Anjana Silva, Thaveesha De Alwis, Sanoj Wijesekara, R. Somaweera
This perspective highlights the misidentifications of medically important snakes that could commonly occur in hospitals and provides a quick-reference, illustrated guide for minimising such snake misidentifications in the Sri Lankan healthcare setting.
{"title":"Minimising misidentification of common medically important snakes of Sri Lanka in the hospital setting","authors":"Anjana Silva, Thaveesha De Alwis, Sanoj Wijesekara, R. Somaweera","doi":"10.4038/amj.v17i2.7788","DOIUrl":"https://doi.org/10.4038/amj.v17i2.7788","url":null,"abstract":"This perspective highlights the misidentifications of medically important snakes that could commonly occur in hospitals and provides a quick-reference, illustrated guide for minimising such snake misidentifications in the Sri Lankan healthcare setting.","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45664929","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. Rajapakse, S. Agampodi, D. Yasaratne, Janith Chandrakumara, L. Amarasiri
Background: Asthma causes a significant disease burden in children and it is objectively diagnosed by demonstration of reversible airway obstruction. However, objective diagnosis of airway obstruction in preschool children with asthma symptoms is not frequently practised in Sri Lanka.Methodology: This study was a descriptive cross-sectional preliminary study conducted in a convenience sample of 11 consecutive children aged 3-6 years presenting with symptoms of asthma. Asthma Control Test (ACT) was used to assess symptom control. Lung function assessment was carried out using spirometry and impulse oscillometry (IOS) according to European Respiratory Society and American Thoracic Society guidelines. Airway obstruction cut-off was considered as the forced expiratory volume in the first second (FEV1): forced vital capacity (FVC) ratio less than 0.9.Results: The study sample consisted of 4 boys and 7 girls. Nine participants had good control of asthma symptoms (ACT>19). Only three participants performed spirometry in an acceptable and reproducible manner and two of them demonstrated evidence of airway obstruction. FVC less than 0.8 was noted in two participants probably attributable to poor effort (pseudo-restriction). Significant bronchodilator reversibility was not demonstrable in any patient, and two participants had reduced FEV1:FVC ratio following administration of beta-2-agonists probably due to paradoxical bronchoconstriction or improvement of FVC.IOS assessment was completed successfully by seven children. Increased R5-20 was detected in 3 participants and increased resonance frequency in another two children, suggesting probable peripheral airway involvement.Conclusion: Airway obstruction in preschool children could be assessed using spirometry and IOS. IOS is more feasible in preschool children.
{"title":"Lung function assessment in preschool children with symptoms of asthma: A preliminary study","authors":"S. Rajapakse, S. Agampodi, D. Yasaratne, Janith Chandrakumara, L. Amarasiri","doi":"10.4038/amj.v17i2.7780","DOIUrl":"https://doi.org/10.4038/amj.v17i2.7780","url":null,"abstract":"Background: Asthma causes a significant disease burden in children and it is objectively diagnosed by demonstration of reversible airway obstruction. However, objective diagnosis of airway obstruction in preschool children with asthma symptoms is not frequently practised in Sri Lanka.Methodology: This study was a descriptive cross-sectional preliminary study conducted in a convenience sample of 11 consecutive children aged 3-6 years presenting with symptoms of asthma. Asthma Control Test (ACT) was used to assess symptom control. Lung function assessment was carried out using spirometry and impulse oscillometry (IOS) according to European Respiratory Society and American Thoracic Society guidelines. Airway obstruction cut-off was considered as the forced expiratory volume in the first second (FEV1): forced vital capacity (FVC) ratio less than 0.9.Results: The study sample consisted of 4 boys and 7 girls. Nine participants had good control of asthma symptoms (ACT>19). Only three participants performed spirometry in an acceptable and reproducible manner and two of them demonstrated evidence of airway obstruction. FVC less than 0.8 was noted in two participants probably attributable to poor effort (pseudo-restriction). Significant bronchodilator reversibility was not demonstrable in any patient, and two participants had reduced FEV1:FVC ratio following administration of beta-2-agonists probably due to paradoxical bronchoconstriction or improvement of FVC.IOS assessment was completed successfully by seven children. Increased R5-20 was detected in 3 participants and increased resonance frequency in another two children, suggesting probable peripheral airway involvement.Conclusion: Airway obstruction in preschool children could be assessed using spirometry and IOS. IOS is more feasible in preschool children.","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49343834","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}
Nimali Senadheera, Karuppiah Prasanna, S. Karunarathne, C. Sarathchandra, H. Senanayake
Intrapulmonary vascular dilatations in the presence of chronic liver cell disease (CLCD), portal hypertension or congenital portosystemic shunts result in hepatopulmonary syndrome (HPS). Cyanosis, platypnoea and orthodeoxia are the main clinical features and contrast echocardiography is used for its diagnosis. The only available curative therapy is liver transplantation. Here we report a case of 62-year-old lady with CLCD and portal hypertension, who was investigated for hypoxia, clubbing and cyanosis. The diagnosis of HPS was made with the aid of arterial blood gas analysis, saline bubble contrast echocardiography and computer tomographic pulmonary angiography.
