Browsing by Author "Ariyarathne, A.M.N."

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Knowledge about acute coronary syndrome of patients admitted to National Hospital of Sri Lanka
(Sri Lanka Medical Association, 2010) Ariyarathne, A.M.N.; Abeysena, C.; Liyanage, D.L.D.C.
OBJECTIVES: To describe knowledge about ACS, secondary prevention of ACS and selected risk factors and sources of knowledge of patients with ACS, admitted to NHSL. METHODS: This was a hospital based descriptive cross sectional study carried out in two settings at NFISL, cardiology unit and medical wards during September to October 2009. A sample consisting of 345 patients were recruited in to the study, who were diagnosed as ACS. Data was collected by using a self administered questionnaire and it was used to collect data about knowledge on ACS, secondary preventive measures, smoking, alcohol and life style change. There were 17.6% (n=61) non respondents for the self administered questionnaire. RESULTS: Knowledge about ACS was good among 32.7% (n=93) study subjects. Good knowledge on smoking, alcohol and lifestyle change was 61.3% (n=174), 53.6% (n=155) and 60.9% (n=173), respectively. Patients treated at cardiology unit had statistically significant good knowledge about ACS, compared to medical wards. Total knowledge score in relation to the age, education level of the study subjects was statistically significant (p<0.05). Many of the patients gathered their knowledge from medical officers who were working at NHSL and TV/Radio and printed media were also good sources of knowledge. CONCLUSIONS: Patients' knowledge about acute coronary syndrome, secondary prevention of acute coronary syndrome and selected risk factors were poor. Medical officers working at NHSL were a good source of knowledge.
Retrospective study on the foeto–maternal status of teenage pregnancies in the Dimbulagala MOH area
(Sri Lanka Medical Association, 2017) Liyanage, C.; Abeysena, H.T.C.S.; Ariyarathne, A.M.N.; Liyanage, J.; Senavirathnea, D.P.M.A.; Thilak Udayasiri, A.A.
INTRODUCTION & OBJECTIVES: A pregnancy occurring in a young woman who has not reached her 20th birthday is considered as a teenage pregnancy. The impact of consequences of teenage pregnancies in Sri Lanka is not well described. The objective of the study was to assess the foetal and maternal status of teenage pregnancies in the Dimbulagala MOH area. METHODS: A community based retrospective cohort study was carried out in the Dimbulagala MOH area. A sample of 160 teenage mothers was selected. An interviewer-administered pre–tested questionnaire was used to collect the data during the study period. Data was analyzed using SPSS 17 version. RESULTS: Of this sample of teenage mothers, 75.0% (n=120) were aged between 17 and 19 years and their highest educational level was up to grades 6-11. Out of the total sample, 75% had attained puberty before 13 years of age. From this sample, 30% had ante-natal complications in early pregnancy like anaemia, ante-partum complications and PIH. Low birth weight (less than 2.5kg) was seen in 42.1% (n=67). Only 4.4% (n=7) was admitted to the PBU due to foetal complications. CONCLUSION: Though we had an idea that teenagers encounter several problems in foetal and maternal life, this study showed those parameters were not above the national average. Further studies should be conducted to evaluate the foeto-maternal status in the future.
Selected aspects of inward patients' care adopted in the management of patients with acute coronary syndrome, admitted to National Hospital of Sri Lanka (NHSL)
(Sri Lanka Medical Association, 2010) Ariyarathne, A.M.N.; Abeysena, C.
OBJECTIVE: To describe selected aspects of inward patients' care adopted in the management of patients with acute coronary syndrome (ACS) admitted to NHSL. METHODS: This was a hospital-based descriptive cross sectional study carried out in two settings of NHSL, cardiology unit and medical wards, during September to October 2009. The sample consisted of 345 patients, who were diagnosed as ACS. A record data sheet was used to collect the data related to the inward care. Accepted indicators based on the national and international guidelines were used to describe the management. RESULTS: Median duration of the hospital stay was 3 days (range 1 to 12 days). Most of the patients (93.6%) were given aspirin within 3 hours of arrival to the hospital. But a statistically significant difference was observed with regards to the time of start and continuity of aspirin in the two settings and both values were low in-medical wards. Twelve-lead ECG was not done in 59.1% (n=153) within 20 minutes of arrival to the hospital, exceeding the target value in the guidelines. Fibrinolytic therapy was given to 77.6% (n=66) out of 85 eligible patients and only in 18.4% (n=9) patients within 30 minutes after arrival to the hospital. Fifty four patients (87.1%) in the medical wards and 12 patients (52.2%) in the cardiology unit were given fibrinolytic therapy and this difference was statistically significant. Assessment of left ventricular function was done only in 15.3% (n=53) patients and a statistically significant low number was observed in medical wards 10.3% (n=27) while in the cardiology unit it was 31% (n=26). Beta blockers 61.7% (n=213), ACE inhibitors 86.4% (n=298), statins 94.5% (n=326) and aspirin 97.7% (n=337) were given during the hospital stay and the figures were in par with the guidelines except for beta blockers. CONCLUSIONS: Some of the processes of inward care in the management of ACS did not meet the guideline recommendations and adherence to the guidelines was dissimilar in the two settings.