Browsing by Author "De Silva, B. S. S."

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Common Maternal and Neonatal Outcomes of Pregnancies Diagnosed with Endometriosis
(Faculty of Humanities and Sciences, SLIIT, 2022-09-15) Epaarachchi, E. A. K.; De Silva, B. S. S.
Endometriosis is a progressive stirring disease marked by the appearance of endometrial glands and stroma exterior of the uterus. It affects 8%–10% of reproductive-age women, and is linked to develop primary or secondary infertility in 30% of these women.The main objective of this systematic review was to critically analyse the current related literature to explore the maternal and neonatal outcomes of pregnancies diagnosed with endometriosis. Pregnant women with endometriosis are more likely to develop negative pregnancy outcomes and complicated neonatal outcomes, and therefore they may benefit from extra screening and early detection. Related literature within 5years (2016 - 2021) was searched from databases like CINAHL, MEDLINE, and PUBMED, Additionally, a few numbers of studies prior to 2016 were taken due to the availability of related information.A total number of 23 articles related to the search criteria was found and out of that, eight articles were selected due to their extreme relevancy. After critically analysing the eight studies authors explored that pregnant women diagnosed with endometriosis are at elevated risk to develop Placenta previa, hypertensive disorders, postpartum hemorrhage, emergency caesareans and preeclampsia as common maternal outcomes and premature birth, Low birth weight and still birth as common neonatal outcomes. In conclusion, women with endometriosis are at elevated risk of developing adverse maternal and neonatal outcomes in their pregnancies.
Open Access
Common Risk Factors for Postpartum Depression among Mothers after Childbirth in Asian Countries: A Systematic Review
(Faculty of Humanities and Sciences, SLIIT, 2023-11-01) Ranasinghe, N. S.; Wijedasa, H. S.; De Silva, B. S. S.
Depression is the most common mental illness which leads to various health consequences among mothers following the delivery of their babies. Post-partum depression leads to self-harm, suicidal ideation, or harming the newborn, hurting family life. Early detection and management of depression during the antenatal period would prevent both maternal and neonatal complications. Hence, knowing the risk factors may help in planning care for individuals reducing the burden on the health care system. There is a lack of exact evidence of the common risk factors for developing depression after childbirth in Asian mothers. Therefore, this systematic review aims to identify the common risk factors for post-partum depression among mothers after childbirth in Asian countries. Relevant literature from 2017 to 2023 was searched in CINAHL, MEDLINE, PUBMED, Science Direct, and Cochrane databases. Seven highly relevant articles were selected using the PRISMA flow chart. Critical Appraisal Skills Programme (CASP) and its tools were used to carry out the critical analysis of each selected article. Following the in-depth analysis, three key themes were derived: an unfriendly home builds an unhappy mother, expectation versus reality leads to depression, and poor financial status leads to an unsafe post-partum period. The study highlighted that mothers in Asian countries are affected by a wide variety of complex post-partum depression risk factors. Improving knowledge, early detection of emotional needs, counseling, effective use of contraceptives, and delivery of high-quality care during the ante-natal period are necessary for reducing post-partum depression among antenatal mothers.
Open Access
The Effectiveness of Intermittent Fasting Diet Compared with Ketogenic Diet in Reducing Weight of the Adults with Obesity – A Systematic Review
(Faculty of Humanities and Sciences, SLIIT, 2023-11-01) Kamathewatte, K. W. M. N. K.; Wijedasa, H. S.; De Silva, B. S. S.
Obesity is a worldwide health concern, characterized by excessive body fat posing risks to overall health. In 2016, almost 13% of individuals above 18 years were obese, and projections for 2025 estimate higher rates, emphasizing the need for effective weight management strategies. Two popular diets, the ketogenic diet and intermittent fasting, have gained attention for their potential in adult weight reduction. Intermittent fasting involves alternating eating and fasting periods, while the ketogenic diet promotes ketosis through low carbs and high fat. This systematic review aims to compare the efficacy of intermittent fasting and ketogenic diet to clarify which approach may be more advantageous for adults looking to lose weight. Relevant literature from 2017 to 2023 was searched in databases such as CINAHL, MEDLINE, PUBMED, Science Direct, and Cochrane. Additionally, a few numbers of studies before 2017 were taken due to the availability of related information. Seven highly relevant articles were selected using PRISMA guidelines. After careful analysis, the study suggests that intermittent fasting holds promise for weight loss, particularly in comparison to the ketogenic diet. Intermittent fasting achieves weight loss without the potential side effects of the ketogenic diet, such as nutrient deficiencies. Conversely, a simple mealskipping approach in intermittent fasting may not suit everyone, warranting consultation with professionals for suitable dietary decisions. This study highlights the effectiveness of intermittent fasting as a potential weight loss strategy over the ketogenic diet, underscoring the importance of medical consultation in individual dietary planning.
