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Why Arthritis more common among women

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Dr. Gurpal Singh

Senior Consultant Orthopaedic Surgeon at Mount Elizabeth Novena Hospital and Parkway East Hospital Dr. Gurpal Singh was in Sri Lanka on the invitation of Parkway Patient Assistance Centre Colombo to deliver speeches on Evolution of Orthopaedic Oncology and development of Musculossketal Oncology, This lecture was organised by Parkway Cancer Centre, Singapore and the Sri Lanka College of Oncologists and Sri Lanka Orthopaedic Association. He was the guest of honour at the 14th Annual Academic sessions inaugural ceremony and delivered the oration on ‘’How Evolution of Advanced surgical techniques have enabled complex nervous and vascular reconstruction’ Excerpts

(Q) Do you think joint replacements is a successful method?

Materials used in joint replacements underlie strict quality testing and are well characterised

It is a fact even the best joint replacement is not as good as a young and healthy joint. once a joint replacement fails, a repair surgery is needed to remove the failed implant components and introduce new implants This is a complex surgery than the primary surgery. One of the factors limiting the life span of joint replacement is implant wear/ coupling of bearing surfaces. As a result the companies around the world are constantly working on improving implant materials. Only the test of lime will be able to confirm the success of new techniques and materials.

(Q) Your lecture on Development of Musculosketal Oncology as a sub-speciality in Sri Lanka at the College of Surgeons Auditorium? What is Musculosketal oncology?

(A) Musculosketal oncology is a field within Orthopaedic surgery that is focussed on diagnosis and management of benign (non cancerous) and Malignant cancerous tumours of bone and soft tissues. This also includes patients who have cancer that has widely spread all over the bones.

(Q) Arthritis is common in Sri Lanka. What are the key causes?

(A) Osteoarthritis is very common form of arthritis ‘wear and tear ’ of the cartilage covering joint surface and basically refers to degenerative changes in the whole joint pain stiffness and limb deformity

(Q) What is the exact cause of osteoarthritis?

(A) Despite being so prevalent among men and women the exact cause is still not known. Some of the risk factors include advanced age, females, obesity, previous joint injures, repeated stress on the joint, genetic, limb deformities and some causes are due to metabolic diseases.

(Q) How to overcome these risk factors?

(A) X-rays are usually sufficient in advanced Osteoarthritis. In early stages MRI is strongly recommended – (MRI is Magnetic Resonance Imaging).

(Q) Are there any surgical treatments for arthritis?

(A) Yes there are several non surgical treatments for arthritis. Surgery is the only last resort. Less invasive measures such as activity modification, physiotherapy and medication are recommended. Injections recommended if symptoms do not improve or if pain becomes worst surgery is the only alternative.

(Q) Why Arthritis more common among women?

(A) Yes medical history suggests that women are affected by oesteoarthritis than men This might be due to sex specific differences in both the presence and relative risk of other several risk factors. (Body mass index) a modifiable risk factor impacts women more strongly.

(Q) Early signs of Osteoarthritis?

(A) Stiffness of the joint, pain, climbing up and down staircase, getting up from a chair. Some also experience joint swelling.

(Q) Is there any evidence to prove haphazard use of exercise machines or vigorous workout led to more Orthopaedic injuries?

(A) Exercise has many health benefits. If haphazardly carried out it can entail exercise related injuries. Better to get a health check up done by a good doctor prior to an exercise regime.

(Q) Common Orthopaedic sports injuries?

(A) Sport injuries are very common in the Orthopaedic clinic. People suffer from meniscus and ligament injuries. In fact physiotherapy has a very important role to play for all patients with sports injuries. Surgically there are various techniques that can be used to fix sports injuries.

Dr. Gurpal Singh has a long standing connections with many Orthopaedic surgeons from Sri Lanka. He has visited Sri Lanka for teaching purposes for more than ten years.

The Annual Meeting of the Sri Lanka Orthopaedic Association has a focus on training and an it is also an exchange programs and Dr. Singh is truly impressed by the commitment of young Orthopaedic surgeons in Sri Lanka to enhance their knowledge and surgical skills.

The latest treatment methods available at Singapore Parkway Hospital for Orthopaedic conditions include robotic surgery for patients suffering from arthritis of state of arts imaging facilities, computerised scan is another popular method For tumour patients, proton beam therapy, a novel mode of radiation therapy is now available.There is strict auditing to ensure sthe quality of drugs used. Most importantly doctors from various specialities work closely as to allow decision making for patients on a case by case basis.



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What I Do, What I Love: A Life Shaped by Art, Wilderness and Truth

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In a country where creative pursuits are often treated as indulgences rather than vocations, Saman Halloluwa’s journey stands apart — carved patiently through brushstrokes, framed through a camera lens, and articulated through the written word. Painter, wildlife and nature photographer, and independent environmental journalist, Halloluwa inhabits a rare space where art, ecology and social responsibility converge.

