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Item type: Item , Is size, morphology, site, and access scoring system consistent between endoscopists? Interobserver and intraobserver polyp assessment study(Stuttgart : Georg Thieme Verlag KG, 2025-12) Thoufeeq, M.; Thaika, A.; Moudhgalya, S.; Mundre, P.; Abeysuriya, V.; Nishad, N.BACKGROUND AND STUDY AIMS: This study aimed to evaluate interobserver and intraobserver agreement in Size/Morphology/Site/Access (SMSA) scoring among practicing endoscopists with varying levels of experience. PATIENTS AND METHODS: A total of 102 fully independent endoscopists participated in the study. Ten short video clips of colonic polyps of varying size and complexity were recorded using Olympus 290 colonoscopes and included white light, near focus, narrow band imaging, and chromoendoscopy where applicable. These videos were embedded in an online questionnaire. Endoscopists were asked to assign SMSA scores based on three variables-size, morphology, and access-with the site provided for standardization. A subgroup of five participants repeated the assessment after 2 to 3 weeks to evaluate intraobserver consistency. Data were analyzed using Fleiss' kappa via SPSS (v26), and Kappa interpretation followed the Landis and Koch classification. RESULTS: Overall interobserver agreement for SMSA level across all participants was fair (κ = 0.346). Among individual parameters, morphology had the highest agreement (κ = 0.505, moderate), followed by access (κ = 0.408, moderate) and size (κ = 0.241, fair). Subgroup analysis of experienced endoscopists (> 1000 lifetime colonoscopies) yielded slightly improved kappa values, with morphology still demonstrating the highest consistency. Intraobserver agreement showed moderate to almost perfect reliability for size (κ = 0.444 to 1.000) and moderate to substantial agreement for SMSA level (κ = 0.429 to 0.846). CONCLUSIONS: Morphology was the most consistently scored parameter. Although the SMSA tool remains valuable, efforts such as standardized training and simplification of variable categories may be warranted to improve interobserver consistency and enhance clinical-utility.Item type: Item , Communication interventions for high-risk infants: professionals' perspectives on establishing services in Sri Lanka(London : BMJ Publishing Group, 2025-12) Weerasinghe, Y.S.K.; Sumanasena, S .BACKGROUND: Early intervention is critical for optimising outcomes in children with neurodevelopmental disorders. The International Classification of Functioning, Disability and Health (ICF) identifies the role of family, interventions through early detection and intervention services within environmental and personal factors. This study explored the perspectives of professionals regarding the implementation and effectiveness of family-centred early intervention within the Sri Lankan context and evaluated the applicability of the ICF model in this setting. METHODS: A qualitative, phenomenological study was conducted with 30 professionals from healthcare and education settings. Participants were selected through purposive sampling based on their experience in child development. Data was collected through semistructured interviews, transcribed and analysed thematically to identify key themes and subthemes. The validity of the data was ensured through thick descriptions and member checking. RESULTS: Analysis revealed that Sri Lankan early intervention practices show a positive trajectory, more emphasis is placed on the medical model and curative care, with less focus on preventive care and child activity and participation. Participants identified family-centred early intervention as a necessary and potentially effective approach for the Sri Lankan context. Key promoters included professional knowledge, environmental modifications and access to information, while socioeconomic barriers, limited resources and difficulties in implementing the ICF model effectively were challenges. CONCLUSION: The findings highlighted resources available within the Sri Lankan health and education system to introduce family-centred early intervention and identified families as a key resource as framed within the ICF model. Therefore, it is essential to adopt culturally sensitive methods to implement and sustain such programmes.Item type: Item , Perception of Overweight Among Women in a Selected Medical Officer of Health Area in the Kalutara District(National Health Research Symposium-2025- Colombo-Sri Lanka, 2025-11) Herath, D.; Kasturiratne, A.Item type: Item , Gastric Motility Parameters and Their Association with Adiposity and Metabolic Health in a Cohort of Sri Lankan Office Workers(Annual Congress of the Sri Lanka College of Endocrinologists (SLENDO 2025)At: Colombo, Sri LankaVolume: Sri Lanka Journal of Diabetes, Endocrinology and Metabolism 2025, 2025-11) Basnayake, P.I.; Kottahachchi, D.; Chandran, D.S.; Medagoda, K.; Devanarayana, N.M.Item type: Item , Enhancing Physical Activity at Work: Compliance with a Low-Intensity Exercise and Lifestyle Modification Program for Sedentary Employees(Annual Congress of the Sri Lanka College of Endocrinologists (SLENDO 2025)At: Colombo, Sri LankaVolume: Sri Lanka Journal of Diabetes, Endocrinology and Metabolism 2025, 2025-11) Basnayake, P.I.; Ranasinghe, I.M.; Ranaweera, L.; Abhisheka, J.B.; Liyanage, V.L.; Thathsarani, K.; Hapuarachchi, D.S.; Welikala, H.H.; Devanarayana, N.M.