The Sri Lankan Hospitalist Vol 2
The Journal “Sri Lankan Hospitalist” (SLH) is an editorially independent publication owned by the Critical Care Forum of Sri Lanka. The foremost mission of the Journal is to promote and disseminate evidence for practice, policy, and education. SLJH aims to provide a medium for the publication of original contributions to clinical practice and public health and/or research in all fields of Medicine. The Journal adheres to the criteria of the International Committee of Medical Journal Editors.
Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. The Editors welcomes the submission of reviews, original articles, case reports, and letters, and has an aim to provide authors with an initial response within six weeks of receipt of a manuscript that is in a format consistent with these instructions. Original Articles should not exceed 2500 words and should be arranged under the usual headings of Abstract (less than 250 words), Introduction, Methods, Results, Discussion and References. Clinical trials should be written in accordance with the CONSORT standards, which can be found at http://www.consort-statement.org/ and observational studies in accordance with the STROBE guidelines, which can be found at http://www.strobe-statement.org/.
Brief Communications should be between 500 and 1000 words, have no more than 20 references, have a short unstructured abstract no longer than six lines, and have no more than two tables or figures. It is possible that articles submitted as full length articles may be considered to be more appropriate as Brief Communications.
Letters to the Editor should not exceed 500 words. Short relevant comments on medical and scientific issues, particularly controversies, are encouraged. Where letters refer to an earlier published paper, authors will be offered right of reply (no more than 500 words). Note that Letters and Responses are limited to 10 references.
Case Reports are published only if the report is of exceptional interest (ie an important clinical lesson or a previously unpublished point). They should be restricted to 500 words plus six references, with only one figure or table, and will be subjected to editorial review. Case Reports may not be subject to review if considered not of sufficient interest by the Editor.
Reviews The policy of the Journal is to publish high-quality review material covering both medical research and practice. Categories include: (i) Comprehensive Reviews of up to 3500 words, (ii) Short Reviews of up to 1500 words and 20 references, (iii) Clinical Perspectives are practical
Chief Advisor
Vidyajyothi Prof. Rezvi Sheriff
Former Director, Post Graduate Institute of Medicine, Colombo, Sri Lanka
Executive Editor
Prof. Aruna Munasinghe
MBBS, MD, DIUVA(Paris), FRCP(Edin), FACP(USA),FCCM (USA),FCEM(UK)
Consultant Physician In charge, Sri Lanka Victoria Emergency & Trauma Care Center, Teaching Hospital, Karapitiya, Sri Lanka
Chief Editor
Prof. Chrishantha Abeysena
MBBS, M.Sc, MD, PgDip.Stat, BA, MA, MA
Senior Lecturer / Consultant Community Physician, Head / Department of Public Health, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Associate Editor
Dr.Kapila Jayaratne
MBBS, DCH, MSc (Com Med), MD (ComMed)
Consultant Community Physician, National Programme Manager – Maternal & Child Morbidity & Mortality Surveillance, Family Health Bureau, Ministry of Health, 231 De Saram Place, Colombo 10, Sri Lanka
External Reviewers
Dr.Bilesha Perera
Dr.Bilesha Perera BSc.PhD (USA)
Head, Department of Community Medicine, Faculty of Medicine, Karapitiya, Sri Lanka
Dr. Mahesh Nirmalan
Consultant in Anaesthesiology & Intensive Care Medicine, Academic Lead for Phase 2(Years 3&4) Manchester Medical School, United Kingdom, M139WL
Editorial Board
Prof. Chula Goonasekera
Professor in Anesthesiology, Department of Anaesthesiology, Faculty of Medicine University of Peradeniya, Sri Lanka.
Dr.M.A.M.Faizal
MBBS, MD
Consultant Paediatric Intensivist, Srimavo Bandaranaike Children Hospital, Peradeniya, Sri Lanka.
Dr.Rohitha Jayamaha
MBBS, MD
Consultant physician, Provincial General Hospital, Badulla
Mrs. M.P.P.Dilhani
Senior Assistant Librarian, Library, Postgraduate Institute of Medicine, University of Colombo, Sri Lanka.
Prof.Jeanne Marecek
Wm. Kenan Professor of Psychology Emerita, Swarthmore College, Swarthmore, PA, USA
Dr.Harsha Athapaththu
MBBS, MS
Consultant Gynecologist & Obstetrician, Base Hospital, Embilipitiya, Sri Lanka.
Dr.Vijith De Silva
MBBS, MD (Com. Med.)
Department of Community Medicine, Faculty of Medicine, Karapitiya, Sri Lanka.
Dr. Malka Jayasinghe
MBBS House officer, Basic Hospital, Panadura
Prof. John Botha
MB ChB M Med FCP (SA) FRACP FCICM, Director of Intensive Care, Clinical Dean,
Director of Research, Peninsula Health, PO Box 52, Frankston Vic 3199
Dr.Ranjana Senevirathna
MBBS, MS(FRCS), MSc(Liverpool)
Senior lecturer, Department of Surgery, Faculty of Medicine,University of Ruhuna, Sri Lanka.
Dr. Sunera M. Fernando
MBBS, MD(Psychiatry), PhD(Wollongong)
Consultant Psychiatrist, University Psychiatry Unit, NHSL and Lecturer, Department of Psychological Medicine, Faculty of Medicine, University of Colombo
Dr Sanjeev Bhoi
Assistant Professor, JPN Apex Trauma Centre, India.
Dr.M. Hewageeganage
MBBS, MD
Consultant Paediatric Intensivist, Teaching Hospital, Karapitiya, Sri Lanka.
Dr.Enoka Corea
Director, Medical Education Development and Research Centre (MEDARC), Faculty of Medicine, University of Colombo, Sri Lanka
Dr. C. Weerarathne
MBBS, MD
Senior Lecturer in Pharmacology, Faculty of Medicine, University of Colombo, Sri Lanka.
Dr.M.A.S.C Samarakoon
MBBS,MSc(Com. Med), MSc(Med. Admin)
Directress, General Hospital, Matara, Sri Lanka.
Dr. I Karunathilake
Director, Medical Education Development and Research Centre (MEDARC), Faculty of Medicine, University of Colombo, Sri Lanka
Editorial Assistants
Dr D. P. C.K. Ananda Lal
MBBS Registrar in Surgery, National Hospital, Sri Lanka
Dr.Thanya Pathirana
MBBS
A.H.T.H.R.Nikethani
Library Assistant (PGIM Library)
Dr.Dushmantha Subasinghe
MBBS Medical Officer, District Hospital, Dik Oya
Dr. Chamindu Sampath
MBBS
Cover Designer
Mr. Sachith Randika
Designer
Special Appreciation
Mrs. T. Sritharan
Senior Assistant Librarian