His relationship with art began not in galleries or exhibitions, but in a classroom. From his school days, drawing was not simply a subject but an instinct — a language through which he learned to observe, interpret and respond to the world around him. Under the guidance of two dedicated mentors, Ariyaratne Guru Mahathaya and Gunathilaka Guru Mahathaya, he honed both skill and discipline. Those early lessons laid the foundation for a lifelong engagement with visual storytelling.

“His work navigates between traditional Sinhala artistic sensibilities, abstract compositions and expansive landscapes.”

That commitment eventually materialised in two solo art exhibitions. The first, held in 2012, marked his formal entry into Sri Lanka’s art scene. The second, staged in Colombo in 2024, was a more mature statement — both in content and confidence. Featuring nearly fifty paintings, the exhibition drew an encouraging public response and reaffirmed his place as an artist with a distinct visual voice.

His work navigates between traditional Sinhala artistic sensibilities, abstract compositions and expansive landscapes. There is restraint in his use of form and colour, and an underlying dialogue between memory and space. Yet, despite positive reception, Halloluwa speaks candidly about the structural challenges faced by artists in Sri Lanka. Recognition remains limited; fair valuation even rarer.

“This is not merely an artistic issue,” he observes. “It is a social and economic problem.”

In Sri Lanka, art is often viewed through the lens of affordability rather than artistic merit. Many approach a painting by first calculating the contents of their wallet, not the value of the idea or labour behind it. In contrast, he notes, art in Europe and many other regions is treated as cultural capital — an investment in identity, history and thought. Until this mindset shifts, local artists will continue to struggle for sustainability.

The decisive push toward wildlife photography came from Professor Pujitha Wickramasinghe, a close friend who recognised both Halloluwa’s observational skills and his affinity with nature. From there, the journey deepened under the mentorship of senior wildlife photographer Ravindra Siriwardena.

Both mentors, he insists, deserve acknowledgment not merely as teachers but as ethical compasses. In a field increasingly driven by competition and spectacle, such grounding is invaluable.

Saman Halloluwa

Wildlife photography, Halloluwa argues, is among the most demanding visual disciplines. It cannot be improvised or rushed. “This is an art that demands restraint,” he says.

Among all subjects, elephants hold a special place in his work. Photographing elephants is not merely about proximity or scale, but about understanding behaviour. Observing social patterns, movement, mood and interaction transforms elephant photography into a constantly evolving challenge. It is precisely this complexity that draws him repeatedly to them.

Halloluwa is cautiously optimistic about the current surge of interest in wildlife photography among Sri Lankan youth. Opportunities have expanded, with local and international competitions, exhibitions and platforms becoming more accessible. However, he issues a clear warning: passion alone is not enough

Sri Lanka, he believes, is uniquely positioned in the global nature photography landscape. Few countries offer such concentrated biodiversity within a compact geographical area. This privilege, however, carries responsibility. Nature photography should not merely aestheticise wildlife, but foster respect, aware ness and conservation.

Parallel to his visual work runs another equally significant pursuit — environmental journalism. For the past seven to eight years, Halloluwa has worked as an independent environmental journalist, giving voice to ecological issues often sidelined in mainstream discourse. His entry into the field was guided by Thusara Gunaratne, whose encouragement he acknowledges with gratitude.

An old boy of D.S. Senanayake College, Colombo, Halloluwa holds a Diploma in Writing and Journalism from the University of Sri Jayewardenepura and has completed journalism studies at the Sri Lanka Press Institute. He is currently pursuing an Advanced Certificate in Wildlife Management and Conservation at the Open University of Sri Lanka — a testament to his belief that learning must remain continuous, especially in a rapidly changing ecological landscape.

Outside his professional life, he enjoys cricket, rugby and badminton. Yet even leisure intersects with responsibility. He is a founding member and former president of the D.S. Senanayake College Old Boys’ Wildlife Forum, an active member of Wild Tuskers Sri Lanka, and a contributor to several independent environmental and wildlife volunteer organisations. In an era dominated by speed, spectacle and short attention spans, Saman Halloluwa’s journey unfolds differently. It is deliberate, reflective and rooted in values. Through art, he captures memory and form. Through photography, he frames life beyond human control. Through journalism, he asks uncomfortable but necessary questions.

“What I do, what I love” is not fashion here.

It is conviction — patiently lived, quietly asserted, and urgently needed in a country still learning how to value its artists, its environment and its truth.

By Ifham Nizam ✍️

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Shaping the future of style

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Pride, passion and professionalism

Ramani Fernando Sunsilk Hair and Beauty Academy

Ramani Fernando Sunsilk Hair and Beauty Academy marked their graduation of their latest cohort of aspiring hair professionals in a ceremony held at Kingsbury Hotel.

