Allied Health Scienceshttp://ir.kdu.ac.lk/handle/345/38772024-03-29T15:23:58Z2024-03-29T15:23:58ZPsychological Experiences of Parents having a Child with Cleft Lip and PalateLaksrini, SMTDilrukshika, WADYapa, YMJMSirimanna, AAISaumika, MARLiyanage, NMunidasa, KGPKhttp://ir.kdu.ac.lk/handle/345/31012023-04-26T11:01:26Z2020-01-01T00:00:00ZPsychological Experiences of Parents having a Child with Cleft Lip and Palate
Laksrini, SMT; Dilrukshika, WAD; Yapa, YMJM; Sirimanna, AAI; Saumika, MAR; Liyanage, N; Munidasa, KGPK
Abstract:-Cleft Lip and Palate (CLP) is one of
the most common congenital craniofacial
conditions globally. Parents’ who are having
Children with CLP are facing various types of
experiences. A qualitative study was
conducted to explore the parent’s
psychological experiences of having a child
with CLP. Twenty parents who take care of
children with CLP more than three months
were purposively recruited for this
phenomenological study. The study was
conducted at Dental Teaching Hospital,
Peradeniya and ethical approval was obtained
from the Faculty of Allied Health Sciences,
University of Peradeniya. Data were collected
using semi-structured interviews and data
analysis was done using thematic analysis
method. Three major themes were emerged
from the data as excessive sorrow, fear
towards the surgery and coping with the
child’s birth defect. Not having the child that
parents expected to have, low body weight of
the child and sadness towards child’s future
with CLP were perceived as reasons for
excessive sorrow. Probable complication of
the surgery and lack of knowledge regarding
the surgery were reasons for fear towards the
surgery. Follow up treatments and family
supports were helped parents to coping with
the child’s birth defect. These main negative
adverse experiences and drawbacks help to
understand several hidden unpleasant
experiences of parents having a child with
CLP. Hence, it is needed to ensure the
importance of arranging social support
services for these parents which are one of the
neglected areas within the health care context
of Sri Lanka.
2020-01-01T00:00:00ZEvaluation Of Efficacy & Efficiency In Implementing Knee Ankle Foot Orthosis (KAFO) As A Functionally Assistive Indoor Ambulatory Device For Motor Complete Thoracic Level (T10 –T12) Spinal Cord Injury In MalesGamage, WGTNWarnakulasuriya, DTDhttp://ir.kdu.ac.lk/handle/345/31002023-04-26T11:22:22Z2020-01-01T00:00:00ZEvaluation Of Efficacy & Efficiency In Implementing Knee Ankle Foot Orthosis (KAFO) As A Functionally Assistive Indoor Ambulatory Device For Motor Complete Thoracic Level (T10 –T12) Spinal Cord Injury In Males
Gamage, WGTN; Warnakulasuriya, DTD
Abstract:- The objective was to evaluate
walking velocity, walking endurance & energy
expenditure in use of KAFOs over the
alternative Aluminum Back Slab & Toe Raising
Straps (ABS & TRS) on paraplegic (T10 –T12)
ambulation which has not been performed
among Sri Lankan patients. This was a case
cross over study where fifteen, T10 – T12 motor
complete paraplegic males who were
practicing indoor ambulation with ABS & TRS
& recommended to use KAFOs were recruited.
A two weeks standardized ambulatory
training was provided with either device prior
to test. The 10 meter walk test, 6-minute walk
test & physiological cost index (PCI) were used
to assess walking velocity, walking endurance
& energy expenditure respectively. Testing
was done 6 weeks apart. A statistically
significant difference was seen in walking
velocity (z = -3.30, p = 0.001), with ABS & TRS
having faster velocity. The walking endurance
was significantly less (z = - 3.41, p = 0.001,) &
the energy expenditure was significantly high
(z = -3.41, p = 0.001) with KAFOs relative to
ABS &TRS. The results are closely compatible
with previous studies, but remarkably differed
with values of healthy individuals in normal
ambulation. The walking velocity & the
walking endurance of participants were
relatively greater with less energy
expenditure during ambulation with ABS &
TRS. Therefore, it is concluded that KAFOs
have less efficacy & efficiency as a functional
indoor ambulatory device over ABS & TRS in
rehabilitation of T10 –T12 paraplegic males.
