A5069088412- Suicide and Self-Harm Studies
- Sepsis Diagnosis and Treatment
- Global Maternal and Child Health
- Mental Health Treatment and Access
- COVID-19 and Mental Health
- Health disparities and outcomes
- Global Cancer Incidence and Screening
- Cancer Risks and Factors
- Emergency and Acute Care Studies
- Influenza Virus Research Studies
- Family and Patient Care in Intensive Care Units
- Nutritional Studies and Diet
- Disaster Response and Management
- Intimate Partner and Family Violence
- Healthcare Policy and Management
- Animal Disease Management and Epidemiology
- Health Systems, Economic Evaluations, Quality of Life
- Intensive Care Unit Cognitive Disorders
- Clinical Reasoning and Diagnostic Skills
- Interprofessional Education and Collaboration
- Sleep and related disorders
- Gastric Cancer Management and Outcomes
- Migration, Health and Trauma
- Social and Behavioral Studies
- Obesity, Physical Activity, Diet
Translational Research Institute
2020-2025
Western Sydney University
2020-2025
Camden and Campbelltown Hospitals
2023
University of Ruhuna
2018-2022
Ministry of Public Health
2017
National Hospital of Sri Lanka
2017
Norfolk and Suffolk NHS Foundation Trust
2008
Liverpool School of Tropical Medicine
2007
Physical distancing policies in the state of New South Wales (Australia) were implemented on March 23, 2020, because COVID-19 pandemic. This study investigated changes physical activity, dietary behaviors, and well-being during early period this policy.
Current critical care prognostic models are predominantly developed in high-income countries (HICs) and may not be feasible intensive units (ICUs) lower- middle-income (LMICs). Existing cannot applied without validation LMICs as the different disease profiles, resource availability, heterogeneity of population limit transferability such scores. A major shortcoming using is unavailability required measurements. This study proposes a simplified model for use at time ICU admission. was...
<h3>Objective</h3> This study describes the availability of core parameters for Early Warning Scores (EWS), evaluates ability selected EWS to identify patients at risk death or other adverse outcome and burden triggering that front-line staff would experience if implemented. <h3>Design</h3> Longitudinal observational cohort study. <h3>Setting</h3> District General Hospital Monaragala. <h3>Participants</h3> All adult (age >17 years) admitted patients. <h3>Main measures</h3> Existing...
Stressful patient experiences during the intensive care unit (ICU) stay is associated with reduced satisfaction in High Income Countries (HICs) but has not been explored Lower and Middle (LMICs). This study describes recalled experiences, stress as perceived by survivors of ICUs a LMIC. follow-up was carried out 32 state Sri Lanka between July December 2015.ICU survivors' factors encountered level were collected 30 days after ICU discharge telephone questionnaire adapted from Granja Wright....
ABSTRACT Purpose The Good Intern Programme (GIP) in Sri Lanka has been implemented to bridge the ’theory practice gap’ of doctors preparing for their internship. This paper evaluates impact a 2-day peer-delivered Acute Care Skills Training (ACST) course as part GIP. Study design ACST was developed by an interprofessional faculty, including newly graduated awaiting internship (pre-intern), focusing on recognition and management common medical surgical emergencies. Course delivery entirely...
Objectives: This study investigated the association between prospective changes in BMI and longitudinal adherence to mammographic screening among overweight or obese women residing New South Wales, Australia Methods: was a retrospective cohort of participating Australian Longitudinal Study on Women's Health (ALSWH), with subsequent participation enumerated via BreastScreen clinical records over period 1996-2016. The series marginal structural models, incorporating range socio-demographic,...
This study investigated the association between indicators of psychological distress and well-being trajectories sleep duration among a cohort Australian adolescents.
This study investigated trends in hospital-treated self-harm and hospital presenting suicidal ideation the period before after COVID-19 public health responses by key socio-demographic groups among those to hospitals Western Sydney (Australia) population catchment.Emergency department presentations for January 2016 June 2021 were used specify a series of interrupted time-series models compare observed expected event rates (1) (2) following onset measures March 2020. Rate differences between...
