To evaluate distance education via the web facilitates teaching through problem-based learning and incorporating scientific evidence in the context of practical application to medical undergraduates.Methods: Web-based distance teaching program based on the Zoom video conferencing software was developed and introduced into a selected group of medical students. Current knowledge about handling web-based resources, evaluation of learning activities, and self-evaluation of their involvement and participation of medical students were evaluated. Results:The provision of lectures and relevant notes through the internet was emphasized during this study. A satisfactory response was observed regarding obtaining factual knowledge. This method was considered relatively ineffective with relevance to the application of knowledge, development of clinical skills, and improvement of professional attitudes. Students believed that it helped to improve the ability of critical thinking, refine reasoning skills, and enhance the capacity of mediating subject matter. Students had a general idea regarding using this method as a supplementary education strategy. The majority of the participants demonstrated considerable satisfaction towards this method, and most of them were prepared to recommend this method for another person. The students had disclosed that lectures showed significantly higher skills while teaching through this method, especially they believed that this distant learning method provided an additional benefit for face to face clinical teaching procedures. Conclusion:When generally considered, a satisfactory response was received regarding the learning outcomes of using this method, and the quality of participation of students was extremely positive.

A cloacal anomaly refers to the collection of defects that occur during fetal development, where the intestinal, urinary and reproductive tracts open into a common cavity. It is imperative to address this condition since despite its fairly low incidence and limited data, it has a very high impact on the patient's quality of life, and therefore mandates further study to effectively manage these patients. This study is regarding a 13-year-old girl diagnosed to have a cloacal anomaly since birth presenting with cyclical abdominal and pelvic pain for 6 months. She had undergone multiple abdominal and pelvic corrective surgeries since birth, leading to a colostomy and Mitrofanoff channel for bowel and bladder control, respectively. Diagnostic imaging revealed bilateral haematosalpinx for which ultrasound guided aspiration followed by subcutaneous administration of GnRH analogues was given as a temporary mode of relief which eventually recurred within 4 months. Following an extensive Multidisciplinary discussion, the team proceeded with the crucial decision of a hysterectomy and bilateral salpingectomy. The surgery itself was challenging due to multiple adhesions, scarring and difficulty in port placement. Following surgery, the patient's quality of life significantly improved allowing her to attend to her activities of daily living and maintain a social life. The need for future appointments to address sexual functions and fertility wishes was explained.

This study focuses on the importance of a safety checklist for gynaecological laparoscopic surgeries. Although several general safety checklists are used in practice (e.g.: The WHO Safety Checklist), there is no dedicated safety checklist for gynaecological laparoscopic surgeries.Our aim is to introduce a safety checklist dedicated to gynaecological laparoscopy. It is based on our experience in performing various gynaecological laparoscopic surgeries in a tertiary care center with a substantially high workload. It has been compiled after studying the complications occurring in areas covered by the aforementioned checklist. We present data from 776 cases performed over 4 years at the Professorial Unit in Obstetrics and Gynaecology affiliated to the University of Sri Jayewardenepura, at

Purpose: In the current context, toxic workplaces are increasingly popular within organizations which lead to an increase in exhaustion and work related stress. Low staff morale, high employee turnover, low productivity, and poor work quality are just a few effects of this type of toxic workplace environments. Due to such negativity placed upon wage employment, people who are struggling are looking for better means of employment such as self-employment. The primary purpose of this study is to evaluate how the transitions decision of self-employment over paid employment influences job satisfaction at the individual level.   Design: A qualitative study was conducted using semi-structured interviews. 15 individuals who have transitioned to self-employment were chosen on the basis of purposive sampling. Under the 3 main categories of self-employment, wage employment as well as job satisfaction, key findings were gathered, and conclusions were drawn based on the insights received from the interviewees. Findings: Findings of this study clearly show that individuals are struggling due to the degradation of wage employment and eventually self-employments do attain job satisfaction comparative to wage employment. Implications: The findings further important to individuals who are struggling at their workplace but has not made up their minds to transition to self-employment hence contemplating, to easily make their decisions and to get rid of their toxic workplace. The study provides advisable guidance to the individuals contemplating to transition from wage employment to self-employment. Future Research Suggestions: Conducting more interviews is necessary to draw better conclusions on the subject. The job satisfaction can be a subjective concept therefore, different individuals may hold different opinions which may contradict with each other, therefore is important to do more research on the subject to get wider insights.

Overview: Burch colposuspension is introduced in 1961 and since then it has been the gold standard treatment modality for genuine urinary stress incontinence. Methods:In this prospective cross-sectional study we have analyzed data from 36 women aged 42 to 63 years who had undergone laparoscopic Burch colposuspension at Colombo South Teaching Hospital Sri Lanka during the period from 2012 to 2021. Patients completed a self-administered Short Urinary Distress Inventory (SUDI) and Short Incontinence Impact Questionnaire (SIIQ) at both the baseline and the post-operative follow up (6 months, 12 months) period. The Genito-Urinary Treatment Satisfaction Scale (GUTSS) was utilized to assess satisfaction with the outcomes of the laparoscopic repair surgery.Results: Six months following the surgery, Stress Urinary Incontinence (SUI) was 9.38% with p=0.38, SUI and/or urge incontinence was 18.75% with p=0.56, which were statistically not significant. In both analyses of SUDI and SIIQ there were significant improvements in outcomes. Satisfaction with treatment outcomes from the GUTSS at six months follow up was 32.5 ± 5.8 with p=0.48. At 12 months following surgery, 15.6% of patients had GSI while 9.38% had stress incontinence frequently (p=0.26). Conclusion:Laparoscopic Burch colposuspension is an effective technique and treatment modality for urinary stress incontinence. Both objective and subjective evaluation of surgical outcomes at 6 and 12 months of follow-up demonstrated significant improvement and repetitive corrective surgeries are uncommon.