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1. Journal Club Presentation
Presented By:
Tsering Wangmo Gurung
Roll No: 35
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
Tsering Wangmo Gurung
Symbol Number:17370212
PU registration number: 2016-1-37-0136
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3. Selected Article for Presentation
Devendra Raj Singh, Soniya Shrestha. Nutritional status of senior
citizens living in old age homes of Kathmandu metropolitan
municipality. International Journal of Community Medicine and Public
Health. July 2016;Vol 3. Issue 7: Page 1707-1715.
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4. Journal Information
• The International Journal of Community Medicine and
Public Health (IJCMPH) is an open access, international,
monthly, peer-reviewed journal.
• Here, articles of authors from India and abroad are
published with special emphasis on original research findings.
• The journal focuses on articles related to family health care,
epidemiology, biostatistics, public health administration, health care
delivery and many other health facts.
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5. Journal Information
• Issues: 12 per year
• Print ISSN: 2394-6032
• Online ISSN: 2394-6040
• DOI : 10.18203
• Publisher: Medip Academy
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6. Journal Information
The journal is indexed with:
• National Library of Medicine (NLM) Catalog
• Index Copernicus
• Index Medicus for South-East Asia Region (WHO)
• ScopeMed
• Google Scholar and 8 other sites
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7. Journal Information
• The journal accepts manuscript submissions through online
submissions.
• The journal charges a publication fee of Rs 2500 for Indian authors
and $70 for Non-Indian authors.
• The articles in this journal are published after peer reviewing, under
the “Blind Review” process.
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8. Journal Information
Journal Editorial Team
• Editor-in-Chief: Ahmedabad, India
• Associate Editor: Dr Purushottam A. Giri, Department of Community
Medicine, IIMSR Medical College, Badnapur, Jalna, India
• Editors: Dr. Arun K. Aggarwal, Professor, School of Public Health,
PGIMER, Chandigarh, India and 14 other editors.
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9. Critical Appraisal of Journal
• Peer-reviewed and open access journal
• Paid journal
• Indexed with ScopMed and many other sites
• Important information like impact factor, acceptance/rejection rate are
missing.
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10. Tittle of Article
Nutritional status of senior citizens living in old age homes of
Kathmandu metropolitan municipality
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11. Critical Appraisal of Tittle
• Kathmandu Metropolitan and Municipality? Title states both.
• The title indicates the topic and focus of the study.
• It also indicates the research question.
• The title clearly reflects aim and objectives of the study.
• The title gives the idea of study population and study setting.
• The title is neither long nor short and it does look catchy.
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12. Authors
Devendra Raj Singh
• Purbanchal University, Asian College for Advance Studies,
Department of Public Health, Satdobato, Lalitpur, Nepal
• Public health professional and graduated with MSc Health
Promotion and Public Health and MA in Social Science
• Total 40 publications till the date with 12,133 read and 69 citation.
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13. Contd…
Soniya Shrestha
• Pokhara University, National Open College, Department of Public
Health, Sanepa, Lalitpur, Nepal
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14. Critical Appraisal of Authors
• The names of authors are mentioned clearly.
• The credential of only one author is available.
• The author’s affiliation noted for are Purbanchal University and
Pokhara University, Department of Public Health.
• The author’s current position, past experience and area of expertise
are mentioned.
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15. Abstract
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16. Critical Appraisal of Abstract
• The abstract of the article is structured.
• The abstract is informative .
• It is comprehensive in its contents.
• The abstract is short and as per guideline. ???
• It clearly gives the gist of the whole study.
• The abstract slightly doesn’t matches with the entire text of the article.
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17. Introduction
• People aged 60 years and above are called as elderly or senior citizens in the
context of Nepal.
• Ageing is natural, dynamic, unescapable and transitional process globally.
• The ageing population is expanding worldwide at great extend at both the
developed and developing countries.
• In Nepal, the Central Bureau of Statistics (2011) reported that the
percentage of senior population increased from 5.0% during 1952-54 to
8.1% in 2011 accounting for an increase of nearly 2.46 millions old age
population in Nepal.
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18. Contd…
• Factually, ageing is vastly accompanied by long list of acute and
chronic diseases leading to financial and health burden to each
individual and the nation at large.
• Health status of senior decline to great extend physically and
psychologically.
• Certainly, it is hard to assess the nutritional status of senior population
but then the development of MNA tools has made the task easy and
feasible to assess.
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19. Condt…
• The MNA is a practical, non-invasive technique for rapidly evaluating
potential risk of malnutrition in the elderly.
• The sum of the MNA score distinguishes between the following
groups of elderly patients:
• MNA score indicates:
Those with adequate nutritional status: MNA ≥24.
Those at risk of malnutrition: MNA between 17 and 23.5.
Those with frank malnutrition: MNA <17. 23.
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20. Critical Appraisal of Introduction
• The introduction is meaningful and is built on existing literature.
• The introduction is logically presented with opening, body and
termination like need for the study.
