No abstract

Acinetobacter spp. is mainly addressed in the entity of healthcare associated infections. The organism has developed substantial antimicrobial resistance, making treatment of infections attributed to A. baumannii more difficult to manage. Prosthetic joint infection caused by Acinetobacter spp. is uncommon and only few case reports were found in the literature. This case alerts clinicians regarding the unusual aetiology of a prosthetic joint infection caused by multidrug resistant Acinetobacter spp. In such situations early institution of appropriate antibiotics is of utmost importance to combat the infection.

Introduction: According to Sri Lankan law, the only indication for abortion is when the life of the mother is in danger. Abortion is the third commonest cause for maternal mortality in Sri Lanka. Therefore, to make a change in current legal situation of abortion in Sri Lanka, it is important to assess the opinion on abortion especially from doctors, because they deal directly with maternal and child health. Method: According to random sampling method, a self-administered questionnaire was given to 207 doctors at the Teaching Hospital Colombo South, Sri Lanka. Results: Almost all (97%) agreed to perform abortion when mothers' life is in danger and 76% agreed when mother's health in danger. As overall opinion 57% agreed in special medical conditions such as Anencephaly, Down syndrome, Thalassemia major and hemophilia. Further, 68% agreed with abortion when 'Rape' and 'Incest', however, when rape presents as the condition disagreement of Muslims was statistically significant (p<0.05). Most (74%) disagreed with social conditions such as contraceptive failure, family health in danger, family with low income and higher number of children. When contraceptive failure or family health in danger presents as the condition, the disagreement of less than 10 years of experience doctors was statistically significant (p<0.05). Majority (69%) agreed for legalization of abortion in Sri Lanka for more conditions. Regarding advantages, 66% agreed and 65% reported that there will be disadvantages after legalization of abortion. Conclusion: In addition to, when mother's life is in danger, majority agreed to include medical conditions such as when mother's health is in danger and four other special medical conditions, and legal situations such as rape and incest. However, majority disagreed on social conditions.

No abstract

Abstract:Birth weight of an infant is an indicator to a healthy future generation. This study was designed to find out the association between weight gain and level of knowledge about nutrition of pregnant mothers and the association between weight gain of mother to the birth weight of the child. Healthy mothers (n=201) were selected from the antenatal wards of Colombo South Teaching Hospital, Sri Lanka. Those who fulfilled the inclusion criteria were given a self-administrated questionnaire and their weight at initial registration was noted and weight before delivery was measured. After delivery, birth weights of infants were taken. Weight gain during the course of the pregnancy (mean 12.78 ±4.09 kg) had a significant association with birth weight of infants (Mean 2963.18 ±421.41 g). More than 70% of the study participants were found to have satisfactory or good knowledge on nutrition. Furthermore, majority of pregnant mothers avoid certain foods during pregnancy due to myths associated with pregnancy outcome and the food type. Thus further health education regarding nutrition should be conducted in antenatal clinics for the benefit of pregnant mothers.