Ceylon Journal of Medical Science
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Item Menarcheal age and nutritional status of Sri Lankan girls(SLMA. Colombo, 1990) Balasuriya, S.The mean age at menarche based on recall data of a sample of 303 girls was 13,83 years. This mean was 0.6 years higher than the mean of 13.2 years observed among Kandy urban children of a slightly higher socio-economic status. It was found that the nutritionally poor girls are at a disadvantage and reach menarche about 0.5 years later than the nutritionally good.Item Study of anthropometric indices used in identifying beneficiaries of food supplementation programmes(Sri Lanka Medical Association. Colombo, 1987) Fernando, D.N.; Rajapakse, L.C.Anthropometric data obtained by measuring school children in the second year in school in a defined area was used to study the relative usefulness of the commonly used anthrometric indices and modes of presentation. Indices using height, though providing more information, seem not very practicable to be determined routinely at field level. An identifying beneficiaries of an intervention programme. It seems most appropriate to use the index weight for age and consider those below the third percentile to be the beneficiaries of such programmes, as this is likely to identify almost all moderately and severely undernourished. Such an identification is important as a preventive and promotive activity aimed at reducing the problem of undernutrition among children.Item Factors influencing infant feeding patterns in Sri Lanka(Sri Lanka Medical Association. Colombo, 1986) Soysa, P.E.; Fernado, D.N.Early introduction of formular milks during infancy is one of the major changes that have been observed in the infant feeding patterns of both developed and developping countries. A community based study of infants in urban, town and rural sectors of Sri Lanka indicates that the early introduction of formular milks is a common phenomenon, specially in urban areas. The importance of urban residence, higher educational level of the mother and employment of the mother outside the home are the factors favouring early of formula milks.Item A genetic study of the Veddas and the Sinhalese(Sri Lanka Medical Association. Colombo, 1986) Ellepola, S.B.Sixteen polymorphic and 6 monomorphic gene loci have been studied in veddhas from Kandeganvila, Millans and Dimbulagala and in Sinhalese from Badulla in Sri Lanka. The genetic identity between the two populations was calculated from frequencies of the phenotypes at such locus using the formula of NEi. The genetic distance between the two population groups calculated from these genetic identities also using Nei's formulae, is approximately 50,000 years. This corresponds to the period of which Homo sapiens balangodensis is postulated to have been in existence in Sri Lanka. It is postulated that the differeces in some of the allele frequencies between the two populations date from he late paleolithic period of Sri LankaItem Pattern of health care use in an elderly population in Sri Lanka(Faculty of Medicine. Colombo, 1997) Fernando, D.N.; Seneviratne, R. De A.With changing demographic pattern, provision of health care services for the elderly will be a problem that Sri Lanka has to face in the near future. Community based data related to morbility, health care use and service needs to useful in planning for such services. A study of 1200 persons of age 60 years and over, conducted in the western province in Sri Lanka indicate a high level of use medical care as well as perceived need for addtional care and for health aids. Financial constraints were identified as the main factor limiting health care use. This is of importance in planning programs in countries where resources available for provision of care are limited and where alternative approaches for provision and financing of health care needs to be considered.Item Role of iodine content of drinking water in the aetiology of goitre in Sri lanka(The Sri Lanka Medical Association. Colombo, 1992) Balasuriya, S.; Perera, P.A.J.; Katugampola, S.L.; Fernando, M.A.Item Patental disciplinary strategies. experience of 12 year old school children(University of Colombo. Colombo, 2004) De Zoysa, P.; Rajapakse, L.; Newcombe, P.A.The purpose of the study was to explore the non-violent and violent parental disciplinary strategies experienced by 12 -year old sinhala speaking school children, by using the sinhala version of the parent -child conflict tactics scale (CTSPC). One hundred and eleven children with a relatively equal number of boys and girls, from two conveniently located schools in the Gampaha district took part in the study. The CTSPC was administered in groups of approximately 20 children. Non-violent discipline was the most commonly reported disciplinary type (annual rat 56%; lifetime rate 68%), followed by psychological aggression (annual rate 40%; lifetimerate 46%). Though physically abusive acts were the least commonly experienced (annual rate 15%; lifetime rate 23%) it was nevertheless reported by a considerable number of children. The results indicate that a relatively large percentage of children experience psychological and physical violenct at home. The results also suggest that parents may resort to physically abusive acts when "normal" violent disciplinary encounters escalate beyond their control. larger scale studies determining the prevalence and correlates of parental use of violent discipline need to be carried out in order to design culturally appropriate preventive intervention programmes aimed at combating child- directed violence in Sri Lanka.Item Exposure and sexual risk among young women in a free trade zone in Sri Lanka(University of Colombo. Colombo, 2002) Hettiarachchy, T.; Schensul, S.L.Item Prevalence of primary and secondary infertility in the Colombo district(University of Colombo. Colombo, 2002) Samarakoon, S.; Rajapaksa, L.; Seneviratne, H.R.Item A community based study on socio-demographic characteristics of women reporting an induced abortion(The Sri Lanka Medical Association. Colombo, 1991) Perera, D.C.; Rajapakse, L.C.The objective was to study the sociodemographic characteristics and contraceptive practices among married women of the reproductive age group reporting an induced abotion, in comperison with a group of women who did not report such an experience. The women reporting and induced abortion during the three years presending the survey constituted the "Cases" and a group of women matched for year of birth and year of marriage with each "case" constituted the :controls". The two groups were found to be comparable in respect of the socio economic indicators studied and the knowledge of contraceptives. However, in contraceptive use there were marked deferences between the two groups. The contraceptive prevalence at abortion when compared to the "controls" at a similar duration of marriage was low. Furthermore, among those who had used a method, the prevalence of permanent methods in "cases" was signifiv=cantly lower than in controls, while the use of traditional methods was higher among the "cases". Contraceptive use among the increased after abrtion but there was very little increase in methods like IUCD and injectables. The current contraceptive practice among those not wanting more children among both cases and controls, appearrs unsatisfactory. Nearly 75perc. of those who stated a reason for seeking an induce abortion appear to have done so as a method of family planning. The study highlights the need for convenient to use, safer, effective, long term temporary methods of family planning and the need to reach younger cohorts of women in the early years of marriage