Chanya Padmaperuma, Thilina Samarathunga, P. Katulanda
{"title":"Plagiarism and ethics of writing and publishing scientific research articles","authors":"Chanya Padmaperuma, Thilina Samarathunga, P. Katulanda","doi":"10.4038/cjms.v57i1.5016","DOIUrl":"https://doi.org/10.4038/cjms.v57i1.5016","url":null,"abstract":"","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130869391","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}
N. Senanayake, F. Sally, Harshi Abeygunawardana, M. Karunaratne, Nambage Shirani Chandrasiri
Background: Methicillin Resistant Staphylococcus aureus (MRSA) has evolved as a serious threat to public health. Objectives: The objectives of the present study were to determine the antibiotics susceptibility patterns of S. aureus and the minimum inhibitory concentration (MIC) of vancomycin to MRSA isolated from different clinical samples at the Colombo South Teaching Hospital (CSTH) in Sri Lanka. Methodology: A total 72 isolates of S. aureus, obtained from different clinical samples at the CSTH, from January to May 2017 were included in the study. S. aureus isolates were identified by Gram stain, colony morphology, catalase, slide/tube coagulase tests. The antibiotic susceptibility tests were carried as per Clinical Laboratory Standards Institute (CLSI) guidelines. MRSA isolates were detected using the cefoxitin (30 μg) disk diffusion test. Inducible clindamycin resistance (MLSB i) was detected by the disk approximation (D test) test. The vancomycin MICs were determined by the E-test method with a 0.5 McFarland standard inoculum. The MIC clinical breakpoints were defined according to the CLSI guidelines (susceptible, ≤2 μg/ml; intermediate, 4–8 μg/ml; and resistant, ≥16 μg/ml). Results: Of the 72 S. aureus clinical isolates, 29 (40.2%) were MRSA. Inducible clindamycin resistance was detected in 16% of the MRSA isolates. Minimum inhibitory concentrations of vancomycin to the isolates of MRSA ranged from 0.125 μg/ml to 2 μg/ml. Conclusions: The rate of isolation of MRSA was high and it has emerged as a serious public health threat to Sri Lanka. The Minimum Inhibitory Concentration (MIC) of all the MRSA isolates were ≤2 μg/ml. None of the MRSA isolates were found to be intermediate-sensitive or vancomycin resistant. Therefore, vancomycin can be used as the drug of choice for treatment of infections caused by MRSA.
{"title":"Minimum inhibitory concentration of vancomycin to methicillin resistant Staphylococcus aureus at a tertiary care hospital in Sri Lanka","authors":"N. Senanayake, F. Sally, Harshi Abeygunawardana, M. Karunaratne, Nambage Shirani Chandrasiri","doi":"10.4038/cjms.v56i1.4942","DOIUrl":"https://doi.org/10.4038/cjms.v56i1.4942","url":null,"abstract":"Background: Methicillin Resistant Staphylococcus aureus (MRSA) has evolved as a serious threat to public health. Objectives: The objectives of the present study were to determine the antibiotics susceptibility patterns of S. aureus and the minimum inhibitory concentration (MIC) of vancomycin to MRSA isolated from different clinical samples at the Colombo South Teaching Hospital (CSTH) in Sri Lanka. Methodology: A total 72 isolates of S. aureus, obtained from different clinical samples at the CSTH, from January to May 2017 were included in the study. S. aureus isolates were identified by Gram stain, colony morphology, catalase, slide/tube coagulase tests. The antibiotic susceptibility tests were carried as per Clinical Laboratory Standards Institute (CLSI) guidelines. MRSA isolates were detected using the cefoxitin (30 μg) disk diffusion test. Inducible clindamycin resistance (MLSB i) was detected by the disk approximation (D test) test. The vancomycin MICs were determined by the E-test method with a 0.5 McFarland standard inoculum. The MIC clinical breakpoints were defined according to the CLSI guidelines (susceptible, ≤2 μg/ml; intermediate, 4–8 μg/ml; and resistant, ≥16 μg/ml). Results: Of the 72 S. aureus clinical isolates, 29 (40.2%) were MRSA. Inducible clindamycin resistance was detected in 16% of the MRSA isolates. Minimum inhibitory concentrations of vancomycin to the isolates of MRSA ranged from 0.125 μg/ml to 2 μg/ml. Conclusions: The rate of isolation of MRSA was high and it has emerged as a serious public health threat to Sri Lanka. The Minimum Inhibitory Concentration (MIC) of all the MRSA isolates were ≤2 μg/ml. None of the MRSA isolates were found to be intermediate-sensitive or vancomycin resistant. Therefore, vancomycin can be used as the drug of choice for treatment of infections caused by MRSA.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116961121","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}
