Conference Papers

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This collection contains abstracts of conference papers, presented at local and international conferences by the staff of the Faculty of Medicine

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    Height measurement technique in osteoporosis patients
    (Sri Lanka Medical Association, 2017) Kottahachchi, D.C.; Gao, F.; Sztal-Mazer, S.; Topliss, D.J.
    INTRODUCTION & OBJECTIVES: According to the International Society of Clinical Densitometry, patients with prospective height loss of >2cm in women or >3cm in men, warrant vertebral fracture assessment by DEXA technology. Accurate technique of measurement of height in osteoporosis (OP) patients has not been studied extensively. The objectives of our study were to compare the standard method of measuring height from the stadiometer with a carpenter’s level and using the drop down scale with a carpenter’s level and to check whether the accuracy of the average of three measurements is as good as a single measurement of height. METHODS: We measured height in 30 consecutive patients who attended the OP clinic using both techniques. Height was measured three times and average was taken. We also measured height three times in 172 OP patients only by using the drop down scale with the carpenter’s level. RESULTS: A statistically significant difference was seen between the height measurements taken from the stadiometer and the drop down scale(p<0.001). Among the 172 patients who had their height measured three times, there was no statistical difference between the first value and the average value (p=0.377) or among the three measured height values. CONCLUSION: Measuring height from the stadiometer with a carpenter’s level using the correct technique is an accurate method and measuring the height three times and taking the average is unnecessary as a single measurement is accurate.
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    Markers of metabolic syndrome among 14 year old adolescents in the Ragama Medical Officer of Health area
    (Sri lanka Medical Association, 2015) Jayasinghe, Y.C.; Kasturiratne, A.; Niriella, M.A.; Kottahachchi, D.C.; Rajindrajith, S.; Pathmeswaran, A.; de Silva, H.J.; de Silva, S.T.
    INTRODUCTION AND OBJECTIVES: Metabolic syndrome (MetS) is strongly associated with cardiovascular disease and diabetes. Local data on MetS do not cover the adolescent population. Our study describes clinical and biochemical markers of metabolic syndrome among adolescents in the Ragama Medical Officer of Health area. METHOD: Fourteen year old adolescents resident in the Ragama Medical Officer of Health area were invited to the study through the public health network. Socio-demographic and anthropometric data of adolescents who presented were collected by trained data collectors. Relevant bio-chemica! assays were conducted in the fasting state. Prevalence of identified markers of the MetS was determined. RESULTS: 508 adolescents participated [263 (51.8%) girls]. The median age at menarche among the girls was 12 years. 46 (18.8%) boys and 55 (20.9%) girls had a BM1 greater than age-sex equivalent of 23 kgrrr2 in adults. 39 (15.9%) boys and 95 (36.1%) girls had a waist circumference above the MetS cut-off for age and sex. 17 (6.9) boys and 16 (6.1%) girls had elevated triglycerides while none had decreased HDL. Two (0.8%) girls had fasting plasma glucose above lOOmg/dl. Eight (3.3%) boys and six (2.3%) girls had elevated blood pressure. One girl was positive for three of the five diagnostic criteria of MetS giving a prevalence of 2 per 1000. Only 190 (77.6%) boys and 159 (60.5%) girls were free of alt five markers of MetS. CONCLUSION: Our findings show that markers of MetS are prevalent in this urban adolescent population. These data provide a basis for planning interventions at community and school level.