Ceylon Medical Journal最新文献_第9页

PENERAPAN GREEN CONSTRUCTION PADA PROYEK PEMBANGUNAN TOD MAHATA MARGONDA 绿色建筑项目

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Ceylon Medical Journal Pub Date : 2021-03-31 DOI: 10.32722/CMJ.V3I1.3735

Muthia Utari Masloman, Afrizal Nursin

{"title":"PENERAPAN GREEN CONSTRUCTION PADA PROYEK PEMBANGUNAN TOD MAHATA MARGONDA","authors":"Muthia Utari Masloman, Afrizal Nursin","doi":"10.32722/CMJ.V3I1.3735","DOIUrl":"https://doi.org/10.32722/CMJ.V3I1.3735","url":null,"abstract":"Environmental damage and global warming has become an issue in the world. Developments in the construction project has a large influence in environmental change on the surface of the earth. Construction activities start from the constructing stage to the operating stage. Green construction is one part of the sustainable development that is required to participate in environmental sustainability. With this background, the author agreed to explain the criteria, stages of difficulty and obstacles in implementing Green Construction. Data collected by questionnaire method and data analysis using SPSS Statistics 26. The results of this study obtained the value of the Green Construction criteria that applied is waste project variables with an average value of 3,748 and the lowest is site project variables with average 3,198. The most dominant factor of difficulty in applying Green Construction is the water usage variable with an average value of 3,283 and the lowest difficulty in applying is the energy variable with an average of 2,817. The most challenging obstacle factor in implementing Green Construction is the cost factor with an average value of 4.00 and the lowest obstacle is the efficient design variable with an average of 2.96. Thus, from the results of this study is expected that the contractor can help more actively in improving the implementation of Green Construction in this construction project.","PeriodicalId":9777,"journal":{"name":"Ceylon Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41817359","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

ANALISIS KERUSAKAN LANDAS PACU BANDAR UDARA DENGAN METODE PCI DAN PERBAIKANNYA 用PCI方法分析机场跑道故障

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Ceylon Medical Journal Pub Date : 2021-03-31 DOI: 10.32722/CMJ.V3I1.3738

Lahun Wahidah, Retno Ligina Ayu, E. Wiyono

引用次数: 0

Evidence based medicine : ideology, hegemony, statistical gaze and beyond. 循证医学:意识形态、霸权、统计凝视及其他。

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Ceylon Medical Journal Pub Date : 2021-03-31 DOI: 10.4038/cmj.v66i1.9352

Harindra Karunatilake

引用次数: 0

Characteristics of Connective Tissue Diseases Associated Interstitial Lung Diseases - A Single Centre Study in Sri Lanka. 结缔组织疾病相关间质性肺疾病的特征——斯里兰卡单中心研究

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Ceylon Medical Journal Pub Date : 2021-03-31 DOI: 10.4038/cmj.v66i1.9356

Prasanjanie Jayasinghe, Nuwan Wickramasinghe, Prathapan Krishnakumar, Aflah Sadikeen, Amitha Fernando

{"title":"Characteristics of Connective Tissue Diseases Associated Interstitial Lung Diseases - A Single Centre Study in Sri Lanka.","authors":"Prasanjanie Jayasinghe, Nuwan Wickramasinghe, Prathapan Krishnakumar, Aflah Sadikeen, Amitha Fernando","doi":"10.4038/cmj.v66i1.9356","DOIUrl":"https://doi.org/10.4038/cmj.v66i1.9356","url":null,"abstract":"Introduction: Interstitial Lung Diseases are the major cause of mortality in Connective Tissue Diseases.Objectives: Our aim is to describe patients with Interstitial Lung Disease associated with Connective Tissue Diseases (CTD-ILD) in Chest Clinic -Colombo 08.Methods: We conducted a descriptive cross-sectional study at Central Chest Clinic, Colombo, Sri Lanka and data of all patients attending the clinic during were analysed.Results: The sample consisted of 83 consecutive patients diagnosed with CTD-ILD. The age ranged from 24 to 72 years with mean (SD) age of 55.6 (10.6) years. The majority was female patients (n=70, 88.6%). The majority 53.0% (n=44) had RA and SSc was the second commonest CTD-ILD (n=22, 26.5%). NSIP 51(61.9%) was the most frequently observed HRCT pattern in our cohort whereas UIP was the second commonest. RA-ILD subgroup demonstrated female (n=37, 86.0%) preponderance. NSIP (n=24, 55.8%) was the commonly observed HRCT pattern fallowed by UIP (n=15, 34.9%) pattern. Among RA-ILD patients, 28 (65.1%) had positive Rheumatoid factor. Majority of (n=20, 90.9%) SSc-ILD were females. Sixteen (72.7%) of them had NSIP pattern in HRCT analysis fallowed by UIP (n=6, 27.3%).Conclusion: RA-ILD was the most frequent type of CTD-ILD followed by SSc. More importantly; the present study revealed the predominant NSIP pattern and clear female preponderance in RA-ILD compared to global data. We recommend prospective multicenter studies to be carried out and prospective disease registries to be established to explore the epidemiological, clinical, radiological and prognostic characteristics of CTD‑ ILD in Sri Lanka.","PeriodicalId":9777,"journal":{"name":"Ceylon Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39786227","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

