S. Seyon, T. Peranantharajah, J. Nalayini, S. Rushanthini, . Pirannavan
Rosai-Dorfman disease (RDD) is a rare self-limiting histiocytic proliferative disorder that mostly presents with cervical lymphadenopathy with constitutional symptoms. It is associated with connective tissue disease in 10% of cases. Here we present a case of 14-year-old boy who presented with a prolonged fever, arthralgia and generalize lymphadenopathy. Eventually the diagnosis of RDD associated with early Rheumatoid arthritis was made.
{"title":"Rosai Dorfman disease : A rare association of sero positive rheumatoid arthritis","authors":"S. Seyon, T. Peranantharajah, J. Nalayini, S. Rushanthini, . Pirannavan","doi":"10.4038/jmj.v35i1.182","DOIUrl":"https://doi.org/10.4038/jmj.v35i1.182","url":null,"abstract":"Rosai-Dorfman disease (RDD) is a rare self-limiting histiocytic proliferative disorder that mostly presents with cervical lymphadenopathy with constitutional symptoms. It is associated with connective tissue disease in 10% of cases. Here we present a case of 14-year-old boy who presented with a prolonged fever, arthralgia and generalize lymphadenopathy. Eventually the diagnosis of RDD associated with early Rheumatoid arthritis was made.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135264223","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}
Y. Shanmuganathan, S. Raguraman, S. Kumaran, K. Shiribavan
A reduction in Quality of life (QoL) is evidenced among disempowered populations in Low Middle-Income Countries (LMIC) like Sri Lanka. Women in marginalized populations were culturally identified as potential persons who have care responsibilities to break the vicious cycle of poverty through capacity building. The aim of the study focuses on framework analysis to develop an implementation strategy with women empowerment to enhance the QoL of the community. A study was conducted for 4 years (2018-2022) in the Family Health Center, Kondavil, Northern Province, Sri Lanka, as a qualitative framework analysis using participatory action research methodology. As a result of the study, the empowered women coordinate several health service delivery programs for their community members and financially support their own families. The study can be concluded that women empowerment is an effective tool to improve the QoL of the community.
{"title":"Women empowerment is a tool to improve the quality of life of a community-case study","authors":"Y. Shanmuganathan, S. Raguraman, S. Kumaran, K. Shiribavan","doi":"10.4038/jmj.v35i1.178","DOIUrl":"https://doi.org/10.4038/jmj.v35i1.178","url":null,"abstract":"A reduction in Quality of life (QoL) is evidenced among disempowered populations in Low Middle-Income Countries (LMIC) like Sri Lanka. Women in marginalized populations were culturally identified as potential persons who have care responsibilities to break the vicious cycle of poverty through capacity building. The aim of the study focuses on framework analysis to develop an implementation strategy with women empowerment to enhance the QoL of the community. A study was conducted for 4 years (2018-2022) in the Family Health Center, Kondavil, Northern Province, Sri Lanka, as a qualitative framework analysis using participatory action research methodology. As a result of the study, the empowered women coordinate several health service delivery programs for their community members and financially support their own families. The study can be concluded that women empowerment is an effective tool to improve the QoL of the community.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133868009","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}
Railway-related fatalities were rising and reported throughout the year. Reckless behavior and using the train as a suicide tool are the primary cause of these tragic deaths.A retrospective descriptive study based on decedents of locomotive trauma was carried out at the JMO office, Jaffna, from January 2015 to January 2022.Thirty decedents were included in this study. Among them, twenty-nine were male, and the age of the individuals ranged from 16 to 73 years. Fifty-seven percent(n=17) of them were between 20 to 40 years. Most were married (57%. n=17) and unemployed (57%, n=17). There were 20(67%) accidents, 09(30%) suicides, and manner could not be ascertained in one (03%) death. Among the accidental deaths, 60%(n=12) were due to vehicle-train collisions, and 80%(n=16) of the deaths occurred at railway crossings. Most (67%, n=06) of the suicidal deaths happened alongside the railway track, away from stations, or rail crossings. All the decedents in both accidents (100%, n=20) and suicides (100%, n=09) had lacerations over the head and neck area. Hundred percent (n=20) of accident cases sustained fractures of the head and neck, 33% (n=03) One (10%) case of decapitation was noted in the self-harmed group. Over the chest region, more than 50% of the deaths had fractures in both accidents (80%, n=16) and suicides (56%, n=05). One (10%) case of transection of the body at the level of the chest was seen in a suicide case. Transection of the body at the level of the abdomen was seen in the accident (05%, n=01) and suicide (10%, n=01). The distribution and nature of injuries were almost identical in both upper and lower limbs. The brain is the internal organ that is primarily affected in both accidents (90%, n=19) and suicides (78%, n=07). In eighty percent (n=24) of the cases cause of death has been determined as craniocerebral injuries, while in 20% (n=06) of the cases, multiple injuries were given as the cause of death.The majority of railroad deaths were accidental. Transections of the neck and chest were commoner in suicides than in accidents. The nature of external injuries and internal organ damage were not showing a significant difference in accidents and suicides.
