333 results on '"T. Perera"'
Search Results
2. Implementation of Low Cost, Automated, Mobile Monitoring Module by Means of IoT for Container Gardening in Urban Areas.
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P. B. H. Madhusanka, T. A. N. T. Perera, J. P. P. Siriwardana, and G. Y. Jayasinghe
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- 2024
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3. Classification of Mass Spectral Data to Assist in the Identification of Novel Synthetic Cannabinoids
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Kristopher C. Evans-Newman, Garion L. Schneider, and Nuwan T. Perera
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novel synthetic cannabinoids (NSCs) ,binary classification system ,mass spectral data ,partial least square discriminant analysis (PLS-DA) ,Organic chemistry ,QD241-441 - Abstract
Detection and characterization of newly synthesized cannabinoids (NSCs) is challenging due to the lack of availability of reference standards and chemical data. In this study, a binary classification system was developed and validated using partial least square discriminant analysis (PLS-DA) by utilizing readily available mass spectral data of known drugs to assist in the identification of previously unknown NCSs. First, a binary classification model was developed to discriminate cannabinoids and cannabinoid-related compounds from other drug classes. Then, a classification model was developed to discriminate classical (THC-related) from synthetic cannabinoids. Additional models were developed based on the most abundant functional groups including core groups such as indole, indazole, azaindole, and naphthoylpyrrole, as well as head and tail groups including 4-fluorobenzyl (FUB) and 5-Fluoropentyl (5-F). The predictive ability of these models was tested via both cross-validation and external validation. The results show that all models developed are highly accurate. Additionally, latent variables (LVs) of each model provide useful mass to charge (m/z) for discrimination between classes, which further facilitates the identification of different functional groups of previously unknown drug molecules.
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- 2024
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4. Computer Vision Based Indoor Navigation for Shopping Complexes.
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G. S. T. Perera, K. W. R. Madhubhashini, Dilani Lunugalage, D. V. S. Piyathilaka, W. H. U. Lakshani, and Dharshana Kasthurirathna
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- 2020
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5. Geo-spatial distribution of hydrological nephrotoxic characteristics in Kalawewa and Tissawewa reservoirs in Anuradhapura, Sri Lanka
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Shermila Botheju, Nalika Dayananda, Ruwan T. Perera, and Janitha A. Liyanage
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nephrotoxic heavy metals ,reservoirs ,spatial distribution ,water hardness ,Environmental pollution ,TD172-193.5 - Abstract
Reservoirs are one of the major water resources subjected to different forms of pollution due to anthropogenic activities. Heavy metals and water hardness are a particular concern due to their potential toxic effect and bio-accumulate ability. Therefore, the objective of this investigation was to analyze the spatial distribution of selected heavy metals Cadmium (Cd), Lead (Pb), and Arsenic (As)) and total water hardness in Kalawewa and Tissawewa reservoirs, Anuradhapura District in Sri Lanka. Cd, Pb, and As contents of water samples were analyzed using Inductive Coupled Plasma Mass Spectrometry (ICP-MS-Agilent-7800). Total water hardness values were analyzed based on Ca and Mg concentrations of water samples. Spatial distribution patterns of analyzed heavy metals and total water hardness values were interpolated using Inverse Distance Weighted (IDW) and Spatial autocorrelation tool in ArcMap 10.2.2 software. Overall, the mean heavy metal concentrations in two reservoirs complied with World Health Organization agricultural water standards. The mean total water hardness values of the two reservoirs reflect “very hard water”, and the distributions of analyzed heavy metals and water hardness were higher in the center. As long term exposure to nephrotoxic heavy metals adversely affects human health, taking all necessary changes before consumption can be recommended.
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- 2021
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6. Heavy metal contamination in surface sediments of major tanks in Anuradhapura district; A CKDu endemic district in Sri Lanka
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Ruwan T. Perera, Nalika Dayananda, Shermila Botheju, Janitha Liyanage, Asanga Ranasinghe, R. H. Karunarathna, and G.W.G. P. Kumara
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heavy metals ,contamination ,sediments ,ckdu ,Environmental pollution ,TD172-193.5 - Abstract
Farming occupants are the major victims of Chronic Kidney Disease of unknown etiology (CKDu) in North Central region, Sri Lanka. Tanks are the main source of water for farming and they act as sinks for agricultural run-offs. Environmental toxicants are adsorbed by bottom sediments and can be released into the adjacent water column due to environmental changes as those are not permanently bound. Therefore, this study attempts to determine the contamination situation of the selected toxic metals in sediments of the tanks in a CKDu prevalence distrct (Anuradhapura) in Sri Lanka and prediction of the risk. Sixteen tanks were selected and sediment samples were randomly collected from each tank from bank to center. Digested sediment samples were analyzed for heavy metals using Inductive Couple Plasma Mass Spectrometry and Calcium and Magnesium contents were analyzed using Atomic Absorption Spectrometry. According to the statistics, average values of some toxic metals such as As Pb, and Cr in sediments were higher than severe effect levels (SEL) while most of the mean values of Cd, As, Pb, Cr, Zn, and Cu were beyond the Lowest effect levels (LEL). Apart from that, Geo Accumulation Indexes (Igeo) Indicate that almost all tanks in Anuradhapura district have moderately polluted with above mentioned pollutants. Hence, findings reveal about a risk generated on aquatic lives in the tanks as well as humans via food chain contamination with hazardous metals.
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- 2020
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7. Policy parameters for optimising hospital ePrescribing: An exploratory literature review of selected countries of the Organisation for Economic Co-operation and Development
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Uditha T Perera, Catherine Heeney, and Aziz Sheikh
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Computer applications to medicine. Medical informatics ,R858-859.7 - Abstract
Objective Electronic prescribing systems offer considerable opportunities to enhance the safety, effectiveness and efficiency of prescribing and medicines management decisions but, despite considerable investments in health IT infrastructure and healthcare professional training, realising these benefits continues to prove challenging. How systems are customised and configured to achieve optimal functionality is an increasing focus for policymakers. We sought to develop an overview of the policy landscape currently supporting optimisation of hospital ePrescribing systems in economically developed countries with a view to deriving lessons for the United Kingdom (UK). Methods We conducted a review of research literature and policy documents pertaining to optimisation of ePrescribing within hospitals across Organisation for Economic Co-operation and Development (OECD) countries on Embase, Medline, National Institute for Health (NIH), Google Scholar databases from 2010 to 2020 and the websites of organisations with international and national health policy interests in digital health and ePrescribing. We designed a typology of policies targeting optimisation of ePrescribing systems that provides an overview of evidence relating to the level at which policy is set, the aims and the barriers encountered in enacting these policies. Results Our database searches retrieved 11 relevant articles and other web resources mainly from North America and Western Europe. We identified very few countries with a national level strategy for optimisation of ePrescribing in hospitals. There were hotspots of digital maturity in relation to ePrescribing at institutional, specialisation, regional and national levels in the US and Europe. We noted that such countries with digital maturity fostered innovations such as patient involvement. Conclusions We found that, whilst helpful to achieve certain aims, coordinated strategies within and across countries for optimisation of ePrescribing systems are rare, even in countries with well-established ePrescribing and digital health infrastructures. There is at present little policy focus on maximising the utility of ePrescribing systems.
