Takayasu arteritis is a vasculitic condition which affects large and medium sized vessels primarily aorta and its main branches. It is a rare condition affecting females more than males between 10 and 40 years of age with spectrum of clinical presentation. Here we present a case of 58 year old man who presented to us with non-specific gastrointestinal symptoms who was eventually diagnosed with Takayasu arteritis.
{"title":"Takayasu arteritis: In a middle-aged Sri Lankan male - A case report","authors":"G. Gnanaruban, S. Sivansuthan","doi":"10.4038/jmj.v34i1.154","DOIUrl":"https://doi.org/10.4038/jmj.v34i1.154","url":null,"abstract":"Takayasu arteritis is a vasculitic condition which affects large and medium sized vessels primarily aorta and its main branches. It is a rare condition affecting females more than males between 10 and 40 years of age with spectrum of clinical presentation. Here we present a case of 58 year old man who presented to us with non-specific gastrointestinal symptoms who was eventually diagnosed with Takayasu arteritis.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130445580","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":"Retraction of A case of chronic diarrhoea due to Strongyloides stercoralis in an immunocompromised patient by Karunatilaka KMAG, Hewageegana HTN, Perera WNY","authors":".. Editor","doi":"10.4038/jmj.v33i2.144","DOIUrl":"https://doi.org/10.4038/jmj.v33i2.144","url":null,"abstract":"","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125404656","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}
Monoclonal Gammopathy of Undetermined Significance (MGUS) is one of the plasma cell dyscrasias. An isolated finding of a monoclonal para-protein in serum or urine is the hallmark finding in MGUS. Most often it is found incidentally during an unrelated medical evaluation and/ or investigation to find a cause for neuropathy, anaemia, rashes, vasculitis or elevated Erythrocyte Sedimentation Rate (ESR). This case report illustrates an evaluation of a patient with persistently elevated prothrombin time has eventually lead to a diagnosis of MGUS.
单克隆性未确定意义γ病(Monoclonal Gammopathy of Undetermined Significance, MGUS)是浆细胞病变的一种。血清或尿液中单克隆副蛋白的分离发现是MGUS的标志性发现。大多数情况下，它是在不相关的医学评估和/或调查中偶然发现的，以寻找神经病变，贫血，皮疹，血管炎或红细胞沉降率升高(ESR)的原因。本病例报告说明了评估患者持续升高凝血酶原时间最终导致MGUS的诊断。
{"title":"Elevated Prothrombin Time: An unusual presentation of Monoclonal Gammopathy of Undermined Significance – A Case Report and literature review","authors":"R. M. M. Seelarathna, V. Sujanitha, T. Kumanan","doi":"10.4038/jmj.v33i2.139","DOIUrl":"https://doi.org/10.4038/jmj.v33i2.139","url":null,"abstract":"Monoclonal Gammopathy of Undetermined Significance (MGUS) is one of the plasma cell dyscrasias. An isolated finding of a monoclonal para-protein in serum or urine is the hallmark finding in MGUS. Most often it is found incidentally during an unrelated medical evaluation and/ or investigation to find a cause for neuropathy, anaemia, rashes, vasculitis or elevated Erythrocyte Sedimentation Rate (ESR). This case report illustrates an evaluation of a patient with persistently elevated prothrombin time has eventually lead to a diagnosis of MGUS.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132023474","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}
Recent advances and refinements in mitral valve surgery as well as interventional procedures have revived the interest in disparity in the morphology and morphometry of papillary muscles of the mitral valve. Study was taken up with an effort to extend the concepts previously presented on papillary muscles of mitral valve. Papillary muscles were studied in 320 fresh autopsied adult normal hearts. With varying number of muscle bellies. Anterolateral (ALPM) and posteromedial (PMPM) groups of papillary muscles were found. In two hearts, the ALPM and PMPM were connected by muscle tissue. According to the number of separate muscle bellies, 4 groups were categorized with increasing complexity. Single belly was the commonest form in the ALPM (73 %) and two bellies were the commonest form in the PMPM (40 %). The papillary muscles show a great variability on the nature of attachment to the ventricular wall. More than half of the hearts studied had a mixed type of papillary muscles (partly tethered and partly protruding in ALPM and PMPM groups. The mean distance separating the mitral annulus from the apex of the ALPM was 19.38 mm ± 3 SD (range 5 – 26) and from the apex of the PMPM was 20.36 mm ± 3.7 SD (range 10 – 32). The average length of ALPM was 32.24 mm ± 4.8 SD (range 20 - 45) and that of the PMPM was 29.92 mm ± 4.9 SD (range 16 - 44). The documented classical view of two papillary muscles should be adapted with 4 types of variations in morphology with increasing complexity.