Senaka de Silva, creative force behind Ramani’s shows

For over two decades, the Ramani Fernando Sunsilk Hair and Beauty Academy has stood as a beacon of excellence in beauty education in Sri Lanka. Founded by industry icon Ramani Fernando, the Academy has built a reputation for producing highly skilled professionals who go on to make their mark in salons, both locally and internationally. As the newly minted graduates step out into the world, they carry forward not just certificates, but also the promise of creative authority and personal empowerment.

The chief guest for the occasion was Rosy Senanayake, a long-standing supporter of the Academy’s mission. Addressing the graduates her message echoed her enduring belief that the beauty industry is not merely about aesthetic but about. confidence, self-worth and future leaders.

Over months of rigorous training, these young professionals honed their skills in cutting colouring, styling and contemporary artistry readying themselves to set trends rather than follow them.

Each graduate walked the stage with confidence, their dedication signalling a promising future for Sri Lanka’s beauty and fashion industry! With this new generation of stylists preparing to raise the standard of professional hairstyling.

Ramani Fernando, addressing the audience reflected on the academy’s mission to cultivate not only skills but vision and confidence in every student.

She urged the graduates to embrace continuous learning to take risks with creativity .The world of beauty is ever evolving, stay curious, stay bold and never underestimate the power of your talent, she added emphasising the importance of confidence, discipline and passion in carving a successful career in shaping the future of style.

These graduates are stepping into a world of endless possibilities. They are future of the country, who will carry a forward legacy of creativity. Behind every successful graduate at Sun silk Hair Academy stands a team dedicated to excellence. While Ramani Fernando serves as a visionary Principal and it is Lucky Lenagala, her trusted person who ensures that the academy runs seemingly.

From overseeing training sessions to guiding students, through hands on practice, Lucky plays a pivotal role in shaping the next generation of hairstylists.

Kumara de Silva, who has been the official compere Ramani’s, Hair graduation ceremony, from inception has brought energy, poise and professionalism. The Sunsilk Hair Academy is a celebration of talent and mentor ship for the graduates stepping confidentially into the next chapter of their careers, ready to make their mark on Sri Lanka beauty landscape

A moment of pride Ramani with chief guest Rosy Senanayake

Statement in style

Gliding in romance and sophistication

Pix by Thushara Attapathu

By Zanita Careem ✍️

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Capturing the spirit of Christmas

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Romesh Atapaattu, overseas the magic behind every cut and style at Capello salons

During this season, Romesh Atapattu’s Capello Salon buzzes with a unique energy – a blend of festive excitement and elegance. Clients arrive with visions of holiday parties, office soirees, seeking looks that capture both glamour and individuality. The salon itself mirrors this celebrity mood. Warm lights, tasteful festive décor create an atmosphere where beauty and confidence flourish.

Romesh Atapattu himself curates the festive décor, infusing the space with his signature sense of style. His personal eye ensures that the décor complements the salon’s modern interiors.

As Colombo slips effortlessly into its most glamorous time of year, the Christmas season brings with it more than twinkling lights and celebrity soirees – it signals a transformation season at salons across the city. Capello salons are no exception.

At the heart of this festive beauty movement is Romesh Atapattu of Capello salons, a name synonymous with refined hair artistry, modern elegance and personalised style.

Christmas is about confidence and celebration. Romesh believes ‘People want to look their best without losing who they are”. Our role is to enhance, not overpower. This philosophy is evident in the salon’s seasonal approach.

Beyond trends, what sets Atapattu apart is the attention to individuality. Each consultation is treated as a creative collaboration – face shape, lifestyle, hair texture and personal style all play a role in creating the best for Romesh.

Stepping into Romesh’s salon during the Christmas season is an experience in itself. The space hums with festive energy while maintaining an atmosphere of calm sophistication.

The décor embraces the Christmas spirit with understated elegance. Tastefully adorned décor, beautiful Xmas tree, soft gold and ivory tones, and gentle hints of red are woven seamlessly into the salon’s contemporary design.

His staff, known for their warmth and professionalism also plays a key role in shaping the salon’s atmosphere—friendly, stylish and always welcoming. The Capello staff combine skill and creativity to deliver results that have a lasting impression.

Beyond trends, what sets Romesh Atapattu apart is the attention to individuality. Each consultation is treated as a creative collaboration – face shape, lifestyle, hair texture and personal style all play a role.

He is a professional who blends technical mastery with a deeply personal approach to style. His dedicated team of skilled professionals, operate with quiet confidence ensuring styles that create an atmosphere of trust, turning every appointment into a personalised and memorable experience.

(ZC) ✍️

Pic by Rohan Herath

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