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- 2022
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8. AI-Powered Smart and Personalized Education Platform
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V, Dunusinghe A., primary, A, Ranasinghe T. K. S., additional, H, Gamage J. G. A. C., additional, T, Perera K. G. D., additional, Thelijjagoda, Samantha, additional, and Gunatilake, Poojani, additional
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- 2023
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9. Risk Assessment of Trace Element Contamination in Drinking Water and Agricultural Soil: A Study in Selected Chronic Kidney Disease of Unknown Etiology (CKDu) Endemic Areas in Sri Lanka
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W. P. R. T. Perera, M. D. N. R. Dayananda, D. M. U. C. Dissanayake, R. A. S. D. Rathnasekara, W. S. M. Botheju, J. A. Liyanage, S. K. Weragoda, and K. A. M. Kularathne
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Chemistry ,QD1-999 - Abstract
Unexplained or unclear etiology of chronic kidney disease (CKDu) has been reported in Sri Lanka’s North Central Province (NCP) for more than two decades. Meanwhile, high exposure to heavy metals/metalloids and their accumulation are recognized as the origin of many acute and chronic diseases in certain vulnerable human tissues including kidneys. This study evaluates the contamination status of heavy metals/metalloids of the drinking water and agricultural soil in two CKDu endemic areas compared with a reference area in Sri Lanka based on common indexes and attribute of the commonly used fertilizers evaluated to identify the basic sources of toxic metals in the agricultural soil. Mean concentrations of heavy metals/metalloids such as Mn, Co, As, Cd, Pb, Cu, Zn, and Fe in drinking water of CKDu endemic areas were far below Sri Lankan water quality standards (permissible limits). In addition, all sampling locations dropped below the medium range of the heavy metal pollution index of water (HPI 15–40). Geoaccumulation indexes (Igeo) of soil reveal that paddy soil in CKDu endemic areas is being moderately polluted with toxic metals/metalloids such as As, Pb, Cu, Ni, Cr, Zn, and Cd. On the other hand, the application of fertilizers, which contained a high dose of toxic metals, could be the driving force for agricultural soil pollution, and limitless application of low-quality fertilizer would lead to more soil contamination with heavy metals. Hence, hazardous metals can be incorporated into the food chains via contaminated paddy soil.
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- 2021
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10. Geochemical Release and Environmental Interfaces
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C. C. Kadigamuwa, Nuwan T. Perera, and B. S. S. Perera
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- 2023
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11. Water Hardness and Health
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W. P. R. T. Perera
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- 2023
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12. Exploring the Root Cause for Chronic Kidney Disease of Unknown Etiology (CKDu) via Analysis of Metal Ion and Counterion Contaminants in Drinking Water: A Study in Sri Lanka
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W. P. R. T. Perera, M. D. N. R. Dayananda, and J. A. Liyanage
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Chemistry ,QD1-999 - Abstract
The introduction of elevated amounts of foreign ions into the blood may lead to impairment of the filtration membrane of kidneys and chronic kidney damage. In order to assess the risk of consumption of drinking water (dug well water) in chronic kidney disease of unknown etiology (CKDu), affected areas in Sri Lanka, trace metals, and other counterions in water samples obtained from dug wells were analyzed and compared with a reference area. Drinking water could be the major source that is responsible for entering nephrotoxic ion contaminants into the human body. To achieve the objective, drinking water samples were collected from dug wells in two CKDu endemic areas and a reference area where no CKDu patients were found in a dry season. In the Wewelketiya area (one of the endemic areas), Cd concentrations in 60% of water samples and Pb concentrations in 40% of water samples have exceeded the maximum limit given by Sri Lanka water quality standards. Fluoride concentrations also have exceeded the permissible limits of more than 80% of collected water samples in both CKDu endemic areas. However, none of the water samples in reference areas has reported that Cd, Pb, and fluoride are beyond their maximum permissible limits. Hence, people in the particular CKDu endemic areas are at risk of kidney tissue damage due to long-term exposure to drinking water with elevated levels of some metal ions and counterions.
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- 2020
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13. Antiviral Potential of Selected Medicinal Herbs and Their Isolated Natural Products
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W. P. R. T. Perera, Janitha A. Liyanage, K. G. C. Dissanayake, Hiruni Gunathilaka, W. M. T. D. N. Weerakoon, D. N. Wanigasekara, W. S. K. Fernando, R. M. H. Rajapaksha, R. P. Liyanage, and Bingun T. Perera
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Biological Products ,Plants, Medicinal ,General Immunology and Microbiology ,food and beverages ,Review Article ,General Medicine ,Antiviral Agents ,General Biochemistry, Genetics and Molecular Biology ,Virus Diseases ,Viruses ,Animals ,Humans ,Medicine - Abstract
Viruses are responsible for a variety of human pathogenesis. Owing to the enhancement of the world population, global travel, and rapid urbanization, and infectious outbreaks, a critical threat has been generated to public health, as preventive vaccines and antiviral therapy are not available. Herbal medicines and refined natural products have resources for the development of novel antiviral drugs. These natural agents have shed light on preventive vaccine development and antiviral therapies. This review intends to discuss the antiviral activities of plant extracts and some isolated plant natural products based on mainly preclinical (in vitro and in vivo) studies. Twenty medicinal herbs were selected for the discussion, and those are commonly recognized antiviral medicinal plants in Ayurveda (Zingiber officinale, Caesalpinia bonducella, Allium sativum, Glycyrrhiza glabra, Ferula assafoetida, Gymnema sylvestre, Gossypium herbaceum, Phyllanthus niruri, Trachyspermum ammi, Withania somnifera, Andrographis paniculata, Centella asiatica, Curcuma longa, Woodfordia fruticose, Phyllanthus emblica, Terminalia chebula, Tamarindus indica, Terminalia arjuna, Azadirachta indica, and Ficus religiosa). However, many viruses remain without successful immunization and only a few antiviral drugs have been approved for clinical use. Hence, the development of novel antiviral drugs is much significant and natural products are excellent sources for such drug developments. In this review, we summarize the antiviral actions of selected plant extracts and some isolated natural products of the medicinal herbs.
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- 2021
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14. A 155-dB Dynamic Range Current Measurement Front End for Electrochemical Biosensing.
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Shanshan Dai, Rukshan T. Perera, Zi Yang, and Jacob K. Rosenstein
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- 2016
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15. E-Marketplace Solution for Coconut that Matches Crop Supply and Demand in Sri Lanka.
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S. S. U. D. S., Jeewakaratne, A. A. R. T., Perera, U. D. K., De Silva, S. A. A., Perera, Harshanath, Buddika, and Rajapaksha, Samantha
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COCONUT ,MACHINE learning ,TECHNOLOGICAL innovations ,DEEP learning - Abstract
This research paper presents an integrated emarketplace solution for the coconut industry, aiming to match crop supply efficiently. The system combines a coconut quality grading system using image processing, registration of farmers and collectors, algorithmic matching of buyers and sellers, supply visualization on a map, vehicle routing optimization, and a machine learning-based pricing and trend analysis dashboard. By integrating these functionalities, the solution enhances efficiency, transparency, and profitability in the coconut industry. This research contributes to advancing the industry in Sri Lanka by providing a comprehensive platform for seamless transactions, optimized transportation, and data-driven decision making. The proposed e-marketplace offers a holistic approach to connect stakeholders, streamline operations, and enable informed decision-making for sustainable growth in the coconut sector. [ABSTRACT FROM AUTHOR]
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- 2023
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16. Взаимодействие MxyR Mycobacterium tuberculosis c ксиланами: необычные лиганды транскрипционных регуляторов семейства MarR
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S. Mauran, N. T. Perera, and I. C. Perera
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General Medicine - Published
- 2022
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17. Consumer Stockpiling Behaviour Within the Face of Covid-19 Pandemic: Systematic Review
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P. I. N. Fernando, K. J. T. Perera, U. D. I. C. Udawaththa, R. M. C. S. Ratnayake, and D. G. M. P. Madushani
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COVID-19 remains the most prominent pandemic disease since it spreads with a distinct composition with considerable intensity worldwide. Identifying the hidden antecedents on consumer behavior during a pandemic is worthwhile since the market psychology directly influences how consumers behave with the "fear of Pandemic." On the contrary, the consumer stockpiling in the face of the COVID-19 is viewed as unconventional inventory accumulation mainly meant to minimize a perceived threat of loss or fear of going without. The main objective of this paper is to systemize and organize the contemporary knowledge on stockpiling behavior during a pandemic. Herein, firstly the methodology is extensively discussed. Secondly, the analysis and discussion section is presented, with, a) citation analysis performed to evaluate the emerging research studies of stockpiling behavior and b) comprehensive analytical models within the literature. Articles were selected from well-reputed databases, including Web of Science, JStore, and Google Scholar. A total of 60 research papers were used for the analysis, whereas a limited number of studies were available in relation to the areas of "stockpiling behavior" and "Pandemic/disasters. Analysis was two folds, whereas (a) citation analysis was conducted with themes and (b) the comprehensive analytical models were identified. Citation analysis discovered five main themes: (1) Post-Switch Stockpiling, (2) Brand Switching and Stockpiling Behaviour. (3) Social Media and stockpiling behavior, (4) Predictors of Stockpiling Behaviour, and (5) Behaviour in Pandemic situations. Further, Within the analytical models proposed, the model by Ling & Ho (2020) has been identified to empirically test the hidden patterns, panic-buying behavior, and social context of consumer behavior. The authors suggest aligning the model to fill the empirical gap within the consumer behavior research context.