2020-01-01T00:00:00ZDietary Adherence With Guideline Recommendations In Patients Undergoing Continuous Ambulatory Peritoneal DialysisDasanayake, DRTSPathiranage, AMSDNanayakkara, Nhttp://ir.kdu.ac.lk/handle/345/30992023-04-26T11:11:16Z2020-01-01T00:00:00ZDietary Adherence With Guideline Recommendations In Patients Undergoing Continuous Ambulatory Peritoneal Dialysis
Dasanayake, DRTS; Pathiranage, AMSD; Nanayakkara, N
Abstract:- Dietary nutrient intake plays a
dominant role in maintaining proper
nutritional status in Continuous Ambulatory
Peritoneal Dialysis (CAPD) patients. Adhering
to multiple dietary restrictions imposed on
CAPD patients may be difficult but crucial in
maintaining proper nutritional status. The
study aimed to assess the dietary adherence
with renal specific European Society for
Parenteral and Enteral Nutrition (ESPEN)
guideline recommendations for CAPD
patients. This cross-sectional study carried
out engaging 102 patients (66 were male) who
attended to the CAPD clinic, General Hospital
Kandy from January to April 2020.
Participants were selected by simple random
sampling method. Interviewer administrated
food frequency questionnaire was used to
collect dietary data. A small minority of the
patients reached recommended targets of
energy (30.4%) and protein (10.8%). The
Number of adherents to potassium and
phosphorus was also as lower as 10.8% and
17.6% respectively. Most of the participants
consumed less than target recommendation in
relation to potassium and phosphorus. Only
10.8% consumed sufficient fiber.
Furthermore, only 26.5% were within
recommended dietary sodium targets and
20.6% of participants’ sodium intake was
higher than recommendations. It is generally
accepted that dietary intake of CAPD patients
are relatively lower than target
recommendations. Majority of CAPD patients
participated in this study also did not meet
current renal specific dietary
recommendation in relation to all the selected
dietary components. Therefore, other than
conventional dietary counselling, nutritionally
sound, appropriate dietary interventions
should be implemented in order to improve
adherence to recommended dietary intake to
obtain the best optimum results.
2020-01-01T00:00:00ZExploration Of The Door To Needle Time Gap Of Administering Anti- Venom Serum (AVS) And Its Determinants: A Mixed-Method StudyRitigahapola, RAMWijesingha, NSDJayalath, JPMHKarunarathna, HPMMadanayaka, ACWHerath, HMPSilva, ASiribaddana, Shttp://ir.kdu.ac.lk/handle/345/30982023-04-26T10:59:41Z2020-01-01T00:00:00ZExploration Of The Door To Needle Time Gap Of Administering Anti- Venom Serum (AVS) And Its Determinants: A Mixed-Method Study
Ritigahapola, RAM; Wijesingha, NSD; Jayalath, JPMH; Karunarathna, HPM; Madanayaka, ACW; Herath, HMP; Silva, A; Siribaddana, S
Abstract:-A mix method study was conducted
at the Teaching hospital, Anuradhapura (THA)
to describe the demographic characteristics of
snake bites, determine the median time gap of
administering anti-venom, identify reasons
for delaying administration of anti-venom
serum and propose measures to be adopted in
order to shorten the door to needle time gap.
Ethical approval was obtained by ethical
committee, Faculty of Medicine, KDU. The
descriptive cross-sectional part was based on
snake bite victims elder than 16 years(n=50)
who were admitted to the THA and received
AVS (Anti-venom serum) therapy over a 3 ½
months period from 15th July 2019 and 50
victims were sample size for quantitative
study. The data was collected through an
interviewer administrated questionnaire
.Participants were purposively recruited for
the qualitative study and in-depth interviews
were conducted with health care
professionals in THA and peripheral hospitals.
Qualitative data analyzed by thematic analysis
with four themes including limited physical
and human resources, issues in the diagnosis
of envenoming, delays in preparation of AVS,
reasons and delays in transferring patients
from the local hospital to THA. Data were
analyzed by using SPSS 23 with Mann-
Whitney U test.
There were 88% (44) male and 12% (8)
female victims. The most bites were not
identified (50%) and most of the common bite
were Russell's viper (46%).Below the ankle
82% and between 6 a.m. to 6 p.m. was the
commonest bite site and time. There were 40
(80%) indirect admissions and 10 (20%)
direct admissions. Door to needle median gap
of all direct and indirect admission was 125
(IQR= 65-158) minutes. Door to needle
median gap in indirect admissions was 178
(IQR=90-210) minutes and direct admissions
median gap was 72 (IQR=30-104) minutes.
There was a significant difference between the
median time gap of indirect and direct
admissions. Poor rural hospital facilities,
overcrowding, inadequate staffing and the
unavailability of quality tubes for whole blood
clotting time are the main factors contributing
to the time gap. Final suggestions are
increasing bed capacity and implementation
of a triage system in the ETU.
2020-01-01T00:00:00Z