In Sri Lanka, as in most low-to-middle-income countries (LMICs), early warning systems (EWSs) are not use. Understanding observation-reporting practices and response to deterioration is a necessary step evaluating the feasibility of EWS implementation LMIC setting. This study describes observation reporting recognition presumed cardiopulmonary arrest LMIC.This retrospective was carried out at District General Hospital Monaragala, Lanka. One hundred fifty adult patients who had cardiac...
Intimate partner violence (IPV) is a serious public health issue and violation of human rights. The prevalence IPV in South Asia especially pronounced. We examined the associations between socioeconomic position (SEP), geographical factors Sri Lanka using nationally representative data. Data collected from Lanka's 2016 Demographic Health Survey were analysed multilevel logistic regression techniques. A total 16,390 eligible ever-partnered women aged 15-49 years included analysis. Analyses...
Objectives Recommendations of the recent mental health reforms provided an opportunity to implement regional approaches service provision through Primary Health Networks. This study is designed identify determinants sociodemographic, diagnostic and referral-level factors first treatment session non-attendance among those referred primary care (PMHC) services in Western Sydney, Australia. Design used routinely collected retrospective PMHC data between July 2016 December 2018. Setting The was...
An outbreak of highly pathogenic avian influenza (HPAI) H5N1 in a poultry farm Suffolk, United Kingdom, November 2007 prompted comprehensive public health response to stop the transmission humans. A total 176 178 potentially exposed (99%) received oseltamivir prophylaxis. The majority them, 169 people (96%), vaccine during outbreak. Thirty who had been given post-exposure prophylaxis were actively followed up for one week. None them developed symptoms suggestive influenza-like illness....
Background Hospital-treated self-harm is common and costly, associated with repeated suicide. Aims To investigate the effectiveness of a brief contact intervention delivered via short message service (SMS) text messages in reducing hospital-treated re-presentations three hospitals Sydney (2017–2019), Australia. Trial registration number: ACTRN12617000607370. Method A randomised controlled trial parallel arms allocated 804 participants presenting self-harm, stratified by previous to control...
Objective: Continued engagement with primary mental health services has been associated the prevention of subsequent suicidal behaviour; however, there are few studies that identify determinants treatment disengagement among those at risk suicide in care settings. This study investigated who were referred to Western Sydney, Australia. Method: used routinely collected data for provided through between July 2012 and June 2018. Associations sociodemographic, diagnostic, referral- service-level...
Waiting time (WT) and length of stay (LOS) are important metrics used to assess service delivery in emergency departments (EDs), have been associated with subsequent re-presentations EDs. This study investigated socio-demographic health determinants WT LOS among hospital treated self-harm (SH) cases presenting EDs Australian based hospitals.
Regionally-specific approaches to primary mental health service provision through Primary Health Networks (PHNs) have been a feature of recent national reforms. No previous studies conducted investigate local patterns care (PMHC) services in Western Sydney. This study is designed (i) understand the socio-demographic and economic profiles (ii) examine inequalities access, (iii) utilisation patterns, among those referred PMHC Sydney, Australia.This used routinely collected data (2005-2018),...
Abstract Intimate partner violence (IPV) is a serious public health issue and violation of human rights. The prevalence IPV in South Asia especially pronounced. This the first study Sri Lanka to examine associations between socioeconomic position (SEP), geographical factors using nationally representative data. Data collected from Lanka’s 2016 Demographic Health Survey were analysed multilevel logistic regression techniques. A total 16,390 eligible ever-partnered women aged 15-49 years...
Background: This study investigated the trends in primary mental health care (PMHC) service use and hospital-treated self-harm Western Sydney (Australia). Methods: A data linkage descriptive ecological of PMHC referrals referrals, treatment attendance, self-harm, practitioners (HCPs) for period 2013−2018 (n = 19,437). Results: There was a substantial increase from 2016. The majority were females (60.9%), those aged <45 years (71.3%), presenting with anxiety or affective disorders (78.9%)....