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- 2021
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18. MxyR of Mycobacterium tuberculosis Responds to Xylan; an Unusual Ligand for a MarR Family Transcriptional Regulator
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S. Mauran, N. T. Perera, and I. C. Perera
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Structural Biology ,Biophysics - Published
- 2021
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19. Modeling Building Envelop with Vertical Green Living Walls as an Urban Heat Island (UHI) Mitigation Strategy
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T. A. N. T. Perera, G. Y. Jayasinghe, R. U. Halwatura, and H. T. Rupasinghe
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- 2022
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20. Identification of thermal hotspots through heat index determination and urban heat island mitigation using ENVImet numerical micro climate model
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G.Y. Jayasinghe, H. D. S. Premasiri, T. M. D. Nayanajith, and T. A. N. T. Perera
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Hydrology ,Heat index ,010504 meteorology & atmospheric sciences ,Microclimate ,Humidity ,Thermal comfort ,010501 environmental sciences ,01 natural sciences ,Metropolitan area ,Environmental science ,Climate model ,Computers in Earth Sciences ,Statistics, Probability and Uncertainty ,Urban heat island ,General Agricultural and Biological Sciences ,Green infrastructure ,0105 earth and related environmental sciences ,General Environmental Science - Abstract
Achieving environmental sustainability by improving the urban microclimate is a key principle in mitigating the urban heat island (UHI) effect. This study aimed to (a) investigate the outdoor thermal comfort by establishing Heat Index (HI) values to identify thermal hot spots and (b) model green infrastructure possibilities to alleviate UHI in Colombo urban metropolitan in Sri Lanka using ENVImet climate model. Daytime temperature and humidity values of 14 urban locations were collected to determine HI to recognize thermal urban hotspots in Colombo area. A pretested comprehensive random-stratified questionnaire survey has been conducted to appraise the thermal discernment of the general public. ENVImet microclimate model was accompanied to test the temperature reduction levels in different bioclimatic green infrastructure scenarios [Two belts (R1), three belts (R2), four belts (R3), five belts (R4)] in the selected study site. Five sites (Borella, Colombo Fort, Maradana, Wellawaththa, Liberty junction) were identified as thermal hotspots in Colombo metropolitan. HI values were fluctuated within 33.82–40.35 °C range and the highest average day time HI value was observed at Maradana (40.35 °C) and the lowest HI was observed at Thummulla (33.82 °C). Survey results revealed that 89.3% people are affected with thermal uncomfortability and 5% were affected with heat-related skin diseases. Inserting trees into curbsides (R4) reduced temperature remarkably by 2.07 °C in the urban metropolitan. Therefore, the proposed green infrastructure scenario has proved to be the most suitable way to improve the thermal comfort conditions of urban environment, as it can reduce the UHI effects.
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- 2021
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21. Industrial water conservation by water footprint and sustainable development goals: a review
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R. R. Weerasooriya, L. P. K. Liyanage, G.Y. Jayasinghe, R. H. K. Rathnappriya, M. H. J. P. Gunarathna, W. B. M. A. C. Bandara, and T. A. N. T. Perera
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Sustainable development ,Economics and Econometrics ,Geography, Planning and Development ,0211 other engineering and technologies ,02 engineering and technology ,010501 environmental sciences ,Management, Monitoring, Policy and Law ,Industrial water ,01 natural sciences ,Freshwater ecosystem ,Water scarcity ,Water conservation ,Secondary sector of the economy ,Sustainability ,021108 energy ,Business ,Environmental planning ,Water use ,0105 earth and related environmental sciences - Abstract
Application of advanced techniques to ensure the environment sustainability and freshwater ecosystem conservation is a paramount importance. Industrial sector is mostly accused for the increased water pressure with high water consumption rates and increased grey water footprints. Industries must take action toward implementing water conservation strategies to enhance natural water cycle, increase water-use efficiency and address future challenges. The significance of water footprint as a driving force to water conservation is spotlighted with severe water scarcity. “Sustainable Development Goals (SDGs)” proposed by the United Nations are focused on creating a sustainable way of life to reduce the impacts on ecology and achieve economic and social benefits. Water is a central part in sustainable development; thus, all SDGs are interlinked with sustainable water use. The paper reviews incorporating the concept of water footprint to achieve SDGs in relation to industrial water conservation and the future pathways that lead to sustainable water resource management.
