2. Presented for the partial fulfillment of requirement
of
PHA 451 Journal Club/Health Seminar
of
Bachelor of Public Health, VIII Semester,
School of Health and Allied Sciences, Pokhara University
under the cardinal supervision of
Assistant Professor Dr. Hari Prasad Kaphle
By
Sangam Wagle
17370200
2016-1-37-0124.
12/10/2020 Sangam Wagle 2
4. Journal Information
• A peer-reviewed publication, offers original articles on the practice,
teaching, and research of community health.
• Includes preventive medicine, new forms of health manpower,
analysis of environmental factors, delivery of health care services, and
the study of health maintenance and health insurance programs.
• Established : 1975
• Impact factor : 1.516
• ISSN No : 0094-5145 (print)
1573-3610 (web)
• Frequency : bimonthly
• SCImago journal rank : 0.812
12/10/2020 Sangam Wagle 4
5. Editors
• Chief editor
Pascal James Imperato
School of Public Health, State University of New York Downstate
Medical Center
Brooklyn, USA
12/10/2020 <Insert your name here> 5
6. Critical Appraisal of Journal
• Reliable journal (peer review)
• Maintain the highest level of integrity in the content published
• Clear guideline for article submission
• Relatively old journal
12/10/2020 Sangam Wagle 6
7. Tittle of Article
• Knowledge and Perception Towards Universal Safety Precautions
During Early Phase of the COVID-19 Outbreak in Nepal
12/10/2020 Sangam Wagle 7
8. Critical Appraisal of Tittle
• Contextual
• Clear
• Directional towards research
• Not so catchy
• Reflect aim and objective
• Study area not mentioned
12/10/2020 Sangam Wagle 8
9. Authors
Devendra Raj Singh
• Department of Public Health, Asian College for Advance
Studies, Purbanchal University, Satdobato, Lalitpur, Nepal
• Southeast Asia Development Actions Network, Lalitpur,
Nepal
Dev Ram Sunuwar
• Department of Public Health, Asian College for Advance
Studies, Purbanchal University, Satdobato, Lalitpur, Nepal
• Department of Nutrition and Dietetics, Nepal APF Hospital,
Kathmandu, Nepal
Kshitij Karki
• Department of Public Health, Asian College for Advance
Studies, Purbanchal University, Satdobato, Lalitpur, Nepal
• Group for Technical Assistance, Lalitpur, Nepal
12/10/2020 Sangam wagle 9
10. Sauna Ghimire
Department of Sociology and Gerontology and Scripps
Gerontology Center, Miami University, Oxford, OH, USA
Naveen Shrestha
Central Institute of Science and Technology (CIST), Pokhara
University, Kathmandu, Nepal
12/10/2020 Sangam Wagle 10
11. Critical Appraisal of Authors
• Author name is clearly mentioned
• Author’s credential is not mentioned clearly
• Area of expertise of author is not mentioned
12/10/2020 Sangam Wagle 11
13. Critical Appraisal of Abstract
• Indicative abstract
• Comprehensive in its contents
• Appropriate in its length (neither too short nor too long)
• Information abstracted from full article i.e. match with full article
12/10/2020 Sangam Wagle 13
14. Introduction
• a cluster of cases of pneumonia-like disease, with a previously
unidentified agent was reported from Wuhan City in Hubei Province
of China.
• the mortality and morbidity counts of the disease WHO declared the
COVID-19 outbreak as a global public health emergency of
international concern on January 30, 2020
• COVID-19 is spread by human-to-human transmission through the
droplet, fecal-oral, and direct contact. Both symptomatic and
asymptomatic individuals may transmit the virus within 2–14 days
after exposure .
12/10/2020 Sangam Wagle 14
15. • hygiene practices, social distancing measures, self-quarantines,
lockdown, and closure of the non-essential business is the most crucial
intervention
• Misinformation, misunderstanding, and lack of awareness among
people can lead to non-compliance to basic sanitation and
disobedience of national guidelines, which may facilitate the rapid
transmission of infection in the community.
