Tagged / Dr. Nirmal Aryal

Presenting BU’s kidney disease research in Manchester

Tuesday 18th March Drs. Pramod Regmi and Nirmal Aryal from the Department of Nursing Sciences presented our work on risk of kidney disease in Nepalese migrant workers in the Middle East and Malaysia.  The presentation was at the Project Impact Seminar in the Whitworth Gallery in Manchester organised by  The Colt Foundation, the funder of our research.

The title was: ‘Risk of kidney injury among returnee Nepalese migrants: a mixed-methods’ which was conducted in the one of areas of Nepal with a high proportion of people working abroad as migrant labourers.  Over the past decade there have been increasing concerns about possible chronic kidney disease (CKD) in migrant workers returning to Nepal. 

This important study has resulted in one publication in PLoS One  (1) and one more recently submitted.  The event was good for networking to discuss possible collaborations.  We also had the pleasure of meeting former colleagues from the University of Aberdeen, now based at the University of Stirling.  This dissemination event is the latest in a long line of research publications focusing on the health and well-being of migrant workers from Nepal from the BU team in the Faculty of Health & Social Sciences [1-35].

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

 

References:

  1. Regmi, P.Aryal, N., Bhattarai, S., Sedhain, A., KC, R.K. and van Teijlingen, E. (2024) Exploring lifestyles, work environment and health care experience of Nepalese returnee labour migrants diagnosed with kidney-related problems, PLoS One 19(8): e0309203. https://doi.org/10.1371/journal.pone.0309203
  2. Paudyal, P., Wasti, S.P., Neupane, P., Sapkota, J.L., Watts, C., Kulasabanathan, K., Silwal, R., Memon, A., Shukla, P., Pathak, R.S., Michelson, D., Beery, C., Moult, A., Simkhada, P., van Teijlingen, E., Cassell, J. 10, (2025) Coproducing a culturally sensitive storytelling video intervention to improve psychosocial well-being: a multimethods participatory study with Nepalese migrant workers, BMJ Open 15:e086280. doi: 10.1136/bmjopen-2024-086280
  3. Mahato, P., Bhusal, S., Regmi, P.,  van Teijlingen, E. (2024). Health and Wellbeing Among Nepali Migrants: A Scoping Review. Journal of Health Promotion12(1): 79–90. https://doi.org/10.3126/jhp.v12i1.72699
  4. Paudyal, A.R., Harvey, O., van Teijlingen, E., Regmi, P. R., Sharma, C. (2024). Returning Home to Nepal after Modern Slavery: Opportunities for Health Promotion. Journal of Health Promotion12(1): 125–132. https://doi.org/10.3126/jhp.v12i1.72713
  5. Simkhada, P.P., van Teijlingen, E., Gurung, M., Bhujel, S., Wasti, S.P. (2024) Workplace harassment faced by female Nepalese migrants working aboard, Global Health Journal 8(3): 128-132. https://www.sciencedirect.com/science/article/pii/S241464472400040X
  6. Regmi, P.Aryal, N.van Teijlingen, E., KC, R.K., Gautam, M. and Maharjan, S. (2024). A Qualitative Insight into Pre-Departure Orientation Training for Aspiring Nepalese Migrant Workers. Tropical Medicine and Infectious Disease, 9 (7).
  7. Chaudhary, M.N., Lim, V.C., Faller, E.M., Regmi, P.Aryal, N., Zain, S.N.M., Azman, A.S. and Sahimin, N. (2024). Assessing the basic knowledge and awareness of dengue fever prevention among migrant workers in Klang Valley, Malaysia. PLoS ONE, 19 (2).