{"title":"Deaths due to locomotive injuries in Jaffna district- eight-year retrospective study are we prepared to change our attitude?","authors":"U. Mayorathan","doi":"10.4038/jmj.v35i1.179","DOIUrl":"https://doi.org/10.4038/jmj.v35i1.179","url":null,"abstract":"Railway-related fatalities were rising and reported throughout the year. Reckless behavior and using the train as a suicide tool are the primary cause of these tragic deaths.A retrospective descriptive study based on decedents of locomotive trauma was carried out at the JMO office, Jaffna, from January 2015 to January 2022.Thirty decedents were included in this study. Among them, twenty-nine were male, and the age of the individuals ranged from 16 to 73 years. Fifty-seven percent(n=17) of them were between 20 to 40 years. Most were married (57%. n=17) and unemployed (57%, n=17). There were 20(67%) accidents, 09(30%) suicides, and manner could not be ascertained in one (03%) death. Among the accidental deaths, 60%(n=12) were due to vehicle-train collisions, and 80%(n=16) of the deaths occurred at railway crossings. Most (67%, n=06) of the suicidal deaths happened alongside the railway track, away from stations, or rail crossings. All the decedents in both accidents (100%, n=20) and suicides (100%, n=09) had lacerations over the head and neck area. Hundred percent (n=20) of accident cases sustained fractures of the head and neck, 33% (n=03) One (10%) case of decapitation was noted in the self-harmed group. Over the chest region, more than 50% of the deaths had fractures in both accidents (80%, n=16) and suicides (56%, n=05). One (10%) case of transection of the body at the level of the chest was seen in a suicide case. Transection of the body at the level of the abdomen was seen in the accident (05%, n=01) and suicide (10%, n=01). The distribution and nature of injuries were almost identical in both upper and lower limbs. The brain is the internal organ that is primarily affected in both accidents (90%, n=19) and suicides (78%, n=07). In eighty percent (n=24) of the cases cause of death has been determined as craniocerebral injuries, while in 20% (n=06) of the cases, multiple injuries were given as the cause of death.The majority of railroad deaths were accidental. Transections of the neck and chest were commoner in suicides than in accidents. The nature of external injuries and internal organ damage were not showing a significant difference in accidents and suicides.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121455200","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}
Pancreas is an exocrine and endocrine organ. Exocrine portion secretes digestive fluid. Endocrine portion secreting insulin and glucagon etc. Pancreas developed from dorsal and ventral pancreatic buds, which arise from either side of distal foregut. When duodenum rotates to right, ventral pancreatic bud(VPB) rotates posterior along with common bile duct(CBD) and finally lies below and behind the dorsal pancreatic bud(DPB). In humans, DPB forms major part and VPB forms inferior part of head and uncinate process of pancreas. Main duct (Duct of Wirsung) is derived from whole of ventral pancreatic duct(VPD) and distal part of dorsal pancreatic duct(DPD). Main duct joins with CBD and it perforated posteromedial side of second part of duodenum at major duodenal papilla. Occasionally accessory duct might originate from proximal part of DPD and open into minor papilla. Sometimes two buds do not fuse and lead to pancreatic divisum. Abnormal rotation and fusion of buds might lead to annular pancreas. A few endodermal pancreatic evaginations may remain and migrate in bowel wall and form accessory(heterotopic) pancreas. Islets originating from DPB have more insulin synthesis. Neck, body and tail of pancreas is supplied by coeliac trunk. Derivatives of right VPB are supplied by branches of superior mesenteric artery. During rotation of VPB, superior mesenteric vessels(SMV) were engaged in between DPB and VPB. Lastly, SMV is located posterior to neck but it is anterior to uncinate process of pancreas. Detailed study of development of exocrine and endocrine portions is required for successful management of pathology of the pancreas.