12/10/2020 Sangam Wagle 15
16. Critical Appraisal of Introduction
• Introduction is meaningful
• Built after extensive literature review
• Logically presented
• Citations followed with correct references
• Research question and hypothesis is not stated
12/10/2020 Sangam Wagle 16
17. Materials and methods
• study population: general population
• Study setting : above 18 years
• Sampling method :Convenient non-probability sampling
• Sample size: 871
• Study design :web-based cross-sectional survey
• Tool used : structured questionnaire
• Statistical analysis :Descriptive statistics such as frequency, percentage,
mean and standard deviation Mann–Whitney U test, Kruskal–Wallis test,
Kolmogorov-Smirnov normality test
• Ethical Approval : The Institutional Review Committee at Central Institute
for Science and Technology, affiliated under Pokhara University, Nepal,
approved this study.
12/10/2020 Sangam Wagle 17
18. Critical Appraisal of Materials and Methods
• Sample is representative of population
• Questionnaire was developed by 30 researchers of two public health college
of Nepal
• Consent taken
• The questionnaire was developed in Google forms
• Statistical measures like Kruskal–Wallis test (variables with more than two
categories) and Mann–Whitney U test(variables with two categories),
• Dependent and independent variables mentioned
• There was no exclusion criteria mention other than age
12/10/2020 Sangam Wagle 18
19. Results
• Majority of people has knowledge on symptoms and incubation
period.
• A sizeable proportion did not know about the concept of close (66.5%)
and transient contacts (72.4%), social distancing (51%), isolation
(79.9%), and the 2-weeks self-isolation period following the exposure
to a COVID-19 suspected person (88.7%).
• The majority of the participants (> 95%) agreed that maintaining good
personal hygiene, washing hands frequently, staying home, following
social distancing, and avoiding crowds would prevent the spread of
COVID-19.
12/10/2020 Sangam Wagle 19
20. Critical Appraisal of Results
• Demonstrated table was clear and explanation of table was appropriate
• Description matches with table
• Caption and numbering of table properly mentioned
• Well described and logical
• Based on aim and objectives of the study
12/10/2020 < Sangam Wagle > 20
21. Discussion
• Research on knowledge perception were un available on national
setting and limited literature from international settings are available
for cross-comparison.
• study found optimal knowledge and perception related to COVID-19
and relevant universal safety measures among the Nepalese population
• misinformation and misunderstanding hampers certain important
aspects of outbreak control.
12/10/2020 Sangam Wagle 21
22. Critical Appraisal of Discussion
• Meaning full and informative
• Less comparison with other relevant articles
• Lightens the major finding of study
12/10/2020 Sangam Wagle 22
23. Conclusion
• The study conclude that precautionary measures such as public
awareness, early detection, quarantine, and isolation, social distancing
are important strategies to prevent the spread of COVID-19
• This study recommend Nepal government to provide information on
time before the pandemic accelerate to form the complex plexus for
control
12/10/2020 Sangam Wagle 23
24. Critical Appraisal of Conclusion
• Believable
• Answer research question
• Objective based
• Appropriate recommendation
12/10/2020 Sangam Wagle 24
27. Critical Appraisal of References
• Reliable cited reference
• Vancouver style of referencing
• 21 article cited
• Citation matches refrences
12/10/2020 Sangam Wagle 27
28. Strengths
• Represent adults of whole nation
• Based on present context and useful for new researchers
• Finding and discussion are study relevant
12/10/2020 Sangam Wagle 28
29. Weaknesses
• Exclusion criteria is not mentioned
• Short description and lacks comparison of literature in discussion
• Sampling bias is evident as there were no restrictions in participants’
self-selection
• Sample included young, educated internet users
• Finding is not generalizable as it use internet users.
• Over estimated finding as compared to general population
12/10/2020 Sangam Wagle 29
30. Overall significance of the article
• Findings is believable
• Gives an idea about the association of variables and they are
appropriate for the new researchers
• Article is reliable and discussion helps government to make plan and
policies
• Easy to understand as detail description from finding to conclusion is
done
12/10/2020 Sangam Wagle 30