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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty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 Content analysis of policy documents related to non-communicable diseases prevention and control in Sri Lanka: a developing country in the South-East Asia(F1000 Research, 2024) Talagala, I.; Abeysena, C.; Wickremasinghe, R.BACKGROUND: Health policies form the foundation for provisioning best level care and are important for all stakeholders including patients and healthcare providers. Health policy analysis and evaluation allows policy makers to improve an existing policy, terminate a non-effective policy and to successfully implement future policies. The objective was to assess the coherence between the two local policy documents on NCD prevention and control in Sri Lanka, the national NCD policy (NCD policy) and the multisectoral action plan (MSAP), and to assess the consistency of MSAP with the global action plan for NCDs. METHODS: The content analysis of the NCD policy and MSAP of Sri Lanka was conducted based on the modified criteria developed to the ‘Analysis of determinants of policy impact’ model, by two reviewers independently. Coherence between MSAP and the global NCD action plan were also assessed by two reviewers independently. Consensus for discrepancy was achieved through discussion. RESULTS: Accessibility was the strongest criteria for the NCD policy, while, resources and obligations were the weakest. Goals and monitoring and evaluation criteria were the strongest in the MSAP. Requirement for improvement were identified in policy background, goals, monitoring and evaluation, and public opportunities for the NCD policy. Accessibility, policy background, resources, public opportunities and obligations require further improvement in the MSAP. The MSAP is well coherent with the global road map for NCD prevention and control. CONCLUSION: Policy documents related to NCD prevention and control in Sri Lanka are coherent with the global action plan, while, there are areas within the local policy documents that need to be improved to enhance the coherence between the local documents. Lessons learnt by this activity need to be utilized by Sri Lanka and other countries to improve the uniformity between the NCD policy documents within the country as well as internationally.Item Pub Med and Google Scholar perspectives of the Ceylon Medical Journal: Analysis from 2002 - 2016(Sri Lanka Medical Association, 2018) Mendis, K.; Solangaarachchi, D. I. K.; Weerabaddana, C.INTRODUCTION: Revisiting our analysis published in 2002, a bibliometric analysis of the Ceylon Medical Journal(CMJ) was done. METHOD: CMJ citations from 2002-2016 were downloaded in PubMed/MEDLINE format and written to a MS• Access database using 'PubMed Grabber' software from Kelaniya. For analysis, advanced PubMed queries and Google Scholar (for H-Index and cross-check author publication details) were used. RESULTS: 87~ citations were authored by 1666 authors. However, only 441 had more than one citation. Annual citations decreased from 71 (2002) to 61 (2016). Range 51-71, mean 58.6 and mode 51. Publications types: Journal Articles 685 (75%), Case Reports 281 (32%), Letters 210 (24%), Reviews 19 (2%), Clinical Trials 25(3%). Classification of citations by ICD-10 main chapters using Medical Subject Headings [MeSH]: infections and parasitic 156 (17.7%), endocrine, nutritional and metabolic 119 (13.5%), neoplasms 111 (12.6%), nervous system 101 (11.5%), digestive system 90 (10.2%). Authors with the highest number of articles were: [CMJ articles in PubMed, All articles in PubMed, H-Index] de Silva HJ [30,150,41] Lamabadusuriya SP [22,26,4] Pathmesweran A [22,64, 17] Senanayake MP [18,28, 9] de Silva NR (17,45,26] Kuruppuarachchi KA [16,24,7] Jayasinghe-_S_ [ 16, 189, 19] . CONCLUSION: The number of annual citations in CMJ is decreasing. For 1225 (73%) authors, publishing in the CMJ was a one-time affair. Case reports (32%) and letters (24%) totalled 56%. The vast majority of the top ranked CMJ authors had more citations in journals with a higher 'journal impact-factor' than CMJ. This may be one reason that CMJ is yet to have an impact-factor. Our method depends on the accuracy and consistency of author name, affiliation, and the key words submitted by authors.