{"title":"Development of human pancreas","authors":"R. Niranjan","doi":"10.4038/jmj.v35i1.176","DOIUrl":"https://doi.org/10.4038/jmj.v35i1.176","url":null,"abstract":"Pancreas is an exocrine and endocrine organ. Exocrine portion secretes digestive fluid. Endocrine portion secreting insulin and glucagon etc. Pancreas developed from dorsal and ventral pancreatic buds, which arise from either side of distal foregut. When duodenum rotates to right, ventral pancreatic bud(VPB) rotates posterior along with common bile duct(CBD) and finally lies below and behind the dorsal pancreatic bud(DPB). In humans, DPB forms major part and VPB forms inferior part of head and uncinate process of pancreas. Main duct (Duct of Wirsung) is derived from whole of ventral pancreatic duct(VPD) and distal part of dorsal pancreatic duct(DPD). Main duct joins with CBD and it perforated posteromedial side of second part of duodenum at major duodenal papilla. Occasionally accessory duct might originate from proximal part of DPD and open into minor papilla. Sometimes two buds do not fuse and lead to pancreatic divisum. Abnormal rotation and fusion of buds might lead to annular pancreas. A few endodermal pancreatic evaginations may remain and migrate in bowel wall and form accessory(heterotopic) pancreas. Islets originating from DPB have more insulin synthesis. Neck, body and tail of pancreas is supplied by coeliac trunk. Derivatives of right VPB are supplied by branches of superior mesenteric artery. During rotation of VPB, superior mesenteric vessels(SMV) were engaged in between DPB and VPB. Lastly, SMV is located posterior to neck but it is anterior to uncinate process of pancreas. Detailed study of development of exocrine and endocrine portions is required for successful management of pathology of the pancreas.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126653123","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}
Udeshika Jak, A. Jayakody, M. Lokuhetty, B. Senanayake, S. Kajananan
Anti–N-methyl-D-aspartate receptor (NMDAR) encephalitis has recently emerged as an autoimmune encephalitis syndrome. Younger females are more likely to develop this condition which usually presents as a multistage illness with predominant neuropsychiatric manifestations. It is associated with the neuroglial surface antibodies developing against NMDAR. The association of ovarian teratoma has been well recognised in this condition and tumour resection will intensify the recovery of the illness along with immunotherapy. We present a case of 19-year-old female who presented with acute onset of fever, encephalopathy and facial myorhythmia mimicking acute viral encephalitis. Her clinical status deteriorated within a short period. Later, her CSF became positive for NMDAR antibody and a right ovarian teratoma was detected. Her clinical status markedly improved with immunotherapy and excision of the teratoma following a diagnosis of Anti-NMDAR encephalitis. As a potentially treatable neurological condition, clinicians should be aware of this autoimmune encephalitis syndrome causing encephalitis.