Open Access
Identification of Common Adverse Outcomes of Pregnancies Diagnosed with Endometriosis: Review of Past Studies
(Faculty of Humanities and Sciences, SLIIT, 2022-10-03) Epaarachchi, E. A. K.; De Silva, B. S. S.
Endometriosis is a progressive stirring disease marked by the appearance of endometrial glands and stroma exterior of the uterus. It affects 8%–10% of reproductive-age women and is linked to developing primary or secondary infertility in 30% of these women. The main objective of this systematic review was to critically analyse the current related literature to explore the maternal and neonatal adverse outcomes of pregnancies diagnosed with endometriosis. Pregnant women with endometriosis are more likely to develop negative pregnancy outcomes and complicated neonatal outcomes, and therefore they may benefit from extra screening and early detection. Therefore, eight studies are critically analysed in terms of study design, sample size, sample type, exclusive criteria, comprehensive criteria, data analysis, and key findings based on data availability to identify common adverse outcomes of pregnancies with endometriosis. After critically analysing the eight studies, authors explored that pregnant women diagnosed with endometriosis are at elevated risk to develop Placenta previa, hypertensive disorders, postpartum hemorrhage, emergency caesareans and preeclampsia as common maternal outcomes and premature birth, Low birth weight and stillbirth as common neonatal outcomes. In conclusion, women with endometriosis are at elevated risk of developing adverse maternal and neonatal outcomes in their pregnancies
Open Access
The Most Influencing Factors for Cigarette Smoking Among Adolescents: A Systematic Review
(Faculty of Humanities and Sciences, SLIIT, 2023-11-01) Lakshmi, N.; Dasanayake, C. D. K.; De Silva, B. S. S.
Cigarette smoking is a major public health problem in the world, and smoking leads to diseases and disabilities and harms nearly every organ of the body. All forms of cigarettes are harmful, and there is no safe level of exposure to tobacco. Nicotine is one of the toxic chemicals found in tobacco and can cause carcinomas. A significant number of students experimented for the first time with cigarette smoking in adolescence. Cigarette smoking during adolescence causes significant health problems, such as an increase in the number and severity of respiratory illnesses, decreased physical fitness, and potential effects on lung growth and function. The participants who smoked had poor academic performance, drank alcohol, were sexually active, and were more likely to smoke with other adolescents. This study aims to identify the most influencing factors for cigarette smoking among adolescents. This systematic review included literature from 2017 to 2022 through databases such as PUBMED, CINHAL, and MEDLINE. The review includes six studies that revealed the influencing personal, environmental, and community factors for cigarette smoking among adolescents through multivariate logistic regression and path analyses in several countries. The probability of smoking was found to be higher among adolescents with male gender, high body mass index, social anxiety, high grades, sufficient pocket money, and positive attitudes toward smoking. Peer smoking, secondhand smoking (SHS) exposure, smoker parents, free cigarettes from tobacco companies, the indigenous population, and parenting patterns were found as influencing factors to combat the threat of cigarette smoking among adolescents. To combat the threat of cigarette smoking among adolescents, gender- and culture-sensitive prevention programs are required.
Open Access
The Self-care Practi ces of Foot among Pati ents with Type 2 Diabetes Mellitus in the Asian Populati ons: A Systemati c Review
(Faculty of Humanities and Sciences, SLIIT, 2024-12-04) Dilrukshi, K. K. J.; De Silva, B. S. S.
Diabetes mellitus is a highly prevalent chronic disease all over the world. It has become the main reason for non-traumati c amputati on. Major amputati on occurs every 20 seconds, as a result of diabetic foot problems caused by poor foot care. The main purpose of this study is to determine the self-care practices of foot among patients with type 2 diabetes mellitus in Asian populations. The systematic review design was applied to find out the self-care practices of the foot. Thus, Pub Med, CINAHL, Science Direct, and Wiley Online Library were searched, and 1390 arti cles published in English between 2016 and 2021 were identi fi ed. The PRISMA filtering technique with inclusion and exclusion criteria focused on selecting the best articles. Finally, seven arti cles were selected and analyzed critically to detect findings. Three themes emerged from the findings: poor foot care practices among Asians, mal-practices of foot selfcare, and mal-practices of using footwear. A signifi - cant percentage of diabeti c patients in the Asian region follow poor foot care practi ces and they follow many mal practi ces of diabeti c foot care such as not trimming toenails straight across, cleaning their nails with sharp objects, and not applying any moisturizer on the foot skin to avoid dryness. Further, malpracti ces of using footwear leading to foot injuries were identi fi ed, such as not checking the inside of shoes before wearing, not measuring the foot size when selecti ng footwear, and wearing barefoot indoors and outdoors frequently. In conclusion, the malpracticesces of diabetic foot self-care and the malpractices of using footwear are infl uenti al factors for the development of various foot complications ons as well as increasing foot amputations. Thus, healthcare practitioners should maintain ongoing education on initiatives to ensure proper foot-care practices.