The document summarizes a journal club presentation on a research article about stress, anxiety, and depression among medical students. The presentation includes a summary of the selected research article, a critical appraisal of the journal and article, and strengths and weaknesses of the research. The research found high prevalence of stress, anxiety, and depression among medical students, with higher rates among females, older students, and those who were overweight or obese. It recommends increased mental health services and counseling for medical students.

1. Journal Club Presentation
Presented by:
Pragya Yadav
Roll no: 16
BPH VIII Semester SHAS, PU
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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
Pragya Yadav
Symbol no: 171370193
Registration no: 2016-1-37-0117
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3. Selected article for Presentation
• Wafaa Yousif Abdel Wahed, Safaa Khamis Hassan. Prevalence and
associated factors of stress, anxiety and depression among medical
Fayoum University students. Alexandria Journal of Medicine. Date:
2017; Vol. 53, Issue1 and Pages 77-84.
• DOI: 10.1016/j.ajme.2016.01.005
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4. •
• Journal Information
• Alexandria Journal of Medicine publishes international open access
research in medical sciences with particular focus on disease in the
middle east and North Africa.
• This journal is now produced and hosted by Taylor and Francis on behalf
of the Alexandria University Faculty of Medicine.
• Dates of publication: 2010-9999 (online).
• The ISSN number is (Print ISSN: 2090-5068 and Online ISSN: 2090-
5076) of the journal.
• The 3 year journal impact factor is 0.80 (2017).
• Frequency: quarterly (online).
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5. •
• Critical Appraisal of Journal
• The journal publishes original articles, review articles and clinical trials in
an open access format.
• It publishes article related to disease in the middle east and North Africa.
• The journal is indexed in DOAJ and E-SCI.
• The journal gives detail information on editorial boards and reviewers
with their qualifications.
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6. •
• Contd…
• It is peer-reviewed and operates a double blind peer review policy.
• Article submission and publication time: 12 weeks
• Publication Charges:
Article processing charges (APCs): No
Submission charge: No
(The standard APC for Authors is US$750 including 20% VAT tax. Authors
from Lower-Middle Income Countries are eligible for a 50% waiver.
Authors from Lower Income Countries are eligible for 100% waiver).
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7. •
• Editorial Board
Editor-in-Chief
Seddik Abdel Sallam
Secretary General of the Supreme Council of Private Universities, Egypt
E.N.T, Faculty of Medicine, Alexandria University, Egypt.
Deputy Editor
Salah Abdelmoneim
Oncology, Department of Clinical Oncology and Nuclear Medicine,
Faculty of Medicine, Alexandria University, Egypt.
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8. •
• Contd…
Editorial Office
Email Address:TAJM-peerreview@journls.tandf.co.uk
Editorial Board Members: 21
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9. •
• Title of Article
• Prevalence and associated factors of stress, anxiety and depression among
medical Fayoum University students.
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10. •
• Critical Appraisal of Title
• It indicate the topic and focus of the study.
• The title is meaningful and complete.
• It reflect aim and objective of the study.
• The title looks catchy.
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11. •
• Contd...
• The title is not too lengthy.
• It clarifies study population and indicate research question.
• It doesn’t give idea about the study design.
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12. •
• Authors
Wafaa Yousif Abdel Wahed
• Doctor degree in public health from Cairo University, Assistant professor
of Public Health and Community Medicine, Department of Public Health
and Community Medicine, Fayoum University, Egypt.
• 32 publications, 13,815 reads and 185 citations. (Source: ResearchGate)
Safaa Khamis Hassan
• Department of Community Health, Fayoum University, Egypt.
• 4 publications, 3,091 reads and 108 citations. (Source: ResearchGate)
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13. •
• Critical Appraisal of Authors
• Total number of authors: 2
• Their department of work is mentioned.
• Author’s area of expertise is also mentioned.
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14. •
• Abstract
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15. •
• Critical Appraisal of Abstract
• It is structured.
• It is informative abstract.
• It is giving the gist of the whole text.
• The information given in abstract match with what is present in detail
text.
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16. •
• Introduction
• Mental health disorders according to World Health Organization (WHO)
are the one of the leading causes of disability.
• Three of the ten leading causes of disability in people between the age 15
and 44 are mental disorders.
• The mental health issues are increasing in number on college campuses.
• A review of psychological distress among medical students found a high
prevalence of depression and anxiety.
• The study aimed to explore magnitude of psychological mood disorders
and its association with some factors such as sex, age, socio-economic
standard and obesity.
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17. •
• Critical Appraisal of Introduction
• The introduction is meaningful.
• It is built on existing literature.
• It is logically presented.
• The citations are followed with correct references in the list of references.
