UoP Journal
Permanent URI for this community
Browse
Browsing UoP Journal by Title
Now showing 1 - 20 of 897
Results Per Page
Sort Options
- Item1865 and the Changes in Education Policies(University of Ceylon, 1970) Wickremeratne, L. A
- ItemA bibliography of Ceylon coins and currencey: Ancient, mediaeval and modern(Ceylon Historical and Social Studies Publication Board, 1963) Goonetileke, H. A. I
- ItemA buddhist discourse on medition from Tun-Huang(1963) Pachow, W
- ItemA café coronary death due to a ‘Banana’(University of Peradeniya, Sri Lanka, 2010) Edirisinghe, P.A.S.Café Coronary syndrome which was first reported as sudden collapse at restaurants while dining was found to be due to fatal occlusion of upper airway by large pieces of food. Many of those individuals had consumed large amounts of alcohol prior to the incident. However, same condition has also been noticed among institutionalized elderly with dementia and psychiatric conditions. This is an un-witnessed death of a café coronary syndrome , where a 70 year old man after having dinner with his children previous night found dead next day morning in his bed. At autopsy a blob of mucoid secretions were found at right nostril and a piece of banana weighing 21g was found impacted within the laryngophrarynx, occluding the air way. He was edentulous. This case highlights the need of being aware of the condition especially in the elderly with mastication problems due to lack of teeth and other deglutition problems.
- ItemA case of munchausen syndrome by proxy: is it a misdiagnosis?(University of Peradeniya, Sri Lanka, 2014) Vadysinghe, A. N.; Dayaratne, K. M. P. L.Introduction Child abuse is an area in Forensic Medicine where the diagnosis and management could be difficult. A deep history and close inward observation is a must where there is the slightest doubt of child abuse, in order to identify compounding factors and address accordingly. Here we report a case of repeated episodes of hematuria which was extensively investigated in three tertiary care hospitals revealing no cause, ultimately the mother being discovered as the culprit. Case report A three year old boy who was extensively investigated for repeated episodes of gross hematuria since the age of seven months was admitted to Teaching Hospital, Peradeniya with another episode of gross hematuria. The child was clinically normal and investigations including blood, imaging studies and renal biopsy were unremarkable. Urine checked for bar bodies was positive. A case conference was held and it was decided to keep the child under parental custody under supervision of medico-legal authorities, while the mother is followed up at the psychiatry clinic for depression. Discussion Munchausen syndrome (MS) by proxy is a psychiatric disorder which consists of fabricating or inducing illness in a child, usually by his mother, leading to unnecessary and potentially harmful medical investigations and/or treatment which are seen in this case as well. Thus this emphasizes the importance of thinking of MS, before going into potentially harmful investigations when the basic investigations are normal and identifying the importance of having an interlinked e database system in medical facilities in countries like Sri Lanka.
- ItemA case of sudden death following minor intentional trauma; pathologist’s contribution in the decision on the manner of death(University of Peradeniya, Sri Lanka, 2012) Kitulwatte, I. D. G.Abstract not available
- ItemA cohort analysis of gender wage differentials in Sri Lanka: 1996-2004(University of Peradeniya, Sri Lanka, 2014) Abaysekara, A.; Gunewardena, D.Changing patterns over time in female school enrolments and labour force participation can be expected to have an impact on the gender wage gap. This study uses cohort analysis and data from the Department of Census and Statistics' Quarterly Labour Force Surveys from 1996 to 2004 to examine gender wage differentials in three age cohorts corresponding to different periods of labour force attachment. Results indicate that despite larger wage gaps, gender discrimination in the private sector, for full-time workers, has declined marginally over time, whereas young female public sector full- time workers face more discrimination than middle and old cohort workers.
- ItemA collective look at the transformation of Ceylon,1800-1948(University of Ceylon, 1974) Arasaratnam, S.
- ItemA critical analysis of the Pali Sutta Nipata illustrating its gradual growth: general observations and conclusions(University of Peradeniya, 1951) Jayawickrama, N. A.
- ItemA critical review of plans for the development of Colombo city and some trends in planning(Ceylon Historical and Social Studies Publication Board, 1963) Panditharatna, B. L.
- ItemA current need for modern instruments in forensic pathology: a way forward(University of Peradeniya, Sri Lanka, 2016) Paranitharan, P.; Hulathduwa, S. R.Routine dissection of the cadaver followed by mandatory and ancillary investigations is still the most widely used method in forensic autopsy throughout the globe. In contrast to most other disciplines of medicine, instruments used in routine autopsy work remain plain, simple, unsophisticated and virtually unchanged for over a century. Incorporation of modern technology to improve these instruments to meet the new challenges such as minimizing the risk of bio- hazards, acquisition of precision in dissection, facilities for simultaneous imaging, sampling and archiving the information and finally making the dissection a less cumbersome a task with lesser degree of dependability on individual human skills has become the need of the day. The authors briefly discuss few initiative steps taken along this long pathway.