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- 2021
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22. Preparedness Planning Associated with Systemic Risks and Actions during the COVID-19 Pandemic in Sri Lanka Preparedness Planning Associated with Systemic Risks and Actions during the COVID-19 Pandemic in Sri Lanka Suggested citation Preparedness Planning Associated with Systemic Risks and Actions during the COVID-19 Pandemic in Sri Lanka Acknowledgement
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C Siriwardana, R Jayasekara, D Amaratunga, R Haigh, and T Perera
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- 2022
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23. Effect of the Rate and Split Application of Albert’s Fertilizer on Growth and Yield Performances of Cabbage Under the Protected House in the Low Country Wet Zone of Sri Lanka
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U. D. T. Perera, S. Subasinghe, K. K. L. B. Adikaram, H. K. M. S. Kumarasinghe, and M. K. D. K. Piyaratne
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General Medicine - Published
- 2023
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24. The Pattern of Consumption of Fruits and Vegetables by Undergraduate Students: A Case Study
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T Perera and T Madhujith
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food frequency questionnaire ,fruits ,recommended intake ,undergraduate students ,vegetables ,Agriculture - Abstract
Dietary patterns rich in high fruits and vegetables intake are associated with a myriad of health benefits. Dietary habits of young adults is in limelight, as this group is in transition from adolescence to adulthood and are potential to influence the health status of next generation. The purpose of this study was to explore the fruit and vegetable consumption behavior of undergraduate students of the University of Peradeniya. The specific objectives were to (i) identify the fruit and vegetable consumption pattern of the cohort (ii) identify the knowledge and attitudes of students over fruit and vegetable consumption as perceived facilitators and barriers, and (iii) establish relationships among different factors influencing fruit and vegetable consumption pattern of undergraduate students. The study was carried out with 90 students from the Faculties of Agriculture, Medicine and Engineering. Respondents were instructed to indicate the frequency and portion size representing their usual diet using a Food Frequency Questionnaire. Data were analyzed using probit analysis to identify the factors affecting dietary consumption of fruits and vegetables. It was observed that the most frequently consumed fruits by the study cohort were banana, papaya, mango, orange and pineapple and the vegetables were beans, dhal, carrot, potato, leeks, pumpkin, Gotukola and Mukunuwenna. The mean fruit and vegetable consumption per day was 267 g which is far less than the recommended quantity for the particular age group. Regression results revealed that the faculty, religion and the academic year did not significantly (p>0.05) affect the recommended intake. However, gender, income, taboos and knowledge score have shown significant effect on fruit and vegetable consumption among undergraduate students tested. Further, it was revealed that a high proportion of the students were unaware of the health benefits of consumption of fruits and vegetables. Tropical Agricultural Research Vol. 23 (3): 261-271 (2012) DOI: http://dx.doi.org/10.4038/tar.v23i3.4663
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- 2012
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25. Augmented Reality Supported Self-help Interventions for Psychological and Physiological Acute Stress
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M. H. Jawahir, K. D. Sandaruwan, G. K. A. Dias, K. T. Perera, and A. I. U. Gamage
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Stress management ,medicine.medical_specialty ,Mindfulness ,business.industry ,medicine.medical_treatment ,Psychological intervention ,Intervention (counseling) ,Stress (linguistics) ,Physical therapy ,Medicine ,Heart rate variability ,Augmented reality ,business ,Progressive muscle relaxation - Abstract
Extended reality has been used fairly effectively in psychotherapy to treat a variety of mental disorders. However, most of the studies required expensive additional equipment or professional assistance to practice the treatments which would limit the ability to use such solutions to manage day to day stress. In the current study, the effectiveness of Augmented Reality supported mindfulness and progressive muscle relaxation interventions for stress reduction were evaluated. Participants that reported predominantly psychological stress, practiced AR-based mindfulness for 5 min and participants that reported physiological stress, practiced a carefully curated AR-based progressive muscle relaxation session. The comparison was done against a resting control condition of participants. Heart-Rate Variability measurements were used to detect the stress level and an 18-item questionnaire was developed to classify stress as either psychological or physiological. The results of the experiment showed reduced stress levels following the interventions for the experimental group. Especially, for participants whose stress level was classified as “High” prior to the intervention, showed significant stress level reductions, classifying their stress as “Optimal” following the intervention. This study provides preliminary evidence for the effectiveness of AR in acute stress reduction interventions.
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- 2021
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26. Seasonal variation of water quality parameters in different geomorphic Channels of the upper Malwathu Oya in Anuradhapura, Sri Lanka
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P. A. C. T. Perera, T. V. Sundarabarathy, T. Sivananthawerl, and U. Edirisinghe
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climatic season, geomorphic channel unit, paddy, malwathu oya, water quality ,Agriculture - Abstract
Malwathu Oya is a perennial river in the Dry Zone of Sri Lanka. Water of the nearby paddy lands is diverted to the river from different locations during cultivation seasons. These anthropogenic activities cause stresses on Malwathu Oya by impairing the quality of its water. The main objective of this study was to assess the seasonal fluctuation of nitrate, phosphate, chloride, dissolved oxygen (DO) and turbidity of river water in different locations of Malwathu Oya. The study was carried out in the upper part of Malwathu Oya from Ritigala to Nachchaduwa in the Anuradhapura District. Data were collected continuously for twelve months from March 2012 to February 2013. Factorial analysis was carried out to study the interactions among different factors (study site location, climatic season, channel geomorphic unit and river segment). The mean nitrate, phosphate, chloride and DO concentrations ranged from 1.05 to 5.28, 0.004 to 0.043, 2.63 to 8.72, 3.11 to 8.50 mg/L, respectively, and the mean turbidity level ranged from 81.75 to 256.10 NTU. The nitrate, phosphate and chloride concentrations were significantly higher (p0.05) in DO and turbidity in paddy and non-paddy areas. The results concluded that the water quality parameters except turbidity in the investigated area of Malwathu Oya were within the threshold limits for dinking purposes. Tropical Agricultural Research Vol. 25 (2): 158 – 170 (2014)
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- 2015
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27. Functionality of dengue virus specific memory T cell responses in individuals who were hospitalized or who had mild or subclinical dengue infection.
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Chandima Jeewandara, Thiruni N Adikari, Laksiri Gomes, Samitha Fernando, R H Fernando, M K T Perera, Dinuka Ariyaratne, Achala Kamaladasa, Maryam Salimi, Shamini Prathapan, Graham S Ogg, and Gathsaurie Neelika Malavige
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Arctic medicine. Tropical medicine ,RC955-962 ,Public aspects of medicine ,RA1-1270 - Abstract
Although antibody responses to dengue virus (DENV) in naturally infected individuals have been extensively studied, the functionality of DENV specific memory T cell responses in relation to clinical disease severity is incompletely understood.Using ex vivo IFNγ ELISpot assays, and by determining cytokines produced in ELISpot supernatants, we investigated the functionality of DENV-specific memory T cell responses in a large cohort of individuals from Sri Lanka (n=338), who were naturally infected and were either hospitalized due to dengue or had mild or sub clinical dengue infection. We found that T cells of individuals with both past mild or sub clinical dengue infection and who were hospitalized produced multiple cytokines when stimulated with DENV-NS3 peptides. However, while DENV-NS3 specific T cells of those with mild/sub clinical dengue infection were more likely to produce only granzyme B (p=0.02), those who were hospitalized were more likely to produce both TNFα and IFNγ (p=0.03) or TNFα alone. We have also investigated the usefulness of a novel T cell based assay, which can be used to determine the past infecting DENV serotype. 92.4% of DENV seropositive individuals responded to at least one DENV serotype of this assay and none of the seronegatives responded. Individuals who were seronegative, but had received the Japanese encephalitis vaccine too made no responses, suggesting that the peptides used in this assay did not cross react with the Japanese encephalitis virus.The types of cytokines produced by DENV-specific memory T cells appear to influence the outcome of clinical disease severity. The novel T cell based assay, is likely to be useful in determining the past infecting DENV serotype in immune-epidemiological studies and also in dengue vaccine trials.
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- 2015
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28. P.042 A novel SOD1 mutation associated with rapidly evolving lower motor neuron syndrome and MR ventral nerve root enhancement
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T Perera, C Bencsik, G Pfeffer, and T Mobach
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Neurology ,Neurology (clinical) ,General Medicine - Abstract
Background: Mutations in the Cu/Zn superoxide dismutase 1 (SOD 1) gene are estimated to cause 20% of familial ALS and 1-2% of sporadic cases. Accurate gene variant classification of novel mutations in amyotrophic lateral sclerosis (ALS) has deepened our understanding of clinical phenotypes, provided pathologic insights, and is crucial to incorporating emerging therapies. Methods: We describe a case of a 75-year-old female who presented with a rapidly progressive lower motor neuron syndrome leading to flaccid quadriparesis and complete loss of independence over a five month period. Results: Genetic testing demonstrated a heterozygous variant of uncertain significance in the SOD1 gene with a g > c point mutation at position 382 that has been described in one other patient in available literature. MR of the lumbar spine demonstrated abnormal smooth nerve root enhancement. Conclusions: This novel mutation in the SOD1 gene may be associated with a rapidly progressive phenotype of sporadic ALS. Ventral nerve root enhancement should not exclude a diagnosis of ALS especially in the absence of nodularity or nerve enlargement.
