N. Amarasinghe, A. Fernando, A. Sadikeen, T. Perera, Ghazzaly Nizamdeen, D. Jayamanne, S. Nanayakkara
Background: Tuberculous lymphadenitis (TBLN) is the commonest form of extra-pulmonary tuberculosis in Sri Lanka. The management of TBLN faces many challenges due to difficulty in achieving microbiological confirmation as well as slow or paradoxical clinical response during the treatment. Objective: To describe the demographic features and the characteristics associated with clinical presentation, diagnostic modalities and treatment outcome of patients with TBLN. Method: An audit was carried out revising clinical records of patients treated for peripheral lymph node enlargement due to tuberculosis at the Central Chest Clinic, Colombo. Results: A total of 126 clinical records were analysed. The male:female ratio was 1:1.6 with a mean age of 36 years (SD=17.6). The most affected site were the cervical lymph nodes (94%). Mantoux test positivity (>10mm) was detected in 87.5%. Evidence of granulomatous inflammation in primary investigations was seen in 122 (97%) of patients. Out of all only 12 (9.5%) were microbiologically confirmed including 5 culture positives. The rest of the patients (90.5%) were diagnosed based on supportive primary and ancillary diagnostic tests. Paradoxical reactions were identified in 4% of patients. Adverse drug reactions including skin reactions and drug induce hepatitis were noted in 17%. Eighty-two patients achieved complete clinical resolution at the end of 6 months while others were found to have residual lymph nodes necessitating further evaluation. Conclusions: The incidence of TBLN was high among females and in the third decade of life, predominantly affecting cervical lymph nodes. The majority were treated based on primary and ancillary diagnostic test results. Prospective studies are recommended for more descriptive assessment.
{"title":"Clinico-demographic profile of patients treated for Tuberculous Lymphadenitis at the Central Chest Clinic, Colombo, Sri Lanka","authors":"N. Amarasinghe, A. Fernando, A. Sadikeen, T. Perera, Ghazzaly Nizamdeen, D. Jayamanne, S. Nanayakkara","doi":"10.4038/CJMS.V55I2.4955","DOIUrl":"https://doi.org/10.4038/CJMS.V55I2.4955","url":null,"abstract":"Background: Tuberculous lymphadenitis (TBLN) is the commonest form of extra-pulmonary tuberculosis in Sri Lanka. The management of TBLN faces many challenges due to difficulty in achieving microbiological confirmation as well as slow or paradoxical clinical response during the treatment. Objective: To describe the demographic features and the characteristics associated with clinical presentation, diagnostic modalities and treatment outcome of patients with TBLN. Method: An audit was carried out revising clinical records of patients treated for peripheral lymph node enlargement due to tuberculosis at the Central Chest Clinic, Colombo. Results: A total of 126 clinical records were analysed. The male:female ratio was 1:1.6 with a mean age of 36 years (SD=17.6). The most affected site were the cervical lymph nodes (94%). Mantoux test positivity (>10mm) was detected in 87.5%. Evidence of granulomatous inflammation in primary investigations was seen in 122 (97%) of patients. Out of all only 12 (9.5%) were microbiologically confirmed including 5 culture positives. The rest of the patients (90.5%) were diagnosed based on supportive primary and ancillary diagnostic tests. Paradoxical reactions were identified in 4% of patients. Adverse drug reactions including skin reactions and drug induce hepatitis were noted in 17%. Eighty-two patients achieved complete clinical resolution at the end of 6 months while others were found to have residual lymph nodes necessitating further evaluation. Conclusions: The incidence of TBLN was high among females and in the third decade of life, predominantly affecting cervical lymph nodes. The majority were treated based on primary and ancillary diagnostic test results. Prospective studies are recommended for more descriptive assessment.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123260842","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}
Low back pain (LBP) is a common symptom and leading cause of disability worldwide. The majority of LBP is due to mechanical causes. However, it is challenging to accurately identify a causative factor for chronic LBP and it is considered a multifactorial condition. Lumbar disc degeneration (LDD) is frequently seen in patients with chronic LBP, but radiological features of disc degeneration is poorly correlated with the symptoms of LBP. The role of radiological investigations in chronic LBP is controversial, but it is frequently used in primary care despite the recommendation to use it only on selected patients with serious underlying pathology or progressive neurological symptoms. Pathophysiology of LDD is complex and is mainly genetically determined. Genetic variation may help in classifying varying degrees of LBP in patients with LDD. Improved understanding of the role of radiological features in LDD and genetic investigations help in advancing personalized care and implementing innovative strategies in the management of chronic LBP.
