Amitha Fernando
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View article: How to culturally adapt the pulmonary rehabilitation programme for people living with COPD in Sri Lanka: a qualitative study
How to culturally adapt the pulmonary rehabilitation programme for people living with COPD in Sri Lanka: a qualitative study Open
Background Pulmonary rehabilitation (PR) is a low-cost, high-impact intervention for people living with chronic obstructive pulmonary disease (COPD). Despite the high prevalence of COPD, there are currently very limited facilities to provi…
View article: Primary neuroleptospirosis complicating cerebral venous sinus thrombosis: a case report
Primary neuroleptospirosis complicating cerebral venous sinus thrombosis: a case report Open
Leptospirosis, caused by pathogenic spirochetes of the genus Leptospira, presents as a biphasic illness consisting of an initial leptospiraemic phase followed by an immune phase. Nevertheless, leptospirosis remains undiagnosed on numerous …
View article: Poncet’s disease, an uncommon manifestation of a common disease: a case report
Poncet’s disease, an uncommon manifestation of a common disease: a case report Open
Poncet’s disease is a form of reactive arthritis caused by active extra-articular tuberculosis. Limited data available on this rare disease has hindered a complete understanding of it. Even though its prevalence was previously disputed, th…
View article: Bi-level Positive Airway Pressure (BiPAP) ventilation vs Continuous Positive Airway Pressure (CPAP) ventilation in acute cardiogenic pulmonary oedema in the emergency department; a study conducted in two hospitals in Sri Lanka
Bi-level Positive Airway Pressure (BiPAP) ventilation vs Continuous Positive Airway Pressure (CPAP) ventilation in acute cardiogenic pulmonary oedema in the emergency department; a study conducted in two hospitals in Sri Lanka Open
Introduction: Acute pulmonary oedema is a life-threatening condition, and some patients require noninvasive ventilation such as continuous positive airway pressure (CPAP) ventilation and bi-level positive airway pressure (BiPAP) ventilatio…
View article: Neuromyelitis optic spectrum disorder following COVID- 19 (ChAdOx1-S) vaccine
Neuromyelitis optic spectrum disorder following COVID- 19 (ChAdOx1-S) vaccine Open
Neuromyelitis optic spectrum disorder is an autoimmune demyelinating astro- cytopathy of central nervous system. It has emerged as a distinct clinical entity following the discovery of pathogenic antibody named AQP4-IgG against aquaporin-4…
View article: Hyperpyrexia in a previously healthy pregnant female with COVID pneumonia: a case report and review of the literature
Hyperpyrexia in a previously healthy pregnant female with COVID pneumonia: a case report and review of the literature Open
Background Infection due to the SARS-CoV-2 virus can have a wide range of presentations from asymptomatic/mildly symptomatic to severe disease with multiorgan failure. Fever is a common symptom. But hyperpyrexia defined as temperature > 41…
View article: Cytomegalovirus pneumonia in a background of central nervous system tuberculosis
Cytomegalovirus pneumonia in a background of central nervous system tuberculosis Open
A 32‐year‐old patient, who was on treatment for tuberculous meningitis complicated with venous sinus thrombosis, was referred to the medical unit as he developed new onset fever, cough and shortness of breath. He was in respiratory distres…
View article: Glibenclamide or captopril, inaccurate medication identity with clinical implications: A case report
Glibenclamide or captopril, inaccurate medication identity with clinical implications: A case report Open
Official Journal of the Endocrine Society of Sri Lanka. The Sri Lanka Journal of Diabetes Endocrinology and Metabolism (SJDEM) publishes original research articles, reviews, and other special features related to diabetes, endocrinology and…
View article: Postdischarge outcomes of COVID-19 patients from South Asia: a prospective study
Postdischarge outcomes of COVID-19 patients from South Asia: a prospective study Open
Background Coronavirus disease 2019 (COVID-19) may cause clinical manifestations that last for weeks or months after hospital discharge. The manifestations are heterogeneous and vary in their frequency. Their multisystem nature requires a …
View article: Combination of cycle threshold time, absolute lymphocyte count and neutrophil:lymphocyte ratio is predictive of hypoxia in patients with SARS-CoV-2 infection
Combination of cycle threshold time, absolute lymphocyte count and neutrophil:lymphocyte ratio is predictive of hypoxia in patients with SARS-CoV-2 infection Open
Background There is currently no clinically validated biomarker to predict respiratory compromise in sudden acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Cycle threshold time (Ct), absolute lymphocyte count (AL) and neut…
View article: P16‐94: Characteristics of connective tissue diseases associated interstitial lung diseases‐A single centre study in Sri Lanka
P16‐94: Characteristics of connective tissue diseases associated interstitial lung diseases‐A single centre study in Sri Lanka Open
with or without honeycomb may differ due to the difference of prognostic factor.However, these groups revealed the similar prognosis 3 month after onset of AE.Clinicopathological examination according to these groups is essential.
