Postgraduate Institute of Medicine: Colombo University

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Browsing Postgraduate Institute of Medicine: Colombo University by Subject "Adolescent"

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    Attempted Suicides Antecedents \& Consequences
    (Post Graduate Institute of Medicine, Colombo: PGIM., 2000) Thalagala, NI
    Based on the data obtained from different components of the study, it was possible to develop a " model" identifying relationship between precipitating factors,predisposing factors and depressive illness which enabled identification of strategies for intervention.Based on the observations of the study following recommendations could be made. Empowering individuals \& families to cope with situations where a suicidal act might occur, taking actions to control depressive illness, improving patient management skills and facilities at local and specialist hospitals, and establishing a program for the follow up of persons who attempt suicides after returning to community from hospital.
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    Prevalence of emotional disorders and their correlates among 15-19 year old students in the MOH area of Dankotuwa
    (Post Graduate Institute of Medicine, Colombo: PGIM., 2000) WICKRAMASINGHE, SC
    The objective of the study was to modify, adapt and validate an instrument for detection of emotional disorders as well as to estimate the prevalence of such illness in a school going community.Factors associated with emotional disorders in this population were also studied.An important finding of the study was the high prevalence (16.6 per cent) of the feeling that " life is not worth living" among the study population irrespective of their emotional health status.Furthermore, 4 per cent of this total population expressed suicidal ideas.Both these are confirmed by the current high suicide rates observed nationally and highlight the importance of instituting preventive action.The key source of emotional distress in adolescents was identified as relationship with the family.This is related to the findings of the study that corporal punishment and strictness of parents were important risk factors for emotional disorders in the population studied. Part time employment of school going adolescents was the other important risk factor.This needs further explorative study.Another key finding of the present study was the association of emotional disorders with the ability to grasp information.Participation in extra curricular activities was shown to have an inverse relationship with emotional health.These findings highlight the need for institutionalizing a screening program for this age group within the school setting.This has to be perceded by extensive validation studies as well as assessment of acceptability and economic feasibility. An important area of intervention would be the creation of increased awareness in the community in general as well as programs directed towards improving parenting practices. Education of teachers towards better understanding of emotional changes associated with adolescence also appears very important.
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    A Study of some aspects of adolescent pregnancy at Dankotuwa medical officer of health area
    (Post Graduate Institute of Medicine, Colombo: PGIM., 2002) Samarasekera, SD
    Adolescent pregnency affects the socio-economic status of the family the pregnency wastage and the pesentage of chilren with low birth weight were high among adollescent mothers.age apprpriate weights of the children were below 3rd centile in more adolescent mothers than the non-adolescent mothers.So immediate measures shold be taken to delay the pregenecy among adolescents.
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    Study on morbidity pattern among adolescents and services provided by tertiary care institutions in Sri Lanka
    (Post Graduate Institute of Medicine, Colombo: PGIM., 2003) SIRITUNGA, TLSS
    Most illness were due to symptoms, sighns and abnormal clinical and laboratory findings not elsewhere classified,mostly due to fever,followed by injury,poisoning and sertain other consquances of external causes which where mostly due to accidents admissions to the N.H.S.L.during the first quarter of the year 2003.Nearly 15 percent of the adolscent who were admitted the N.H.S.L.had left the ward before dischange and about 60 percent of the atendence at the O.P.D.T.H.C.S Kalubowila had been discharged without giving an apointment to review.Over 905 of health care workers were aware of the adolescent health problems and their needs.Almost all adolecent and the health care workers suggested the need of a special place for conclution/examination.
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    A Study to assess the impact of the regular school dental care on the oral health status of adolescents in Maharagama and Nugegoda health areas
    (Post Graduate Institute of Medicine, Colombo: PGIM ., 1992) JAYASUNDARA BANDARA, JMW
    Present study eas undertaken with the prime objective of studying the impact of the regular school dental care on the oral health status of 15 years old adolescents. Studying the baseline oral health data for the age group was a specific objective. A radom sample of three hundred and thirty five students from schools situated in Maharagama and Nugegoda health areas were investigated for dental caries and periodontal disease. Decayed, missing and filled surfaces index and community prtiodontal index for treatment needs were used as indices. Sample was dicided into two groups on the basis of receiving the regular school dental care for at least 3 years. A moderate level of caries experience and a low level of periodontal conditions were observed for the age group. A mean DMFT of 3.1 and a prevalence of 81.1 percent, with a higher proportion of untreated caries were recorded. Mean DMFS was 5.64 with a median value of 4 inddicating the majority to have lower values than the mean value. Half of the dental caries experience of the sample was in first permanent molars. Approximately onr out of 8 indiciduals had their all 4 first molars affected by caries and one out of 4 had lost one or more first molar tooth. More than fifty percent of the lesions were on occlusal surfaces. Tooth loss was at a higher level than th expected level. Percentage of individuals with the full compliment of teeth was far below the global indicator for 18 year olds. Periodntal conditions were much better compared to that of 12 year olds in 1983/84. Percentage of persons with no gingival bleeding in all sextants. 5 percent of the sample exhibited pocket formation. 31 percent of the sample did not show any sign of periodontal condition and the mean number of healthy sextants per person was 3.85. A reduction in severity of dental caries was observed in students who had received a regular school dental care. However the number of occlusal surfaces affected were similar in both groups. There was a reduction in smooth surface caries among the students who received school dental care. Percentage of persons with tooth loss was low in students who had received regular dental care but much higher than globally expected level. Much lower values for periodontal conditions were observed in students with regular school dental care, with a general reduction in bleeding of gums and calculus in the total sample. However percentage of persons with pocket formation was significantly higher in students who had no regular school dental care. The effect of regular school dental care was much clear on periodontal disease than on dentalm caries.
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