  8. Aryal, N.Regmi, P., Adhikari Dhakal, S., Sharma, S. and van Teijlingen, E. (2024). Moral panic, fear, stigma, and discrimination against returnee migrants and Muslim populations in Nepal: analyses of COVID-19 media content. Journal of Media Studies, 38 (2), 71-98.
  9. Chaudhary, M.N., Lim, V.C., Sahimin, N., Faller, E.M., Regmi, P.Aryal, N. and Azman, A.S. (2023). Assessing the knowledge of, attitudes towards, and practices in, food safety among migrant workers in Klang Valley, Malaysia. Travel Medicine and Infectious Disease, 54.
  10. Adhikari, Y., Regmi, P., Devkota, B. and van Teijlingen, E. (2023). Forgotten health and social care needs of left-behind families of Nepali migrant workers. Journal of Health Promotion, 10, 1-4.
  11. Regmi, P., Simkhada, P., Aryal, N., van Teijlingen, E. (2022) Excessive mortalities among migrant workers: the case of the 2022 FIFA World Cup. Europasian Journal of Medical Sciences, 4:31-32. https://doi.org/10.46405/ejms.v4i0.455
  12. Regmi, P., Dhakal Adhikari, S., Aryal, N., Wasti, S.P., van Teijlingen, E. (2022) Fear, Stigma and Othering: The Impact of COVID-19 Rumours on Returnee Migrants and Muslim Populations of Nepal, International Journal of Environmental Research & Public Health 19(15), 8986; https://doi.org/10.3390/ijerph19158986
  13. Simkhada, P., van Teijlingen, E. and Regmi, P. (2022). Migrant Workers in Qatar: Not just an important topic during the FIFA World Cup 2022. Health Prospect: Journal of Public Health, 21 (3), 1-2.
  14. Simkhada, B., Sah, R.K., Mercel-Sanca, A., van Teijlingen, E., Bhurtyal, Y.M. and Regmi, P. (2021). Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population. Journal of Immigrant and Minority Health, 23 (2), 298-307.
  15. Aryal, N., Sedhain, A., Regmi, P.R., KC, R. K., van Teijlingen, E. (2021). Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists. Asian Journal of Medical Sciences, 12(12), 126–132. https://doi.org/10.3126/ajms.v12i12.39027
  16. Aryal, N., Regmi, P.R., Sedhain, A., KC, R.K., Martinez Faller, E., Rijal, A., van Teijlingen, E. (2021) Kidney health risk of migrant workers: An issue we can no longer overlook. Health Prospect 20(1):15-7
  17. Aryal, N.Regmi, P.R.van Teijlingen, E.Trenoweth, S., Adhikary, P. and Simkhada, P., (2020). The impact of spousal migration on the mental health of Nepali women: A cross-sectional study. International Journal of Environmental Research and Public Health, 17 (4).
  18. Regmi, P., Aryal, N., van Teijlingen, E., Adhikary, P. (2020) Nepali migrant workers and the need for pre-departure training on mental health: a qualitative study, Journal of Immigrant & Minority Health https://link.springer.com/content/pdf/10.1007/s10903-019-00960-z.pdf
  19. Adhikary, P., Aryal, N., Dhungana, R.R., KC, R.K., Regmi, P., Wickramage, K.P., Duigan, P., Inkochasan, M., Sharma, G.N., Devkota, B., van Teijlingen, E. and Simkhada, P. (2020). Accessing health services in India: Experiences of seasonal migrants returning to Nepal. BMC Health Services Research, 20 (1), 992.
