30th Anniversary Academic Sessions, Faculty of Medicine-2021

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Plenaries, Symposia and free papers presented at the 30th Anniversary Academic Sessions, held on 28-31st October 2021, Faculty of Medicine, University of Kelaniya to celebrate the 30th Anniversary of Faculty of Medicine

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Assessment and comparison of knowledge, attitudes and practices on usage of paracetamol among people (both males and females) within 20-30 years and 50-60 years attending Outpatient Department at Divisional Hospital, Wellawa
(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2021) Galhenage, T.S.; Gangoda, E.W.W.M.M.B.; Hewawasam, H.H.A.U.; Hiran, J.K.H.; lllangasinghe, H.M.M.P.K.; Dassanayake, A.S.
Introduction: Paracetamol possesses analgesic and antipyretic properties and is considered as one of the most commonly used over the counter medications worldwide. Despite its favourable safety profile, intentional and unintentional acute overdose of paracetamol attributes to potentially fatal organ damage. Objectives: To assess and compare knowledge, attitudes and practices on paracetamol usage and associated factors among young (20-30yrs) and older adults (50-60yrs) attending the Outpatient Department (OPD) at Divisional Hospital (DH), Wellawa. Methods: A Descriptive cross-sectional study was conducted using an interviewer administered questionnaire among 424 patients who attended the OPD at DH, Wellawa. These categorical data were described using percentages and significant associations were determined using T test. The analysis was processed through SPSS software. Results: Participants in the 20-30 years and 50-60-year age groups had 98.6% and 91.8% above average knowledge respectively, 89.2% and 94.3% above average attitudes respectively, 59.2% and 49.5% above average practices respectively on paracetamol usage. There was no statistically significant association between knowledge, attitude and practices with gender. However, according to the T test, only practices were found to have a statistically significant association with age. Conclusions: A majority of the participants from both age groups had an above average knowledge and attitudes on paracetamol usage. Although a majority from 20-30-year age group had an above average practices, only a minority from 50-60-year age group had above average practices on paracetamol usage. Furthermore, there was a statistically significant association only between practices and age.
Knowledge, challenges, quality of life and their associated factors among adult patients with Type 1 diabetes attending National Diabetes Centre - Rajagiriya
(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2021) Fernando, L.
Introduction: Literature on type 1 diabetes mellitus (T1DM) and its effects on daily living, financial, educational, psychosocial challenges and quality of life is scare in Sri Lanka. Objectives: To describe the knowledge, challenges, quality of life and their associated factors among adult patients with T1 DM attending National Diabetes Centre, Rajagiriya. Method: A descriptive cross-sectional study was conducted among 228 patients with T1DM, on treatment for at least one year duration attending National Diabetic Centre, Rajagiriya. Self-administered questionnaires were circulated as google forms. Descriptive statistics was performed and analysed. P<0.05 was taken as the significance level. Results: Majority (70%) were between 18-27 years of age with mean age 25.54 years (SD=5.690). Age of disease onset was less than 15 years among 82% of patients. Mean Knowledge scores on insulin therapy, emergency management and chronic complications were 67.76 (SD=0.49), 42.92 (SD=0.5) and 81.49 (SD=0.5) respectively. Overall knowledge, knowledge on insulin therapy and acute complications were statistically significant among those better educated (p<0.05). Majority (54.87%) had good quality of life. Majority encountered family issues (30.3%). Better quality of life was significantly associated with higher monthly income (p<0.05) Conclusions: Majority had satisfactory knowledge on insulin therapy and chronic complications but poor knowledge on acute complications. Those educated above O/L had better knowledge on insulin therapy and acute complications. Majority had good quality of life and those with higher income had a better quality of life.
A scoping review on psychosocial impacts on adults with dysarthria
(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2021) Sankalpani, G.
Introduction: Dysarthria can cause a wide range of psychosocial impacts, but limited researchers have documented the psychosocial impacts in the people who have dysarthria. Objectives: To conduct a scoping review on psychosocial impacts among people with dysarthria Methods: This study was conducted using the PRISMA Extension for Scoping Reviews (PRISMA-ScR). The following online databases PubMed, EBSCOhost, Scopus and Web of Science were searched to identify the research papers, ‘dysarthria’ and ‘adults’ were used as the two key search terms. Cross-sectional studies and qualitative studies were considered in this review. Two reviewers independently screened the titles and abstracts, based on the inclusion and exclusion criteria. The AXIS critical appraisal of cross-sectional studies and Quality assessment for the systematic review of qualitative evidence were followed as the methodological quality assessments. Synthesis of the data was reported by presenting a summary of findings about psychosocial impacts of dysarthria. Results: Seven studies from United Kingdom, Italy, France and Brazil were selected for the narrative synthesis. Social isolation, reduced self-confidence and self-perception, reduced listener reactions, changes in social life, negative effects on different social situations and negative effects of the emotions are the key findings of the studies. Conclusions: The results presented details about psychological and social impacts in people with dysarthria and how those negatively affected a person’s quality of life. And the findings indicate that psychosocial impacts are influenced by how people with dysarthria feel about how others perceive them. Further studies are required to thematically identify the psychosocial impacts of people with dysarthria.