Journal/Magazine Articles
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This collection contains original research articles, review articles and case reports published in local and international peer reviewed journals by the staff members of the Faculty of Medicine
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Item A Novel reverse transcriptase-polymerase chain reaction based-liquid hybridisation(RT-PCR-LH) assay for early diagnosis of dengue infection(Sri Lanka Medical Association, 2003) Gunasekera, M.B.; Hapugoda, M.D.; Gunasena, S.; Subasinghe, S.A.S.C.; Bandara, K.B.A.T.; Khan, K.B.; Abeyewickreme, W.BACKGROUND: Early definitive laboratory diagnosis of dengue is difficult with the tests in routine use at present. OBJECTIVE: To develop a reverse transcriptase-polymerase chain reaction based liquid hybridisation (RT-PCR-LH) technique for the rapid and early diagnosis of dengue. RESEARCH DESIGN: RT-PCR products of the NS3 gene of dengue virus prototypes and of a few positive sera for dengue virus by culture, were allowed to hybridise in liquid phase with a mixture of dengue specific radio-labelled oligonucleotides. The products were separated by PAGE and visualised by autoradiography. 78 suspected dengue sera were also tested by RT-PCR-LH method, and by IgM-ELISA and HAI tests, for comparison. RESULTS: Two DNA bands (approximately equal to 470 bp and approximately equal to 455 bp) specific to dengue virus, were observed. RT-PCR-LH assay takes only 24 h. Of the 78 suspected dengue acute sera tested, 45/78 were positive by RT-PCR-LH, 31/78 were positive by IgM-ELISA, and 14/78 had a HAI titre > or = 2560. Duration of fever was known in 72 cases, and infection was detected by RT-PCR-LH in 11/22 of cases with < 5 d fever and by IgM-ELISA in 1/22. In cases with 5 to 15 d fever RT-PCR-LH and IgM-ELISA/HAI titre > or = 2560 detected infection in 30/50 and 27/50 respectively. The 10 sera which were negative by RT-PCR-LH, but were positive by either IgM-ELISA or HAI titre > or = 2560 were all > 5 d fever cases. RT-PCR-LH together with IgM-ELISA were capable of detecting dengue infection in 56/78 of the suspected cases. CONCLUSION: RT-PCR-LH assay developed in this study appears to have an advantage over other diagnostic techniques for the early detection of dengue.Item Seasonal Trends of Anopheles Culicifacies population at Gomadiyagala, a village in a North Western Province of Sri Lanka(University of Sri Jayewardenepura, 1998) de Silva, B.G.D.N.K.; Gunasekera, M.B.; Abeyewickreme, W.; Wickremasinghe, M.B.Item Screening of Anopheles crlicifacies population of Sri Lanka for sibling species A.(Thacker's Press and Directories for Indian Research Fund Association, 1998) de Silva, B.G.D.N.K.; Gunasekera, M.B.; Abeyewickreme, W.; Abhayawardena, T.A.; Karunanayake, E.H.A total of 1119 Anopheles culicifacies mosquitoes collected from various malaria endemic regions in Sri Lanka were examined using two DNA probes Rp217 and Rp234, which enable the differentiation of sibling species A from B and C species of An. culicifacies. Sibling species A was found to be absent.Item Development of DNA probes for the identification of sibling species A of the Anopheles culicifacies(Diptera Culicidae) Complex(CABI Publishing, 1995) Gunasekera, M.B.; de Silva, B.G.D.N.K.; Abeyewickreme, W.; Subbarao, S.K.; Nandadasa, H.G.; Karunanayake, E.H.Three highly repetitive DNA sequences, Rp36, Rp217 and Rp234, were isolated from A. culicifacies s.l. The cloned DNA sequences were found at a higher copy number in species B and C, than in species A of the A. culicifacies complex. These sequences may therefore be used as DNA probes to distinguish species A from the other 2 species, using a 200-fold dilution of a single mosquito DNA extract in a dot-blot hybridization assay. Rp36 and Rp217 were completely sequenced. Internal repeats were absent in Rp36. Two related core sequences of 134 and 16 bp were found tandemly repeated in Rp217. These probes enable the rapid detection of species A of A. culicifacies in field investigationsItem Colonization and characterization of Anopheles culicifacies Giles, the major malaria vector in Sri Lanka(Museum and Reference Centre, SEAMEO-TROPMED National Centre of Thailand, 1993) de Silva, B.G.D.N.K.; Ratnayake, W.E.; Gunasekera, M.B.; Abeyewickreme, W.; Karunanayake, E.H.; Wickremasinghe, M.B.