{"title":"Hepatopulmonary syndrome - An unusual complication of chronic liver cell disease","authors":"Nimali Senadheera, Karuppiah Prasanna, S. Karunarathne, C. Sarathchandra, H. Senanayake","doi":"10.4038/amj.v17i2.7753","DOIUrl":"https://doi.org/10.4038/amj.v17i2.7753","url":null,"abstract":"Intrapulmonary vascular dilatations in the presence of chronic liver cell disease (CLCD), portal hypertension or congenital portosystemic shunts result in hepatopulmonary syndrome (HPS). Cyanosis, platypnoea and orthodeoxia are the main clinical features and contrast echocardiography is used for its diagnosis. The only available curative therapy is liver transplantation. Here we report a case of 62-year-old lady with CLCD and portal hypertension, who was investigated for hypoxia, clubbing and cyanosis. The diagnosis of HPS was made with the aid of arterial blood gas analysis, saline bubble contrast echocardiography and computer tomographic pulmonary angiography.","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42047583","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: Eczema is an inflammatory skin condition with characteristic dry, itchy skin with visible lesions. The epidemiology of eczema among adolescents is distinct from that of children and adults.Methodology: An analytical cross-sectional study recruited 13-14-year-old adolescents from government secondary schools in the Anuradhapura municipal council area, Sri Lanka. The validated International Study of Asthma and Allergy in Childhood questionnaire was used to assess the epidemiology of eczema including the association with demographic, domestic, dietary and allergen factors.Results: The study sample consisted of 1029 participants(528 male, 501 female) with 826(80.3%) 13-year-olds and 203(19.7%) 14-year-olds. The majority were born in the Anuradhapura district(n=931, 90.5%). One hundred and twenty-eight(12.4%) adolescents have had at least one episode of an itchy rash that was periodical at least for six months and 72(7.0%) had a rash in the preceding year. Most of the adolescents developed these symptoms after 5 years of age(n=55, 76.4%). The prevalence of eczema was 3.2%(n=33, 95%CI 2.1–4.3). Comorbid severe asthma (OR 6.7; 95%CI 3.16-14.07), using kerosene lamps for lighting (OR 6.35; 95%CI 1.79-22.54), having close contact with domestic animals (OR 2.29; 95%CI 1.03-5.09), presence of smokers in the house(OR 2.58; 95%CI 1.04-6.40) and female sex(OR 1.95; 95%CI 0.92-4.12) were independently associated with eczema.Conclusion: The prevalence of eczema among adolescents of the Anuradhapura municipal council area was 3.2% and it is not different from previously reported prevalence in preschool children of the district. Identified independently associated factors could be used for targeted public health interventions.
{"title":"Epidemiology of eczema among adolescents aged 13-14 years from Anuradhapura, Sri Lanka: an analytical cross-sectional study","authors":"Sajeewa Thennakoon, Vimansha Sumanapala, Tharusha Siriwardhana, Thiweda Subhanee, Sivabalan Sridharan, Savithri Sulakkhana, S. Rajapakse","doi":"10.4038/amj.v17i2.7779","DOIUrl":"https://doi.org/10.4038/amj.v17i2.7779","url":null,"abstract":"Introduction: Eczema is an inflammatory skin condition with characteristic dry, itchy skin with visible lesions. The epidemiology of eczema among adolescents is distinct from that of children and adults.Methodology: An analytical cross-sectional study recruited 13-14-year-old adolescents from government secondary schools in the Anuradhapura municipal council area, Sri Lanka. The validated International Study of Asthma and Allergy in Childhood questionnaire was used to assess the epidemiology of eczema including the association with demographic, domestic, dietary and allergen factors.Results: The study sample consisted of 1029 participants(528 male, 501 female) with 826(80.3%) 13-year-olds and 203(19.7%) 14-year-olds. The majority were born in the Anuradhapura district(n=931, 90.5%). One hundred and twenty-eight(12.4%) adolescents have had at least one episode of an itchy rash that was periodical at least for six months and 72(7.0%) had a rash in the preceding year. Most of the adolescents developed these symptoms after 5 years of age(n=55, 76.4%). The prevalence of eczema was 3.2%(n=33, 95%CI 2.1–4.3). Comorbid severe asthma (OR 6.7; 95%CI 3.16-14.07), using kerosene lamps for lighting (OR 6.35; 95%CI 1.79-22.54), having close contact with domestic animals (OR 2.29; 95%CI 1.03-5.09), presence of smokers in the house(OR 2.58; 95%CI 1.04-6.40) and female sex(OR 1.95; 95%CI 0.92-4.12) were independently associated with eczema.Conclusion: The prevalence of eczema among adolescents of the Anuradhapura municipal council area was 3.2% and it is not different from previously reported prevalence in preschool children of the district. Identified independently associated factors could be used for targeted public health interventions.","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70099461","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}
Ramsay Hunt Syndrome is characterized by paroxysmal ear pain, and vesicular rash around the ear with ipsilateral facial nerve palsy. It is due to the reactivation of the Varicella Zoster Virus (VZV) in the facial nerve ganglion. It is considered the second most common cause of peripheral facial nerve palsy. A 14-year-old immunocompetent boy presented with fever associated with vertigo, facial asymmetry and difficulty in swallowing. He had a few crusted lesions in his left ear pinna and ear canal on examination. A cranial nerve examination revealed a left-sided facial and palatal palsy. Cerebrospinal fluid (CSF) analysis was suggestive of a viral meningoencephalitis.This case highlights the importance of clinicians recognizing Ramsay Hunt syndrome amongst patients presenting with multiple cranial nerve involvement and amongst those with meningoencephalitis.
