Publications by authors named "Amila S Ratnayake"

Owing to its specialised methodology, palaeoecology is often regarded as a separate field from ecology, even though it is essential for understanding long-term ecological processes that have shaped the ecosystems that ecologists study and manage. Despite advances in ecological modelling, sample dating, and proxy-based reconstructions facilitating direct comparison of palaeoecological data with neo-ecological data, most of the scientific knowledge derived from palaeoecological studies remains siloed. We surveyed a group of palaeo-researchers with experience in crossing the divide between palaeoecology and neo-ecology, to develop Ten Simple Rules for publishing your palaeoecological research in non-palaeo journals.

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Background: The global burden of trauma disproportionately affects low-income countries and middle-income countries (LMIC), with variability in trauma systems between countries. Military and civilian healthcare systems have a shared interest in building trauma capacity for use during peace and war. However, in LMICs it is largely unknown if and how these entities work together.

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The spread of infectious diseases was further promoted due to busy cities, increased travel, and climate change, which led to outbreaks, epidemics, and even pandemics. The world experienced the severity of the 125 nm virus called the coronavirus disease 2019 (COVID-19), a pandemic declared by the World Health Organization (WHO) in 2019. Many investigations revealed a strong correlation between humidity and temperature relative to the kinetics of the virus's spread into the hosts.

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Introduction: Trauma burden is one of the leading causes of young human life and economic loss in low- and middle-income countries. Improved emergency and trauma care systems may save up to 2 million lives in these countries.

Method: This is a comprehensive expert opinion participated by 4 experts analyzing 6 Asian countries compiling the most pressing trauma care issues in Asia as well as goal directed solutions for uplifting of trauma care in these countries.

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Coastal structures, especially revetments, have been widely implemented to protect properties and infrastructures from erosive waves during storms. While being incompatible with nature-based solutions, revetments have still been constructed due to their effectiveness in solving coastal erosion. One of the most crucial concerns that should be considered as part of a revetment implementation is how to diminish and manage its possible impacts on the environment.

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The MV X-Press Pearl marine debacle severely affected the marine environment in the Indian Ocean. The objective of this study is to monitor environmental pollution along the west coast of Sri Lanka. Beach sand samples were collected from 40 locations.

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Sri Lanka is positioned as an important hub for international shipping. The recent naval accidents of MT New Diamond (in 2020) and MV X-Press Pearl (in 2021) suggest that the country is at risk for future maritime environmental disasters. However, Sri Lanka still has no adequate planning and regulation at the national policy level.

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Objective: For more than half a century, surgeons who managed vascular injuries were guided by a 6-hour maximum ischaemic time dogma in their decision to proceed with vascular reconstruction or not. Contemporary large animal survival model experiments aimed at redefining the critical ischaemic time threshold concluded this to be less than 5 hours. Our clinical experience from recent combat vascular trauma contradicts this dogma with limb salvage following vascular reconstruction with an average ischaemic time of 6 hours.

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Background: In extremity vascular trauma, early complications occur at a rate of 13% to 44%. The most common of which are infection, dehiscence, thrombosis, and stenosis. Failure of the arterial repair, also called arterial blowout, has the potential for exsanguinating hemorrhage and poses a considerable challenge for the surgeon to save limb and life.

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Purpose: The objective of this study was to characterise the spectrum of peripheral venous injury in the Sri Lankan war theatres, including categorisation of anatomic patterns, mechanism and management of casualties, including short-term results of surgical repair of traumatic venous injuries versus ligation. In addition, the effects and outcome of combined arterial and venous injuries versus arterial injury alone are compared.

Methods: All adults with extremity vascular injuries admitted to a military base hospital during an 8-month period were prospectively recorded and those with a venous injury were analysed.

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