{"title":"Role of lumbar disc degeneration and genetic variation in chronic low back pain","authors":"R. S. Perera","doi":"10.4038/CJMS.V55I1.4931","DOIUrl":"https://doi.org/10.4038/CJMS.V55I1.4931","url":null,"abstract":"Low back pain (LBP) is a common symptom and leading cause of disability worldwide. The majority of LBP is due to mechanical causes. However, it is challenging to accurately identify a causative factor for chronic LBP and it is considered a multifactorial condition. Lumbar disc degeneration (LDD) is frequently seen in patients with chronic LBP, but radiological features of disc degeneration is poorly correlated with the symptoms of LBP. The role of radiological investigations in chronic LBP is controversial, but it is frequently used in primary care despite the recommendation to use it only on selected patients with serious underlying pathology or progressive neurological symptoms. Pathophysiology of LDD is complex and is mainly genetically determined. Genetic variation may help in classifying varying degrees of LBP in patients with LDD. Improved understanding of the role of radiological features in LDD and genetic investigations help in advancing personalized care and implementing innovative strategies in the management of chronic LBP.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130269499","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}
The Sri Lankan health profession is in urgent need of being more humane, compassionate and empathic. This requires education to widen its scope than medical ethics and communication skills. Medical Humanities is one such interdisciplinary fields that draws on the creative and intellectual strengths of diverse disciplines related to the humanities, including, but not limited to philosophy, ethics, literature, art, creative writing, drama, film, music, anthropology, and history. The challenge is the use of these diverse fields in a creative manner to achieve the goal of developing more humane health professionals.
{"title":"Can the arts promote more humane health professionals? Exploring evidence from the neurosciences","authors":"S. Jayasinghe","doi":"10.4038/CJMS.V55I1.4938","DOIUrl":"https://doi.org/10.4038/CJMS.V55I1.4938","url":null,"abstract":"The Sri Lankan health profession is in urgent need of being more humane, compassionate and empathic. This requires education to widen its scope than medical ethics and communication skills. Medical Humanities is one such interdisciplinary fields that draws on the creative and intellectual strengths of diverse disciplines related to the humanities, including, but not limited to philosophy, ethics, literature, art, creative writing, drama, film, music, anthropology, and history. The challenge is the use of these diverse fields in a creative manner to achieve the goal of developing more humane health professionals.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114519704","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}
Nimantha Karunathilaka, Chandana Hewage, S. Wimalasekera, T. Amarasekara
Background: Recent studies have suggested that poor inhibitory control can lead to poor emotional aspect of eating behaviour resulting in obesity. Considering this, a study was conducted to assess the association between obesity, inhibitory control and emotional aspect of eating behaviour among young adults in Colombo District, Sri Lanka. Methods: Young adults of age 21–25 years (n=231) were studied. Body Mass Index (BMI) and Waist to Hip Ratio (WHR) were calculated to assess the generalized and central obesity, while inhibitory control was assessed through number of incorrect responses in Stroop, Stop signal and Go/no-go tasks. The emotional aspect of eating behaviour was assessed via self-administered Three Factor Eating Questionnaire (Revised-18), which consists of three subscales; cognitive restraint, uncontrolled eating and emotional eating. Results: The mean age of the study sample was 23.4±1.4 years with males comprising 51.9%. There was a statistically significant group effect in mean incorrect responses of Stroop task and Stop signal task scores with normal, overweight and obese individuals (p 0.05). A positive significant correlation was observed in mean incorrect responses of Stroop task with cognitive restraint subscale (r=0.238, p Conclusion: Poor inhibitory control with abnormal emotional aspect of eating despite cognitive restraint was seen in those with obesity.