Standards for permanent tooth emergence in Sri Lankan children. 斯里兰卡儿童恒牙出牙标准。

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Ceylon Medical Journal Pub Date : 2021-03-31 DOI: 10.4038/cmj.v66i1.9348

Nishanhti Vithanaarachchi, Lakshika Nawarathna, Luxhmen Wijeyeweera

{"title":"Standards for permanent tooth emergence in Sri Lankan children.","authors":"Nishanhti Vithanaarachchi, Lakshika Nawarathna, Luxhmen Wijeyeweera","doi":"10.4038/cmj.v66i1.9348","DOIUrl":"https://doi.org/10.4038/cmj.v66i1.9348","url":null,"abstract":"Introduction: Determination of population specific standards on the timing and sequence of emergence of the permanent teeth is an essential requirement in pediatric dentistry.Objectives: To establish the pattern and emergence time of permanent teeth in children in Sri Lanka.Methods: The cross sectional study was conducted with 3321 school children in the country. Children were randomly selected from each school from age 5- 20 years including both genders. Oral cavity was examined using a mouth mirror and probe with natural illumination and erupting stage of each permanent tooth were recorded. All permanent teeth except the third molars were included in the assessment.Results: Females showed earlier eruption of teeth except for central incisors with statistical significance. All the mandibular teeth erupt earlier than their maxillary counterparts except for the premolars. Males showed early emergence of central incisors in left side of the mandible before eruption of first permanent molar. Males showed early eruption of 1st premolar before the eruption of canine in the mandible. The current study identified slightly late eruption of all the permanent teeth than in reported previous study in Sri Lanka.Conclusion: The results of the present study provide reliable references for the emergence of permanent teeth of children in Sri Lanka. Generally median emergence times were delayed compared with the previous study conducted in Sri Lanka.","PeriodicalId":9777,"journal":{"name":"Ceylon Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39786228","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

Decompressive Craniectomy for Traumatic Brain Injury: Outcomes and their Determinants. 颅脑外伤减压切除术:结果及其决定因素。

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Ceylon Medical Journal Pub Date : 2021-03-31 DOI: 10.4038/cmj.v66i1.9353

Jeewan Rankothkumbura, Hemantha Gunathilaka, Saman Wadanamby

{"title":"Decompressive Craniectomy for Traumatic Brain Injury: Outcomes and their Determinants.","authors":"Jeewan Rankothkumbura, Hemantha Gunathilaka, Saman Wadanamby","doi":"10.4038/cmj.v66i1.9353","DOIUrl":"https://doi.org/10.4038/cmj.v66i1.9353","url":null,"abstract":"Background: Decompressive craniectomy (DC) is a management option to control raised Intracranial pressure (ICP) in Traumatic Brain Injury (TBI) with inconsistent evidence for its outcomes and their determinants.Objectives: The aim of this study was to assess the outcomes and determinants of outcomes of DC done in National Hospital of Sri Lanka (NHSL) at one year and three years of follow-up.Materials and methods: Patients who underwent DC for TBI within 6 months period from 01/02/2016 to 31/07/2016 at Neurotrauma Centre, NHSL were included in the study. Data were retrieved from medical records. Outcomes were evaluated by interviewing patients/relatives over the telephone using standard questionnaire for extended Glasgow Outcome scale (GOS-E).Results: Inclusion and exclusion criteria matched 118 patients were selected and 89 (75.42%) contactable patients were included in the analysis. Majority (86.4%) were males and median age was 45 years. There were 56 primary DCs and 33 secondary DCs. Favorable outcomes (GOS-E 5-8) were seen in 20.2% and in 24.7% at the end of one year and three years respectively. Younger age, good pupillary reaction and higher GCS on admission were associated with statistically significant favorable outcomes (P<0.05). Pupillary symmetry, timing of DC (primary or secondary), time elapsed from time of injury to performing primary DC, type of DC, whether CT shows an isolated lesion or multiple lesions, submission to tracheostomy, having medical comorbidities and post-operative infections were not predictive of the outcome.Conclusion: Favorable functional outcomes following DC for TBI is limited to 20-25%. Younger age, good pupillary reaction and higher GCS are predictors of favorable functional outcomes.","PeriodicalId":9777,"journal":{"name":"Ceylon Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39786226","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

What is Death, in the 21st century? 在21世纪，死亡是什么?