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- 2022
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29. Contribution of Mentoring on Organizational Commitment of Millennial Employees: A Case Study of Knowledge Process Outsourcing Organization
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T. Perera and S. Kariyapperuma
- Subjects
ComputingMilieux_THECOMPUTINGPROFESSION - Abstract
With an ever-increasing growth in the composition of millennial employees in the workforce, understanding their expectations and demands and applying strategies to keep them fully engaged and committed has become a challenge. As this group grows significantly employers need to make major changes in their engagement and motivating models. In the modern business context, most organizations tend to offer career growth opportunities with benefits and arrange mentoring programs to facilitate employee career growth and solve their issues and concerns within the organizational environment. The purpose of this qualitative exploratory case study is to explore how the mentoring program at XYZ Company contributes to the organizational commitment of millennial employees. Theoretical foundations are basically drawn from Homan's Social Exchange theory and Meyer and Allen’s Organizational Commitment model. This qualitative case study has used the in-depth interview method to collect primary data from a sample of 20 mentors and mentees. The purposive sampling technique was used to select the respondents. The collected data were analyzed using thematic analysis method and pattern matching technique was used to identify the categories and themes that emerged through analyzing data. The results of the study indicated that mentoring program at XYZ Company is effective and has an impact on organizational commitment of millennial employees. Mentees perceived the impact of mentoring on organizational commitment in terms of mentor's influence, role of mentoring on emotional attachment and role of mentoring on obligation to stay. Mentors increase the commitment of mentees by appreciating and valuing their commitment, tracking and reviewing their performance and guiding them towards extra effort. Further, it revealed that mentors play very important role in motivating mentees to exert great effort in terms of being productive and punctual, achieving targets and ensuring quality. Their desire to maintain organizational membership is indicated by their feelings on being valued, proud and the bond with people and the culture. Finally, mentors create an obligation to stay by delegating more authority and responsibilities, providing growth opportunities and training and developing them properly. It was identified that mentees are committed in terms of affective commitment and normative commitment. However, it was evidenced that they were committed to the job but not to the organization. This professional commitment is mainly influenced by their intention of achieving rapid career growth. These findings provide important insights for the management of the organization on the expectations and demands of millennial employees and the nature of strategies that they should introduce to keep them fully engaged and committed. Keywords: Mentoring, Employee Engagement, Organizational Commitment, Millennial employees
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- 2021
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30. Enhance the Safety Measurements in Railways with the Aid of IoT and Image Processing
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K.S, Vedasingha, primary, K. K. M. T., Perera, additional, K. I., Hathurusinghe, additional, H. W. I., Akalanka, additional, Amarasena, Nelum, additional, and Dissanayake, Nalaka R., additional
- Published
- 2021
- Full Text
- View/download PDF
31. Computational studies of antioxidant properties of Glycyrrhiza glabra (licorice) extract
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Harindu Rajapaksha, De Silva, Channa, and W. P. R. T. Perera
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- 2021
- Full Text
- View/download PDF
32. A translational model-based approach to inform the choice of the dose in phase 1 oncology trials: the case study of erdafitinib
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E M, Tosca, N, Terranova, K, Stuyckens, A G, Dosne, T, Perera, J, Vialard, P, King, T, Verhulst, J J, Perez-Ruixo, P, Magni, and I, Poggesi
- Subjects
Translational Research, Biomedical ,Clinical Trials, Phase I as Topic ,Quinoxalines ,Animals ,Humans ,Mice, Nude ,Pyrazoles ,Models, Biological ,Xenograft Model Antitumor Assays ,Rats - Abstract
Erdafitinib (JNJ-42756493, BALVERSA) is a tyrosine kinase inhibitor indicated for the treatment of advanced urothelial carcinoma. In this work, a translational model-based approach to inform the choice of the doses in phase 1 trials is illustrated.A pharmacokinetic (PK) model was developed to describe the time course of erdafitinib plasma concentrations in mice and rats. Data from multiple xenograft studies in mice and rats were analyzed using the Simeoni tumor growth inhibition (TGI) model. The model parameters were used to derive a range of erdafitinib exposures that might inform the choice of the doses in oncology phase 1 trials. Conversion of exposures to doses was based on preliminary PK assessments from the first-in human (FIH) study.A one-compartment PK disposition model, with linear absorption and dose-dependent clearance, adequately described the PK data in both mice and rats via an allometric scaling approach. The TGI model was able to describe tumor growth dynamics, providing quantitative measurements of erdafitinib antitumor potency in mice and rats. Based on these estimates, ranges of efficacious unbound concentration were identified for erdafitinib in mice (0.642-5.364 μg/L) and rats (0.782-2.565 μg/L). Based on the FIH data, it was possible to transpose exposures into doses and doses of above 4 mg/day provided erdafitinib exposures associated with significant TGI in animals. The findings were in agreement with the results of the FIH trial, in which the first hints of clinical activities were observed at 6 mg.The successful modeling exercise of erdafitinib preclinical data showed how translational PK-PD modeling might be a tool to help to inform the choice of the doses in FIH studies.
- Published
- 2021
33. Humoral Immune Response to Two Doses of AZD1222/ Covishield Vaccine Among Health Care Workers from A Teaching Hospital in Sri Lanka
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Udara Senarathne, Bolonghoge Dayanath, S Halangoda, N Pulliyadda, T Thalgaspitiya, T Perera, and A Ittoop
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- 2021
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34. Leaf Based Plant Identification System for Sri Lankan Medicinal Plant
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T. Arudchelvam and P. S. T. Perera
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Plant identification ,business.industry ,Pattern matcher ,Feature extraction ,Plant species ,Identification (biology) ,Biology ,Sri lanka ,business ,Medicinal plants ,Biotechnology - Abstract
Plant identification is an interesting and challenging research topic due to the variety of plant species. Identification of medicinal plants is very useful to botanists, industrialists, food engineers and physicians. Among different parts of a plant, leaf is widely used for plant identification because it is usually the most abundant type of data available in botanical reference collections and the easiest to obtain in the field studies. A number of research works have been carried out for plant leaf identification. In this work, a system is developed to identify medicinal plants from Sri Lanka using leaf images. Images of leaves of different plants are obtained from the Flavia dataset. In order to get proper results, leaf images with a white background are used. Pre-processing and feature extraction techniques are used before using a pattern matcher to compare the information from this image with the ones in the database to get potential matches.
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- 2021
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35. P-60: Single Centre Experience of Paediatric Intestinal Transplantation During the COVID-19 Pandemic: Lessons from Adapting to Pandemic Pressures
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A, Pathanki, primary, T, Perera, additional, K, Sharif, additional, H, Hartog, additional, J, Hartley, additional, L, Hogg, additional, J, Bennett, additional, P, Bromley, additional, N, Bugg, additional, J, Stansfield, additional, G, Gupte, additional, and D, Mirza, additional
- Published
- 2021
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36. PE-10: Long Term Outcomes of Intestinal Allografts Transplanted Following Length Reduction (LR)
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A, Hann, primary, M, Coelho, additional, A, Pathanki, additional, S, Beath, additional, J, Hartley, additional, H, Hartog, additional, T, Perera, additional, K, Sharif, additional, G, Gupte, additional, and D, Mirza, additional
- Published
- 2021
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37. Towards Applying Virtual Reality Techniques in Fostering Blended Learning of the Construction Technology
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T. Perera, Behzad Abbasnejad, Alireza Ahankoob, and Peter S.P. Wong
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Blended learning ,Knowledge management ,Critical thinking ,Computer science ,Engineering education ,business.industry ,Teaching method ,Professional development ,Context (language use) ,Architectural technology ,Virtual reality ,business - Abstract
Effective learning of building technology is stemming from persistent practices in transforming information from construction drawings to appropriate responses in compliance with the industry standards and the government requirements. This type of training has been delivered in a conventional fashion involving formal lectures and studios-based practice sessions. Nevertheless, learners usually lack construction site experience and demand for more intensive guidance to understand the learning materials they received in classes. Unfortunately, this issue is more critical as professional trainers or academics in this area with sufficient industry experience is not readily available. Devising more effective training in construction technology shall be invaluable for the learners, trainers and the construction industry itself. Research findings suggest that virtual reality (VR) environment engender learners to make more references to critical thinking and higher-order cognition in compare to conventional teaching methods. In engineering education context, VR improves learners’ understanding about spatial arrangements and the link between two-dimensional and three-dimensional environment. A literature review that identified the types of VR techniques in application to construction education and professional training was conducted. Strengths and weaknesses of these applications were compared. The findings suggest that not all VR techniques are effective on fostering blended learning with integration among real-life construction site environment. A more effective form of VR technique should address the limitation of hardware, class size and conditions.
