276 results
Showing 1–20 · 0.18 seconds · RSS
Sri Lanka Journal of Medicine
ISSN 2579-1990 · The Kandy Society of Medicine · 276 articles in the index
-
Journal Article
Knowledge and Practices on the Usage of Pesticides among Farmers in Sevanagala, Sri Lanka
Introduction: In Sri Lanka, pesticides are widely used in agriculture, and they have both beneficial effects and health hazards. Method: This descriptive cross-sectional study was conducted in Sevanagala Grama Niladhari Division in south-eastern Sri Lanka, to assess the knowledge and practices on…
-
Journal Article
Importance of Pectoralis Major Myocutaneous Flap for Oro-Facial Defects in an Era Dominated by Free Tissue Transfer
The pectoralis major myocutaneous flap (PMMCF) remains a crucial reconstructive tool for large oro-facial defects, particularly in regions with a high prevalence of oral cancer. It offers a reliable, cost-effective solution for oncological defects, with minimal complications. Surgeons must consider…
-
Journal Article
Right Aortic Arch and Aberrant Left Subclavian Artery Presenting with Dysphagia Lusoria: A Case Report and Review of the Literature
Right aortic arch (RAA) occurs in 0.05% to 0.1% of the individuals. Dysphagia lusoria is the difficulty in swallowing due to the compression of the oesophagus due to aberrant vessels. We report a case of aberrant left subclavian artery (ALSA) arising from the RAA resulting in dysphagia in a…
-
Journal Article
Knowledge and Practices Among Mothers in Detection, Treatment and Prevention of Acute Respiratory Tract Infections in Children Under Five Years in Kandy Municipal Council Area
Introduction: Acute Respiratory Tract Infections (ARTI) cause childhood morbidity and mortality worldwide. Mothers play a crucial role, identifying early symptoms and obtaining proper medical advice. It was the aim of this study to assess the knowledge and practices regarding symptoms, treatment…
-
Journal Article
Navigating the Therapeutic Dilemma: Safety and Efficacy of Antiplatelet, Anticoagulation and Statin Therapy in Dengue Hemorrhagic Fever, a Case-Based Literature Review
Dengue hemorrhagic fever presents as a management challenge in patients requiring concurrent dual antiplatelet therapy (DAPT), anticoagulation and statins. Similar scenarios are profuse in endemic regions like Kandy, Sri Lanka. We present two cases of Dengue Hemorrhagic Fever (DHF) in similar…
-
Journal Article
Conventional Chondrosarcoma in the Hyoid Bone: A Rare Case Report
Background: Chondrosarcoma is a rare malignant tumour of cartilaginous origin, with occurrences in the hyoid bone being exceedingly uncommon. Its rarity often complicates accurate diagnosis. Case Presentation: A 62-year-old male presented with a progressively enlarging, firm, non-tender lump below…
-
Journal Article
A Case of Pulmonary Artery thrombosis in situ: A Great Masquerade: Case Report
We present a case of pulmonary artery thrombosis in situ (PATis) (a pioneer report in Sri Lanka), which involves de novo clot formation within the pulmonary arteries due to complex pathophysiology. A 69-year-old with multiple comorbidities presented with syncope, dyspnoea, fever, pleuritic chest…
-
Journal Article
Dysphagia Turns Out to Be Ossification of the Anterior Longitudinal Ligament of The Cervical Spine: A Case Report
Ossification of the anterior longitudinal ligament (OALL) is a rare cause of dysphagia that can mimic esophageal malignancies, particularly in elderly patients. We present the case of a 61-year-old male with progressively worsening dysphagia, primarily for solids. Examination revealed a midline…
-
Journal Article
Does Thyroidectomy Offer Quality of Life Advantage for Autoimmune Thyroiditis Patients?
Introduction: Significant reduction of subjective health status is frequently reported by many patients with Hashimoto thyroiditis despite adequate thyroxine replacement therapy. Studies have shown that thyroidectomy improves quality of life (QoL) in patients with HT and persistence symptoms…
-
Journal Article
Artery Of Percheron Infarction: A Great Mimicker
The thalamus is a deep structure located in the diencephalon, whose arterial blood supply is mainly from four branches of posterior cerebral artery. The artery of percheron (AOP) is an infrequent variation of thalamic perfusion, occlusion of which presents with a heterogenous, atypical list of…
-
Journal Article
Autonomic and Vascular Function in Cardiovascular Health with Insights from COVID-19
No abstract available
-
Journal Article
Factors Contributing to Delayed Presentation In ST-Elevation Myocardial Infarction and Implication for In-Patient Outcomes
Introduction: ST-elevation myocardial infarction (STEMI) is a significant cause of mortality and morbidity among patients with ischemic heart disease. Early intervention, such as primary percutaneous coronary intervention (PPCI) or thrombolysis has been shown to improve patient outcomes. However…
-
Journal Article
Palliative Management of Tracheal Stenosis Caused by Anaplastic Thyroid Carcinoma Transformed from Papillary Thyroid Carcinoma: A Case Report
Tracheal stenosis due to invasion of thyroid malignancy is a rare entity. Management of the airway in such a patient is a critical step in palliative care. We discuss the successful management of tracheal stenosis due to anaplastic transformation of papillary thyroid carcinoma in an 84-year-old…
-
Journal Article
The Quality of transport of adult critically ill patients during inter hospital and intra hospital transfers in a tertiary care facility
Introduction: Critically ill patients are in a dynamic and often precarious physiological state. Adverse events are frequently encountered during transfer of them. A prospective audit was conducted to assess the quality of inter and intra hospital transport of critically ill adults in a tertiary…
-
Journal Article
Prevalence of tobacco smoking and the knowledge and attitudes on prevention of tobacco smoking among schooling adolescents in the age group of 13 – 15 years in the Kandy district in 2018
Introduction: The early age of tobacco smoking initiation among adolescents reported in Sri Lanka highlights the need to initiate tobacco prevention at a very young age. Objectives: To determine the prevalence of tobacco smoking, the knowledge, and attitudes on prevention of tobacco smoking among…