{"title":"Morphological variations and morphometry of the papillary muscles of the mitral valve – a cadaveric study","authors":"S. Udhayakumar, S. Yasawardene","doi":"10.4038/jmj.v33i2.136","DOIUrl":"https://doi.org/10.4038/jmj.v33i2.136","url":null,"abstract":"Recent advances and refinements in mitral valve surgery as well as interventional procedures have revived the interest in disparity in the morphology and morphometry of papillary muscles of the mitral valve. Study was taken up with an effort to extend the concepts previously presented on papillary muscles of mitral valve. Papillary muscles were studied in 320 fresh autopsied adult normal hearts. With varying number of muscle bellies. Anterolateral (ALPM) and posteromedial (PMPM) groups of papillary muscles were found. In two hearts, the ALPM and PMPM were connected by muscle tissue. According to the number of separate muscle bellies, 4 groups were categorized with increasing complexity. Single belly was the commonest form in the ALPM (73 %) and two bellies were the commonest form in the PMPM (40 %). The papillary muscles show a great variability on the nature of attachment to the ventricular wall. More than half of the hearts studied had a mixed type of papillary muscles (partly tethered and partly protruding in ALPM and PMPM groups. The mean distance separating the mitral annulus from the apex of the ALPM was 19.38 mm ± 3 SD (range 5 – 26) and from the apex of the PMPM was 20.36 mm ± 3.7 SD (range 10 – 32). The average length of ALPM was 32.24 mm ± 4.8 SD (range 20 - 45) and that of the PMPM was 29.92 mm ± 4.9 SD (range 16 - 44). The documented classical view of two papillary muscles should be adapted with 4 types of variations in morphology with increasing complexity.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130892603","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}
S. Ziyard, S. Amarasingam, K. Sangaralingam, P. Gamage, S. T. Sosai, R. Kumar, D. Seneviratne, T. Sooriyakumar
Poor knowledge and negative attitudes among the public regarding blood donation have resulted in insufficient availability of blood and blood products for transfusion procedures in many clinical settings. This study aims to assess knowledge, attitudes and practices related to blood donation and their associated socio-demographic factors in Jaffna. A descriptive cross-sectional study was carried out among service-users at the Motor Traffic Department, District Secretariat, Jaffna, between 12 noon and 4 pm during a six-week period. Data were collected through an interviewer-based questionnaire. Frequencies, proportions, and the Chi Square test were used to analyze the data with SPSS (v25). The critical level was set at 0.05. A total of 300 service users participated; of them, most were females (59%), between 18 to 39 years (77%), with at least O/L qualifications (90%). Knowledge on eligibility criteria for blood donation was low compared to knowledge on risk behaviors that rendered them ineligible. Although an overwhelming majority (96%) believed that people should donate blood, only 21% had donated once in their lifetime. The most common reason for not having donated blood was that they had not been approached for blood donation (42%). Male gender (p<0.001) and being employed (p=0.013) were significantly associated with having donated blood. Knowledge gaps exist even among a fairly educated population in Jaffna. Attitudes on blood donation seem favourable, although practices are poor. Blood donation campaigns should address knowledge gaps and actively recruit the public for blood donation. Strategies should be developed to encourage voluntary blood donation.
