Browsing by Author "Jayasinghe, J.A.P.H."

Now showing 1 - 2 of 2

Prevalence of dyspeptic symptoms and associated lifestyle factors among 3rd-year undergraduates in the University of Kelaniya
(Sri Lanka Medical Association, 2019) Jayasinghe, J.A.P.H.; Jayasinghe, J.A.G.K.; Jayasinghe, L.P.; Jayasinghe, J.A.M.P.; Jayasinghe, H.J.M.U.M.H.; Wangmo, D.; Niriella, M.A.
INTRODUCTION & OBJECTIVES: Dyspepsia includes epigastric discomfort, bloating and post-prandial fullness/early-satiety. Dyspepsia affects daily activities and quality-of-life. We assessed prevalence and associated lifestyle factor of dyspepsia among undergraduates of University of Kelaniya (UoK). METHODS: A descriptive, cross-sectional study was conducted among 3rd-year undergraduates of following faculties of UoK: Commerce & Management (CM), Humanities, Medicine, Science and Social Science (SS). The participants were selected randomly by stratified-cluster-sampling. Demographic data, presence of dyspepsia (Short Form Leeds Questionnaire), dietary habits, smoking & alcohol use, and sleep (WHO STEPS report) and stress levels (Perceived Stress Scale) were collected suing a self-administered questionnaire. Ethical clearance was granted by the Ethics-Review-Committee of the Faculty of Medicine, UoK. RESULTS: 347 (64-CM, 70-Humanities, 70-Medicine, 73-Science and 70-SS) responded. Overall occurrence of dyspepsia was 45.2% (50%- CM, 51.4%-Humanities, 45.7%-Medicine, 26.0%-Science, 54.3%-SS). Dyspepsia was significantly less among Science undergraduates (p<0.05). On bivariate-analysis, Faculty (other than Science) (p<0.01), consumption of fatty foods (daily) (p<0.05), spicy foods (daily) (p<0.01), vegetables (daily) (p <0.05), sleep (<6 hours) (p<0.05), moderate to high stress level (p<0.001), missing breakfast (p<0.05), skipping meals (daily) (p<0.05) were associated with dyspepsia. There was no association of smoking or alcohol habits with dyspepsia. On multivariate-analysis, spicy food (daily) (p<0.05, OR 1.8), missing breakfast (p<0.01, OR 2.1), sleep <6 hours (p<0.05, OR 1.8) and moderate-high stress level (p<0.001, OR 5.6) were found to be independently associated with dyspepsia. CONCLUSION: 45% of undergraduates of UoK had dyspepsia. Daily consumption of spicy food, missing breakfast, sleep <6 hours, and moderate-high stress level were found to be independently associated dyspepsia.
Public sector primary care services in Sri Lanka and the specialist family physician: A qualitative study
(Medknow, 2022) Ramanayake, R.P.J.C.; Perera, D.P.; Jayasinghe, J.A.P.H.; Munasinghe, M.M.E.M.; de Soyza, E.C.E.S.; Jayawardana, M.A.V.S.
INTRODUCTION: In the background of a rising burden of non-communicable disease (NCD) Sri Lanka has prioritised reorganising primary care based on a family medicine approach. AIMS: This study explored the integration of a relatively new specialist family physician (SFP) role into the state public health sector of Sri Lanka. Methods: In-depth qualitative interviews were conducted with 11 SFPs attached to the Ministry of Health. Data were analysed using inductive thematic analysis. RESULTS: SFPs had faced initial challenges related to recognition and collaboration within the state health sector. They provided comprehensive primary care in a variety of roles; most importantly in care of NCD and elderly care, and focused on professional development of medical officers and support staff in the settings where they worked. Challenges were insufficient laboratory facilities, medication availability, primary care trained manpower and linkages with secondary care. These barriers hindered the ability of the SFPs to provide a full range of family practice-oriented health services. CONCLUSION: SFPs have integrated well into the public health sector of Sri Lanka providing comprehensive primary care services. The findings identify areas that need strengthening to further improve primary care services in the country and operationalise proposed new primary care service models.