The Apprentice- Journal
Permanent URI for this communityhttp://repository.kln.ac.lk/handle/123456789/24837
The Apprentice is the pioneering academic journal for medical students published by the Young Surgeons’ Forum of the Department of Surgery, Faculty of Medicine, University of Kelaniya. The primary objective of this journal is to create a platform to develop and
enhance the interest in academic reading and writing among medical students. The journal is managed by medical students with the supervision of academic staff and published by the University of Kelaniya
Browse
Item Unusual presentation of jejunal gastrointestinal stromal tumour with large metastatic deposits in the liver and peritoneum: Advantageous surgical exploration(University of Kelaniya, Sri Lanka, 2021) Ekanayaka, S.P.N.; Nishshanka, N.M.P.S.Gastrointestinal stromal tumour (GIST) is a relatively rare neoplasm accounting for less than 3% of all malignant gastrointestinal tumours. The diagnosis of GIST is often delayed due to its indolent symptoms. Patients present in advanced stages with metastatic deposits and at times unresectable stage. This report presents a case of a jejunal GIST with subsequent metastasis to the liver and multiple peritoneal deposits in a 59-year-old female patient managed surgically.Item Moral thinking and moral questioning(University of Kelaniya, Sri Lanka, 2021) Siriwardana, R.C.Item From zoom class to ward class(University of Kelaniya, Sri Lanka, 2021) Geekiyanage, U.K.A.Item Food consumption and wastage patterns in a student canteen - data from Faculty of Medicine, University of Kelaniya, Sri Lanka(University of Kelaniya, Sri Lanka, 2021) Lakshani, U.; Liyanage, P.; Liyanage, B.; Sewwandi, B.; Weerasooriya, T.Background - Food wastage has become one of the most concerning global issues. While one-third of the food produced for human consumption is wasted, one-ninth of the world population does not have enough to eat. Hence, the reduction of food wastage and proper waste management is of paramount importance for global sustainability. Objectives - To determine the amount of food consumed and wasted at the faculty canteen during lunchtime; to determine the students’ perceptions of food wastage and make recommendations to avoid food wastage. Method – – A descriptive cross-sectional study was carried out from November 2019 to December 2019. Plate waste of the students who consumed lunch at the main canteen of the Faculty of Medicine, University of Kelaniya was measured for six days to determine the percentage of food waste. A questionnaire was given to 200 students to obtain information regarding their reasons for food wastage and the knowledge of food waste management methods at the Faculty of Medicine. Results - Out of 420.48kg of food served during lunchtime of the six days observed, 110.87kg (26.4 %) was wasted. The mean food wastage per student was 139.5g. Among the reasons for food wastage, “poor smell/taste” and “lack of variation of the food” were the main reasons. The majority stated that they would waste less food if the presentation of the food were better. If the results were extrapolated to all state universities, the total waste is 15.96 tons at the cost of 1.368 million rupees per day. Conclusion - - Simple interventions such as making students aware of its economic impact and changing food serving methods may minimize waste.Item A rare case of spontaneous liver laceration with a large subcapsular liver haematoma following laparoscopic cholecystectomy(University of Kelaniya, Sri Lanka, 2021) Weeraratne, P.G.S.P.A 31-year-old woman presented with right hypochondrial pain and left shoulder tip pain on post-operative day 1 following Laparoscopic Cholecystectomy (LC). Haemodynamic instability, fever, and severe anemia was observed. Ultrasound scan (USS) revealed a spontaneous liver laceration with a large subcapsular liver haematoma. Emergency exploratory laparotomy and clot evacuation with surgical packing was done. Recovery was complicated with acute liver failure, acute renal failure, septic shock and takotsubo cardiomyopathy with and ejection fraction of 30%-40%. This article highlights the management of this conditionItem Medicine beyond the classroom(University of Kelaniya, Sri Lanka, 2021) Jayasinghe, J.A.D.M.Item Hepatic hemangioendothelioma: A rare case of a vascular tumour with slow progression(University of Kelaniya, Sri Lanka, 2021) Tennakoon, N.Hemangioendothelioma is a vascular neoplasm which shows a borderline behaviour with slow progression. Primary epithelioid hemangioendotheliomas of the liver are rare tumours with an incidence rate of less than 1 per 1,000,000 population. The unpredictability of tumor behaviour, complicates the treatment. Main options for treatment are chemotherapy, radiotherapy and surgery. Due to the lack of established guidelines, there is a debate on the most effective surgical intervention. This case report describes a 46-year-old female patient who was undergoing chemotherapy for 8 years with a slowly progressing disease, finally diagnosed as a hemangioendothelioma