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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty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 A study on adolescent sexual & violent behaviour, drugs & alcohol abuse and its relationship to the past experiences(Faculty of Medicine, University of Kelaniya & Plan International, 2008) Mettananda, D.S.G.; de Silva, D.G.H.; Jayasinghe, Y.C.; Waduge, T.R.W.; Pathmeswaran, A.; Abeysinghe, A.P.S.D.Item Changes in Government and Trends in Alcohol Consumption in Sri Lanka between 1989 and 2013(College of Community Physicians of Sri Lanka, 2015) Pathmeswaran, A.; Perera, W.N.; Hettiarachchi, D.Item Detection and management of alcohol misuse by General Practitioners(Sri Lanka Medical Association, 2003) Gurugama, N.P.; Seneviratne, S.L.; Peiris, D.T.S.; de Silva, H.J.INTRODUCTION: Alcohol misuse and related problems are common in Sri Lanka. The appropriateness of the primary care setting in dealing with alcohol misuse is well recognised, and general practitioners (GPs) constitute an important first contact setting. METHODS: One hundred and fifty randomly selected GPs practising in the Colombo and Gampaha districts were given a questionnaire to assess how they detect and manage alcohol misuse, and their attitudes towards persons who misuse alcohol. RESULTS: Seventy per cent of GPs responded [74 male; mean age 42 years (SD 6.7)]. Our results suggest that although a majority (81%) of GPs were frequently confronted with problems related to alcohol misuse, their efforts to detect the problem and knowledge regarding risk limits of alcohol consumption were poor. Only 25.7% had even heard of CAGE and MAST questionnaires. The majority of GPs felt inadequately trained to deal with alcohol misuse, but only a few made any self-directed efforts to improve their knowledge and skills regarding its management or referred their patients for specialised care. Participation in preventive programmes was minimal, and many GPs expressed negative attitudes towards persons misusing alcohol. CONCLUSIONS: The ability of general practitioners to detect and alcohol misuse appears to be inadequate.Item The Influence of sociodemographic factors on abstinence in alcohol dependent persons(The Kandy Society of Medicine, 1992) de Silva, H.J.; Samarasinghe, D.S.; Ellawala, N.S.Two hundred and thirty four alcohol dependent persons were admitted to an inten¬sive 6 week residential rehabilitation programme conducted at a special aleohol rehabilitation unit in Colombo. Of these. 175 (74 8%) were followed-up for a minimum of 2 years (mean 39.2 months) Of the 175, 76 persons remained totally abstinent and 99 had relapsed'by the end of the study period. There was a significant association (P<0001, chi-square test) between continued abstinence end having a life partner, stable family support, a higher income and regular employ -ment, A significant association was not found between abstinence and age of the dependent person, duration of alcohol dependence, level of education or type of employment. These results suggest that some 'environmental' factors play an important role in alcoholic remissionItem A Two-year follow-up study of alcohol dependent men rehabilitated at a special unit in a developing country(Churchill Livingstone, 1992) de Silva, H.J.; Peiris, M.U.P.K.; Samarasinghe, D.S.; Ellawala, N.S.Two hundred and thirty-four alcohol dependent men who had all failed to improve after previous hospital-based interventions were admitted to an intensive 6-week residential rehabilitation programme conducted at a special unit in Sri Lanka. Outcome was assessed at 2 years post-treatment, and 36% of dependent persons remained totally abstinent. During an extended period of follow-up (mean 39.2 months) a significant association was found between abstinence and having a life partner, stable family support, a higher income and regular employment. However, there was no significant association between abstinence and age, duration of alcohol dependence, level of education or type of employment. Although the majority of alcohol dependent persons did not benefit from the programme, our results compare favourably with those of similar studies done in developed countries.