Objective: To evaluate the preoperative status of children admitted for renal transplantation, and their supportive care, complications and outcomes during the immediate postoperative period in the intensive care unit (ICU).
Background Urinary tract stones are one of the major problems in present urology practice. As it mostly affects working age group, it is a major socioeconomic burden for the society. In this study our objective was to determine knowledge, attitude and practice on urolithiasis among patients who presented to the OPD of the Teaching Hospital Peradeniya and to compare the difference in between patients who had stones previously and not had stones. Methods This was a descriptive cross sectional study. We distributed a self administered questionnaires to 290 consented patients presented to the OPD over a period of one week. Patients' demographic data, knowledge on risk factors and symptoms, positive attitudes and practice pattern of prevention were assessed. Results Out of 290 patients 194 were female and 96 were males. Their mean age was 36.9 years (age range 20-60 years). Of them 26 (9%) had a history of stone disease. The mean knowledge score was 9.03 out of 22 (41.06%, SD=2.14). However, most of them (85.9%) believed hard water can cause urinary tract stones. Few participants (35.4%) identified foods which associated with stone formation. 36.81% were aware on symptoms of urolithiasis. Regarding consultation for stone disease, 44.5% go to Nephrologist and 36.9% go to Urologist. Participants who had a history of stone disease have shown better knowledge which was statistically significant (P value<0.01). Similarly, attitudes and practice on prevention was better with subjects who had stones. Conclusion As participants' knowledge, attitudes and practice on urolithiasis were poor, there is a need for the implementation of awareness programme for general population.
Background Colonoscopy is an essential investigation in the management of colorectal conditions. The procedure is more sensitive than radiological imaging and offers a range of therapeutic options. Also it is the only method that enables tissue biopsy for pathological examination. Objective of this study was to estimate the prevalence of colorectal diseases in patients who underwent colonoscopy in Teaching Hospital Peradeniya. Method Colonoscopy data were collected from the database of Endoscopy unit of Teaching hospital Peradeniya from June 2014 to June 2015. Subjects with abnormal colonoscopy results were targeted for biopsy. Patients' demographic data, colonoscopy findings and histology reports were evaluated. Results A total number of 569 colonoscopies were performed over the one year period. Of them 296 (52%) were female and 273 (48%) were male patients. Their mean age was 56.8 years with a minimum of 8 years and maximum of 87 years. According to the colonoscopy results, 534 individuals (93.8%) had normal colon, but in 35 patients (6.15%) one or more abnormalities were reported. Among 35 abnormal colonoscopy results, there were 12 (2.1%) adenocarcinoma, 10 (1.7%) adenoma and 5 (0.87%) polyps. Other disorders including ulcerative colitis, secondary deposit and inflamed colon were recorded in 8 patients (1.4%). Furthermore, mean age of patients with adenocarcinoma was 57.5 years whereas mean age of patients with adenoma was 65.7 years. The overall complications recorded were 2 perforations (0.35%). Conclusions Results of our study confirm that colonoscopy yields considerably useful diagnostic information with minimal complications in evaluating colorectal pathology, even though it is an invasive procedure.
Objective Design:Setting: Results: To study the resources available for final year undergraduate clinical medical education in the professorial units.The number of academic staff and the number of hospital beds available in the clinical departments were studied in relation to the number of students admitted annually from
Knowledge regarding subfertility among patients who are attending to general surgical and subfertility clinics at the Teaching Hospital Peradeniya. Abstract BackgroundSubfertility is a common medical condition which can lead to many social and psychological problems. Good knowledge regarding subfertility may help to decrease the incidence of infertility by allowing couples to avoid certain risk factors and it will facilitate the management. The aim of our study was to assess knowledge regarding subfertility among Sri Lankans. Method A cross-sectional study was conducted with a total of 426 subjects including 158 fertile participants, 138 unmarried participants from general surgical clinics and 130 subfertile patients from the subfertility clinic at the teaching hospital Peradeniya. Study was conducted using a self administered questionnaire during May, June and July 2015. ResultsGenerally a poor level of knowledge (44.71%) was reported by participants. Knowledge was significantly higher in subfertile group (48.93%) compared to fertile (42.32%, P=0.006) and unmarried (43.47%, P=0.035) groups. Only 29.81% of total population knows when to seek medical advices for subfertility, with no significant difference between groups (fertile-30.4%, subfertile-28.5%, unmarried-30.4%). Though 69.73% of total population (60.1% of fertile, 89.2% of subfertile, 60.9% of unmarried) correctly recommended a Gynaecologist for first consultation, only 8.23% of total (7% of fertile, 4.6% of subfertile, 13% of unmarried) correctly selected Andrologist for male fertility problems. ConclusionsThese findings suggest poor knowledge regarding subfertility, particularly regarding male subfertility which is far less than knowledge regarding female subfertility. In general, subfertile patients have a significantly higher level of knowledge than fertile and unmarried patients, but regarding some specific points all three groups have a low level of knowledge.
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