抗n -甲基- d -天冬氨酸受体(NMDAR)脑炎是近年来出现的一种自身免疫性脑炎综合征。年轻女性更有可能发展这种情况，通常表现为以神经精神表现为主的多阶段疾病。它与NMDAR的神经胶质表面抗体有关。卵巢畸胎瘤在这种情况下的相关性已经得到了很好的认识，肿瘤切除将加强疾病的恢复以及免疫治疗。我们提出一个19岁的女性谁提出了急性发作发烧，脑病和面部肌律不齐模仿急性病毒性脑炎。她的临床状况在短时间内恶化。后脑脊液NMDAR抗体阳性，检出右卵巢畸胎瘤。在诊断为抗nmdar脑炎后，通过免疫治疗和畸胎瘤切除，她的临床状况明显改善。作为一种潜在的可治疗的神经系统疾病，临床医生应该意识到这种自身免疫性脑炎综合征引起脑炎。
{"title":"Rapid deterioration of a case of anti–N-methyl-D-aspartate receptor encephalitis with an ovarian teratoma, mimicking viral encephalitis","authors":"Udeshika Jak, A. Jayakody, M. Lokuhetty, B. Senanayake, S. Kajananan","doi":"10.4038/jmj.v35i1.181","DOIUrl":"https://doi.org/10.4038/jmj.v35i1.181","url":null,"abstract":"Anti–N-methyl-D-aspartate receptor (NMDAR) encephalitis has recently emerged as an autoimmune encephalitis syndrome. Younger females are more likely to develop this condition which usually presents as a multistage illness with predominant neuropsychiatric manifestations. It is associated with the neuroglial surface antibodies developing against NMDAR. The association of ovarian teratoma has been well recognised in this condition and tumour resection will intensify the recovery of the illness along with immunotherapy. We present a case of 19-year-old female who presented with acute onset of fever, encephalopathy and facial myorhythmia mimicking acute viral encephalitis. Her clinical status deteriorated within a short period. Later, her CSF became positive for NMDAR antibody and a right ovarian teratoma was detected. Her clinical status markedly improved with immunotherapy and excision of the teratoma following a diagnosis of Anti-NMDAR encephalitis. As a potentially treatable neurological condition, clinicians should be aware of this autoimmune encephalitis syndrome causing encephalitis.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"216 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132149039","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. Dayasiri, V. Thadchanamoorthy, M. Jansz, Senuri Dassanayake, G. Anand
Acute poisoning in children is an important public health problem and one of the leading causes of emergency department admissions following childhood injuries. Although most paediatric ingestions are accidental, children are at a higher risk for serious complications following ingestion of a similar toxic dose compared to adults. The current study evaluated the recent patterns and trends in acute poisoning among children in two tertiary care centers in urban Sri Lanka: Lady Ridge Hospital for Children, Colombo and North Colombo Teaching Hospital, Ragama. Out of 200 cases, the majority were between 1-5 years and male children outnumbered female children. The most common poisons included kerosene oil, paracetamol and “Good Luck” plants. Complication rate was low, and no mortalities were reported. Deliberate poisoning accounted for 1% of total poisonings. The current trends in poisoning among children living in urban Sri Lanka showed decreasing incidence of pesticide poisonings and increasing incidence of pharmaceutical poisonings and poisoning with ornamental plants.
