend the development of level 2 care/high dependency units to reduce the burden on the ICU and a unit-based policy for ICU resource allocation for surgical patients.","PeriodicalId":425054,"journal":{"name":"Journal of the Postgraduate Institute of Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129463677","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