{"title":"Ramsay Hunt Syndrome with cranial polyneuropathy and aseptic meningoencephalitis: A case report","authors":"L. Soysa, F. Sivagnanam","doi":"10.4038/amj.v17i2.7762","DOIUrl":"https://doi.org/10.4038/amj.v17i2.7762","url":null,"abstract":"Ramsay Hunt Syndrome is characterized by paroxysmal ear pain, and vesicular rash around the ear with ipsilateral facial nerve palsy. It is due to the reactivation of the Varicella Zoster Virus (VZV) in the facial nerve ganglion. It is considered the second most common cause of peripheral facial nerve palsy. A 14-year-old immunocompetent boy presented with fever associated with vertigo, facial asymmetry and difficulty in swallowing. He had a few crusted lesions in his left ear pinna and ear canal on examination. A cranial nerve examination revealed a left-sided facial and palatal palsy. Cerebrospinal fluid (CSF) analysis was suggestive of a viral meningoencephalitis.This case highlights the importance of clinicians recognizing Ramsay Hunt syndrome amongst patients presenting with multiple cranial nerve involvement and amongst those with meningoencephalitis.","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47188997","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":"Steroid-responsive encephalopathy associated with autoimmune thyroiditis presenting as major depression","authors":"L. Liyanage, C. Perera","doi":"10.4038/amj.v17i1.7743","DOIUrl":"https://doi.org/10.4038/amj.v17i1.7743","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45186773","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}
F. Nasim, Fasrina Zawahir, S. Bowattage, K.W.T.R. Kularathna, Sachinthana Sumanasekara
{"title":"Toxoplasma causing persistent massive cervical lymphadenopathy in a healthy young male","authors":"F. Nasim, Fasrina Zawahir, S. Bowattage, K.W.T.R. Kularathna, Sachinthana Sumanasekara","doi":"10.4038/amj.v17i1.7746","DOIUrl":"https://doi.org/10.4038/amj.v17i1.7746","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43871534","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":"Non-resolving pneumonia in a young patient with fungal granulomatous infection: an unusual presentation of lung malignancy","authors":"S. Yathukulan, A. Gunapala, J. C. Charles","doi":"10.4038/amj.v17i1.7735","DOIUrl":"https://doi.org/10.4038/amj.v17i1.7735","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44303400","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}
J. Schulz, Chiara Cimenti, Chamil Priyadhasana, Malithi Herath, Kamal Senerviratne, Sisira Siribaddana, P. Pushpakumara, Andrew Dawson, Kylie Lee, F. Konradsen, T. Rajapakse, J. Raubenheimer, J. Sørensen, M. Pearson
{"title":"The impact of early COVID-19 restrictions on alcohol consumption, intimate partner violence, and finances in rural Sri Lanka","authors":"J. Schulz, Chiara Cimenti, Chamil Priyadhasana, Malithi Herath, Kamal Senerviratne, Sisira Siribaddana, P. Pushpakumara, Andrew Dawson, Kylie Lee, F. Konradsen, T. Rajapakse, J. Raubenheimer, J. Sørensen, M. Pearson","doi":"10.4038/amj.v17i1.7751","DOIUrl":"https://doi.org/10.4038/amj.v17i1.7751","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43658843","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 care quality and parental satisfaction with the care provided by childcare centres in Kandy, Sri Lanka","authors":"Samidi Navaratna, U. Senarath","doi":"10.4038/amj.v17i1.7761","DOIUrl":"https://doi.org/10.4038/amj.v17i1.7761","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46921049","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：