  20. Regmi, P.van Teijlingen, E.Mahato, P.Aryal, N., Jadhav, N., Simkhada, P., Zahiruddin, Q.S., Gaidhane, A. (2019) The Health of Nepali Migrants in India: A Qualitative Study of Lifestyles and Risks. International Journal of Environmental Research and Public Health16 (19). https://doi.org/10.3390/ijerph16193655
  21. Adhikary P, van Teijlingen E. (2019) Support networks in the Middle East & Malaysia: A qualitative study of Nepali returnee migrants’ experiences’ – International Journal of Occupational Safety and Health  9(2): 31-35.
  22. Aryal, N., Regmi, P.R., Faller, E.M., van Teijlingen, E., Khoon, C.C., Pereira, A., Simkhada, P. (2019) Sudden cardiac death and kidney health related problems among Nepali migrant workers in Malaysia. Nepal Journal of Epidemiology9 (3), 788-791. https://doi.org/10.3126/nje.v9i3.25805
  23. Adhikary P, van Teijlingen E., Keen S. (2019) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant & Minority Health 21(5): 1115–1122. https://link.springer.com/article/10.1007/s10903-018-0801-y
  24. Dhungana, R.R., Aryal, N., Adhikary, P., Kc, R.K., Regmi, P.R., Devkota, B., Sharma, G.N., Wickramage, K., Van Teijlingen, E. and Simkhada, P. (2019). Psychological morbidity in Nepali cross-border migrants in India: A community based cross-sectional study. BMC Public Health, 19 (1).
  25. Aryal, N.Regmi, P.R.van Teijlingen, E., Simkhada, P. and Mahat, P. (2019). Adolescents left behind by migrant workers: a call for community-based mental health interventions in Nepal. WHO South-East Asia journal of public health, 8 (1), 38-41.
  26. Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A survey of health problems of Nepalese female migrants workers in the Middle-East & Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro.
  27. Simkhada, P., van Teijlingen, E., Sharma, A., Bissell, P., Poobalan, A., Wasti, S.P. (2018) Health consequences of sex trafficking: A systematic review, Journal of Manmohan Memorial Institute of Health Sciences4(1): 130-49.
  28. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health & Social Care 14(1): 96-105 https://doi.org/10.1108/IJMHSC-12-2015-0052
  29. Adhikary, P, Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: accidents among Nepalese migrant workers in Malaysia, Qatar & Saudi Arabia, Health Prospect 16(2): 3-10.
  30. Simkhada, P.P., Regmi, P.R.van Teijlingen, E.Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health and well-being: A review of the literature. Journal of Travel Medicine24 (4). https://doi.org/10.3126/nje.v9i3.25805
  31. Aryal, N., Regmi, PR., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, YKD., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.
  32. Aryal, N., Regmi, PR., van Teijlingen, E., Dhungel, D., Ghale, G., Bhatta, GK. (2016) Knowing is not enough: Migrant workers’ spouses vulnerability to HIV SAARC Journal of Tuberculosis, Lung Diseases & HIV/AIDS 8(1):9-15.
  33. Adhikary P., Keen S., van Teijlingen E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-75.   www.hsj.gr/volume5/issue3/532.pdf
  34. van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Responsewww.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
  35. Adhikary, P., Simkhada, P.P., van Teijlingen E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights 8(6). Web address: www.biomedcentral.com/1472-698X/8/6.