{"title":"Knowledge, attitudes and practices related to blood donation in a selected population in Jaffna","authors":"S. Ziyard, S. Amarasingam, K. Sangaralingam, P. Gamage, S. T. Sosai, R. Kumar, D. Seneviratne, T. Sooriyakumar","doi":"10.4038/jmj.v33i2.134","DOIUrl":"https://doi.org/10.4038/jmj.v33i2.134","url":null,"abstract":"Poor knowledge and negative attitudes among the public regarding blood donation have resulted in insufficient availability of blood and blood products for transfusion procedures in many clinical settings. This study aims to assess knowledge, attitudes and practices related to blood donation and their associated socio-demographic factors in Jaffna. A descriptive cross-sectional study was carried out among service-users at the Motor Traffic Department, District Secretariat, Jaffna, between 12 noon and 4 pm during a six-week period. Data were collected through an interviewer-based questionnaire. Frequencies, proportions, and the Chi Square test were used to analyze the data with SPSS (v25). The critical level was set at 0.05. A total of 300 service users participated; of them, most were females (59%), between 18 to 39 years (77%), with at least O/L qualifications (90%). Knowledge on eligibility criteria for blood donation was low compared to knowledge on risk behaviors that rendered them ineligible. Although an overwhelming majority (96%) believed that people should donate blood, only 21% had donated once in their lifetime. The most common reason for not having donated blood was that they had not been approached for blood donation (42%). Male gender (p<0.001) and being employed (p=0.013) were significantly associated with having donated blood. Knowledge gaps exist even among a fairly educated population in Jaffna. Attitudes on blood donation seem favourable, although practices are poor. Blood donation campaigns should address knowledge gaps and actively recruit the public for blood donation. Strategies should be developed to encourage voluntary blood donation.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121970702","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}
Improvement in the health status of children over the last 50 – 100 years has been spectacular. This was because of targeted interventions carried out to combat infectious diseases and nutritional deficiencies. However, injury remains a threat to the health and wellbeing of children and is recognised as a major killer of children worldwide. There are factors that make children particularly susceptible to injuries. The fact that child injuries are predictable and preventable is not well understood by many. Awareness building is therefore vital. Prevention of child injury requires the involvement and commitment of a broad group of agencies.
{"title":"Children deserve to live in a safer world – Unintentional injuries in children","authors":"N. Liyanarachchi","doi":"10.4038/jmj.v33i2.131","DOIUrl":"https://doi.org/10.4038/jmj.v33i2.131","url":null,"abstract":"Improvement in the health status of children over the last 50 – 100 years has been spectacular. This was because of targeted interventions carried out to combat infectious diseases and nutritional deficiencies. However, injury remains a threat to the health and wellbeing of children and is recognised as a major killer of children worldwide. There are factors that make children particularly susceptible to injuries. The fact that child injuries are predictable and preventable is not well understood by many. Awareness building is therefore vital. Prevention of child injury requires the involvement and commitment of a broad group of agencies.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126420190","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 total of 435 haematological neoplasms were diagnosed and reported during the 4-year period. Acute myeloid leukaemia was the commonest haematological neoplasm, followed by plasma cell neoplasm myelodysplastic syndrome acute lymphoblastic leukaemia chronic myeloid leukaemia and chronic lymphocytic leuka emia. Male predominance was seen in most haematological neoplasms, compatible with local, regional, and global data. Female predilection was noted in essential thrombocythaemia, matching global trends, andin myelodysplastic syndrome, incontrast to global data.
{"title":"Spectrum of haematological neoplasms at a tertiary care hospital in Northern Province, Sri Lanka","authors":"T. Kumarasiri, R. Kumar, T. Sooriyakumar","doi":"10.4038/jmj.v33i2.132","DOIUrl":"https://doi.org/10.4038/jmj.v33i2.132","url":null,"abstract":"A total of 435 haematological neoplasms were diagnosed and reported during the 4-year period. Acute myeloid leukaemia was the commonest haematological neoplasm, followed by plasma cell neoplasm myelodysplastic syndrome acute lymphoblastic leukaemia chronic myeloid leukaemia and chronic lymphocytic leuka emia. Male predominance was seen in most haematological neoplasms, compatible with local, regional, and global data. Female predilection was noted in essential thrombocythaemia, matching global trends, andin myelodysplastic syndrome, incontrast to global data.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"119 19","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113961512","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}
Multiple myeloma (MM) is a relatively unco -mmon cancer characterized by the neoplastic proliferation of plasma cells producing a monoc -lonal immunoglobulin(Ig). Renal failure in multiple myeloma is around 48% and it may be the presenting manifestation of MM.[1] Renal involvement is multifactorial including light chain cast nephropathy amyloidosis, monoclonal Ig deposition disease and less frequently cryoglobulinaemic glomerulonephritis and proliferative glomerulonephritis.[2-5] Hence membrano proliferative glomerulonephritis (MPGN) is a rare form in MM. Here we report a case of multiple myeloma with MPGN in a 60-year-old male who succumbed to death while on chemotherapy.