{"title":"Epidemiology of acute poisoning among children in urban Sri Lanka: the experience of two tertiary care hospitals in Colombo district","authors":"K. Dayasiri, V. Thadchanamoorthy, M. Jansz, Senuri Dassanayake, G. Anand","doi":"10.4038/jmj.v35i1.177","DOIUrl":"https://doi.org/10.4038/jmj.v35i1.177","url":null,"abstract":"Acute poisoning in children is an important public health problem and one of the leading causes of emergency department admissions following childhood injuries. Although most paediatric ingestions are accidental, children are at a higher risk for serious complications following ingestion of a similar toxic dose compared to adults. The current study evaluated the recent patterns and trends in acute poisoning among children in two tertiary care centers in urban Sri Lanka: Lady Ridge Hospital for Children, Colombo and North Colombo Teaching Hospital, Ragama. Out of 200 cases, the majority were between 1-5 years and male children outnumbered female children. The most common poisons included kerosene oil, paracetamol and “Good Luck” plants. Complication rate was low, and no mortalities were reported. Deliberate poisoning accounted for 1% of total poisonings. The current trends in poisoning among children living in urban Sri Lanka showed decreasing incidence of pesticide poisonings and increasing incidence of pharmaceutical poisonings and poisoning with ornamental plants.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124957120","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}
Scleroderma like skin disease is a rare entity among the drug induced dermatological manifestations. It is attributed to various drugs and recently to certain oncological medications especially taxanes. Despite being an efficacious chemotherapeutic agent, it results in scleroderma like skin lesions rarely it resolves in some patients if detected early with omission of the culprit drug with or without steroids. Despite its rarity in literature untreated cases develop severe functional limitation due to skin fibrosis. After an exploration of literature search herein we report the first case of docetaxal induced scleroderma in a Sri Lankan which was detected and promptly treated with steroids successfully. We report this case to make clinicians aware about this condition when encountered with a patient having skin fibrosis with background history of chemotherapy, the possibility of a drug induced scleroderma.
{"title":"Docetaxal induced scleroderma like disease","authors":"Sivajini Shanmugalingam, Ushagowry Saravanamuttu, Umagowry Saravanamuttu","doi":"10.4038/jmj.v35i1.183","DOIUrl":"https://doi.org/10.4038/jmj.v35i1.183","url":null,"abstract":"Scleroderma like skin disease is a rare entity among the drug induced dermatological manifestations. It is attributed to various drugs and recently to certain oncological medications especially taxanes. Despite being an efficacious chemotherapeutic agent, it results in scleroderma like skin lesions rarely it resolves in some patients if detected early with omission of the culprit drug with or without steroids. Despite its rarity in literature untreated cases develop severe functional limitation due to skin fibrosis. After an exploration of literature search herein we report the first case of docetaxal induced scleroderma in a Sri Lankan which was detected and promptly treated with steroids successfully. We report this case to make clinicians aware about this condition when encountered with a patient having skin fibrosis with background history of chemotherapy, the possibility of a drug induced scleroderma.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125626845","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}
T. Mathuvanthi, U. Keerthiga, K. Majure, C. Mahinthan, H. Priyamantha, R. Kumar, G. Sathiadas
Extracurricular activities (ECA) help to nurture the core competencies of a doctor. This study assessed participation in ECA, barriers and attitudes towards participation, and associated sociodemographic and academic factors among medical students of the University of Jaffna.This descriptive cross-sectional study was carried out at the Jaffna Medical Faculty. Stratified random sampling was used ensuring proportionate representation from each batch. Data were collected with a self-administered questionnaire. Frequencies, proportions, and the Chi squared test were used in the analysis with SPSS (v21).In total, 332 students participated (response rate 96.5%); 65.1% reported participating in ECA. Among them 44.9% participated in sports, while 47.2% were involved in cultural/ faith-based activities. The majority participated in ECA on less than 3 days per week (68.1%), and for less than 2 hours per day (61%). Lack of time (27.5%) and transport (24.6%) were key barriers to participation. Many agreed that ECA enabled new friendships (63.2%) and enhanced social skills (60.2%). Ethnicity (p=0.03) and household income (p=0.045) were significantly associated with the level of participation; Sinhala and Muslim students and those with lower income participated at a lower level. Although female students reported lower participation, there was no evidence of an association between gender and ECA participation (p>0.05). Programme phase (p<0.001) and first examination results (p=0.019) were significantly associated with level of participation; students in the para-clinical phase and those who achieved class honours reported a lower level of participation.Over a third of students do not participate in any type of ECA at the Jaffna Medical Faculty. Targeted interventions are needed to improve participation with consideration to the barriers and groups who are less likely to participate in ECA.