{"title":"Does inhibitory dysfunction contribute to poor emotional aspect of eating behaviours in obesity? A study among a sample of young adults in Colombo District, Sri Lanka.","authors":"Nimantha Karunathilaka, Chandana Hewage, S. Wimalasekera, T. Amarasekara","doi":"10.4038/CJMS.V55I1.4911","DOIUrl":"https://doi.org/10.4038/CJMS.V55I1.4911","url":null,"abstract":"Background: Recent studies have suggested that poor inhibitory control can lead to poor emotional aspect of eating behaviour resulting in obesity. Considering this, a study was conducted to assess the association between obesity, inhibitory control and emotional aspect of eating behaviour among young adults in Colombo District, Sri Lanka. Methods: Young adults of age 21–25 years (n=231) were studied. Body Mass Index (BMI) and Waist to Hip Ratio (WHR) were calculated to assess the generalized and central obesity, while inhibitory control was assessed through number of incorrect responses in Stroop, Stop signal and Go/no-go tasks. The emotional aspect of eating behaviour was assessed via self-administered Three Factor Eating Questionnaire (Revised-18), which consists of three subscales; cognitive restraint, uncontrolled eating and emotional eating. Results: The mean age of the study sample was 23.4±1.4 years with males comprising 51.9%. There was a statistically significant group effect in mean incorrect responses of Stroop task and Stop signal task scores with normal, overweight and obese individuals (p 0.05). A positive significant correlation was observed in mean incorrect responses of Stroop task with cognitive restraint subscale (r=0.238, p Conclusion: Poor inhibitory control with abnormal emotional aspect of eating despite cognitive restraint was seen in those with obesity.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125551946","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}
P. Bandara, R. Fernando, Amali Thennakoon, S. Fernando, E. Corea, J. Masakorala
Background : Melioidosis is emerging in Sri Lanka. Clinical presentation is variable. Underlying risk factors include diabetes. Objective: To describe the epidemiology of patients with culture confirmed melioidosis presenting to the District General Hospital, Chilaw between 2014-2017. Method: Melioidosis was diagnosed in the microbiology laboratory by culture of Burkholderia pseudomallei from patients’ specimens. Isolates were confirmed by polymerase chain reaction (PCR). Antibodies were detected using the Indirect Haemagglutination Assay (IHA). Epidemiological data were collected from patients using a questionnaire. Results: Culture positive melioidosis was found in 15 patients. Melioidosis was more common in males and in adults. Clinical presentation was variable. Diabetes was the most important underlying risk factor. The case fatality rate was 40%. Conclusions: This case series demonstrates that melioidosis is endemic in the North Western Province and is an important cause of community acquired infection.
{"title":"Epidemiology and clinical presentation of patients with melioidoisis at the District General Hospital, Chilaw","authors":"P. Bandara, R. Fernando, Amali Thennakoon, S. Fernando, E. Corea, J. Masakorala","doi":"10.4038/CJMS.V55I1.4925","DOIUrl":"https://doi.org/10.4038/CJMS.V55I1.4925","url":null,"abstract":"Background : Melioidosis is emerging in Sri Lanka. Clinical presentation is variable. Underlying risk factors include diabetes. Objective: To describe the epidemiology of patients with culture confirmed melioidosis presenting to the District General Hospital, Chilaw between 2014-2017. Method: Melioidosis was diagnosed in the microbiology laboratory by culture of Burkholderia pseudomallei from patients’ specimens. Isolates were confirmed by polymerase chain reaction (PCR). Antibodies were detected using the Indirect Haemagglutination Assay (IHA). Epidemiological data were collected from patients using a questionnaire. Results: Culture positive melioidosis was found in 15 patients. Melioidosis was more common in males and in adults. Clinical presentation was variable. Diabetes was the most important underlying risk factor. The case fatality rate was 40%. Conclusions: This case series demonstrates that melioidosis is endemic in the North Western Province and is an important cause of community acquired infection.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131943141","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}
Lakshman Bandara, T. Kogulan, A. Jegavanthan, G. Weerakoon
A 46-year old lady with essential hypertension presented with recurrent episodes of Non-ST-elevation myocardial infarctions over a period of six months. Each episode was associated with classical chest pain, dynamic electrocardiographic changes and elevated cardiac enzymes. Two dimensional echocardiography showed evidence of hypertensive heart disease and dilated left main coronary artery with turbulent flow (Figure A). Trans-oesophageal echocardiography demonstrated the dilated segment clearly and 3 dimensional navigation showed more details of the abnormal segment (Figure B). The conventional coronary angiography, further elaborated the aneurismal segment, with turbulence and stagnation of the dye reflecting the indirect evidence of hemodynamic states of the aneurismal segment (Figure C). Except the left main, all other coronary arteries were normal. Finally, she was subjected to computer tomographic coronary angiography which showed excellent details of the aneurism in relation to origin, extension and the anatomy of the bifurcation, the essential details required for the surgeons (Figure D). Since the patient had a nidus for in-situ thrombi formation, which is the most likely cause for recurrent myocardial infarctions the decision to close the defect by surgery was taken. She was planned for aneurismal ligation with re-establishment of flow by coronary artery bypass grafting. The case illustrates the use of different modalities of coronary imaging in complex situations to obtain an accurate therapeutic decision.