View article: P16‐114: Unexplained cachexia due to pleuropulmonary fibroelastosis of the lung – An old lady's agony
P16‐114: Unexplained cachexia due to pleuropulmonary fibroelastosis of the lung – An old lady's agony Open
studies.His retroviral screening, autoimmune screening and the screening for vascuilitis were negative.His lung function studies showed mixed restrictive and obstruction pattern with poor reversibility.In 25% of the cases the disease is as…
View article: Triple infection with disseminated tuberculosis, invasive aspergillosis and COVID-19 in an organ transplant recipient with iatrogenic immunosuppression
Triple infection with disseminated tuberculosis, invasive aspergillosis and COVID-19 in an organ transplant recipient with iatrogenic immunosuppression Open
A 39-year-old man with diabetes mellitus and hypertension presented two years following renal transplantation with evening pyrexia, night sweats and loss of weight. He was diagnosed with disseminated tuberculosis and invasive aspergillosis…
View article: Characteristics of connective tissue diseases associated interstitial lung diseases – a single centre study in Sri Lanka
Characteristics of connective tissue diseases associated interstitial lung diseases – a single centre study in Sri Lanka Open
RA-ILD was the most frequent type of CTD-ILD followed by SSc. More importantly; the present study revealed the predominant NSIP pattern and clear female preponderance in RA-ILD compared to global data. We recommend prospective multicenter …
View article: Active screening of patients with diabetes mellitus for pulmonary tuberculosis in a tertiary care hospital in Sri Lanka
Active screening of patients with diabetes mellitus for pulmonary tuberculosis in a tertiary care hospital in Sri Lanka Open
End TB strategy by the WHO suggest active screening of high-risk populations for tuberculosis (TB) to improve case detection. Present study generates evidence for the effectiveness of screening patients with diabetes mellitus (DM) for Pulm…
View article: Protocol for the cultural adaptation of pulmonary rehabilitation and subsequent testing in a randomised controlled feasibility trial for adults with chronic obstructive pulmonary disease in Sri Lanka
Protocol for the cultural adaptation of pulmonary rehabilitation and subsequent testing in a randomised controlled feasibility trial for adults with chronic obstructive pulmonary disease in Sri Lanka Open
Introduction International guidelines recommend pulmonary rehabilitation (PR) should be offered to adults living with chronic obstructive pulmonary disease (COPD), but PR availability is limited in Sri Lanka. Culturally appropriate PR need…
View article: Co-Amoxiclav Induced Immune Haemolytic Anaemia: A Case Report
Co-Amoxiclav Induced Immune Haemolytic Anaemia: A Case Report Open
Drug-induced immune haemolytic anaemia (DIIHA) is extremely rare. We herein report a case of DIIHA due to co-amoxiclav. A 53-year-old male being treated for left-sided pyelonephritis with intravenous co-amoxiclav developed symptoms and sig…
View article: ROLE OF SERUM PERIOSTIN AS A BIOMARKER IN DIAGNOSIS OF BRONCHIAL ASTHMA
ROLE OF SERUM PERIOSTIN AS A BIOMARKER IN DIAGNOSIS OF BRONCHIAL ASTHMA Open
Real-life are more reflective of the actual practices of physicians than RCTs.Its results are more accurate of the actual settings.In meta-analysis of real-life studies, ICS-formoterol is statistically more favourable than other reliever t…
View article: FOREIGN BODY OF THE AIRWAY TRIGGERING SEVERE ASTHMA EXACERBATION
FOREIGN BODY OF THE AIRWAY TRIGGERING SEVERE ASTHMA EXACERBATION Open
Real-life are more reflective of the actual practices of physicians than RCTs.Its results are more accurate of the actual settings.In meta-analysis of real-life studies, ICS-formoterol is statistically more favourable than other reliever t…
View article: ABSTRACT WITHDRAWN
ABSTRACT WITHDRAWN Open
Real-life are more reflective of the actual practices of physicians than RCTs.Its results are more accurate of the actual settings.In meta-analysis of real-life studies, ICS-formoterol is statistically more favourable than other reliever t…
View article: A RARE CASE OF CONGENITAL ABSENCE OF LEFT PULMONARY ARTERY PRESENTING IN LATE ADULTHOOD
A RARE CASE OF CONGENITAL ABSENCE OF LEFT PULMONARY ARTERY PRESENTING IN LATE ADULTHOOD Open
The 5,10-Methylenetetrahydrofolate Reductase (MTHFR) locus is mapped to chromosome 1.The MTHFR converts 5,10methylenetetrahydrofolate to 5-methyletetrahydrofolate and is a key enzyme in the metabolism of folate.Mutation in genes encoding M…
View article: Clinico-demographic profile of patients treated for Tuberculous Lymphadenitis at the Central Chest Clinic, Colombo, Sri Lanka
Clinico-demographic profile of patients treated for Tuberculous Lymphadenitis at the Central Chest Clinic, Colombo, Sri Lanka Open
The Ceylon Journal of Medical Science (CJMS) since its re-launch in 2016 is the official journal of the Faculty of Medicine, University of Colombo. The focus of the CJMS is to provide a platform to those involved in diverse fields of medic…
View article: Mutlicentric Castleman’s disease presenting in a young patient
Mutlicentric Castleman’s disease presenting in a young patient Open
The AMJ is a peer-reviewed, triannual health journal published by Anuradhapura Clinical Society (ACS).The Journal strives to be a forum for all health professionals to publish original research and review articles in their area of expertis…
View article: Bacterial profile and antibiotic susceptibility pattern of adult lower respiratory tract infections in Colombo, Sri Lanka
Bacterial profile and antibiotic susceptibility pattern of adult lower respiratory tract infections in Colombo, Sri Lanka Open
Introduction: Lower respiratory tract infections (LRTIs) remain the deadliest communicable disease around the world. This study was conducted to identify the bacterial etiology of LRTIs among patients who attended the Central Chest Clinic …
View article: The response to Typhi Vi vaccination is compromised in individuals with primary immunodeficiency
The response to Typhi Vi vaccination is compromised in individuals with primary immunodeficiency Open
Measurement of an individuals ability to respond to polysaccharide antigens is a crucial test to determine adaptive immunity. Currently the response to Pneumovax® is utilized but with the success of Prevnar®, measurement of the response to…