- Acute Ischemic Stroke Management
- Cardiac, Anesthesia and Surgical Outcomes
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Stroke Rehabilitation and Recovery
- Acute Kidney Injury Research
- Medication Adherence and Compliance
- Health Systems, Economic Evaluations, Quality of Life
- Health Promotion and Cardiovascular Prevention
- Mobile Health and mHealth Applications
- Dementia and Cognitive Impairment Research
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Vaccine Coverage and Hesitancy
- COVID-19 epidemiological studies
- Artificial Intelligence in Healthcare
- COVID-19 Pandemic Impacts
- Health, Medicine and Society
- Neurological Disease Mechanisms and Treatments
- School Health and Nursing Education
- Cardiac Health and Mental Health
- Blood Pressure and Hypertension Studies
- Cerebrovascular and Carotid Artery Diseases
- Clinical practice guidelines implementation
- Neurological Disorders and Treatments
- Abdominal Surgery and Complications
- Emergency and Acute Care Studies
Sree Chitra Thirunal Institute for Medical Sciences and Technology
2022-2024
Institute of Medical Sciences
2024
Health Action by People
2019-2023
Jawaharlal Institute of Post Graduate Medical Education and Research
2019
There are only very few studies on estimating the prevalence of mild cognitive impairment (MCI) from India, particularly a rural setting. The available were heterogeneous.The study estimated MCI in setting Kerala, India.We conducted community-based, cross-sectional among individuals aged 65 and above Thiruvananthapuram, Kerala. A cluster-randomized sampling was adopted, cluster being wards village. It two-phase door-to-door survey. Grassroots-level health workers enrolled 366 elders selected...
Structured models for secondary prevention of stroke in community settings are scarce. We aimed to develop and evaluate a model improving medication adherence enhanced risk factor monitoring.
Background and Purpose:- The goal of this consensus is to provide a comprehensive set recommendations regarding hypertension control strategies for the prevention management stroke. This document intended prehospital care providers, physicians, allied health professionals, hospital administrators policy makers. Methods:- Members writing group were representatives World Stroke Organization Hypertension League. reviewed articles searched from PubMed Google Scholar using selected search...
There are little data on the use of smartphone-based applications for medication adherence and risk-factor control secondary prevention stroke in low-and-middle-income countries (LMICs).
In low-income countries like India, there is paucity of evidence regarding hypertension control status and the quality care pertaining to among patients availing treatment from private sector. We wanted determine received by seeking sector.This was an community based analytical cross-sectional study carried out in selected urban area Puducherry. This conducted 265 adults with hypertension, Blood pressure measured according standard protocol. Data were collected using pre-tested...
Context: Health-seeking behavior of patients with chronic obstructive pulmonary disease (COPD) and asthma the diagnosis told to them by doctors before they reach tertiary care is not well documented. Aims: This study aimed at describing health-seeking COPD present a hospital in Trivandrum South India. Methods Materials: The hospital-based cross-sectional was done one government private Trivandrum, Kerala, including diagnosed patients. Data were collected using pretested semistructured...
The state of Kerala, India, has experienced several unprecedented events in the past few years. current study was an attempt to explore perceptions stakeholders on how decentralised system helped during Nipah virus (NiV) outbreaks and COVID-19 pandemic Kerala.This used a qualitative descriptive approach built advocacy paradigm. who were involved decision-making representatives local self-government had real-time experience handled challenges identified using purposive sampling. Seven key...
In LMICs, the medication adherence and risk factor control are suboptimal in post-stroke follow-up period. With shortage of physicians, smartphone-based interventions can help stroke survivors secondary prevention.We aim to validate a digital innovative technology-based intervention improve awareness, adherence, factors through timely physician among survivors.MAMOR is application awareness by heath education materials, reminders medication, alerts on factors, video files, intervention. The...
Globally, stroke remains the second leading cause of death and third disability.[1] Over years, burden increased drastically, i.e., 70% increase in incident strokes, 102% prevalent 43% deaths with higher lower income low- middle-income countries.[2] About 85% are registered countries.[3] The recurrence remained unchanged during last 20 years despite use secondary prevention measures it ranges from 3.1% at 30 days to 39.2% 10 after initial stroke.[4] Approximately one six survivors will have...
Chronic obstructive pulmonary disease (COPD) is the second leading cause of mortality in India; however, there are no programs for COPD India at primary care level. Kerala became first state to implement a program COPD, called Step Wise Approach Airway Syndrome program.The objective study was evaluate and document implementation status airway (OAD) Trivandrum district compare treatment characteristics patients with OAD seeking from centers implementing not this OADs.A cross-sectional done as...
This qualitative study explores with health professionals the provision of, and challenges for, postdischarge stroke care, focussing on eating, drinking psychological support across India. Qualitative semistructured interviews. Seven geographically diverse hospitals taking part in a Global Health Research Programme Improving Stroke Care A purposive sample of healthcare current experience working patients who had stroke. Interviews 66 (23 nurses (14 staff nurses; 7 senior nurse officers; 1...
Background: India is initiating measures to address Chronic Obstructive Pulmonary Disease(COPD) and Asthma, major causes of mortality morbidity, at the primary care level. The efforts are limited by lack access spirometry. Various alternatives being tried out in resource countries. Methods: A hospital based cross-sectional study was done two tertiary hospitals Trivandrum, South India, patients with a clinical diagnosis COPD or Asthma. Spirometry trained spirometry technician, along peak-flow...