{"title":"Left main coronary artery aneurism in an adult","authors":"Lakshman Bandara, T. Kogulan, A. Jegavanthan, G. Weerakoon","doi":"10.4038/CJMS.V55I1.4934","DOIUrl":"https://doi.org/10.4038/CJMS.V55I1.4934","url":null,"abstract":"A 46-year old lady with essential hypertension presented with recurrent episodes of Non-ST-elevation myocardial infarctions over a period of six months. Each episode was associated with classical chest pain, dynamic electrocardiographic changes and elevated cardiac enzymes. Two dimensional echocardiography showed evidence of hypertensive heart disease and dilated left main coronary artery with turbulent flow (Figure A). Trans-oesophageal echocardiography demonstrated the dilated segment clearly and 3 dimensional navigation showed more details of the abnormal segment (Figure B). The conventional coronary angiography, further elaborated the aneurismal segment, with turbulence and stagnation of the dye reflecting the indirect evidence of hemodynamic states of the aneurismal segment (Figure C). Except the left main, all other coronary arteries were normal. Finally, she was subjected to computer tomographic coronary angiography which showed excellent details of the aneurism in relation to origin, extension and the anatomy of the bifurcation, the essential details required for the surgeons (Figure D). Since the patient had a nidus for in-situ thrombi formation, which is the most likely cause for recurrent myocardial infarctions the decision to close the defect by surgery was taken. She was planned for aneurismal ligation with re-establishment of flow by coronary artery bypass grafting. The case illustrates the use of different modalities of coronary imaging in complex situations to obtain an accurate therapeutic decision.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126590009","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}
Background: Creating a healthy eating environment in schools is a proposed outcome of school canteen guidelines issued in 2007 in Sri Lanka. Maintaining service quality, guarantees achieving better health standards of school canteens. Objectives: This study assessed service quality of canteens in terms of location, physical facilities in food preparation and serving areas, food handling practices, food storage, and waste management. Further, it explored causes for deviating the service quality from the stipulated guidelines. Methods: This is a across sectional study, conducted in government schools in two districts in 2014. Service qualities of the canteens were assessed using a quantitative tool. Qualitative inquiry was used to explore perceptions of school principals and canteen operators on service quality. Results: Eighty eight percent of canteens were located in a suitable place and 78% had a clean outside environment. Only two third of food preparation areas satisfied the basic criteria. A dining area was available for students only in half. More than 80% of canteens had waste water drainage and 89% of canteens had bins for waste disposal. However, majority of canteens did not keep bins closed. Half of the canteens had cooling equipment, and majority of them had a practice to store raw materials and cooked food separately. Almost in 30 % of canteens, food was not covered in the serving area, and more than 90% of canteens used neither aprons nor gloves. Conclusion: This study found that providing quality food quality in school canteens has been a challenge due to many gaps in the present system. However, strengthening the service quality towards a healthy nutrition promoting setting can be done by change in planning and implementation processes.