- ItemA death due to acute aortic dissection(University of Peradeniya, Sri Lanka, 2020) Rathnaweera, R. H. A. I.Acute aortic syndrome (AAS) is a term used to describe a collection of life-threatening aortic disease conditions that have similar presentations, but differ in their demographic, pathological, clinical and other characteristics. The exact number of deaths due to AAS is unknown. However studies suggest that the majority of deaths in AAS are due to acute aortic dissection. A 51-year-old male developed sudden onset chest pain while he was taking a bath in the evening. It was a sharp, tearing type chest pain, which was radiating to the left side of his neck. On admission to hospital his low blood pressure was found to be low. He suffered cardiac arrest a few minutes later and died without regaining consciousness. Post-mortem examination revealed a massive haemopericardium (600 ml). Aortic dissection was identified extending from the aortic root to the lower part of the descending abdominal aorta. The thickest point of the dissection was 1.5 cm. There was an intimal tear inferiorly. The dissection extended through the aortic arch to the descending aorta ending 1 cm above the renal artery branching point. Sections of the aorta showed cystic medial degeneration with prominent pools of mucin. Mild atheroma was seen in some sections. The presence of aortic dissection was confirmed. The cause of death was given as haemopericardium due to ruptured aortic dissection. Acute aortic dissection may mimic other cardiovascular conditions, especially ischemic cardiac events. Therefore, the clinical suspicion and a comprehensive history- taking are the key for an early diagnosis. Careful dissection of the aorta and its branches is essential when making a post- mortem diagnosis of aortic dissection. Proper histopathology examination of the aorta assisted immensely in confirming the diagnosis.
- ItemA Death on surgical table due to renal tumor embolism : A Case Report(University of Peradeniya, Sri Lanka, 2011) Hulathduwa, S. R.This case report discusses the rare and fatal occurrence of pulmonary embolism caused by a renal cell carcinoma (RCC) tumor embolus during a nephrectomy in a 45-year-old male farmer from Sri Lanka. The patient presented with a left abdominal mass, loin pain, and painless hematuria, and was diagnosed with RCC, which had extended into the renal vein and inferior vena cava. Despite successful nephrectomy, the patient became hemodynamically unstable and suffered a cardiac arrest. Surgical exploration revealed a saddle thrombus obstructing the pulmonary trunk, which was consistent with a tumor embolus from the RCC. Despite resuscitation efforts, the patient died on the table. The autopsy confirmed the presence of clear cell carcinoma and identified the cause of death as pulmonary tumor embolism. This case highlights the rare yet fatal risk of tumor embolism during surgery for RCC and underscores the importance of medico-legal autopsy in determining the cause of death in such cases.
- ItemA dermatological induced attempt by a husband to make his estranged wife leave home(University of Peradeniya, Sri Lanka, 2016) Jayasooriya, R. P.; Sivasubramaniam, M.; Chandrakirthi, W. A. N.This case report presents a case of domestic violence using an unusual approach to compel the wife to leave home in an attempt to continue an extramarital affair. The method used by the husband in this case is a herbal plant known as Dendrocnide sinuate or commonly known in Sri Lanka as ‘gas kahambiliya’ or ‘Ma Ussa’ which causes a severe dermatological reaction.
- Item"A Generation of Spiritual Bastards and Intellectual Pariahs": A Study of Ananda Coomaraswamy's Attitudes to Colonial English Education in India and Sri Lanka(University of Sri Lanka, Peradeniya Campus, 1976) Wickramasuriya, Sarathchandra
- Item"A Herb Most Bruised ": Love,Marriage,and Female Sexuality in Punyakante Wijenaike's Writing(University of Peradeniya, 2009) Harishchandra, Neshantha
- ItemA Histological and a forensic odontological approach to identify ivory and ivory substitutes for forensic purposes : a case study(University of Peradeniya, 2010) Goonerathne, Induwara; Gunatilake, P. G. L.Abstract not available
- ItemA man with ischemic heart disease after consuming alcohol found collapsed while eating : a café coronary and intoxication, which cause preceded the others?(University of Peradeniya, Sri Lanka, 2017) Gangahawatte, S.; Edirisinghe, P. A. S.; Kitulwatte, I. D. G.Introduction Complete and abrupt upper airway obstruction by a bolus of food, with sudden onset of symptoms simulating acute myocardial infarction was described as ‘Café coronary’ in early 60s. Victims are speechless and breathless; thus, without assistance (e.g.Heimlich manoeuvre) they will die. A typical ‘café coronary’ was an obese middle aged man dying, while eating having a chest pain, with eye witness accounts of ‘choking on a piece of meat’ which was hurriedly eaten. Though various theories were postulated at that time regarding the mechanism, later studies showed that multiple factors could be associated. We report a death of an alcoholic with a history of ischemic heart disease found with a bolus of food lodged at the pharynx and larynx. Case Report 51 year-old male after having 11⁄2 bottles of illicit liquor, quarreled with the wife and left home, was found dead two (2) hours later in a partly built house. The examination of the scene revealed half a bottle of alcohol, a partly consumed loaf of bread, a beef curry and a roasted chicken thigh beside. Autopsy revealed obstruction of the mid larynx with a piece of bread, mild laryngeal oedema, myocardial fibrosis, 80% narrowing of the anterior descending artery and a liquor smell from stomach. The toxicological screening revealed 200mg/dlethyl alcohol in the blood, while histology revealed fibrosis of the myocardium. Conclusion Although obstruction of the airway with a food bolus was the apparent cause of death at autopsy, the high blood alcohol level with myocardial fibrosis pauses questions regarding the mechanism of death i.e. which caused which? Therefore, a forensic pathologist should not be hurried to arrive at conclusions during the autopsy without further investigations.
- ItemA married woman's right to maintenance(University of Ceylon, 1960) Goonesekere, R. K. W.
- ItemA maternal death due to an illegal abortion : a case report(University of Peradeniya, Sri Lanka, 2011) Perera, W.N.S.; Paranitharan, P.