Dengue is a vector borne disease, prevalent in the tropics in epidemic proportions. In recent years it has become one of the highest mortality causing communicable diseases in the tropics. Its pathophysiology is not completely understood. In the absence of a definitive treatment modality, supportive care is the most important tool. Having a better understanding of the haematological and biochemical changes is of paramount importance in order to provide effective supportive care to achieve speedy recovery with minimum morbidity and mortality. Although several candidate vaccines have been produced most are still undergoing phase III clinical trials. This article intends to discuss identified and postulated pathophysiological modalities in dengue infection and possible therapeutic/management options that could be adopted to reduce dengue morbidity and mortality.
{"title":"Management of dengue infection: improving morbidity","authors":"V. Wickramasinghe","doi":"10.4038/cjms.v56i1.4959","DOIUrl":"https://doi.org/10.4038/cjms.v56i1.4959","url":null,"abstract":"Dengue is a vector borne disease, prevalent in the tropics in epidemic proportions. In recent years it has become one of the highest mortality causing communicable diseases in the tropics. Its pathophysiology is not completely understood. In the absence of a definitive treatment modality, supportive care is the most important tool. Having a better understanding of the haematological and biochemical changes is of paramount importance in order to provide effective supportive care to achieve speedy recovery with minimum morbidity and mortality. Although several candidate vaccines have been produced most are still undergoing phase III clinical trials. This article intends to discuss identified and postulated pathophysiological modalities in dengue infection and possible therapeutic/management options that could be adopted to reduce dengue morbidity and mortality.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121990958","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}
Introduction This study is aimed to determine the value of histopathological examination of tissues obtained from evacuation of retained products of conception (ERPC) procedure. In addition, it is also aimed to determine the correlation between ultrasonically suspected Hydaditiform mole (H Mole) with histopathologically proven H Mole. Methodology In this retrospective study, clinical records of 140 patients who underwent surgical management for early pregnancy loss, from January 2012 to June 2017 were analysed. Their histopathology reports and relevant clinical profiles were collected from medical records. Results The age distribution of studied population ranges from 14 to 52 years. The majority of patients (43.6%) were within 21-30 years. The Molar pregnancy was confirmed in 32.8% samples and the majority (78.3%) were dominated by complete mole. There were 66 patients ultrasonically suspected to have H Mole. Among them 46 patients had either complete or partial mole. Further, this study showed no molar pregnancies were identified from specimens obtained following evacuation of ultrasonically diagnosed missed or incomplete miscarriage where no H Mole was suspected. Conclusion It can be recommended that histopathological examination should be performed in selected instances. Further, it is a hospital-based study and its findings increase the importance of a country wide study to guide the revision of current practice of routine histopathological examination of specimens from miscarriages in this middle-income country.
