https://ir.kdu.ac.lk/handle/345/3877 2026-04-06T12:55:06Z 2026-04-06T12:55:06Z Laksrini, SMT Dilrukshika, WAD Yapa, YMJM Sirimanna, AAI Saumika, MAR Liyanage, N Munidasa, KGPK https://ir.kdu.ac.lk/handle/345/3101 2023-04-26T11:01:26Z 2020-01-01T00:00:00Z

Psychological 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.

2020-01-01T00:00:00Z Gamage, WGTN Warnakulasuriya, DTD https://ir.kdu.ac.lk/handle/345/3100 2023-04-26T11:22:22Z 2020-01-01T00:00:00Z

Evaluation 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.

2020-01-01T00:00:00Z Dasanayake, DRTS Pathiranage, AMSD Nanayakkara, N https://ir.kdu.ac.lk/handle/345/3099 2023-04-26T11:11:16Z 2020-01-01T00:00:00Z

Dietary 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.

2020-01-01T00:00:00Z Ritigahapola, RAM Wijesingha, NSD Jayalath, JPMH Karunarathna, HPM Madanayaka, ACW Herath, HMP Silva, A Siribaddana, S https://ir.kdu.ac.lk/handle/345/3098 2023-04-26T10:59:41Z 2020-01-01T00:00:00Z

Exploration 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