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Three decades of the Ceylon Medical Journal--analysis using MEDLINE (PubMed).

INTRODUCTION: The Ceylon Medical Journal (CMJ) is the only Sri Lankan medical journal that is indexed in MEDLINE (PubMed). Publications in the CMJ from 1965 March to 2001 December were analysed using the PubMed interface of MEDLINE. METHOD: Using PubMed we downloaded the CMJ bibliography in MEDLINE format. Important tagged fields were written to a Microsoft-Access database using a PubMed Grabber/Analyser program. The analysis was done using Access-SQL and PubMed queries. RESULTS: There were 1472 citations by 1373 authors. 944 authors had only one and 176 had two articles. The top 10 authors contributed 8% and the top 25, 15.4% of the articles. Publications types were: 68.5% 'journal articles', 10.4% letters, 4.2% historical articles and 4.1% reviews. Controlled clinical trials, randomised controlled trials and clinical trials together totalled only 39 (2.1%). Articles were classified using 2 to 44 medical subject headings (MeSH; average 11.4, mode 9) from the MeSH vocabulary. CMJ articles classified using broad MeSH categories were (top five): infections 370(15 %), pathological conditions signs and symptoms 266( 10.8%), haemic, lymphatic and immunologic 199 (7.7%), endocrine, nutritional and metabolic 189 (7.7%), neoplasms 179(7.3%). DISCUSSION: For 938 (68%) authors, publishing in the CMJ was a one time affair. The top 50 authors contributed nearly a quarter (23.2%). A product of this research is an off-line CMJ searching system from 1965 to 2001 with menu driven search facilities which will be a useful tool for researchers.

Abstracting and Indexing↗

Bionomics and control of Culex pipiens fatigans Wied. in Ceylon.

The climatic and housing conditions which favour the breeding of Culex pipiens fatigans in Ceylon, and its life-cycle and resting-habits, are described. The results of the treatment of breeding-places (mainly catch-pits) and the interior of houses with various insecticides of specific action on larvae or adults, in different preparations and concentrations, are given, and suggestions are made for the control of the mosquito on this island. The fundamental measure for successful control is efficient sanitation, but until this can be achieved, application of larvicides seems to be the method of choice.

Animals↗

Biology and control of Taeniorhynchus (Mansonioides) uniformis Theobald, the chief vector of rural filariasis in Ceylon.

Residual spraying of DDT for the control of Taeniorhynchus (Mansonioides) uniformis, the mosquito vector of rural filariasis in Ceylon, was carried out in Induruwa, a village on the west coast of the island. The results showed that the insecticide retained its effectiveness for a period of 4-6 months.During the course of this investigation, various observations were made on the behaviour of T. (M.) uniformis. Its host plants, day-time resting-places, feeding habits, and response to light-particularly moonlight-were recorded. An increase in T. (M.) uniformis prevalence was observed to coincide with the onset of the north-east and south-west monsoons, when the paddy-fields are inundated and become overgrown with Isachne australis, the most common aquatic plant in the area and a favourite breeding-place of this mosquito species.

Animals↗

Cause-of-death statements in Ceylon: a study in levels of diagnostic reporting.

The author presents a critical discussion of the current system of registration of deaths in Ceylon, pointing out the difficulties inherent in collecting and analysing data relating to causes of death in a country where many of the cause-of-death statements are made by lay registars whose knowledge of modern medical terminology is slight or non-existent. He suggests various ways in which the present system might be improved, stressing particularly the need for continuous scrutiny of the Sinhalese or Tamil terms commonly used in reporting causes of death in rural areas and for the preparation of simple instructions to lay registrars regarding a system of priorities to be followed in selecting the symptoms to report as a result of interrogation of the relatives notifying the death.

Death Certificates↗

Ceylon: continuing practice of contraception by acceptors of oral contraceptives and intrauterine devices in a field programme.

A follow-up study of oral-contraceptive and intrauterine-device acceptors in the early years of the Ceylon family planning programme was undertaken to determine the effect of a 1968 policy decision to cut the per cycle price of oral contraceptives by half and to allow nonclinical prescription and distribution of the pills by trained field midwives under medical supervision. While pill acceptance increased, study findings suggest that continuation did not. On balance, the intrauterine device proved much more effective than oral contraceptives in preventing unplanned pregnancies, reflecting the higher continuation rates of IUD acceptors. Although the availability of both methods clearly contributed to expansion of the programme, the demographic and administrative implications of initial choice of method, and the finding that pregnancy rates for pill users are not lower than for IUD wearers, suggest the need for more realistic counselling by clinic and field staff at the time of choice.

Adult↗

A study of the age-composition of natural populations of Culex pipiens fatigans Wiedemann in relation to the transmission of filariasis due to Wuchereria bancrofti (Cobbold) in Ceylon.

Filariasis due to Wuchereria bancrofti is becoming an increasingly important problem in many countries of southern and south-eastern Asia. From 1962 to 1964, a study was made of the vector of this disease, Culex pipiens fatigans, in two districts of Colombo, Ceylon, one with vector control by larviciding and one without. Catches were made of the house-resting, biting and ovipositing populations, and the stages of ovarian development, parity and infection were determined by examination of the external appearance of the abdomen and dissection for ovariole dilatations and filariae. It was concluded that 10%-12% of the house-resting female population survived to the infective 2-parous stage and about 1.5% to the 3-parous stage. Daily mortality was estimated as 13%-24% for the district with vector control, and 18%-28% for that without. A field experiment based on the recapture of marked females confirmed these results. Biting took place indoors from 18.00 h to 06.00 h, with a single peak around midnight. Most females returned to feed directly from oviposition.

Culex↗

Arbovirus infections in Ceylon.

The haemagglutination-inhibition test has been used to assess the frequency of arbovirus infections in the population of Ceylon, by age-group, and also in some animals. The antigens used were: chikungunya, JE, dengue 1, 2, 3, 4, and Tahyna.The percentage of positive reactors to the group-B viruses ranged from 16.3% to 84.6% and was lower in the mountainous part of the country. Infections with the chikungunya (group-A) virus were less frequent (from 0 to 37%) and were considered to be recent infections. The prevalence of antibodies was found to increase with age.From a comparison of the antibody titres of the indigenous Ceylonese population with those of a group of immigrant Yugoslav workers it was concluded that a titre of 1:640 would represent a significant titre for a recent infection.The animals examined included goats, cattle, bandicoots, pigs and sheep; virus infections were most frequent in the bandicoots, pigs and sheep.

Adolescent↗