Publications by authors named "Thilini Nisansala"

Objectives: Antibiotic resistance (ABR) constitutes a significant burden to economies in developing countries. In the 'One-Health' concept, ABR in human, animals, and environment is interconnected. The aim of this study was to critically appraise literature on ABR in all three domains in One Health, within the Sri Lankan geographical context.

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Background: Self-care during pregnancy is a crucial topic to be discussed due to its effects on both the mother and fetus. In Sri Lanka, specifically regarding self-care with over-the-counter (OTC) medicines, usage among the pregnant population is scarce.

Objective: This study assessed knowledge, attitudes, and practices (KAP) on self-care with OTC medicine usage among pregnant women attending maternity clinics in the Colombo Medical Officer of Health (MOH) areas, Sri Lanka.

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This study aimed to investigate and compare the proportion of AMR Escherichia coli (E. coli) between urban (Dompe in the Western province) and rural (Dambana in the Sabaragamuwa province) areas in Sri Lanka. The overall hypothesis of the study is that there is a difference in the proportion of AMR E.

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Introduction: Mosquito-borne infections are of global health concern because of their rapid spread and upsurge, which creates a risk for coinfections. DENV and ZIKV are transmitted by and and are prevalent in Nigeria and neighbouring countries. However, their seroprevalence, burden, hidden endemicity and possible cocirculation are poorly understood in Nigeria.

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Background: The incidence of oral squamous cell carcinoma (OSCC) is very high in South Asia and Vascular endothelial growth factor (VEGF) is one of the key factors essential for cancer growth. The importance of VEGF-A and VEGF Receptor 2(VEGFR-2) in oral cancer pathophysiology is yet to be decided. Vascular Endothelial Growth Factor A (VEGF-A) is the main factor concerned in angiogenesis in tumors, but its role in Oral Squamous Cell Carcinoma (OSCC) is still debatable.

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Article Synopsis
  • The increase in vector habitats and human movement is leading to the introduction of new Leishmania species, which complicates current diagnostic methods for identifying infections.
  • Researchers tested isothermal recombinase polymerase amplification (RPA) assays targeting key Leishmania genetic markers, finding effective detection capabilities for seven pathogenic species.
  • Results showed high sensitivity rates when using these assays on real samples, with a combined sensitivity of 98.57%, suggesting the need for their use in future diagnostics.
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Objective: We examined heat stress symptoms and urine markers of chronic kidney disease (CKDu) in Sri Lanka to assess differences between endemic vs. non-endemic regions and by occupation.

Sample And Methods: We assessed a total of 475 villagers.

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The immune response is hypothesized as an important factor in the disease outcome of leptospirosis. Exaggerated immune response may promote tissue damage that lead to severe disease outcome. In this study TNF, IL-10, sTNFR1 levels were measured among sixty-two hospitalized leptospirosis confirmed patients in Sri Lanka.

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Background: Acute kidney injury (AKI) is one of most prevalent and serious complications of leptospirosis, a prevalent zoonotic disease in tropical countries. Prompt diagnosis of the leptospirosis-associated AKI is a challenge as there are no proper diagnostic tools that can identify patients in the early stage. Kidney injury molecule-1 (KIM-1) and monocyte chemoattractant protein-1 (MCP-1) are widely used novel AKI biomarkers that are studied in various disease conditions with AKI, but not in leptospirosis.

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Article Synopsis
  • The isothermal nucleic acid amplification techniques, particularly the recombinase polymerase amplification (RPA) assay, have made it possible to detect pathogenic DNA directly in clinical samples, presenting a new approach in diagnostics over real-time PCR.
  • A multi-country evaluation study was conducted in Bangladesh, India, Nepal, and Sri Lanka on clinical samples from patients with various forms of leishmaniasis to compare the diagnostic effectiveness of the RPA assay against real-time PCR.
  • While real-time PCR showed higher sensitivity in detecting visceral leishmaniasis (VL) and post-kala-azar dermal leishmaniasis (PKDL), the RPA assay showed promise but was less sensitive for cutaneous leishmaniasis (CL
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