{"title":"Histopathological examination of products of conception after first-trimester miscarriage","authors":"M. Thirukumar","doi":"10.4038/cjms.v56i1.4946","DOIUrl":"https://doi.org/10.4038/cjms.v56i1.4946","url":null,"abstract":"Introduction This study is aimed to determine the value of histopathological examination of tissues obtained from evacuation of retained products of conception (ERPC) procedure. In addition, it is also aimed to determine the correlation between ultrasonically suspected Hydaditiform mole (H Mole) with histopathologically proven H Mole. Methodology In this retrospective study, clinical records of 140 patients who underwent surgical management for early pregnancy loss, from January 2012 to June 2017 were analysed. Their histopathology reports and relevant clinical profiles were collected from medical records. Results The age distribution of studied population ranges from 14 to 52 years. The majority of patients (43.6%) were within 21-30 years. The Molar pregnancy was confirmed in 32.8% samples and the majority (78.3%) were dominated by complete mole. There were 66 patients ultrasonically suspected to have H Mole. Among them 46 patients had either complete or partial mole. Further, this study showed no molar pregnancies were identified from specimens obtained following evacuation of ultrasonically diagnosed missed or incomplete miscarriage where no H Mole was suspected. Conclusion It can be recommended that histopathological examination should be performed in selected instances. Further, it is a hospital-based study and its findings increase the importance of a country wide study to guide the revision of current practice of routine histopathological examination of specimens from miscarriages in this middle-income country.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123079880","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}
Ankylosing spondylitis (AS) is a chronic seronegative spondyloarthritis associated with the major histocompatibility antigen HLA B27. Apical pleural thickening in ankylosing spondylitis is common in association with apical fibrobullous disease. Pleural disease is otherwise rare. Here, we present a case of bilateral pleural effusion in 38 years old man with ankylosing spondylitis.
{"title":"Acute bilateral pleural effusions in ankylosing spondylitis","authors":"A. Narani, Pirasath Selladurai","doi":"10.4038/cjms.v56i1.4950","DOIUrl":"https://doi.org/10.4038/cjms.v56i1.4950","url":null,"abstract":"Ankylosing spondylitis (AS) is a chronic seronegative spondyloarthritis associated with the major histocompatibility antigen HLA B27. Apical pleural thickening in ankylosing spondylitis is common in association with apical fibrobullous disease. Pleural disease is otherwise rare. Here, we present a case of bilateral pleural effusion in 38 years old man with ankylosing spondylitis.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125871206","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}
Over the years, clinical practice has been transformed by the advent of sophisticated diagnostic tools. Although their benefits are obvious, they have resulted in neglect of valuable bedside physical signs which adorned clinical practice over centuries. A single pathognomonic physical sign could often lead to a diagnosis without the need of expensive investigations. Locomotor brachialis (LB) is one such neglected physical sign often observed in the elderly. It refers to a dilated, thickened, tortuous and pulsatile brachial artery, usually associated with atherosclerosis and sustained hypertension. It is easily visible while recording the blood pressure due to the superficial location of the brachial artery and the atrophy of adjacent muscle and soft tissue mass with advancing age.
{"title":"Locomotor brachialis: a clinical peep into atherosclerosis and hypertension mediated organ damage in the elderly","authors":"T. Kumanan, N. Sreeharan","doi":"10.4038/cjms.v56i1.4960","DOIUrl":"https://doi.org/10.4038/cjms.v56i1.4960","url":null,"abstract":"Over the years, clinical practice has been transformed by the advent of sophisticated diagnostic tools. Although their benefits are obvious, they have resulted in neglect of valuable bedside physical signs which adorned clinical practice over centuries. A single pathognomonic physical sign could often lead to a diagnosis without the need of expensive investigations. Locomotor brachialis (LB) is one such neglected physical sign often observed in the elderly. It refers to a dilated, thickened, tortuous and pulsatile brachial artery, usually associated with atherosclerosis and sustained hypertension. It is easily visible while recording the blood pressure due to the superficial location of the brachial artery and the atrophy of adjacent muscle and soft tissue mass with advancing age.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125633448","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}