• All the citations are followed with correct references in the list of
references.
• However, the research question or hypothesis are not stated in the
introduction.
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21. Materials and methods
Target population Senior citizens
Study setting Old age homes at Kathmandu metropolitan
Study population Senior citizens dwelling at old age homes
of Kathmandu metropolitan
Sampling frame Senior citizens dwelling at old age homes
of Kathmandu metropolitan
Sample size 205 senior population
Study design A descriptive cross-sectional study design
Sampling Technique Simple randomization is applied in this
study for the selection of participants for
the study
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22. Contd…
• Inclusion Criteria: Population aged 60 and above
• Exclusion Criteria: Senior citizens with cognitive impairment were
not included in the study.
• Pretesting: Questionnaire pretesting was carried at different small
scale old age home in Kathmandu
• Tools: MNA tool was used
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23. Contd…
• Statistical Analysis: SPSS vs. 16 and Ms-Excel 2007 was used to
analyze the collected data. Bivariate analysis was done using chi-
square test to find the association between the selected variables.
• Measurement strategies and calibration: Anthropometric measuring
tools were calibrated quite often before use and also the questionnaire
tools were pretested.
• Ethical approval: It is taken from institutional ethical committee of
National Open College, Pokhara University, written consent from old
age homes and verbal consent from all the participants.
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24. Critical Appraisal of Materials and Methods
• The study design of the research is appropriate as per the research
problem.
• The sample is representative of the population of interest.
• The tool used is standard and validated tools.
• The methods incorporated are appropriate and are explained in detail
as far as practicable.
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25. Results
• Of total 205 participants, 16.6% were young olds, 40% were middle
olds while 43.4% were very olds.
• The majority of the respondents 67.1% were non-smokers, 19.7%
were smokers, while 13.1% were ex-smokers.
• 95.3% didn’t drink alcohol while 4.2% drank occasionally.
• 39.9% were hypertensive, only 9.9% were diabetic and 20.7% had
respiratory diseases.
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26. Contd…
• In the case of nutritional status, 23.5% had normal nutritional status, .
61% were at risk of malnutrition and 15.5% of the respondents were
malnourished.
• There is association between age and nutritional status and also
association between smoking status and nutritional status.
• Also there lies direct association between education and nutritional
status.
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27. Critical Appraisal of Results
• The results are presented in logical and comprehensible manner.
• All the data are presented in tabular form only and are titled properly
but then they aren’t numbered properly.
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28. Contd…
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29. Contd…
• Only some tables are described underneath and rest are left
unexplained.
• All the tables are simple and alignment of information are properly
done.
• The text and data of tables explained matches each other.
• Certainly, the results are based on aim and objectives of the study.
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30. Discussion
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31. Contd…
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32. Contd…
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33. Critical Appraisal of Discussion
• The discussion of the article is meaningful and has highlighted the
important findings of the study.
• All the significant findings have enough explanation with logical
comparison and are reasoned properly.
• There isn’t any sort of limitations presented in the discussion.
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34. Conclusion
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35. Recommendation
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36. Critical Appraisal of Conclusion
• Certainly, the conclusions are meaningful.
• The conclusion is supported by the results drawn.
• The research question has been answered.
• They have made appropriate suggestions and recommendations .
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37. References
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38. Critical Appraisal of References
• The references are for every citation in the text part of the article.
• Total 39 secondary references are present in this article.
• All the references are accurate references and is enough for the recent
publications.
• They were cited in Vancouver style which is a scientific convention.
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39. Strengths
• The article is a reliable and useful source of information for academic
and non academic purposes.
• The article somehow reflects the nutritional status of senior population
of Nepal.
• The article contributed in the health sector particularly centralizing the
health of senior population.
• The article have recommended some initiatives to be taken for healthy
ageing.
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40. Strengths
• The article has sensitized health research sectors about the importance
of serious research and studies to done among the senior population.
• Here, an authentic and scientific research design and methods have
been applied.
• The participants and other related bodies are made aware of
importance of senior health and healthy ageing ways.
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41. Weaknesses
• The article has some error like table number and the total number of
participants.
• Explanation of only few tables are done.
• The research is not generizable as the sample size is small.
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42. Overall significance of the article
• The findings of the article are believable and very much related and
matching with the findings of some other research conducted with
nation.
• Certainly, the article is a matter of great contribution to the scientific
society
• Different strategies can be generated from the articles for the
betterment of senior population.
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43. My Research Title
“Dietary Practice and Nutritional
Status of Senior Citizens of
Lomanthang Rural Municipality,
Mustang”
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44. Contribution to My Research
• Sampling techniques and tool can be used similarly in my research.
• Findings of the article can be compared with that of my study.
• Will give wide range of idea about many variables associated.
• Will be helpful for finding many other sources for my title explore.
• Will be helpful for overall conduction of the research.
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45. Questions?
Quarries?
Suggestions?
Feedbacks?
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46. Thank You!
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