- Published
- 2020
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38. POTENTIAL OF INHIBITING THE RECEPTOR BINDING MECHANISM OF SARS-COV-2 USING PHYTOCHEMICAL EXTRACTS OF MEDICINAL HERB; MOLECULER DOCKING STUDY
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R.M.H. Rajapaksa*, Bingun T. Perera
- Subjects
COVID-19, Phytochemicals, Receptor bindings, Molecular docking, Ferula asafetida - Abstract
The Corona Viral Infective Disease (COVID-19), which leads to Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is caused a pandemic situation globally. World Health Organization (WHO) declared that COVID-19 as a Public Health Emergency of International Concern (PHEIC) on January 30, 2020. Intend of this study is divulge the chemistry behind the phenomenon of viral (SARS-CoV-2) attachment on human epithelial cells as well as evaluate the receptor blocking abilities of selected herbal compounds. Significant anti-viral compounds were identified via review process of medicinal plants and Ferula asafetida, Glycyrrhiza glabra, Curcuma longa, Zingiber officinale etc. are widely used plant species for drugs against viral infectious diseases in Ayurveda medicine. Molecular docking prognosis have been carried out to demonstrate any possible secondary metabolites present in several anti-microbial herbs that could act as blocking agents of ACE2 and GRP78 receptors of epithelial cells to baffle the binding of receptor-binding domain (RBD) sections of SARS-CoV-2. Computational findings reveal that Phyto-chemicals such as Conferone, Samarcadin, Bdrakemin Farnesiferol A, Fernesiferol C and Galbanic acid isolated from Ferula asafetida have intensive binding energies for ACE2 receptor binding process. Apart from that Hederagenin and Ursolic also shows highest inhibitory potential towards human ACE2. When considering GRP78, almost all isolated compounds in oligo-gum resins of Ferula asafetida trot out perfect binding ability towards the active site of GRP78 receptor. Hence, it is worth to pay more attention on natural phytochemicals for mitigating of human viral infections.
- Published
- 2020
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39. Swellable Copolymers of N-isopropylacrylamide and Alkyl Acrylic Acids for Optical pH Sensing
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Barry K. Lavine, Richard A. Bunce, Marcus Benjamin, Mariya Kim, Sandhya R. Pampati, U. D. Nuwan T. Perera, and Kaushalya Sharma Dahal
- Subjects
Pharmaceutical Science ,polymer swelling ,02 engineering and technology ,turbidimetry ,01 natural sciences ,Polyvinyl alcohol ,Analytical Chemistry ,lcsh:QD241-441 ,chemistry.chemical_compound ,lcsh:Organic chemistry ,Drug Discovery ,medicine ,Physical and Theoretical Chemistry ,Acrylic acid ,chemistry.chemical_classification ,Dispersion polymerization ,010401 analytical chemistry ,Organic Chemistry ,enthalpy and entropy of pH induced swelling ,Polymer ,Buffer solution ,021001 nanoscience & nanotechnology ,0104 chemical sciences ,chemistry ,Methacrylic acid ,Chemical engineering ,optical pH sensing ,Chemistry (miscellaneous) ,Ionic strength ,N-isopropylacrylamide hydrogels ,Molecular Medicine ,Swelling ,medicine.symptom ,0210 nano-technology - Abstract
Swellable polymers that respond to pH (including a portion of the physiological pH range) have been prepared from N-isopropylacrylamide (NIPA) copolymerized with acrylic acid, methacrylic acid, ethacrylic acid or propacrylic acid by dispersion polymerization. When the swellable polymer particles are dispersed in a polyvinyl alcohol (PVA) hydrogel membrane, large changes occur in the turbidity of the membrane (which is measured using an absorbance spectrometer) as the pH of the buffer solution in contact with the hydrogel membrane is varied. The swelling of the NIPA copolymer is nonionic, as the ionic strength of the buffer solution in contact with the PVA membrane was increased from 0.1 to 1.0 M without a decrease in the swelling. For many of these NIPA copolymers, swelling was also reversible in both low- and high ionic strength pH-buffered media and at ambient and physiological temperatures. The composition of the formulation used to prepare these copolymers of NIPA can be correlated to the enthalpy and entropy of the pH-induced swelling.
- Published
- 2020
- Full Text
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40. Parcel-guided rTMS for depression
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Alayar Kangarlu, T. Perera, J Kangarlu, Daniel C. Javitt, Sang Ah Lee, Marta Moreno-Ortega, Matthew F. Glasser, and Tomás Palomo
- Subjects
Partially successful ,medicine.medical_specialty ,Scientific community ,genetic structures ,medicine.medical_treatment ,Prefrontal Cortex ,Article ,lcsh:RC321-571 ,03 medical and health sciences ,Cellular and Molecular Neuroscience ,Depressive Disorder, Treatment-Resistant ,0302 clinical medicine ,Physical medicine and rehabilitation ,medicine ,Humans ,In patient ,lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry ,Biological Psychiatry ,Left dorsolateral prefrontal cortex ,Depression (differential diagnoses) ,Default mode network ,business.industry ,Depression ,Functional connectivity ,Magnetic Resonance Imaging ,Transcranial Magnetic Stimulation ,030227 psychiatry ,Transcranial magnetic stimulation ,Psychiatry and Mental health ,Feasibility Studies ,business ,030217 neurology & neurosurgery - Abstract
Transcranial magnetic stimulation (TMS) is an approved intervention for treatment-resistant depression (TRD), but current targeting approaches are only partially successful. Our objectives were (1) to examine the feasibility of MRI-guided TMS in the clinical setting using a recently published surface-based, multimodal parcellation in patients with TRD who failed standard TMS (sdTMS); (2) to examine the neurobiological mechanisms and clinical outcomes underlying MRI-guided TMS compared to that of sdTMS. We used parcel-guided TMS (pgTMS) to target the left dorsolateral prefrontal cortex parcel 46. Resting-state functional connectivity (rsfc) was assessed between parcel 46 and predefined nodes within the default mode and visual networks, following both pgTMS and sdTMS. All patients (n = 10) who had previously failed sdTMS responded to pgTMS. Alterations in rsfc between frontal, default mode, and visual networks differed significantly over time between groups. Improvements in symptoms correlated with alterations in rsfc within each treatment group. The outcome of our study supports the feasibility of pgTMS within the clinical setting. Future prospective, double-blind studies of pgTMS vs. sdTMS appear warranted.