{"title":"Service quality of school canteens: a case study from the Western Province, Sri Lanka","authors":"M. Weerasinghe, S. Bandara, M. Sanoon","doi":"10.4038/CJMS.V54I2.4817","DOIUrl":"https://doi.org/10.4038/CJMS.V54I2.4817","url":null,"abstract":"Background: Creating a healthy eating environment in schools is a proposed outcome of school canteen guidelines issued in 2007 in Sri Lanka. Maintaining service quality, guarantees achieving better health standards of school canteens. Objectives: This study assessed service quality of canteens in terms of location, physical facilities in food preparation and serving areas, food handling practices, food storage, and waste management. Further, it explored causes for deviating the service quality from the stipulated guidelines. Methods: This is a across sectional study, conducted in government schools in two districts in 2014. Service qualities of the canteens were assessed using a quantitative tool. Qualitative inquiry was used to explore perceptions of school principals and canteen operators on service quality. Results: Eighty eight percent of canteens were located in a suitable place and 78% had a clean outside environment. Only two third of food preparation areas satisfied the basic criteria. A dining area was available for students only in half. More than 80% of canteens had waste water drainage and 89% of canteens had bins for waste disposal. However, majority of canteens did not keep bins closed. Half of the canteens had cooling equipment, and majority of them had a practice to store raw materials and cooked food separately. Almost in 30 % of canteens, food was not covered in the serving area, and more than 90% of canteens used neither aprons nor gloves. Conclusion: This study found that providing quality food quality in school canteens has been a challenge due to many gaps in the present system. However, strengthening the service quality towards a healthy nutrition promoting setting can be done by change in planning and implementation processes.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"192 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124264238","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}
K. Arachchi, P. G. K. M. Kumarawansha, K. Kuruppu, Laboshan Kaliyugavarathan, D. Samaranayake
Background Electrical injuries carry a high risk of morbidity and mortality. Electrical workers are at a constant risk of such injuries. Accurate knowledge on prevention and first aid and putting it into practice is important for preventing and reducing these injuries. Objectives This study aimed to assess the associated factors of incidence of workplace electrical injuries and knowledge on prevention and first aid management among Ceylon Electricity Board (CEB) field level technical workers of the Colombo Municipal area. Methods This is a descriptive cross-sectional study conducted among 120 field level technical workers selected through two-stage cluster sampling. An interviewer-administered questionnaire was employed to gather information. Data was analyzed using descriptive statistics and Chi-square test. Results The sample consisted of only males, with a mean age of 37.19 years (SD=11.08). Self-reported injury incidence among the workers was 6% per year and no significant association was seen between injury incidence and any of the socio-demographic or work-related characteristics. Majority had a good knowledge on prevention (75.8%) and first aid management (81.7%). Having a total number of 1 to 3 training sessions on prevention during the time of occupation showed a significant association with knowledge on prevention (p=0.006) and occupational grade showed a significant association with knowledge on first aid management (p=0.013). Conclusions The knowledge on prevention and first aid for electrical burn injuries was satisfactory. Occupational grade and the number of training programmes attended influenced their level of knowledge.
{"title":"Associated factors of electrical injuries and knowledge on their prevention and first aid management among Ceylon Electricity Board (CEB) field level technical workers in Colombo municipal area","authors":"K. Arachchi, P. G. K. M. Kumarawansha, K. Kuruppu, Laboshan Kaliyugavarathan, D. Samaranayake","doi":"10.4038/CJMS.V54I2.4804","DOIUrl":"https://doi.org/10.4038/CJMS.V54I2.4804","url":null,"abstract":"Background Electrical injuries carry a high risk of morbidity and mortality. Electrical workers are at a constant risk of such injuries. Accurate knowledge on prevention and first aid and putting it into practice is important for preventing and reducing these injuries. Objectives This study aimed to assess the associated factors of incidence of workplace electrical injuries and knowledge on prevention and first aid management among Ceylon Electricity Board (CEB) field level technical workers of the Colombo Municipal area. Methods This is a descriptive cross-sectional study conducted among 120 field level technical workers selected through two-stage cluster sampling. An interviewer-administered questionnaire was employed to gather information. Data was analyzed using descriptive statistics and Chi-square test. Results The sample consisted of only males, with a mean age of 37.19 years (SD=11.08). Self-reported injury incidence among the workers was 6% per year and no significant association was seen between injury incidence and any of the socio-demographic or work-related characteristics. Majority had a good knowledge on prevention (75.8%) and first aid management (81.7%). Having a total number of 1 to 3 training sessions on prevention during the time of occupation showed a significant association with knowledge on prevention (p=0.006) and occupational grade showed a significant association with knowledge on first aid management (p=0.013). Conclusions The knowledge on prevention and first aid for electrical burn injuries was satisfactory. Occupational grade and the number of training programmes attended influenced their level of knowledge.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121700693","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}
A 21-year-old previously healthy man had become progressively unresponsive five days after developing highgrade fever. On examination, he was unconscious (GCS 3/15), with equally reacting normal-sized pupils and normal optic fundi, and marked neck stiffness. His blood investigations showed neutrophil leucocytosis (total white cells 21,250/μl; 88% neutrophils) and serum sodium of 112 mmol/l. Magnetic resonance imaging of the brain was normal except for a non-enhancing focal hyperintensity on T2 and FLAIR sequences with diffusion restriction and low signal on ADC map in the splenium of the corpus callosum (Figure). Cerebrospinal fluid analysis showed polymorphocytic pleocytosis (225 cells/μl; 80% polymorphocytes), elevated protein (99 mg/dl) and a CSF: plasma glucose ratio of 0.28. A diagnosis of pyogenic meningoencephalitis was established. The patient made a complete recovery after a 14-day course of intravenous meropenem and vancomycin. MRI repeated 14 days after completion of antibiotics showed complete resolution of the splenial hyperintensity.
