Browsing by Author "Anjula, S.A.P.D."

Now showing 1 - 3 of 3

Anatomical relations of the recurrent laryngeal nerve in thyroid dissection
(The College of Surgeons of Sri Lanka, 2023) Abeysuriya, V.; Anjula, S.A.P.D.
INTRODUCTION: Recurrent laryngeal nerve (RLN) palsy is one of the major complications thyroidectomy. Visualization of the anatomical relations of the RLN with branches of the inferior thyroid artery (ITA) remains essential for preservation of RLNs. Suspensory ligament of Berry, inferior horn of the thyroid cartilage is considered as other important landmarks for safe thyroidectomy. The objective of this study was to describe the various anatomical relations of the RLN during thyroid dissection. METHODS: An observation cadaveric study was conducted by simple random sampling of 35 cadavers with a total of 70 RLNs over a one-year period, from June 2022 to June 2023. The cadavers that had thyroidotomies and goitres were excluded from the study. RESULTS: The majority of RLNs in this series had a retrovascular course (with respect to the ITA or its branches): 57% on the right and 68.6% on the left. The course of 64/70 of the dissected nerves was posteromedial to the suspensory ligament of Berry, while the other 6 nerves passed between the fibres of this ligament. All RLNs penetrated the larynx by passing posteriorly to the inferior horn of the thyroid cartilage on both sides. No case of non-recurrent laryngeal nerve was observed. CONCLUSION: This preliminary study illustrates the numerous anatomical variants of the RLN with respect to the ITA and its branches. The RLN mainly has a retrovascular course on both the right and the left sides.
Knowledge, attitudes and practices in managing violence among G.C.E. advanced level students in Gampaha Educational Zone
(College of Community Physicians of Sri Lanka, 2021) Soysa, E.M.N.; Suraweera, S.A.S.S.; Thewage, A.P.; Thudugala, M.T.K.L.; Anjula, S.A.P.D.; Perera, K.M.N.
Background: Adolescence is a period that can lead to increased exposure to violence. This study describes knowledge, attitudes and practices in managing violence among G.C.E advanced level students in Gampaha education zone. Method: A descriptive cross-sectional study was conducted among 420 Grade 13 students of Type 1AB schools in Gampaha educational zone selected using a multistage cluster sampling method. An online self-administered questionnaire, which included mixed-type questions and four case scenarios for the four violence types, assessed knowledge, attitudes and practices in managing physical, mental, social and sexual violence. Responses were categorized as positive or negative based on prevention and promotion of management of violent acts respectively. Results: Case scenario assessing sexual violence reported the highest positive responses in all aspects (practices - 87.9%, knowledge -94.8%, attitudes - 94.5%). Highest negative responses for attitudes were reported for physical violence (4.9%). Scenario on physical violence reported the lowest positive responses on knowledge (80.2%) whereas lowest positive responses for practices were reported for mental violence (practices= 63.6%). The majority (>75%) correctly identified violent actions mentioned in the questionnaire as violent. Males reported more experiences related to violence than females and also predominated in negative attitudes and practices regarding managing violence. Conclusion: Knowledge on violence and its management was good among the majority of study participants. The minority who does not have even a minimal knowledge regarding managing violence is a concern. Attitudes and practices were more towards encouraging prevention of violent acts and was associated with gender.
Knowledge, attitudes and practices in managing violence among G.C.E. advanced level students in Gampaha educational zone
(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2023) Soysa, E.M.N.; Suraweera, S.A.S.S.; Thewage, A.P.; Thudugala, M.T.K.L.; Anjula, S.A.P.D.; Perera, K.M.N.
INTRODUCTION: Increased exposure to violence of various types can be observed during the adolescent period. Therefore managing violence among adolescents is important. This study describes knowledge, attitudes and practices in managing violence among G.C.E advanced level students in Gampaha education zone. METHOD: A descriptive cross-sectional study was conducted among 420 Grade 13 students of Type 1AB schools in Gampaha educational zone selected using a multistage cluster sampling method. An online self-administered questionnaire, which included mixed-type questions and four case-scenarios for the four violence types, assessed knowledge, attitudes and practices in managing physical, mental, social and sexual violence. Responses were categorized as positive or negative based on prevention or positive management of violent acts. RESULTS: Case scenario assessing sexual violence reported the highest positive responses in all aspects (practices -91.79%, knowledge -97.54%) except for the attitudes (2.92%). Physical violence reported highest positive responses for attitudes (5.13%).Scenario on physical violence reported the lowest positive responses on knowledge (83.62%) whereas lowest positive responses for attitudes and practices were reported for mental violence (attitudes= 2.43%, practices= 66.41%). The majority (>75%) correctly identified violent actions mentioned in the questionnaire as violent. Males reported more experiences related to violence than females and also predominated in negative attitudes and practices regarding managing violence. CONCLUSION: Knowledge on violence and its management was good among the majority of study participants. The minority who does not have even a minimal knowledge regarding managing violence is a concern. Attitudes and practices were more towards encouraging prevention of violent acts and was associated with gender.