- Published
- 2020
41. Swellable Copolymers of
- Author
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Barry K, Lavine, Sandhya R, Pampati, Kaushalya S, Dahal, Mariya, Kim, U D Nuwan T, Perera, Marcus, Benjamin, and Richard A, Bunce
- Subjects
Acrylamides ,Acrylates ,optical pH sensing ,Polymers ,Entropy ,Polyvinyl Alcohol ,Methacrylates ,polymer swelling ,N-isopropylacrylamide hydrogels ,enthalpy and entropy of pH induced swelling ,turbidimetry ,Hydrogen-Ion Concentration ,Article - Abstract
Swellable polymers that respond to pH (including a portion of the physiological pH range) have been prepared from N-isopropylacrylamide (NIPA) copolymerized with acrylic acid, methacrylic acid, ethacrylic acid or propacrylic acid by dispersion polymerization. When the swellable polymer particles are dispersed in a polyvinyl alcohol (PVA) hydrogel membrane, large changes occur in the turbidity of the membrane (which is measured using an absorbance spectrometer) as the pH of the buffer solution in contact with the hydrogel membrane is varied. The swelling of the NIPA copolymer is nonionic, as the ionic strength of the buffer solution in contact with the PVA membrane was increased from 0.1 to 1.0 M without a decrease in the swelling. For many of these NIPA copolymers, swelling was also reversible in both low- and high ionic strength pH-buffered media and at ambient and physiological temperatures. The composition of the formulation used to prepare these copolymers of NIPA can be correlated to the enthalpy and entropy of the pH-induced swelling.
- Published
- 2020
42. Erratum: The impact on the bioenergetic status and oxidative-mediated tissue injury of a combined protocol of hypothermic and normothermic machine perfusion using an acellular haemoglobin-based oxygen carrier: The cold-to-warm machine perfusion of the liver (PLoS ONE (2019) 14:10 (e0224066) DOI: 10.1371/journal.pone.0224066)
- Author
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Amanda Smith, Ricky H. Bhogal, Paolo Muiesan, Yuri L. Boteon, Darius F. Mirza, Lorraine Wallace, Andrea Schlegel, Richard W. Laing, S. Afford, T. Perera, Joseph Attard, Gary M. Reynolds, and Hynek Mergental
- Subjects
medicine.medical_specialty ,Machine perfusion ,Multidisciplinary ,Bioenergetics ,business.industry ,Science ,chemistry.chemical_element ,Oxidative phosphorylation ,Oxygen ,chemistry ,Internal medicine ,Machine perfusion, organ preservation ,medicine ,Cardiology ,Medicine ,business - Abstract
[This corrects the article DOI: 10.1371/journal.pone.0224066.].
- Published
- 2020
43. Probing the nucleation, growth, and evolution of hydrogen nanobubbles at single catalytic sites
- Author
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Rukshan T. Perera, Jacob K. Rosenstein, and Christopher E. Arcadia
- Subjects
Coalescence (physics) ,Supersaturation ,Materials science ,Hydrogen ,General Chemical Engineering ,Nucleation ,chemistry.chemical_element ,02 engineering and technology ,010402 general chemistry ,021001 nanoscience & nanotechnology ,01 natural sciences ,0104 chemical sciences ,Catalysis ,Physics::Fluid Dynamics ,chemistry ,Chemical physics ,Electrode ,Electrochemistry ,0210 nano-technology ,Platinum ,Nanoscopic scale - Abstract
We present measurements of the nucleation, growth and evolution of single hydrogen nanobubbles containing zeptomoles of molecular hydrogen and likely originating from a single catalytic site. These bubbles are measured using nanoscale platinum and gold meniscus-contacted electrodes, whose picoliter volumes facilitate rapid supersaturation and evolution of bubbles. Observed periodic current transients were utilized to understand the nucleation, growth, coalescence, and evolution of single nanobubbles at different overpotentials and pHs. This provides a novel platform to understand factors governing bubble nucleation and evolution. These measurements offer exciting possibilities to connect experiments with computational models in important energy applications.
- Published
- 2018
- Full Text
- View/download PDF
44. Hepatopulmonary Syndrome in Children: A 20‐Year Review of Presenting Symptoms, Clinical Progression, and Transplant Outcome
- Author
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Girish Gupte, Deirdre Kelly, Evelyn Ong, Indra van Mourik, T. Perera, Khalid Sharif, Jane Hartley, Susan V. Beath, Mona Abdel-Hady, Paolo Muiesan, Darius F. Mirza, Patrick J. McKiernan, and Suz Warner
- Subjects
Liver Cirrhosis ,Male ,Pediatrics ,medicine.medical_specialty ,Time Factors ,Cirrhosis ,Adolescent ,Databases, Factual ,Waiting Lists ,medicine.medical_treatment ,030230 surgery ,Liver transplantation ,03 medical and health sciences ,Liver disease ,Postoperative Complications ,0302 clinical medicine ,Predictive Value of Tests ,Risk Factors ,Biliary atresia ,medicine ,Humans ,Child ,Hepatopulmonary syndrome ,Retrospective Studies ,Pediatric intensive care unit ,Transplantation ,Hepatology ,business.industry ,Age Factors ,Oxygen Inhalation Therapy ,Infant ,Recovery of Function ,Length of Stay ,medicine.disease ,Liver Transplantation ,Early Diagnosis ,Treatment Outcome ,Child, Preschool ,Disease Progression ,Etiology ,Female ,030211 gastroenterology & hepatology ,Surgery ,business ,Complication ,Hepatopulmonary Syndrome - Abstract
Hepatopulmonary syndrome (HPS) in stable patients with cirrhosis can easily be overlooked. We report on the presenting symptoms, disease progression, and outcomes after liver transplantation (LT) in children with HPS. Twenty patients were diagnosed with HPS between 1996 and 2016. The etiologies were as follows: biliary atresia (n = 9); alpha-1-antitrypsin deficiency (n = 2); cryptogenic liver disease (n = 3); and others (n = 6). HPS presentations were as follows; dyspnea (n = 17) and pneumonia (n = 3). For diagnostic confirmation, the following techniques were used: technetium-99m-labeled macroaggregated albumin lung perfusion scan (n = 13) or contrast echocardiogram (n = 7). There were 16 patients listed for LT, with a median age at HPS diagnosis of 10 years and an average wait from listing to LT of 9 weeks. A marked rise in hemoglobin (Hb; median, 125-143.5 g/L) and modest decrease in oxygen saturation (SpO2 ; median 91% to 88% room air) were evident over this time. Patients' need for assisted ventilation (1 day), pediatric intensive care unit (PICU) stay (3 days), and total hospital stay (20 days) were similar to our general LT recipients-the key difference in the postoperative period was the duration of supplementary O2 requirement. Hb of ≥130 g/L on the day of LT correlated with a longer PICU stay (P value = 0.02), duration of supplementary O2 (P value = 0.005), and the need for the latter beyond 7 days after LT (P value = 0.01). Fifteen patients had resolution of their HPS after LT. The 5-, 10-, and 20-year survival rates were unchanged at 87.5%. None had a recurrence of HPS. In conclusion, HPS is a life-threatening complication of cirrhosis which usually develops insidiously. This combined with the often-stable nature of the liver disease leads to delays in diagnosis and listing for LT. Progressive polycythemia extends the need for supplementary O2 and PICU stay. We advocate screening for HPS with a combination of SpO2 and Hb monitoring to facilitate earlier recognition, timely LT, and shortened recovery periods.