Sajini R. Tennakoon, Sanduni Thanujika, Tharsiga Thanigasalam, Thilini Wickramaarachchi, S. Wickramasinghe
Background: Patients in Intensive Care Units (ICUs) are at a higher risk of developing Hospital Acquired Infections (HAIs). Therefore, the health staff in ICUs should have an adequate knowledge about the precautions to be taken to minimize HAIs in ICUs. Objectives: The aim of this research was to assess the prevalence of HAIs and their associated factors among the patients treated in ICUs at the National Hospital of Sri Lanka (NHSL) and to access the knowledge among nursing officers on precautions taken to minimize HAIs. Methods: This descriptive cross-sectional study had two components. For the first component, 110 patients being treated for more than 48 hours at ICUs at NHSL were recruited by consecutive sampling. A data was extracted from hospital records. Descriptive statistics and chi square test were used to analyze the data. The second component was conducted among 125 nursing officers working at ICUs at NHSL who were selected by convenience sampling. A self-administered questionnaire was used to assess their knowledge regarding precautions taken to minimize HAIs. Descriptive statistics were used to describe the knowledge. Results: The prevalence of Ventilator Associated Pneumonia (VAP), hospital acquired Urinary Tract Infections (UTIs) and cannula associated Blood Stream Infections (BSIs) were 29.3%, 10% and 5.5% respectively. The duration of stay (p=0.001), diabetes mellitus (p=0.008) and long-term use of antibiotics (p=0.001) were significantly associated with VAP while only long-term use of antibiotics was significantly associated with hospital acquired UTIs. Among the nursing officers 46.4% had scored above 75% for the knowledge questionnaire. Conclusions and recommendations: Our studies showed that HAIs are prevalent in the ICUs in NHSL and the health care staffs need to improve their knowledge and take interventions to minimize these infections.
{"title":"Factors associated with hospital-acquired infections among the intensive-care patients in a tertiary-care hospital in Sri Lanka and the nurses’ knowledge on precautionary measures","authors":"Sajini R. Tennakoon, Sanduni Thanujika, Tharsiga Thanigasalam, Thilini Wickramaarachchi, S. Wickramasinghe","doi":"10.4038/cjms.v56i1.4951","DOIUrl":"https://doi.org/10.4038/cjms.v56i1.4951","url":null,"abstract":"Background: Patients in Intensive Care Units (ICUs) are at a higher risk of developing Hospital Acquired Infections (HAIs). Therefore, the health staff in ICUs should have an adequate knowledge about the precautions to be taken to minimize HAIs in ICUs. Objectives: The aim of this research was to assess the prevalence of HAIs and their associated factors among the patients treated in ICUs at the National Hospital of Sri Lanka (NHSL) and to access the knowledge among nursing officers on precautions taken to minimize HAIs. Methods: This descriptive cross-sectional study had two components. For the first component, 110 patients being treated for more than 48 hours at ICUs at NHSL were recruited by consecutive sampling. A data was extracted from hospital records. Descriptive statistics and chi square test were used to analyze the data. The second component was conducted among 125 nursing officers working at ICUs at NHSL who were selected by convenience sampling. A self-administered questionnaire was used to assess their knowledge regarding precautions taken to minimize HAIs. Descriptive statistics were used to describe the knowledge. Results: The prevalence of Ventilator Associated Pneumonia (VAP), hospital acquired Urinary Tract Infections (UTIs) and cannula associated Blood Stream Infections (BSIs) were 29.3%, 10% and 5.5% respectively. The duration of stay (p=0.001), diabetes mellitus (p=0.008) and long-term use of antibiotics (p=0.001) were significantly associated with VAP while only long-term use of antibiotics was significantly associated with hospital acquired UTIs. Among the nursing officers 46.4% had scored above 75% for the knowledge questionnaire. Conclusions and recommendations: Our studies showed that HAIs are prevalent in the ICUs in NHSL and the health care staffs need to improve their knowledge and take interventions to minimize these infections.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124984799","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}
