DSpace Collection:http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/75712026-04-09T06:54:38Z2026-04-09T06:54:38ZDissecting autonomy in a resource-constrained setting: adescriptive qualitative study of women’s decisions on thesurgical treatment of early breast cancer in northern Sri LankaRamya, K.Gopikha, S.Dhivya, T.Chrishanthi, R.http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/112362025-05-23T08:02:12Z2025-01-01T00:00:00ZTitle: Dissecting autonomy in a resource-constrained setting: adescriptive qualitative study of women’s decisions on thesurgical treatment of early breast cancer in northern Sri Lanka
Authors: Ramya, K.; Gopikha, S.; Dhivya, T.; Chrishanthi, R.
Abstract: Breast cancer treatment is a contested space in which therapeutic decisions often collide withwomen’s values and preferences. In northern Sri Lanka, mastectomy remains the mainstay of surgicaltreatment of early breast cancer (EBC) despite evidence of equivalent survival following breast conservingsurgery (BCS) and radiotherapy. This study explores autonomy in decision-making among women with EBCwho were eligible for BCS and underwent mastectomy in northern Sri Lanka. A descriptive qualitative studywas carried out among 15 women referred for adjuvant therapy to Tellippalai Trail Cancer Hospital in Jaffnadistrict after having a mastectomy for EBC. Participants were recruited between January and May 2022 untildata saturation was reached. Data were gathered through semi-structured interviews, which weretranscribed in Tamil, translated into English, coded using QDA Miner Lite software, and analysedthematically. Women’s autonomy in EBC treatment decisions is limited by various factors in northern SriLanka. The hospital setting is not conducive to informed decision-making, and women do not receivesufficient information. Neither survival rates nor risks/benefits of the surgical options are discussed in asystematic way. Although many women appear to be satisfied with their involvement in decision-making,their decisions are guided by incomplete information and fears of spread/recurrence communicated bytreating teams. In the absence of policies and protocols to support patient autonomy, women “choose” themore invasive option: mastectomy. While it behoves medical professionals to provide evidence-basedinformation, governments and the global health community must support strengthening healthcare systemsto advance women’s health and rights in lower-resource settings.2025-01-01T00:00:00ZDiagnostic accuracy of digital technologies compared with 12-lead ECG in the diagnosis of atrial fibrillation in adults: A protocol for a systematic reviewAntony Sheron, V.Surenthirakumaran, R.Tiffany, E.G.Krishnarajah, N.Kumarendran, B.Kumaran, S.Shribavan, K.Powsiga, U.Guruparan, M.http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/111442025-02-19T09:45:26Z2024-01-01T00:00:00ZTitle: Diagnostic accuracy of digital technologies compared with 12-lead ECG in the diagnosis of atrial fibrillation in adults: A protocol for a systematic review
Authors: Antony Sheron, V.; Surenthirakumaran, R.; Tiffany, E.G.; Krishnarajah, N.; Kumarendran, B.; Kumaran, S.; Shribavan, K.; Powsiga, U.; Guruparan, M.2024-01-01T00:00:00ZThe pathway to diagnosis and follow-up care for atrial fibrillation in Sri Lanka: a descriptive longitudinal studyAntony Sheron, V.Powsiga, U.Shribavan, K.Guruparan, M.Kumaran, S.Krishnarajah, N.Surenthirakumaran, R.Kumarendran, B.http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/111432025-02-19T09:40:47Z2024-01-01T00:00:00ZTitle: The pathway to diagnosis and follow-up care for atrial fibrillation in Sri Lanka: a descriptive longitudinal study
Authors: Antony Sheron, V.; Powsiga, U.; Shribavan, K.; Guruparan, M.; Kumaran, S.; Krishnarajah, N.; Surenthirakumaran, R.; Kumarendran, B.2024-01-01T00:00:00ZGlobal voices on atrial fibrillation: South/Southeast AsiaRungroj, K.Arintaya, P.Surenthirakumaran, R.Antony Sheron, V.Powsiga, U.Kumaran, S.Shribavan, K.http://repo.lib.jfn.ac.lk/ujrr/handle/123456789/111422025-02-19T09:34:24Z2024-01-01T00:00:00ZTitle: Global voices on atrial fibrillation: South/Southeast Asia
Authors: Rungroj, K.; Arintaya, P.; Surenthirakumaran, R.; Antony Sheron, V.; Powsiga, U.; Kumaran, S.; Shribavan, K.
Abstract: Atrial fibrillation (AF) is a leading cause of mortality and morbidity worldwide.1,2 Despite the improvement in the rate
of oral anticoagulant (OAC) use for stroke prevention, the residual risk of remain high.3,4 It is recommended that AF patients require a holistic care approach (ie, ABC [Atrial Fibrillation Better Care] pathway) to improve the outcomes.5–7 In this article, we summarize AF management issues in South and Southeast Asia. The first part refers to the scenario from Thailand, from the COOL-AF (COhort of antithrombotic use and Optimal INR Level in patients with nonvalvular atrial fibrillation in Thailand) registry, which is the most extensive exploration of AF in Thailand and, probably,
Southeast Asia. Conduct of a clinical trial to improve warfarin management in Thailand is also described. Subsequent parts refer to highlighting rural challenges in AF care in India [and the KERALA-AF (Kerala Atrial Fibrillation) registry, a large comprehensive AF registry in South Asia]—and in Sri Lanka, we focus on mapping patientpathways and community engagement to enhance AF awareness, etc.2024-01-01T00:00:00Z