The Caritas Hospital is an Indian hospital in Thellakom (near Adichira) under the Ettumanoor municipality in Kottayam district, Kerala, India. The hospital is run by the Syro-Malabar Knanaya Catholic Archeparchy of Kottayam and is a registered hospital. Caritas Hospital has grown from a 50-bed hospital to 635 beds over the years..
The study was conducted for Assessing Knowledge of Mothers Regarding Virtual Autism among under Five Children. The objectives of the study were to assess the knowledge of virtual autism among mother’s of under five children, determine the association of knowledge with selected demographic variables of mother. Convenient sampling technique was used to select 90 samples. A structured questionnaire was used to assess the knowledge. The pilot study was conducted to assess the feasibility of the study. Data was completed and analyzed by using descriptive and inferential statistics. Analysis reveals that 68.9% have excellent knowledge, 15.6% have good knowledge and 15.6% have poor knowledge. The mean knowledge score was 12.6±5.50 a statistically significant association was found between knowledge level and type of family (p=0.009), Marital status (p=0.018) and previous knowledge about virtual autism (p=0.000). The present study attributed there is significant association between level of knowledge and selected demographic variables like marital status and previous knowledge. The findings of the study have implication in nursing practice, nursing education, nursing administration and nursing research. Nurses can teach parents about the dangers of too much screen time for small children. Nursing students should learn about the effects of screen time on children. Research can test ways to reduce screen time and improve child behaviour.
BACKGROUND:Heart failure with reduced ejection fraction causes high mortality and recurrent hospitalizations in India. We evaluated the effectiveness of the collaborative care model in improving days alive and out of the hospital and overall survival. METHODS:We conducted a parallel-group, cluster-randomized controlled trial involving 1507 adults with heart failure with reduced ejection fraction across 22 centers in India (CTRI/2021/11/037797). Centers were randomized 1:1 to the intervention or usual care. Participants were followed up for 2 years. The intervention included risk stratification, lifestyle and pharmacological optimization, and a nurse-coordinated, mobile health-supported disease management program with self-care education, active follow-up, and continuous outpatient monitoring throughout the study period. The primary outcome was days alive and out of the hospital, and all-cause mortality was assessed as a secondary outcome. Days alive and out of the hospital was analyzed with a one-inflated β model. All-cause mortality was analyzed with Cox proportional hazards models adjusted for the clustered study design. RESULTS:Among 1507 participants (752 usual care; 755 intervention), the mean age was 61.9 years, and 77.6% were men. All participants except one completed 24 months of follow-up. Most participants (70%) had low educational attainment; 57.3% lived in rural areas; and ischemic heart disease was the predominant cause (77.4%). Baseline characteristics were comparable between the intervention and usual care groups. In the one-inflated β model, the probability of surviving up to 730 days without hospitalization was 79.4% (95% CI, 77.7%-81.2%) in the usual care group and 84.0% (95% CI, 82.2%-85.8%) in the intervention group. Participants in the intervention group had 78% higher odds of achieving a percent days alive and out of the hospital of exactly 1 (730/730 days) compared with those in the usual care group (odds ratio, 1.78 [95% CI, 1.42-2.23]). There were 201 deaths (26.73%) in the usual care group compared with 163 deaths (21.59%) in the intervention group (risk ratio, 0.80 [95% CI, 0.67-0.97]). In the multivariable Cox proportional hazards model, the intervention group had a 22% lower mortality risk than the usual care group (hazard ratio, 0.78 [95% CI, 0.63-0.95]; P=0.028). CONCLUSIONS:A nurse-coordinated, mobile health-supported collaborative care model for heart failure with reduced ejection fraction in India increased the number of days alive and out of hospital, raised the absolute probability of remaining out of hospital by 4.5 percentage points, and reduced all-cause mortality by 22%. REGISTRATION:URL: www.ctri.nic.in; Unique identifier: CTRI/2021/11/037797.
