N D B Ehelepola

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BACKGROUND Weather variables affect dengue transmission. This study aimed to identify a dengue weather correlation pattern in Kandy, Sri Lanka, compare the results with results of similar studies, and establish ways for better control and prevention of dengue. METHOD We collected data on reported dengue cases in Kandy and mid-year population data from(More)
Background Temperature, humidity, and other weather variables influence dengue transmission. Published studies show how the diurnal fluctuations of temperature around different mean temperatures influence dengue transmission. There are no published studies about the correlation between diurnal range of humidity and dengue transmission. Objective The goals(More)
A consultant physician examines the rash on the forearm of a boy recovering from the critical phase of dengue hemorrhagic fever (DHF) at one of the internal medicine units of the Teaching Hospital Kandy, Sri Lanka, in late May 2016 during the usual ward rounds. Another doctor briefing him, has just said that this patient developed a prominent convalescent(More)
BACKGROUND Dengue is the most prevalent and fast spreading arboviral infection affecting people. No specific drug is available to treat dengue. Thrombocytopenia with potential of serious hemorrhages is one of the hall mark features of dengue. Immune thrombocytopenic purpura is an autoimmune disease causing thrombocytopenia. If a patient with that gets(More)
Statins and hypothyroidism, independently, can rarely cause rhabdomyolysis. The combination of them especially with concurrent intake of drugs such as diltiazem increases the risk of rhabdomyolysis. Hashimoto's encephalopathy is a rare condition associated with Hashimoto's thyroiditis and some patients with that can present with a stroke like picture. An(More)
BACKGROUND Meteorological factors affect dengue transmission. Mechanisms of the way in which different diurnal temperatures, ranging around different mean temperatures, influence dengue transmission were published after 2011. OBJECTIVE We endeavored to determine the correlation between dengue incidence and diurnal temperature ranges (DTRs) in Colombo(More)
Patients often, but not always, present with features that allow easy differentiation between traumatic brain injury and a stroke. Early diagnosis and appropriate treatment are crucial for a good outcome in both. Millions of people worldwide climb coconut and other trees without any protective gear. We present a case of a coconut tree climber found(More)
BACKGROUND Snakebites cause considerable morbidity and mortality in tropical and subtropical countries even though existing treatment methods can prevent most deaths if presentation occurs early to hospitals. Envenomation by unidentified snakes is common in central Sri Lanka. Management of such patients is challenging especially if presentation is late. (More)
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