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Applied biostatistics ( nb 3082). RESEARCH PROPOSAL PRESENTATION. Group members. Ho Sie Hong A114542 Kam Han Nee A110930 Hong Kai Yen A114169 Loh Jeik Pei A111157 Jocelyn Chan Yunn Ming A110755 Sharon Gwee Sian Khee A110782
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Applied biostatistics(nb 3082) RESEARCH PROPOSAL PRESENTATION
Group members • Ho Sie Hong A114542 • Kam Han Nee A110930 • Hong Kai Yen A114169 • LohJeik Pei A111157 • Jocelyn Chan Yunn Ming A110755 • Sharon Gwee Sian Khee A110782 • NurAfrizaMohdFaizalOng A114632 • NurNabilahNajib A115321 • NorulHidayuMohdNorapi A114419 • Nur ‘AmiraHarun A115049 • Wan NurLiyana Wan MohdKamil A114534 • SitiNoorhalizIlias A114912 • TohSiew Yean A114085 • Mas Ida Norani Mat Akhir A114707 • Parameswary A/P Velupillai A110742
“Knowledge, Attitude and practice (KAP) study on Dengue fever among 1st and 2nd year biomedical sciences students in ukm 2009”
INTRODUCTION • Research Justification • Literature Review • Mind-mapping • Objective – General and Specific • Hypothesis
Research justification • Due to the high prevalence of dengue fever in Malaysia. • High fatality dengue cases reported throughout Malaysia every year. • To find out whether the level of awareness about dengue fever in 2nd year is higher than 1st year Biomedical Sciences students • To create awareness towards the issue of dengue fever in the following aspects: -Risk factors -Signs and symptoms -Epidemiology -Precaution steps -Treatment • Hopefully, the result of this research is useful for future research in preventing dengue fever in order to improve Malaysian’s quality of life.
LITERATURE REVIEW • Definition • Dengue is a viral infection transmitted by mosquitoes, mainly the Aedesaegyptispecies. • The virus is contracted by mosquito bite but is not contagious, i.e. cannot be spread directly from person to person. • There are four strains or serotypes of dengue virus namely DEN-1, DEN-2, DEN-3 and DEN-4. • Infection with one of these serotypes does not provide cross-protective immunity, so a person living in an area where Dengue Fever transmission occurs can have four dengue fever infections during his or her lifetime.
Epidemiology • Dengue viruses occur in most tropical areas of the world. • Common in Africa, Asia, the Pacific, Australia, and the Americas. • In Malaysia: 1902 -> Earliest recorded case of dengue fever in Penang. 1962 -> First major dengue outbreak in Penang. 1973-> Nationwide outbreak in Kuala Lumpur
Dengue Cases In Malaysia From 1998-2008 Source from Ministry of Health Malaysia **Since 28ndDecember 2008 - 3rd Jan 2009, 1157 dengue fever cases with 4 fatality cases have been reported!**
Symptoms • Sudden high fever (39-41.5°C) for 2 to 7 days • Pain behind the eyes • Muscle/Joint/ Bone pain • Severe headache • Rash
Risk Factors • Live or travel in tropical areas • Stay in places with nearby stagnant water reservoirs and with no mosquito protection • Had dengue fever before • Young, white and female
Mind-mapping • location gender year race knowledge attitude practice
GENERAL OBJECTIVE • To study the current level of knowledge, attitude and practice among 1st and 2nd year Biomedical Sciences students in UKM 2009 about Dengue fever
Specific Objectives • To compare the knowledge, attitude and practice level on Dengue fever according to year of study • To compare the knowledge, attitude and practice level on Dengue fever according to gender • To compare the knowledge, attitude and practice level on Dengue fever according to races
Hypotheses • There is difference in the knowledge, attitude and practice level towards Dengue fever between the 1st and 2nd year students. • There is difference in the knowledge, attitude and practice level towards Dengue fever between male and female. • There is difference in the knowledge, attitude and practice level towards Dengue fever among the Chinese, Malays, Indians and others.
METHODOLOGY/PROCEDURE • Background • Research Design • Sampling Method • Materials/Methods Being Used • Research Analysis • Defining Variables • Inclusion Criteria
BACKGROUND • The respondents are 1st and 2nd year UKM Biomedical Sciences students in 2009. • They are from the Faculty of Allied Health Sciences in University Kebangsaan Malaysia (UKM), Campus Kuala Lumpur.
RESEARCH DESIGN • Cross-sectional studies • It is one of the observation studies in which the researcher just observes and analyses the researchable objects or situation but does not intervene. • It is used to analyze data collected on a group of 1st and 2nd year Biomedical Sciences students at one time only. • This study allows us to assess our respondent’s current level of knowledge, attitude and practice towards dengue fever.
Sampling method • Stratified Random Sampling - Aimed to reduce variation of the sample. • Target Population - All Biomedical Sciences students in UKM KKL. • Sample population - A group of 1st and 2nd year Biomedical Sciences students in UKM KKL.
