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Assessing Diabetes Knowledge and Follow-Up Care Barriers Among Sri Lankan Adults: A Critical Review

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Diabetes mellitus represents a significant and growing public health challenge in Sri Lanka, with prevalence estimates indicating that over 20% of adults are affected. Rapid urbanisation, lifestyle transitions, and improved diagnostic practices have contributed to this rising burden. Despite increased awareness of diabetes among patients, adherence to follow-up care and long-term management remains suboptimal. This […]

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Critical Review: Microplastic Pollution and Public Health in Sri Lanka – Evidence, Policy Gaps, and Research Priorities

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Microplastic pollution has moved from being a distant environmental concern to a very real public health issue in Sri Lanka. Plastic fragments smaller than 5 mm are now documented in rivers, coastal waters, coral reefs, sediments, and commonly eaten seafood [1]. A growing body of Sri Lankan research shows that these particles are not only

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Lack of evidence for viral etiology in symptomatic chronic kidney disease of unknown etiology (CKDu) in Sri Lanka

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Lack of evidence for viral etiology in symptomatic chronic kidney disease of unknown etiology (CKDu) in Sri Lanka   Nilantha Pushpakumara1,2 , Paul Freund3,4, Shakila Premarathne1,2 , Pasan Hewavitharane1,2 , Naduni Erandika1,2 , Dulanjali Herath1,2 , Thilini Weerakoon1,2, Sulochana Wijethunga5 , Neelakanthi Ratnatunga5 , Abdul Wazil2 , Christopher M. Skopnik3,4, Diana Metzke3,4, Julia Melchert6,7, Tobias

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Understanding Kidney Stones: Causes to Cure

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Kidney stones are a common urological problem worldwide that causes severe pain and discomfort. The lifetime risk is about 10% with most stones occurring in the upper urinary tract. The overall male: female ratio of kidney stone disease is 2:1. Stone disease is frequently recurrent, with over 50% of patients developing recurrence within 10 years. 

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Research Review: Microplastic Pollution and Human Health Risk Assessment

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Introduction Microplastic pollution has emerged as one of the most pressing environmental challenges of our time, with far-reaching implications for ecosystem health and human well-being. This research review examines the current understanding of microplastic distribution, sources, exposure pathways, and potential health impacts based on recent scientific literature. Overview of Microplastic Contamination Definition and Sources Microplastics

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Optimizing Antibiotic Stewardship and Reducing Antimicrobial Resistance in Central Asia: A Review and Adaptation Strategy for Sri Lanka

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Optimizing Antibiotic Stewardship and Reducing Antimicrobial Resistance in Central Asia: A Review and Adaptation Strategy for Sri Lanka Figure 1 Antimicrobial resistance (AMR) is a major health crisis occurring globally, which reduces the effectiveness of medication during an infection. Due to the weak health system and poor regulations in low- and middle-income countries (LMICs) are

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Etiological Factors of Gastrointestinal Cancer and the Association Between Diet Quality in Sri Lanka

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Gastrointestinal (GI) cancers—gastric, oesophageal, and colorectal cancers—are a severe and growing public health problem in Sri Lanka, driven by genetic predisposition as well as a complex interaction of lifestyle and environmental risk factors. Food quality is the strongest modifiable risk factor determining both disease occurrence and disease outcome among them. The following broader critical overview

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The Order of Draw and Rationale of Blood Collection Tubes: A Review of Guidelines and Pre-Analytical Considerations

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    Accurate blood collection is an important step in patient care because most diagnoses depend on lab tests (WHO, 2010). Errors made before analysis, the “pre-analytical phase”, cause up to 70% of laboratory mistakes (Njoroge and Nichols, 2014; Dagher et al., 2019). Tubes used in venipuncture contain additives that directly influence the blood sample

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Network Meta-Analysis of Atypical Antipsychotics in Bipolar Depression

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This Bayesian network meta-analysis, published in BMC Psychiatry (2021), addresses a clinically significant gap by comparing atypical antipsychotics for bipolar depression through indirect evidence synthesis. The study’s methodology is appropriately sophisticated, employing network meta-analysis to overcome the absence of direct head-to-head trials between these medications. Strengths: The research design effectively leverages available randomised controlled trial

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