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Biomedical subjects

N S Jayawickrama

Publications and source records attributed to N S Jayawickrama.

7 recordsLinked to original sources
PubMed2004

Computer skills among trainee doctors.

Computer skills are an essential part of every field, including medicine. However, training in computers is limited mainly to clerical and paramedical staff. We conducted this questionnaire survey to assess the extent of training and the opinion of trainee doctors in obstetrics and gynaecology in Wales. The results showed that the computer skills among these doctors was low and the majority of them agreed that there was a need for training in computer skills to assist them in their career progress. In view of the findings of this survey, we feel that incorporation of computer skills courses in the training curriculum must be of benefit.

Computer Literacy↗
PubMed2004

Post-treatment hypomenorrhoea--a clinical indicator of long-term successful outcome of transcervical resection of the endometrium.

This study aims to evaluate the long-term effectiveness and define one of the indicators of successful outcome of endometrial resections. The study was carried out in a district general hospital setting. This was a retrospective analysis of 54 consecutive women who underwent endometrial resection over a 5-year period. Three (5.5%) complications were noted. Two were primary haemorrhage and one was a postoperative vaginal discharge. Eighty per cent of the patients expressed satisfaction with the outcome of their treatment. Expression of satisfaction at a later date was related to reduced menstrual flow at 6 months (0.005<P<0.001, P=0.18 (95% CI=0.13-0.23). Dissatisfaction was noted in 10 patients. These included two patients whose expectations of outcome were amenorrhoea, although they admitted to reduced menstrual flow. Four patients had other complications, such as adenomyosis, pelvic inflammatory disease and pelvic endometriosis. Endometrial resection is still an effective option for the majority of patients for whom it is a preferred choice. Amenorrhoea at 6 months may be an objective indicator of long-term successful outcome of this procedure, and hence a useful tool for patient counselling.

Adult↗
PubMed2002

Who are the women who default from colposcopy clinics?

Compliance at colposcopy clinics is an essential factor for effectiveness of a cervical screening programme. However, there is not enough research on women who default from the colposcopy clinic. In this study, we have looked at some of the factors which might influence non-attendance at colposcopy clinics. We found that women who were younger and nulliparous appeared to be at greater risk of non-attendance than older and parous women. Women tend to miss follow-up appointments rather than primary appoints and none of them missed treatment appointments. There was no relation between non-attendance and grade of the lesion. We were not able to assess other factors such as smoking, socio-economic status or marital status in this study due to inadequate documentation.

Adult↗
PubMed2002

Who is responsible for the rising caesarean section rate?

In view of the rising trend in caesarean section rates all over the world and women requesting caesarean section without any medical indication, we conducted a questionnaire survey to assess the opinion of clinicians in the field of obstetrics to assess their views regarding this issue. We found that clinicians agree that the caesarean section rates are increasing and most of them hold the media and women responsible for this rising trend. However, in situations where no definite medical indication was evident, most of the clinicians favoured caesarean section. The findings of this study suggest that there is a need for change in the attitude of clinicians before attempting to educate women regarding the caesarean section for non-medical reasons.

Adult↗