Oral Presentations
http://ir.lib.ruh.ac.lk/xmlui/handle/iruor/8213
2024-03-29T13:03:50ZSurgical Site Infections in Adult Patients Undergoing Surgeries in General Surgical Units of Teaching Hospital, Karapitiya
http://ir.lib.ruh.ac.lk/xmlui/handle/iruor/8432
Surgical Site Infections in Adult Patients Undergoing Surgeries in General Surgical Units of Teaching Hospital, Karapitiya
Udara, Y. M. S.; Hewawasam, S. P.
Background: Surgical Site Infection (SSI) is one of the major complications in patients
undergoing surgeries. SSI leads to increased hospital stays, readmissions and additional health
care cost.
Objectives: To determine the incidence of SSI and associated risk factors in adult patients
undergoing surgeries in general surgical units of Teaching Hospital, Karapitiya (THK). Further
this study was aimed to study the pattern of development of SSI following surgeries and identify
causative pathogens where possible.
Methodology: A prospective cohort study was conducted between September to December
2018. A total of 332 enrolled subjects were followed-up for 30 days post-surgery. Chi-square
test was used to assess the associations of each variable with SSI and bivariate logistic
regression to assess the predictors of developing SSI.
Results: Out of the 332 patients, 33 (9.94%) developed SSI. It was found that incidence of SSI
was influenced by comorbid conditions such as diabetes mellitus (OR=3.02) and anaemia
(OR=3.83). Length of preoperative hospital stay (OR=0.33), transfusion of blood (OR=4.89),
use of drain (OR=4.73) and duration of surgery (OR=0.27) were found as the influencing
procedure related risk factors. Majority (87.9%) of all SSIs developed within two weeks
following the procedure. In 5 cases out of 33, SSI was diagnosed without microbiological
evidence. The predominant pathogen responsible for the development of SSI in the study was
Coliform spp. (36%). This was followed by Escherichia coli (25%).
Conclusions: Both patient-related and procedure-related factors play a role in the development
of SSI at general surgical units of THK. In contrast to other studies Coliform spp. was the
predominant causative pathogen for the development of SSI in the study.
2019-12-05T00:00:00ZShort-term effect of Home based Vestibular Rehabilitation to Improve Dizziness Severity and Handicap
http://ir.lib.ruh.ac.lk/xmlui/handle/iruor/8431
Short-term effect of Home based Vestibular Rehabilitation to Improve Dizziness Severity and Handicap
Colonne, C. A. U. T.; Jayasuriya, C.
Background: Improving the quality of life in patients with vestibular related dizziness is a
challenge. However, there are growing evidence to support the use of vestibular rehabilitation
(VR) to improve dizziness severity and handicap.
Objectives: To evaluate the effectiveness of a home based VR in physical, emotional and
functional disability in patients with chronic dizziness.
Methodology: A pretest-posttest study was conducted at the ENT unit of the National Hospital
of Sri Lanka. Patients (n=22) with chronic vestibular dysfunction were allocated into either a
VR group (n=12) or a control group (n=10). Patients in the VR group were treated with a home based VR program with additional telephone support for six weeks, while the patients in the
control group received simple eye and head exercises. Dizziness Handicap Inventory-Sinhala
(DHI-S) was used to assess the symptom and disability of patients before and after the VR
program. The intergroup comparison was done by Wilcoxon signed-rank test and the intragroup
comparison by Mann-Whitney U test. The McNemar-Bowker test and the chi-square test were
used to assess the intra-group and inter-group pre and post DHI severity respectively.
Results: There were no significant differences in demographic or clinical features and any pre test outcome measures between the two groups (p>.05). The VR group presented significant
improvements in all sub scales of DHI-S (functional, emotional, physical and total) and DHI
severity at the end of the program compared with the control group (p<.05). The control group
did not show a significant improvement in any post-test outcome measures (p>.05).
Conclusions: This home-based VR program is beneficial in treatment of chronic dizziness due
to peripheral vestibular dysfunctions while overcoming the limitations of time, resources and
facilities available in the hospitals in Sri Lanka.
2019-12-05T00:00:00ZQuality of Life of Patients on Hemodialysis
http://ir.lib.ruh.ac.lk/xmlui/handle/iruor/8430
Quality of Life of Patients on Hemodialysis
Samarasekera, P. W. G. D. P.; Wimalasooriya, S. B. A. C.; Wijewardhana, R. D. D.; Harshani, R. D. D.; Pushpakumari, R. H. D. P.
