Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Patterns of acute poisoning among children in rural sri lanka(Sri Lanka College of Paediatricians, 2015) Dayasiri, M.B.K.C.; Jayamanne, S. F.; Jayasinghe, Y. C.OBJECTIVE:The study describes the patterns of demographic characteristics, poison related factors, clinical management and outcome following acute poisoning among children (9 months - 12 years) in rural Sri Lanka.METHOD:The current multi-centre study was hospital based and involved the two major hospitals (Anuradhapura and Polonnaruwa), and 34 peripheral hospitals of the North Central province of Sri Lanka (NCP). Total period covered by the study was seven years. Major part of data collections was carried out at Anuradhapura hospital prospectively for two years using interviewer administered questionnaire based assessments.RESULTS:Among 1621 children, boys (59%) outnumbered girls and most were of preschool age group. Majority belonged to the farming community. Commonest poison and type of poison were kerosene oil and household poisons respectively in most studies. Both male and female children ingested pesticides least. Most had unintentional poisoning and incidents mostly occurred within their own house premises. First aid measures were practised by one third of care givers and there were six incidents of aspiration pneumonia as detrimental effects of first aid measures and guardians were unaware of these effects in all cases. Commonest reasons for delayed presentation at emergency centre had been lack of concern by family members regarding the urgency of the situation and lack of knowledge regarding possible complications. Complications were observed in 12.5% and commonest was chemical pneumonitis.CONCLUSIONS: •The victims of acute poisoning in this muli-centre study were predominantly preschoolers, and male children were at a higher risk. • They were poisonined mostly unintentionally and within their own housing premises. •Kerosene oil was the commonest poison with its additional risks of aspiration pneumonia following hazadrous first aid measures by care givers.Item The effect of the Smart Glucose Manager (SGM) on glycosylated hemoglobin (HbAlc)(Sri Lanka Medical Association, 2018) Dhanishka, L.; Gunawardena, K.C.; Jackson, R.; Jayamanne, S. F.; Kalpani, A. G. S.; Muthukuda, D. T.; Robinett, I.INTRODUCTION AND OBJECTIVES: Smartphone use is growing rapidly in developing countries and mobile plications have begun to be utilized in the field of diabetes. Present study was conducted to evaluate the effectiveness of a newer mobile application, Smart Glucose Manager (SGM) in the management of diabetes mellitus. _ METHODS: A prospective randomized control trial was conducted at out-patient diabetes clinics of Sri Jayewardenepura General Hospital. Patients with HbAlc = 8.0% with access to smart phone were recruited and randomly assigned to two arms. Patients in both arms received standard care, the intervention arm received the mobile application, SGM. HbAlc levels were measured at baseline and every 3-months. RESULTS: The mean age of the study participants was 52±11 years. The improvement of mean HbAlc from baseline to 3-months follow-up, the intervention (baseline: 9.7%±1.3, follow-up: 8.2%±1.0, p =0.001) and control (baseline: 9.5%±1.6, follow-up: 8.2%±0.6, p=0.008) arms were not significantly different (p=0.98). However, a significant improvement in HbAlc was observed in the intervention arm from 3-months (8.3%±0.6) to 6-months (7.3%+_0.6), (p=0.005) compared with the control arm (8.2% at 3-months) (7.9%+_0.6-months), (p=0.16). Improvement of mean HbA1c was shown in both arms 3- months after the baseline clinic visit, but after 6-months, only the intervention arm continued to show statistically significant improvement of HbAlc(p=0.01). CONCLUSION: The improved glycemic control after 6 months in the intervention arm patients suggests increased patients compliance via the unique features of SGM. Further studies should be carried out to assess the long-term impact of SGM in diabetes patients.