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✓ Medically reviewed by Dr. Priya Sammani (MBBS, PG Dip. FM) | Age — · M/F · BMI —
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🎓 GOOGLE SCHOLAR & OPEN-ACCESS CLINICAL SERIES (ISSN / DOI INDEXED)

Nirogi Lanka Clinical Review Series & Whitepapers

Open-access clinical review papers and Sri Lankan public-health whitepapers authored by Dr. Priya Sammani (MBBS, PG Dip. FM).

Nirogi Lanka Clinical Review Series • Vol. 1, Issue 1 (2026-02-15) • DOI: 10.5281/zenodo.nirogilanka.2026.01

South Asian Anthropometric Cutoffs (BMI ≥ 23.0 kg/m²) and Early Cardiometabolic Screening in Sri Lankan Primary Care

ශ්‍රී ලාංකික වැඩිහිටියන් සඳහා දකුණු ආසියානු ශරීර ස්කන්ධ දර්ශක සීමාවන් (BMI ≥ 23.0 kg/m²) සහ කල්තියා දියවැඩියා/හෘද රෝග හඳුනාගැනීමේ සායනික සමාලෝචනය
👩‍⚕️ Author: Dr. Priya Sammani, MBBS, PG Dip. FM

South Asian populations, including Sri Lankans, exhibit higher visceral adiposity and insulin resistance at lower Body Mass Index (BMI) levels compared to European cohorts. Applying the standard international overweight threshold of 25.0 kg/m² delays early lifestyle and glycemic screening in Sri Lankan adults. This clinical review summarizes WHO Asia-Pacific and Sri Lanka Ministry of Health guidelines recommending overweight classification at BMI ≥ 23.0 kg/m² and obesity at BMI ≥ 25.0 kg/m², alongside waist circumference thresholds of ≥ 90 cm in men and ≥ 80 cm in women.

Nirogi Lanka Clinical Review Series • Vol. 1, Issue 2 (2026-03-10) • DOI: 10.5281/zenodo.nirogilanka.2026.02

Early Recognition of Plasma Leakage and Red-Flag Triage During the Defervescence (Critical) Phase of Dengue Fever in Sri Lanka

ශ්‍රී ලංකාවේ ඩෙංගු උණ රෝගීන්ගේ උණ බැස යන අවදානම් අවධිය (Critical Phase) සහ ප්ලාස්මා කාන්දුව කල්තියා හඳුනාගැනීමේ සායනික මාර්ගෝපදේශය
👩‍⚕️ Author: Dr. Priya Sammani, MBBS, PG Dip. FM

In Sri Lanka, severe dengue mortality is primarily driven by unrecognized capillary plasma leakage during the 24–48 hour defervescence window (Day 3 to Day 5 of illness), when patients mistakenly believe fever subsidence indicates recovery. This clinical guidance outlines practical outpatient fluid monitoring, urine output targets (≥ 0.5–1.0 mL/kg/hr), NSAID contraindications, and immediate hospital admission red flags.

Nirogi Lanka Clinical Review Series • Vol. 1, Issue 3 (2026-04-05) • DOI: 10.5281/zenodo.nirogilanka.2026.03

Standardizing Modern Clinical Terminology in Spoken Sinhala Patient Education to Prevent Diagnostic Delay in Sri Lanka

ශ්‍රී ලංකාවේ රෝගී දැනුවත් කිරීම සඳහා නවීන වෛද්‍ය විද්‍යාත්මක පාරිභාෂික පද සරල සිංහල භාෂාවෙන් භාවිතා කිරීමේ සම්මත රාමුව
👩‍⚕️ Author: Dr. Priya Sammani, MBBS, PG Dip. FM

Automated machine translation of English medical portals into Sinhala frequently produces archaic, misleading, or clinically unsafe terminology. Because Sri Lankan laboratory reports, imaging studies, and prescriptions are issued in English while patient comprehension is primarily in Sinhala, dual-terminology patient education (pairing conversational spoken Sinhala explanations with exact English diagnostic terms) significantly improves patient literacy and timely specialist referral.