{"title":"A vanishing callosal lesion on brain imaging in a patient with meningoencephalitis","authors":"Thashi Chang, R. Karunarathne, C. D. Mel","doi":"10.4038/CJMS.V54I2.4910","DOIUrl":"https://doi.org/10.4038/CJMS.V54I2.4910","url":null,"abstract":"A 21-year-old previously healthy man had become progressively unresponsive five days after developing highgrade fever. On examination, he was unconscious (GCS 3/15), with equally reacting normal-sized pupils and normal optic fundi, and marked neck stiffness. His blood investigations showed neutrophil leucocytosis (total white cells 21,250/μl; 88% neutrophils) and serum sodium of 112 mmol/l. Magnetic resonance imaging of the brain was normal except for a non-enhancing focal hyperintensity on T2 and FLAIR sequences with diffusion restriction and low signal on ADC map in the splenium of the corpus callosum (Figure). Cerebrospinal fluid analysis showed polymorphocytic pleocytosis (225 cells/μl; 80% polymorphocytes), elevated protein (99 mg/dl) and a CSF: plasma glucose ratio of 0.28. A diagnosis of pyogenic meningoencephalitis was established. The patient made a complete recovery after a 14-day course of intravenous meropenem and vancomycin. MRI repeated 14 days after completion of antibiotics showed complete resolution of the splenial hyperintensity.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127880807","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}
L. Kodithuwakku, C. Kodithuwakku, S. Kirushanth, W. Khandu, Thashi Chang
Background Happiness is a key factor in health and recently it has become the goal in most human organizations as productivity improves with improved happiness. Objective To assess the level of happiness and factors affecting it among the workers in two selected garment factories in the districts of Colombo and Gampaha. Methods A descriptive cross–sectional study was conducted among 127 workers in two garment factories situated in Colombo and Gampaha. A self-administered questionnaire was used to gather information on the demographic characteristics, job satisfaction, level of happiness and other selected variables. The data was analyzed using descriptive statistics and Chi-square test. Results Sixty three percent of the study population were in the highest category of the level of happiness indicated as “very happy”. Among the factors assessed to affect happiness; positive associations were found with friendly working environment (p=0.02), job satisfaction (p=0.03) and current marital status (p=0.01); while no associations were found for salary grade and number of job accidents. Conclusions There is satisfactory levels of happiness among garment factory workers in the selected study group. There is opportunity for further improvement in the level of happiness through manipulation of friendly working environment, job satisfaction and current marital status due to their positive correlation with the level of happiness.
{"title":"The level of happiness among garment factory employees and factors affecting it, in two selected garment factories.","authors":"L. Kodithuwakku, C. Kodithuwakku, S. Kirushanth, W. Khandu, Thashi Chang","doi":"10.4038/CJMS.V54I2.4809","DOIUrl":"https://doi.org/10.4038/CJMS.V54I2.4809","url":null,"abstract":"Background Happiness is a key factor in health and recently it has become the goal in most human organizations as productivity improves with improved happiness. Objective To assess the level of happiness and factors affecting it among the workers in two selected garment factories in the districts of Colombo and Gampaha. Methods A descriptive cross–sectional study was conducted among 127 workers in two garment factories situated in Colombo and Gampaha. A self-administered questionnaire was used to gather information on the demographic characteristics, job satisfaction, level of happiness and other selected variables. The data was analyzed using descriptive statistics and Chi-square test. Results Sixty three percent of the study population were in the highest category of the level of happiness indicated as “very happy”. Among the factors assessed to affect happiness; positive associations were found with friendly working environment (p=0.02), job satisfaction (p=0.03) and current marital status (p=0.01); while no associations were found for salary grade and number of job accidents. Conclusions There is satisfactory levels of happiness among garment factory workers in the selected study group. There is opportunity for further improvement in the level of happiness through manipulation of friendly working environment, job satisfaction and current marital status due to their positive correlation with the level of happiness.","PeriodicalId":253405,"journal":{"name":"Ceylon Journal of Medical Science","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121902716","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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