{"title":"Multiple Myeloma as a rare cause of membranoproliferative glomerular nephritis","authors":"A. Nimalan, S. Sivansuthan","doi":"10.4038/jmj.v33i2.140","DOIUrl":"https://doi.org/10.4038/jmj.v33i2.140","url":null,"abstract":"Multiple myeloma (MM) is a relatively unco -mmon cancer characterized by the neoplastic proliferation of plasma cells producing a monoc -lonal immunoglobulin(Ig). Renal failure in multiple myeloma is around 48% and it may be the presenting manifestation of MM.[1] Renal involvement is multifactorial including light chain cast nephropathy amyloidosis, monoclonal Ig deposition disease and less frequently cryoglobulinaemic glomerulonephritis and proliferative glomerulonephritis.[2-5] Hence membrano proliferative glomerulonephritis (MPGN) is a rare form in MM. Here we report a case of multiple myeloma with MPGN in a 60-year-old male who succumbed to death while on chemotherapy.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117335275","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}
Respiratory diseases are common causes of hospital admission in children. Droplet transmission is the primary route of transmition in respiratory infections. The objective was to assess the burden of respiratory diseases on hospital admission of children during this Covid 19 pandemic and to assess the impact of Covid 19 preventive measures on it. An institutional based retrospective descriptive study based on secondary data was carried out at Professorial Paediatric unit Teaching hospital Jaffna. The data was extracted from the electronic patient management system. All the records of children who were primarily diagnosed with respiratory disease during the period of June 2020 to May 2021 were extracted. This data was compared with that of 2017. The total hospital admission has reduced from 4127 to 1049 during the pandemic. There was a significant decrease in total hospital admission during the covid 19 pandemic compared to before the pandemic {t (11.488) = 8.015 p<0.001}. Similarly, there was a significance decrease in the admissions due to respiratory diseases during the covid 19 pandemic {t(11.355) =5.982 p<0.001}. The percentage of respiratory admission has significantly reduced during the pandemic {t (21.997) =5.173 p<0.001}. Hospital admission due to respiratory illness has significantly reduced when compared to total admission during this pandemic. This may be attributed to social distancing, wearing mask and good hand hygiene.
{"title":"Impact of Covid 19 preventive measures on hospital admission due to respiratory illness in children at Professorial Paediatric unit Teaching Hospital Jaffna","authors":"N. Umasankar","doi":"10.4038/jmj.v33i2.135","DOIUrl":"https://doi.org/10.4038/jmj.v33i2.135","url":null,"abstract":"Respiratory diseases are common causes of hospital admission in children. Droplet transmission is the primary route of transmition in respiratory infections. The objective was to assess the burden of respiratory diseases on hospital admission of children during this Covid 19 pandemic and to assess the impact of Covid 19 preventive measures on it. An institutional based retrospective descriptive study based on secondary data was carried out at Professorial Paediatric unit Teaching hospital Jaffna. The data was extracted from the electronic patient management system. All the records of children who were primarily diagnosed with respiratory disease during the period of June 2020 to May 2021 were extracted. This data was compared with that of 2017. The total hospital admission has reduced from 4127 to 1049 during the pandemic. There was a significant decrease in total hospital admission during the covid 19 pandemic compared to before the pandemic {t (11.488) = 8.015 p<0.001}. Similarly, there was a significance decrease in the admissions due to respiratory diseases during the covid 19 pandemic {t(11.355) =5.982 p<0.001}. The percentage of respiratory admission has significantly reduced during the pandemic {t (21.997) =5.173 p<0.001}. Hospital admission due to respiratory illness has significantly reduced when compared to total admission during this pandemic. This may be attributed to social distancing, wearing mask and good hand hygiene.","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127598852","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":"Child protection in the context of the pandemic","authors":"M. G. Sathiadas","doi":"10.4038/jmj.v33i2.129","DOIUrl":"https://doi.org/10.4038/jmj.v33i2.129","url":null,"abstract":"","PeriodicalId":280534,"journal":{"name":"Jaffna Medical Journal","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126661596","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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