• It has represented need for the study.
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18. •
• Materials and Methods
• Study area: Egypt
• Study period: January to April, 2015.
• Study population: Medical students aged from 18 to 22 years from first to
fourth academic years of Fayoum University, Egypt.
• Sampling method: purposive sample
• Sample size: 442 medical students
• Study design: Cross-sectional study
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19. •
• Contd…
• Measurements and Strategies: Self-administered questionnaire, DASS-21,
and weight was measured by standing weighing machine and height and
waist circumference was measured by standard measuring tape.
• Software used: Data were analyzed using SPSS 16.0 software.
• Ethical approval: Medical Research and the Ethical Committee of Faculty
of Medicine, Fayoum University and verbal consent from all participants.
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20. Critical Appraisal of research design, sample and materials
and methods
• The design is appropriate for studying the research problem.
• Sample is representative of population.
• The sample size is calculated using statistical calculation.
• The methods are appropriate.
• The methods are described in detail.
• The methods are in accordance with the ethical standards for protection of animal
and human subjects.
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21. •
• Contd……
• Exclusion criteria is not mentioned.
• Comparison between groups was done using Chi-square and Fisher’s
exact test for qualitative variables and Mann-Whitney and Kruskal-Wallis
tests for scores.
• Logistic regression was done to test for risk factors of stress, anxiety and
depression.
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22. •
• Results
• Prevalence of stress was 62.5%.
• Prevalence of depression was 60.2%.
• Prevalence of anxiety was 64.3%.
• Higher stress and anxiety scores were detected among obese and
overweight than normal students (p value 0.002 and 0.04).
• Higher stress and anxiety scores were significantly associated with female
sex, older age and BMI≥25 kg/m².
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23. •
• Contd…
• Higher depression score was associated with increasing age, low socio-
economic standard and other governorates.
• No association between depression and obesity was detected in the
results.
• Abdominal obese students detected by WC showed higher stress score
than normal students.
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24. •
• Critical Appraisal of Results
• The results are presented in logical and comprehensible manner.
• The important results are presented in both tables and text matter.
• The figure and tables are numbered properly and titled properly.
• The tables are simple and alignment of information properly done.
• The data given in text and tables match or tally with each other.
• The results are based on aims and objectives of the study.
• The tables are presenting both descriptive and inferential data.
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25. •
• Discussion
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26. •
• Critical Appraisal of Discussion
• Discussion is meaningful.
• It highlight the important findings of the study.
• There is enough explaination of all significant findings.
• The comparisons is logical and reasoned properly.
• The limitations of the study are presented in the discussions.
• It opens new vista for further research.
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27. •
• Conclusion and Recommendations
• A substantial proportion of Fayoum medical university students are
suffering from psychological disorders.
• The prevalence is more among females than males, with increasing age
and increasing BMI.
• Counselling and preventive mental health services should be essential
part of the routine investigation of medical students.
• Actions should be taken to encourage the students to seek help on
exposure to distress.
• Further studies should be done to identify different sources and causes of
stress especially related to academic and educational factors and the effect
different intervention measures to avoid or cope with the psychological
effect of the life tension.
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28. •
• Critical Appraisal of Conclusion and Recommendations
• The conclusions are meaningful.
• They are supported by the results drawn.
• They are based on aim and objective of the study.
• They have made appropriate suggestions and recommendations.
• The conclusion and recommendations can be believed.
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29. •
• References
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30. •
• Critical Appraisal of References
• The references for every citations are cited properly.
• The references are presented in Vancouver referencing style.
• The article includes 53 references.
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31. •
• Strengths
• The results of the article are based on its aim and objective.
• Appropriate suggestions and recommendations are made to take actions
and improve the mental health issues of students.
• The article encourages for further study.
• The authors declare that there are no conflict of interest.
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32. •
• Weakness
• Different sources and causes of stress especially related to academic and
educational factors are not studied.
• Fifth and sixth academic years even other faculties are not included in
this study.
• The relationship between obesity and psychiatric disorders has not been
clear.
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33. •
• Overall significance of the article
• Findings were believable.
• The study encourages to find new idea and objectives.
• The results of the study can be used for other studies.
• New research question is generated. For example; What are the academic
and educational factors to cause stress?
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34. Contribution of article to my research
• Research Tittle of my research: “Anxiety and its Associated factors among
Bachelor Level Students of Kathmandu Metropolitan City”.
• The research article is related to my research title so it helps to give idea
for conducting my research.
• The methodology of this article helps to give idea for my research.
• The article helps in literature review.
• The references used in this article helps in my research.
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35. •
•
THANK YOU
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36. •
•
ANY QUESTIONS???
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