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 Injuries at the National Sport Festival Taekwondo Championship in Sri Lanka [Lesioni al National Sport Festival Taekwondo Championship in Sri Lanka](Edizioni Minerva Medica, 2020) Ranaweera, L.; Kumari, M.I.; Samaraweerachchi, U.I.BACKGROUND: Taekwondo is a Korean martial art that had been growing in popularity in Sri Lanka and internationally. Although studies have examined injuries in other non-contact sports, to date, no published medical study has examined injuries in taekwondo competitions in Sri Lanka. The purpose of this study was to identify the injury profile in the “National Sport Festival Taekwondo Championship” in Sri Lanka. METHODS: This is a descriptive cross-sectional study. In the competition, 193 athletes were observed prospectively to detect the injury type, site of injury, severity of injury and the rate of injury. Injury data were recorded using an interviewer administered questionnaire with the help of the attending physician. The software program “SPSS 16.0’ was used to analyze the data. RESULTS: Importantly, 78 injuries were recorded. The most prevalent injury type was contusions (67.9%) followed by lacerations (12.8%), sprain (5.1%), concussion (5.1%) and fractures (3.8%). The lower limbs were determined as the most prevalent anatomical region of the body to sustain an injury during a competition followed by the head and neck. The most frequent injuries were mild injures (71.8%) which is followed by moderate injuries (17.9%) and the equal frequency of 5.1% for both severe and critical injuries. The injury rate was found to be 220.3 injuries per 1000 athlete-exposures. CONCLUSIONS: The most common injury location and type were found to be the lower limb and contusion, respectively. The majority of injuries appeared to be of mild in nature. Most importantly, the injury rate in Sri Lankan taekwondo athletes is very much higher than the rates reported from the other parts in the world. There is an urgent need of launching programs related to injury prevention among the players and the referees in order to decrease the rate of taekwondo injuries in Sri Lanka. KEY WORDS: Martial arts; Sports; Athletic injuries; ContusionsItem Injuries in the vulnerable road user fatalities; a study from Sri Lanka(Elsevier, 2014) Edirisinghe, P.A.S.; Kitulwatte, I.D.G.; Senarathne, U.D.Vulnerable Road Users defined as people at risk in traffic due to absence of an outside protective shield to absorb energy during a collision are mainly pedestrians, bicycle riders and motor cyclists. In low income countries, deaths of VRUs outnumber vehicular drivers and occupants. A forensic pathologist not only reports the cause of death but also forms opinions on type of road user. We attempted to find whether pedestrians could be differentiated from other types of VRUs. A retrospective descriptive study, based on case records of VRUs fatalities from 2005 to 2012 referred to a tertiary care unit for post-mortem examination, was conducted. A pro-forma was developed to extract data from the post-mortem reports and toxicology reports. Data was analysed using SPSS version16. Out of the 328 cases 48% (n = 157) were pedestrians while 45% (n = 147) were riders/pillion riders of two wheeled vehicles and 5% (n = 16) were drivers/occupants of three-wheelers. The majority (87%) was males and 43% of pedestrians were elderly. 59% had 10–25 injuries and 87% had external injuries in the head, face and neck. The majority of skeletal injuries were in the skull followed by ribs. Analysis of different variables of pedestrians to other types of VRUs showed that the variables of, elderly male, road crosser, skull injuries, brain injuries, cause of death being head injuries and multiple injuries were significantly greater among pedestrian group (p: <0.001). The traffic hours (peak and off peak), number of injuries, rib injuries, limb injuries, crushed/run over injuries or lung and liver injuries had no significant association. Although some features helped in determining a pedestrian, many other factors were not associated to differentiate a pedestrian from other VRUs. Therefore, a forensic pathologist has to be cautious in expressing opinions when other corroborative evidence is lacking.