{"title":"Role of Colombo Medical Faculty in the development of research: the past, present and the future","authors":"C. Wijeyaratne","doi":"10.4038/cjms.v56i1.4962","DOIUrl":"https://doi.org/10.4038/cjms.v56i1.4962","url":null,"abstract":"","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"1998 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116683567","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}
Game Kankanamage Kanishka, Hansika Sandamali, Isuru Weerasinghe, Lakmali Binduhewa, Chathurangi Dilshara, Chandodini De Silva, Denika Silva, A. Balasuriya
Background: Hamstring is a key component of flexibility in the human body and it is more prone to get tightened. Inability to achieve greater than 160 degrees of knee extension when the hip is flexed to 90 degrees is considered as hamstring tightness. Objectives: This study aims to find the prevalence of hamstring tightness among sewing machine operators and to assess the association of hamstring tightness with prolonged sitting, body mass index, physical activity level and gender. Method: A descriptive cross sectional study was carried out among 169 sewing machine operators aged between 18-60 years of a selected garment factory. Passive knee extension (PKE) test was used to measure the hamstring tightness among sewing machine operators. A validated interviewer administered questionnaire was used to determine the physical activity level among the participants. Results: Prevalence of hamstring tightness among sewing machine operators is 83.4% (n=141) and it is higher in males (91.8%) than females (78.7%). There was a significant association between prolonged sitting and hamstring tightness in the dominant limb (p=0.02, chi square = 7.79). Significant associations were not found between hamstring tightness with the BMI level (p=0.46, r=-0.05) and physical activity (p=0.41, r=-0.06). Conclusion: Majority of the sewing machine operators have hamstring tightness. Prolonged sitting is a contributory factor in hamstring muscle tightness.
{"title":"Prevalence of hamstring tightness and associated factors among sewing machine operators","authors":"Game Kankanamage Kanishka, Hansika Sandamali, Isuru Weerasinghe, Lakmali Binduhewa, Chathurangi Dilshara, Chandodini De Silva, Denika Silva, A. Balasuriya","doi":"10.4038/cjms.v56i1.4957","DOIUrl":"https://doi.org/10.4038/cjms.v56i1.4957","url":null,"abstract":"Background: Hamstring is a key component of flexibility in the human body and it is more prone to get tightened. Inability to achieve greater than 160 degrees of knee extension when the hip is flexed to 90 degrees is considered as hamstring tightness. Objectives: This study aims to find the prevalence of hamstring tightness among sewing machine operators and to assess the association of hamstring tightness with prolonged sitting, body mass index, physical activity level and gender. Method: A descriptive cross sectional study was carried out among 169 sewing machine operators aged between 18-60 years of a selected garment factory. Passive knee extension (PKE) test was used to measure the hamstring tightness among sewing machine operators. A validated interviewer administered questionnaire was used to determine the physical activity level among the participants. Results: Prevalence of hamstring tightness among sewing machine operators is 83.4% (n=141) and it is higher in males (91.8%) than females (78.7%). There was a significant association between prolonged sitting and hamstring tightness in the dominant limb (p=0.02, chi square = 7.79). Significant associations were not found between hamstring tightness with the BMI level (p=0.46, r=-0.05) and physical activity (p=0.41, r=-0.06). Conclusion: Majority of the sewing machine operators have hamstring tightness. Prolonged sitting is a contributory factor in hamstring muscle tightness.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127912763","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}
Spontaneous rupture of uterine vessels, particularly intra-partum, is a rare cause of maternal death during pregnancy. Awareness about this condition, may help to avoid delayed diagnosis and facilitate early resuscitation.
{"title":"Uterine artery rupture during labour","authors":"M. Thirukumar","doi":"10.4038/cjms.v56i1.4947","DOIUrl":"https://doi.org/10.4038/cjms.v56i1.4947","url":null,"abstract":"Spontaneous rupture of uterine vessels, particularly intra-partum, is a rare cause of maternal death during pregnancy. Awareness about this condition, may help to avoid delayed diagnosis and facilitate early resuscitation.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127496286","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}
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