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Ceylon Medical Journal Pub Date : 2021-03-31 DOI: 10.4038/cmj.v66i1.9347

Udaya Ranawaka

引用次数: 0

Cross-cultural adaptation of the Type D Personality Scale for use with patients diagnosed with Ischemic Heart Disease in Sri Lanka. 斯里兰卡诊断为缺血性心脏病患者的D型人格量表的跨文化适应

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Ceylon Medical Journal Pub Date : 2021-03-31 DOI: 10.4038/cmj.v66i1.9350

Chandima Kumara, Piyanjali de Zoysa, Aindralal Balasuriya, Bernard Deepal Jayamanne

{"title":"Cross-cultural adaptation of the Type D Personality Scale for use with patients diagnosed with Ischemic Heart Disease in Sri Lanka.","authors":"Chandima Kumara, Piyanjali de Zoysa, Aindralal Balasuriya, Bernard Deepal Jayamanne","doi":"10.4038/cmj.v66i1.9350","DOIUrl":"https://doi.org/10.4038/cmj.v66i1.9350","url":null,"abstract":"Introduction: Ischemic Heart Disease (IHD), a major cardiovascular disease globally, has become the primary cause of death in Sri Lanka. Negative affectivity (NA) and social inhibition (SI) are two personality traits which increase the risk of IHD. The Type D Scale (DS-14) evaluates a person's general level of distress on NA and SI. However, DS-14 has not been translated and validated into Sinhala in Sri Lanka.Objectives: The study aimed to cross-culturally adapt and validate the DS-14 for use with Sinhala speaking patients diagnosed with IHD.Methods: Translation, back translation and pre-test were conducted before a two-rounds of a Delphi process which assessed content and consensual validity of the instrument. The validated questionnaires were administered to 140 patients diagnosed with IHD at a Base Hospital. Factor structure was confirmed through Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) and reliability, by internal consistency with Cronbach's alpha.Results: The questionnaire was administered among 140 participants (85 females), aged 18-60 years. The DS-14 Sinhala version showed good content and consensual validity. Factor analysis proved two factors compatible with the original instrument, which explained the variance of 62.9%. CFA confirmed the two-factor model. The reliability analysis indicated Cronbach's alpha for NA and SI as 0.93 and 0.88, respectively.Conclusion: The cross-culturally adapted DS-14 Sinhala version indicated the same psychometric properties as the original instrument, in the local context with IHD patients. It can be confidently applied in the investigation of Type D personality in IHD prevention and treatment, as well as in research.","PeriodicalId":9777,"journal":{"name":"Ceylon Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39784643","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

Scarabiasis revisited: a case study from Sri Lanka. 重新审视scarababasis:来自斯里兰卡的案例研究。

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Ceylon Medical Journal Pub Date : 2021-03-31 DOI: 10.4038/cmj.v66i1.9359

Priyani Gamage, Anjalie Amarasinghe, Inoka Karunaratne, Rumala Morel, Nalin Nandasiri

引用次数: 0

PEMANFAATAN STYROFOAM SEBAGAI PENGGANTI SEBAGIAN AGREGAT HALUS PADA BETON DENGAN FAS 0.4 使用泡沫塑料可以代替FAS 0.4的普通混凝土浮力

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Ceylon Medical Journal Pub Date : 2021-03-31 DOI: 10.32722/CMJ.V3I1.3731

D. Wardana, Gilang Fadhlurrahman Evriantama, Muhtarom Riyadi

{"title":"PEMANFAATAN STYROFOAM SEBAGAI PENGGANTI SEBAGIAN AGREGAT HALUS PADA BETON DENGAN FAS 0.4","authors":"D. Wardana, Gilang Fadhlurrahman Evriantama, Muhtarom Riyadi","doi":"10.32722/CMJ.V3I1.3731","DOIUrl":"https://doi.org/10.32722/CMJ.V3I1.3731","url":null,"abstract":"Concrete is a material commonly used for structural work. However, concrete has one disadvantage, namely that its specific gravity is high enough so that the dead load on a structure becomes large. One way to deal with high concrete density is to use Styrofoam waste as a substitute for some of the fine aggregate. This research was conducted to examine the physical and mechanical properties as well as the optimum value of compressive strength, split tensile strength and modulus of elasticity of concrete with a 0.4 fas using Styrofoam as a partial substitute for fine aggregate. The research method used is an experimental method by making the test object in the form of a concrete cylinder with a diameter of 15 cm and a height of 30 cm. The composition of the concrete mixture used is a volume ratio of 1 Pc: 2 Ps: 2 Kr with a fas 0.4. The styrofoam variations used are 10%, 20%, and 30% of the ratio to the volume of fine aggregate in normal concrete mixtures. Testing of the mechanical properties of concrete was carried out at the age of 7, 14, 21, and 28 days for the concrete compressive strength test, and 28 days for the split tensile strength of the concrete, and the modulus of elasticity. The results showed that the compressive strength of the concrete increased with the age of the concrete and the addition of the styrofoam variations with the exception of the 10% variation. For the split tensile strength test, there was an increase in line with the increase in the styrofoam variation, while the modulus of elasticity decreased at 10% variation against 0% variation and increased at 20% and 30% variation with 0% variation.","PeriodicalId":9777,"journal":{"name":"Ceylon Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48275898","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