Background: Quality of life (QoL) is one of the major issues and challenges in health care.
Hemodialysis is a life sustaining treatment for patients with end stage renal disease.
Hemodialysis can bring about significant impairment in health related QoL and outcomes.
Objectives: To examine the physical, psychosocial and cultural factors associated with the QoL
of patients on hemodialysis admitted to National Institute of Nephrology, Dialysis and
Transplant (NINDT) in Maligawatta.
Methodology: Quantitative approach and descriptive design was used. All registered patients
(n=233) in NINDT were taken. KDQOL-SF36 questionnaire was used for data collection. SPSS
version 23 was used for data analysis.
Results: In this study, overall general health was fair in 52.2%. Limited physical functioning
was present in 95.7% while role limitations with work were present in 92.7%. Body pain was
present in 86.7% of patients while pain interfered with daily activities in 95.7%. Effects of
kidney disease affected daily living in 71.3%. Sixty four percent (64.1%) did not have sound
sleep while 63.4% had interference with social activities. Emotional wellbeing was affected in
94%. Cognitive functions were affected in 93.7%. Response rate was 18.7% regarding sexual
activity.
Conclusions: Many aspects of health of the participants‟ lives have been adversely affected by
hemodialysis. Patients on hemodialysis experience various problems that may adversely
influence their QoL. It is recommended that multidisciplinary intervention that includes
medical, dietetic and psychosocial strategies that address factors associated with mental and
physical QoL are warranted to reduce further health complications and to improve QoL.
Educational interventions should be focused to improve their knowledge aiming to reduce
physical health problems, to modify the attitudes and believes aiming to reduce the intensity of
psychological and social health problems relating to the condition.
2019-12-05T00:00:00ZPrevalence of Postpartum Musculoskeletal Morbidity among Women who delivered their Babies in Teaching Hospital Peradeniya
http://ir.lib.ruh.ac.lk/xmlui/handle/iruor/8428
Prevalence of Postpartum Musculoskeletal Morbidity among Women who delivered their Babies in Teaching Hospital Peradeniya
Pavitha, V.; Chathura, R.
Background: The true burden of maternal morbidity is still not known, because of the difficulty
in accurately measuring maternal morbidity in the absence of a generalized definition and a
standard identification criterion. Also because of the inaccuracy of vital records due to
inadequate health information systems in developing countries.
Objectives: This study aimed to find out the prevalence of postpartum musculoskeletal
morbidity among women who delivered their babies in Teaching Hospital Peradeniya, to
investigate the demographic characteristics association with the musculoskeletal morbidity, to
assess the antenatal care visit and supplementation relation to the musculoskeletal morbidity and
to find out the association between the postpartum complications and musculoskeletal
morbidity.
Methodology: In this descriptive cross-sectional study, convenient sampling method was
applied to select 230 mothers as study participants. Percentages of different musculoskeletal
morbidities were calculated using standardized musculoskeletal questionnaire tool. Body Mass
Index (BMI) was calculated using height and the last recorded weight.
Results: Most of the mothers (84.0%) were between 25 to 29 years old. More than half of the
mothers (62.6%) were having parity of 2 to 4. About 80.4% of mothers had musculoskeletal
morbidity. About 79.4% mothers had muscle pain and 70.4% of mothers reported joint pain.
Most of the mothers had lower back pain (70.3%). Mothers had difficulties in daily activities
(11.7%), trouble in walking (12.2%), difficulty in breast feeding (5.2%) and trouble with sleep
due to these musculoskeletal morbidities. There was no statistically significant relationship
(p=0.087) between BMI and musculoskeletal morbidity, between demographic characteristics
and musculoskeletal morbidity. There was no association between antenatal care visit,
supplements and morbidity (p=0.320). There was an association (p=0.021) between postpartum
complications and musculoskeletal morbidity.
Conclusions: The incidence of postpartum musculoskeletal morbidity was high, with lower
back and upper back pain, and joint pain in knee, ankle, hip, wrist, elbow pain, and shoulder.
There is no statistical association between demographic variables and morbidity. There is no
association between antenatal care visit, supplements and morbidity. There is significant
association between complications and morbidity.
2019-12-05T00:00:00Z