- Published
- 2018
- Full Text
- View/download PDF
45. Subclinical device-detected atrial fibrillation and stroke risk: a systematic review and meta-analysis
- Author
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Melissa E. Middeldorp, A. Thiyagarajah, S. Kumar, Adrian D. Elliott, Dian A Munwar, Prashanthan Sanders, Darragh Twomey, T. Perera, Dennis H. Lau, K. Khokhar, Rajiv Mahajan, Chrishan J. Nalliah, Jeroen M.L. Hendriks, and Jonathan M. Kalman
- Subjects
Pacemaker, Artificial ,medicine.medical_specialty ,030204 cardiovascular system & hematology ,Stroke risk ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Interquartile range ,Internal medicine ,Atrial Fibrillation ,medicine ,Humans ,030212 general & internal medicine ,Stroke ,Subclinical infection ,business.industry ,Absolute risk reduction ,Atrial fibrillation ,medicine.disease ,Defibrillators, Implantable ,Increased risk ,Meta-analysis ,Asymptomatic Diseases ,Cardiology ,Cardiology and Cardiovascular Medicine ,business - Abstract
To determine stroke risk in subclinical atrial fibrillation (AF) and temporal association between subclinical AF and stroke.Pubmed/Embase was searched for studies reporting stroke in subclinical AF in patients with cardiac implantable electronic devices (CIEDs). After exclusions, 11 studies were analysed. Of these seven studies reported prevalence of subclinical AF, two studies reported association between subclinical and clinical AF, seven studies reported stroke risk in subclinical AF, and five studies reported temporal relationship between subclinical AF and stroke. Subclinical AF was noted after CIEDs implant in 35% [interquartile range (IQR) 34-42] of unselected patients with pacing indication over 1-2.5 years. The definition and cut-off duration (for stroke risk) of subclinical AF varied across studies. Subclinical AF was strongly associated with clinical AF (OR 5.7, 95% CI 4.0-8.0, P 0.001, I2 = 0%). The annual stroke rate in patients with subclinical AF defined cut-off duration was 1.89/100 person-year (95% CI 1.02-3.52) with 2.4-fold (95% CI 1.8-3.3, P 0.001, I2 = 0%) increased risk of stroke as compared to patients with subclinical AF cut-off duration (absolute risk was 0.93/100 person-year). Three studies provided mean CHADS2 score. In these studies, with mean CHADS2 score of 2.1 ± 0.1, subclinical AF was associated with annual stroke rate of 2.76/100 person-years (95% CI 1.46-5.23). After excluding patients without AF, only 17% strokes occurred in presence of ongoing AF. Subclinical AF was noted in 29% [IQR 8-57] within 30 days preceding stroke.Subclinical AF strongly predicts clinical AF and is associated with elevated absolute stroke risk albeit lower than risk described for clinical AF.
- Published
- 2018
- Full Text
- View/download PDF
46. Identifying the Learning Style of Students in MOOCs Using Video Interactions
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T. Perera, D. Dissanayake, K. Dissanayake, I. Perera, S. Herath, and C. Elladeniya
- Subjects
English as a second language ,Computer science ,020204 information systems ,05 social sciences ,0202 electrical engineering, electronic engineering, information engineering ,050301 education ,02 engineering and technology ,0503 education ,Linguistics ,Computer Science Applications ,Education - Published
- 2018
- Full Text
- View/download PDF
47. Quasi-reference electrodes in confined electrochemical cells can result in in situ production of metallic nanoparticles
- Author
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Jacob K. Rosenstein and Rukshan T. Perera
- Subjects
Multidisciplinary ,Working electrode ,Materials science ,lcsh:R ,Nucleation ,Nanoparticle ,lcsh:Medicine ,Nanotechnology ,02 engineering and technology ,Electrolyte ,010402 general chemistry ,021001 nanoscience & nanotechnology ,Electrochemistry ,01 natural sciences ,Reference electrode ,Article ,0104 chemical sciences ,Electrochemical cell ,Electrode ,lcsh:Q ,0210 nano-technology ,lcsh:Science - Abstract
Nanoscale working electrodes and miniaturized electroanalytical devices are valuable platforms to probe molecular phenomena and perform chemical analyses. However, the inherent close distance of metallic electrodes integrated into a small volume of electrolyte can complicate classical electroanalytical techniques. In this study, we use a scanning nanopipette contact probe as a model miniaturized electrochemical cell to demonstrate measurable side effects of the reaction occurring at a quasi-reference electrode. We provide evidence for in situ generation of nanoparticles in the absence of any electroactive species and we critically analyze the origin, nucleation, dissolution and dynamic behavior of these nanoparticles as they appear at the working electrode. It is crucial to recognize the implications of using quasi-reference electrodes in confined electrochemical cells, in order to accurately interpret the results of nanoscale electrochemical experiments.
- Published
- 2018
- Full Text
- View/download PDF
48. Continuous Growth through Entrepreneurial Leadership: A Case study on a Packaging Company in Sri Lanka
- Author
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T. Perera and S. Rathnayake
- Published
- 2021
- Full Text
- View/download PDF
49. Management of refractory post liver transplant ascites in a DDLT cohort
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T. Perera, Mohammad Alzoubi, Manuel Abradelo, H. Mehrzhad, Angus Hann, Keith J. Roberts, Hermien Hartog, Darius F. Mirza, J. Isaac, Bobby V.M. Dasari, and M. Alarabiyat
- Subjects
medicine.medical_specialty ,Hepatology ,Refractory ,business.industry ,Internal medicine ,Cohort ,Ascites ,Gastroenterology ,medicine ,medicine.symptom ,business - Published
- 2021
- Full Text
- View/download PDF
50. Modelling of vertical greenery system with selected tropical plants in urban context to appraise plant thermal performance
- Author
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G.Y. Jayasinghe, Rangika Halwatura, T. A. N. T. Perera, and H.T. Rupasinghe
- Subjects
0106 biological sciences ,Axonopus ,Mean temperature difference ,General Decision Sciences ,Context (language use) ,010501 environmental sciences ,010603 evolutionary biology ,01 natural sciences ,Plant physiological parameters ,Greening ,Tropical climate ,ENVI-met ,Leaf area index ,QH540-549.5 ,Ecology, Evolution, Behavior and Systematics ,0105 earth and related environmental sciences ,Urban microclimate ,Ecology ,biology ,Leaf Area Index ,Forestry ,biology.organism_classification ,Axonopus compressus ,Desmodium triflorum ,Environmental science ,Green wall - Abstract
Different growth parameters and thermal performances of selected plant species grown on vertical system modules in urban tropical climate have been investigated under the study. Further, outdoor thermal comfort simulation has been modeled by ENVImet 4.4.5 to investigate the applicability of selected plant species in three different tropical conditions (Colombo Sethsiripaya administrative complex, Matara urban council building and Kandy Urban council building). Sample modular vertical green living wall panels were fabricated by using timber frames (60 × 40 × 5 cm) packed with cocopeat medium with a depth of 3.8 cm. Nine plant species; such as Desmodium triflorum, Roheo spathacea, Centella asiatica, Axonopus fissifoliu, Axonopus compressus, Elusine indica, Dieffenbachiae spp, Tectaria spp, and Bigonia spp were selected for the study. Plant survival percentages, plant height and leaf area index (LAI) were recorded for 8 weeks. Thermal performances were evaluated by considering temperatures at (a) 20 cm distance in front of the green wall, (b) substrate surface of the green wall modules and (c) inside the green wall compared to (d) adjacent bare wall (Control). The highest LAI was recorded from Roheo spp (3.99) followed by Axonopus f. (3.20) and Elusine spp (2.21). Axonopus f. exhibited the highest coverage on the living wall due to high LAI (>1). The highest temperature reduction (5.06 °C) was displayed by Axonopus f. compared to the other species as it covers large extent of the wall. The simulation study of the green walls developed with Axonopus f. signified a possible maximum temperature reduction of 2.07 °C, 3.29 °C and 2.03 °C in Colombo Sethsiripaya administrative complex, Matara urban council building and Kandy urban council building, respectively. Hence, modelling vertical greening with Axonopus f. can effectively enhance the thermal performance in urban context due to their LAI values and the thermal performances.
- Published
- 2021
- Full Text
- View/download PDF
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