and now being considered for further management in a surgical setting.Item Pineal gland where Western science meets Eastern science; open for debate(University of Kelaniya, Sri Lanka, 2021) Perera, M.P.M.Item Perception of “Chilly Climate” among students in Faculty of Medicine, University of Kelaniya, Sri Lanka(University of Kelaniya, Sri Lanka, 2021) Jayaratne, J.P.D.S.; Indrapala, P.B.; Ishara, C.I.; Jayarathne, W.G.M.P.; Jayarathne, H.K.S.P.Background - “Chilly Academic Climate” is the “subtle ways that communicate to women that they are not quite first-class citizens in the academic community”1. The existence of a Chilly Climate within medical schools and the differences of sensitivity among demographic groups of their inhabitants, have been reported1,2. Objectives - To describe the Chilly Climate in a medical school environment as perceived by undergraduates and to determine the demographic differences. Method - A quantitative cross-sectional study was conducted among a convenience sample of Sri Lankan medical undergraduates. Perceived Chilly Climate Scale (PCCS), contentvalidated to be used in Sri Lanka (with 25 items; seven-point rating scale; score >25 indicates some form of ‘Chilly Climate’), was used as the tool of data collection. Results - 414 responded to the survey (Males: 116 & Bachelor of Medicine, Bachelor of Surgery (MBBS): 360). The overall reliability of PCCS was high (0.831). The average score for the school was 74.76/175 (MBBS: 73.35/175 & Bachelor of Science in Speech and Hearing Sciences (BScSHS): 84.19/175). Females’ perception was stronger than that of males (MBBS: 76.33 & 67.09, P=0.000 & BScSHS: 84.93 & 81.58, P=0.492). The average scores increase significantly from first to final years in the MBBS program (Min: 67.82- Max: 82.58, p=0.000). Some of the minority religious and ethnic groups have perceived chilly climate stronger than the majority groups. Conclusion - The Chilly Climate is somewhat stronger in the institution. Females perceived Chilly Climate stronger than males. The Chilly Climate appears to become stronger in clinical years than in pre-clinical years. The perceptions may be affected by ‘the minority’ factor.Item Assessment with multiple choice and single best answer questions(University of Kelaniya, Sri Lanka, 2021) Chandrathilake, M.Item Schizophrenia: Effects and its’ correlation with consanguineous marriage(University of Kelaniya, Sri Lanka, 2021) Prabagar, K.Item Case of mixed - type intraductal papillary - mucinous neoplasm of pancreas highlighting the need of multidisciplinary approach(University of Kelaniya, Sri Lanka, 2021) Pathirage, C.K.Mixed-Type Intraductal Papillary-Mucinous Neoplasms (MT– IPMNs) of pancreas are rare mucin producing papillary growths involving the Main Pancreatic Duct (MPD) and Branch Ducts (BD). Among other subtypes, MT-IPMNs are the most challenging in determining the ideal therapeutic strategy. A 56-year-old female presenting with severe acute epigastric abdominal pain due to acute on chronic pancreatitis was diagnosed with a cystic lesion in the pancreatic head by Contrast Enhanced Computed Tomography (CECT) imaging. Further imaging, interventions or follow-up were not offered. The patient presented four years later with a similar presentation to be subjected to pancreaticoduodenectomy following diagnosis of IPMN through Magnetic Resonance Cholangiopancreatogram (MRCP) and Endoscopic Ultrasound (EUS) imaging. The report highlights the necessity for heightened consideration of the role of MRCP as a determinant of the management strategy and the awareness of indications for surgery in MT-IPMNs in the Sri Lankan surgical setting.Item Book review: The Brain’s Way of Healing by Norman Doidge(University of Kelaniya, Sri Lanka, 2021) Geekiyanage, U.K.A.Item A rare case of hepatocellular carcinoma presenting as a bone metastasis in the left sternoclavicular joint(University of Kelaniya, Sri Lanka, 2021) Abeysinghe, A.M.H.S.A 65-year-old male presented with a pulsatile lump on the anterior chest wall. On imaging, the lesion was confirmed to be a bone eroding soft tissue mass suggestive of a metastatic deposit. Computed Tomography (CT) scan of the abdomen confirmed the presence of a hepatocellular carcinoma with typical enhancement pattern confirming the lump as a bone metastasis.Item Book Review: The Blind Musician by Vladimir Korolenko(University of Kelaniya, Sri Lanka, 2021) Jayasinghe, A.Item After lunch hour formalin sessions or virtual reality?(University of Kelaniya, Sri Lanka, 2021) Premaratne, B.E.Item A rare case of synchronous hepatocellular and periampullary carcinoma(University of Kelaniya, Sri Lanka, 2021) Perera, W.H.N.Synchronous multiple primary tumours are a rare occurrence. We report a rare case of multiple primaries involving hepatobiliary system in which a 64-year-old male who was diagnosed with hepatocellular carcinoma and periampullary carcinoma.Item “Even in adversity, there’s a lot to learn”(University of Kelaniya, Sri Lanka, 2021) Ratnayake, S.I.A.; Thanthiriwattha, C.D.; Kulatunga, T.N.; Liyanage, K.A.; Rupasinghe, S.I.