{"title":"Participation in extracurricular activities and associated factors among Jaffna medical students","authors":"T. Mathuvanthi, U. Keerthiga, K. Majure, C. Mahinthan, H. Priyamantha, R. Kumar, G. Sathiadas","doi":"10.4038/jmj.v35i1.180","DOIUrl":"https://doi.org/10.4038/jmj.v35i1.180","url":null,"abstract":"Extracurricular activities (ECA) help to nurture the core competencies of a doctor. This study assessed participation in ECA, barriers and attitudes towards participation, and associated sociodemographic and academic factors among medical students of the University of Jaffna.This descriptive cross-sectional study was carried out at the Jaffna Medical Faculty. Stratified random sampling was used ensuring proportionate representation from each batch. Data were collected with a self-administered questionnaire. Frequencies, proportions, and the Chi squared test were used in the analysis with SPSS (v21).In total, 332 students participated (response rate 96.5%); 65.1% reported participating in ECA. Among them 44.9% participated in sports, while 47.2% were involved in cultural/ faith-based activities. The majority participated in ECA on less than 3 days per week (68.1%), and for less than 2 hours per day (61%). Lack of time (27.5%) and transport (24.6%) were key barriers to participation. Many agreed that ECA enabled new friendships (63.2%) and enhanced social skills (60.2%). Ethnicity (p=0.03) and household income (p=0.045) were significantly associated with the level of participation; Sinhala and Muslim students and those with lower income participated at a lower level. Although female students reported lower participation, there was no evidence of an association between gender and ECA participation (p>0.05). Programme phase (p<0.001) and first examination results (p=0.019) were significantly associated with level of participation; students in the para-clinical phase and those who achieved class honours reported a lower level of participation.Over a third of students do not participate in any type of ECA at the Jaffna Medical Faculty. Targeted interventions are needed to improve participation with consideration to the barriers and groups who are less likely to participate in ECA.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127424244","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}
H. Sanseevan, S. Manivannan, C. Thagshanaa, S. Gayathri, M. Dayasiri, N. Srisaravanapavathan, M. Nawarathne
Adrenal haematoma in the neonate commonly occurs during the first week of life and usually proceeded by either mechanical trauma or metabolic stresses including hypoxia, hypovolaemia, septicaemia and coagulopathy. Haematomas commonly present with abdominal mass, anemia and hypovolaemia. The authors report a large for gestational age male newborn who presented with partial small bowel obstruction following adrenal haematoma in a background of an otherwise uneventful vaginal delivery. Although this presentation is extremely rare, it is important to timely investigate all sick newborns with presentations which mimic acute surgical abdomen. Accurate diagnosis enables both avoidance of unnecessary surgical explorations and optimal conservative management.
{"title":"Right adrenal mematoma causing partial small bowel obstruction in a term neonate","authors":"H. Sanseevan, S. Manivannan, C. Thagshanaa, S. Gayathri, M. Dayasiri, N. Srisaravanapavathan, M. Nawarathne","doi":"10.4038/jmj.v35i1.185","DOIUrl":"https://doi.org/10.4038/jmj.v35i1.185","url":null,"abstract":"Adrenal haematoma in the neonate commonly occurs during the first week of life and usually proceeded by either mechanical trauma or metabolic stresses including hypoxia, hypovolaemia, septicaemia and coagulopathy. Haematomas commonly present with abdominal mass, anemia and hypovolaemia. The authors report a large for gestational age male newborn who presented with partial small bowel obstruction following adrenal haematoma in a background of an otherwise uneventful vaginal delivery. Although this presentation is extremely rare, it is important to timely investigate all sick newborns with presentations which mimic acute surgical abdomen. Accurate diagnosis enables both avoidance of unnecessary surgical explorations and optimal conservative management.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127587194","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":"Intelligent kindness","authors":"M. G. Sathiadas","doi":"10.4038/jmj.v35i1.175","DOIUrl":"https://doi.org/10.4038/jmj.v35i1.175","url":null,"abstract":"No abstract available","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129903024","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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