Browsing by Author "Jeewandara, K C"
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Item Developmental language regression in autism: a descriptive study in Sri Lanka.(2012-01) Perera, H; Jeewandara, K C; Seneviratne, S; Guruge, B CBackground: Developmental regression is a feature seen in some children with autism and is defined as loss of either language or social skills or both, after a period of apparently normal development. Objective: To estimate the prevalence of developmental language regression (DLR) in a sample of children with autism aged 18-48 months and study the difference with those without DLR in terms of development, social and family variables and outcome of intervention. Method: Data was obtained from an already existing database of children with autism attending an intervention programme. Information was obtained from the diagnostic assessment, structured parent interview and outcome data on intervention. Results: Data was available for 62 children. Prevalence of DLR in this group was 41.9%. Mean age of regression was 18 months. More children with DLR compared to those without, were born after assisted conception (p<0.05). Effect size of outcome of intervention was less favourable for regressed children at 6 months (but not at 3 months). Conclusion: Prevalence of DLR in this sample of children with autism was 41.9%Item Prevalence of attention deficit hyperactivity disorder in children with unintentional injuries.(2012-01) Perera, H; Jeewandara, K C; Jayasuriya, N; Dias, RIntroduction: Attention deficit hyperactivity disorder (ADHD) is characterized by hyperactivity, inattention and impulsiveness. Risk-taking behaviour and accident proneness are well recognized in these children. Objectives: To estimate the prevalence of ADHD among children attending an Accident Service and to describe the injury profile. Method: Data was gathered from children with unintentional-injuries attending Accident Service on randomly selected days. SNAP IV, an 18-item standardized schedule validated for diagnosis of ADHD, was interviewer-administered to parents. Injury-related data was collected using a semi-structured questionnaire. Results: One hundred and fifty one children, aged 4 to 12 years (mean age 8.5 years), participated in the study. Prevalence of ADHD in this group was 18%. Children with and without ADHD did not differ in mean age and gender distribution. Children with ADHD were more likely to sustain injury needing hospitalization, report previous injury needing hospitalization and were perceived by mothers as injury prone, which were all statistically significant (p<0.05). Conclusions: Prevalence of ADHD among children attending an Accident Service was 18%. Children with ADHD were more likely to sustain injury needing hospitalization (p<0.01). Children with ADHD were perceived by parents as prone to injury (p<0.05).