Sample Size • By using stratified random sampling, we group the member of the population into H subgroups or strata (1st year & 2nd year biomedical students) before sampling. • The sample units in each stratum is homogeny. • Each subgroup (1st year or 2nd year) has a sample size of Nh. ~ Nh 1st year: 84 students ~ Nh 2nd year: 97 students
We then employ simple random sampling to choose our sample to be used in comparison by gender and race • Simple random sample of size nh is selected from each stratum. • Random number is used to obtain the sample. • The sampling fraction is nh/ Nh. • In general, the size of sample in each stratum is taken in proportion to the size of stratum.
In our research: ~ Nh 1st year: 84 students ~ Nh 2nd year: 97 students ~Total: 181 students • Total 1st year students = 84 students - sample size = 78 • total 2nd year students = 97 students - sample size = 83 • Total sample size =78 + 83 = 161 (According to the table of given population)
MATERIALs/METHODs BEING USED • Questionnaire forms - consist of 3 sections a) knowledge (multiple choice question) b) attitude (likert scales) c) practice (multiple choice question) - each section have their own score - from these questionnaire, data will be collected and analyze using SPSS.
Research analysis • Independent t-test - to compare means of 2 groups which are unpaired, having normal distribution and numerical scales - eg: compare means of KAP study between 1st and 2nd year biomedical students - if not normally distributed – Mann-Whitney test • One way ANOVA - comparing mean of more than 2 groups of an independent variables - eg: compare means of KAP study by races (Malay, Chinese, Indian and Others) • One Way Chi square - assesses whether the pattern of result matches or fits a predicted pattern. - for analysis of count or frequency eg: to determine frequency of students (male & female) whether there are any difference between those gender.
Defining variables • Dependent Variables: • knowledge, attitude and practice level towards Dengue fever • Knowledge - refers to the respondents’ understanding of any given topic- Dengue fever in this case • Attitude - refers to their feelings towards this subject, as well as any preconceived ideas that they may have towards it • Practice - refers to the ways in which they demonstrate their knowledge and attitude through their actions.
Independent Variables: • The gender and race of the respondents, their year of study and the location from where they originate • Gender – Male or Female • Race – Chinese, Malays, Indians or Others • Year of study – 1st or 2nd year UKM Biomedical Sciences students of session 2008-2009
INCLUSION Criteria • Inclusion Criteria • All 1st and 2nd year Biomedical Sciences students in UKM KKL
RESEARCH LIMITATIONs • Some respondents may not answer the questionnaires, not complete or cheating • No feedback from the respondents • Data may be too small
REFERENCES • http://www.sdnbd.org/dengue_fever.htm • http://www.geocities.com/prevent_dengue/informat.html • http://en.wikipedia.org/wiki/Dengue_fever • http://www.lawestvector.org/Dengue.htm • http://www.infosihat.gov.my/isusemasa.php?id=17 • http://www.myhealth.gov.my/myhealth/bm/template.jsp?showMe=28&storyid=1231474221719 • Utusan Malaysia.Jumaat.9 January 2009
QUESTIONAIRE PERSONAL DETAIL 1. Gender i male ii female 2. Year of study i first year ii second year 3. Race i Chinese ii Malay iii Indian iv Others
GENERAL INFORMATION 1. Do you ever have dengue fever before? i Yes ii No 2. Where do you get to know about dengue fever? i Friends and family ii Through the internet iii Mass media ( newspapers, television etc) iv Brochures and pamphlets v Education (school, public talks etc)
KNOWLEDGE 1. Dengue fever is an infection of i virus ii Bacteria iii Parasite iv Worm v Not sure 2. How does dengue fever transmitted? i Through person to person contact ii Through the bite of an infected mosquito iii Through sexual transmission iv Through food contamination v Not sure
3. Which genus of mosquito causes dengue fever? iAedes sp. ii Anopheles sp. iii Culex sp. iv Mansonia sp. v not sure 4. What are the common symptoms of the disease? i Stomachache ii Faint iii High fever iv Swelling v not sure
5. Which situation below favours the breeding of mosquito that causes dengue fever? i Clean and stagnant water ii Clean and running water iii Dirty and stagnant water iv Dirty and running water v not sure 6. Common dengue fever is also known as i Break-bone fever ii Break-joint fever iii Dengue haemorrhagic fever iv Dengue home fever v not sure
PRACTICE 1. What type of treatment or advice will you seek for when you suspect yourself of having dengue fever? i traditional medicine ii modern medicine iii seek for the witch advice iv take no action 2. When do you start consulting the adivce you choose above if you suspect yourself of having dengue fever? i bitten by mosquito (suspected aedes) ii having fever less than 3 days iii having fever more than 3 days iv rashes appear v joint pain
3. If you heard about dengue cases around you, what precaution steps do you take? (you can chose more than 1) i close the window during peak biting hours ii apply the mosquito repellent iii light up mosquito coil/spray mosquito aerosol iv use mosquito net v physical destruction vi take no action 4. If you heard about dengue cases among your friends, will you take the initiatives to find out more information regarding this disease i. Yes ii. No if yes, where will you obtain the information? i ask friends who know ii search internet/googling iii search from newspaper iv look up in library v go for medical advice
5. If you have sufficient knowledge about dengue fever, will you take the intiative to share with the people around you to increase their awareness towards the issue (especially during high incidents of dengue fever cases)? i. Yes ii. No if yes, what will you share i the causes of dengue fever ii precaution steps iii symtomps of dengue fever iv the effects of having dengue fever v others, please state___________________