 

Media coverage BU’s kidney research in Nepal

This week Bournemouth University organised two dissemination events for our risk of kidney disease study in Nepalese migrant workers in the Middle East and Malaysia.  A previous blog reported on the first event in the capital Kathmandu (see details here!) .  These dissemination events have generated a loads of media coverage in Nepal, both in Nepali and in English. 

The study was led by Bournemouth University and a charity in Nepal which whom we have been collaborating for two decades, called Green Tara Nepal.  This important study, the first of its kind, was conducted among the Nepalese migrant workers and a comparison group of non-migrants from the same community.  This study was funded by The Colt Foundation, based in the UK. In the field it was supported by the Madhes Province Public Health Laboratory, the United Nations’ International Organization for Migration and University College London (UCL).

Dr Pramod Raj Regmi (Principal Academic in International Health in Bournemouth University’s Department of Nursing Sciences) is the lead researcher and our team further comprises researchers Dr Nirmal Aryal and Prof Edwin van Teijlingen (both from BU’s Faculty of Health & Social Sciences), and in Nepal clinicians: Prof Dr Arun Sedhai, Dr Radheshyam KC and Dr Shrawan Kumar Mishra.

 

 

 

Prof Edwin van Teijlingen

Centre for Midwifery & Women’s Health

British Academy Writing Workshop in Nepal in 2022

Two days ago one of the participants of our British Academy funded Academic Writing Workshops announced on Facebook that the paper, we had helped her put together, had been published in a peer-reviewed journal.  It is satisfying to see the fruits of our labours in print following two sets of three-day workshops in Kathmandu and Pokhara.  The team running the 2022 workshop comprised three Faculty of Health & Social Sciences’ (FHSS) staff: Dr. Shovita Dhakal Adhikari, Dr. Pramod Regmi, and Prof. Edwin van Teijlingen, and our colleague Dr. Rashmee Rajkarnikar at Nepal’s oldest and largest university (Tribhuvan University) and BU’s Visiting Faculty Dr. Emma Pitchforth, who is Senior Lecturer and Senior Research Fellow in Primary Care at the University of Exeter.  Dr. Shovita Adhikari has since left Bournemouth University to become Senior Lecturer in Criminology & Sociology at London Metropolitan University.

Over the years our team has published a wide range of papers on many aspects of academic writing [1-38].  The authors include: Prof. Vanora Hundley [3-5,8-9,14,16-19,21,23,28-33,36], Dr. Orlanda Harvey [2,22, ], Dr. Pramod Regmi [2,7,13-14,17,22,24-25 ], Dr. Rachel Arnold [20], Dr. Alison Taylor, Dr. Nirmal Aryal [14,24], Prof. Edwin van Teijlingen, PhD student Mrs. Sulochana Dhakal-Rai [8] all in FHSS, Prof. Ann Luce in the Media School [5] and Dr. Shanti Shanker in the Department of Psychology [6] as well as several BU Visiting Faculty: Dr. Brijesh Sathian [1,7-8,21,31,34], Dr. Shovita Dhakal Adhiikari [24-25 ], Dr. Preeti Mahato [11,20, ], Prof. Padam Simkhada [3-4,6,8-9,13,16-19,21,23,25-31,34 ], Dr. Emma Pitchforth [11-12,37], Prof. Bhimsen Devkota [12,16 ], Prof. Sujan Marahatta [7], Dr. Bibha Simkhada [9,14,25,27,29] and Ms. Jillian Ireland [8,20,22,27,31].
has build up capacity in academic writing and publishing in Nepal on many occasions and at many different institutions.  This grant allow us to offer a more systematic approach to capacity building in academic writing, and it build a growing number of paper published by FHSS staff on various aspects of academic writing and publishing.
Prof. Edwin van Teijlingen
Centre for Midwifery, Maternal & Perinatal Health

References:

  1. Sathian B, van Teijlingen E, Banerjee I, Kabir R. (2022) Guidance to applying for health research grants in the UK. Nepal J Epidemiol 12(4):1231-1234.
  2. Harvey, O., Taylor, A., Regmi, P.R., van Teijlingen, E. (2022) Struggling to reply to reviewers: Some advice for novice researchers. Health Prospect, 21(2):19-22.
  3. van Teijlingen, E., Hundley, V., Simkhada, P.P., Wasti, S.P. (2022) Introduction, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 1-4.
  4. Simkhada, P., van Teijlingen, E., Hundley, V., Swoveet, P. (2022) Writing an Academic Paper, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 6-14.
  5. Hundley, V., Luce, A., Simkhada, P., van Teijlingen, E. (2022) Collaborative Writing for Publication, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 15-19.
  6. van Teijlingen, E., Simkhada, P., Shanker, S. (2022) Selecting an Appropriate Journal and Submitting your Paper, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 20-31.
  7. van Teijlingen, E., Thapa, D., Marahatta, S.B., Sapkota, J.L., Regmi, P. Sathian, B. (2022) Editors and Reviewers: Roles and Responsibilities, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 32-37.
  8. van Teijlingen, E., Ireland, J., Hundley, V, Dhakal Rai, S., Simkhada, P., Sathian, B. (2022) Identifying an appropriate Title, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 39-47.
  9. Simkhada, P., van Teijlingen, E., Hundley, V., Simkhada, B, Acharya D.R. (2022) Writing an Abstract for a Scientific Conference, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 48-56.
  10. Subedi, M., van Teijlingen, E., Baniya J., Sijapati, B. (2022) Writing the Introduction and Background, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 57-67.
  11. van Teijlingen, E., Pitchforth, E., Keenan Forrest, K., Mahato, P. (2022) Writing a Qualitative Paper, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 88-97.
  12. Wasti, S.P, Devkota, B., Bhatta, D.N., Pitchforth, E., van Teijlingen, E. (2022) Writing the Introduction and Background, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 112-120.
  13. Regmi, P., van Teijlingen, E., Simkhada, P. (2022) Writing up the Discussion, Conclusion and Recommendations, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 121-129
  14. Aryal, N., Regmi, P.R., Simkhada, B., Subedi, M., van Teijlingen, E., Wasti, S.P., Hundley, V, Khatri, R. (2022) Being Ethical in Writing and Publishing, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 153-161.
  15. van Teijlingen, E., Venter, K. (2022) Writing a Book Review, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 162-167.
  16. Devkota, B., Simkhada, P., van Teijlingen, E., Hundley, V, Wasti, S.P. (2022) Writing a Research Proposal, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 168-175.
  17. Wasti, S.P. Regmi, P.R., Simkhada, P., van Teijlingen, E., Hundley, V. (2022) Writing a PhD Proposal, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 176-183.
  18. Hundley, V., Simkhada, P., van Teijlingen, E. (2022) Converting your Master’s or Doctoral Thesis into an Academic Paper for Publication, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 184-189.
  19. van Teijlingen, E., Hundley, V., Simkhada, P., Acharya, J., Silwal, R.C., Wasti, S.P. (2022) Academic Writing: Final Thoughts, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 201-20
  20. Arnold, R., Ireland, J., Mahato, P., van Teijlingen, E. (2022) Writing and publishing a reflective paper: Three case studiesWelhams Acad J 1(1): 4-11.
  21. van Teijlingen, E., Hundley, V, Sathian, B., Simkhada, P., Robinson, J., Banerjee, I. (2022) The Art of the Editorial Nepal J Epidemiol12(1): 1135–38.
  22. Harvey, O., van Teijlingen, A., Regmi, P.R., Ireland, J., Rijal, A., van Teijlingen, E.R. (2022) Co-authors, colleagues, and contributors: Complexities in collaboration and sharing lessons on academic writing Health Prospect 21(1):1-3.
  23. Wasti, S.P., van Teijlingen, E., Simkhada, P., Hundley, V. with Shreesh, K. (2022) Writing and Publishing Academic Work, Kathmandu, Nepal: Himal Books
  24. van Teijlingen, E.R., Dhakal Adhikari, S., Regmi, P.R., van Teijlingen, A., Aryal, N., Panday, S. (2021). Publishing, identifiers & metrics: Playing the numbers game. Health Prospect20(1). https://doi.org/10.3126/hprospect.v20i1.37391
  25. Adhikari, S. D., van Teijlingen, E. R., Regmi, P. R., Mahato, P., Simkhada, B., & Simkhada, P. P. (2020). The Presentation of Academic Self in The Digital Age: The Role of Electronic Databases. Int J Soc Sci Management7(1), 38-41. https://doi.org/10.3126/ijssm.v7i1.27405
  26. van Teijlingen, E, Simkhada, PP, Rizyal A (2012) Submitting a paper to an academic peer-reviewed journal, where to start? (Guest Editorial) Health Renaissance 10(1): 1-4.
  27. van Teijlingen, E, Simkhada. PP, Simkhada, B, Ireland J. (2012) The long & winding road to publication, Nepal Epidemiol 2(4): 213-215 http://nepjol.info/index.php/NJE/article/view/7093/6388
  28. Hundley, V, van Teijlingen, E, Simkhada, P (2013) Academic authorship: who, why and in what order? Health Renaissance 11(2):98-101 www.healthrenaissance.org.np/uploads/Download/vol-11-2/Page_99_101_Editorial.pdf
  29. Simkhada, P., van Teijlingen E., Hundley, V., Simkhada, BD. (2013) Writing an Abstract for a Scientific Conference, Kathmandu Univ Med J 11(3): 262-65. http://www.kumj.com.np/issue/43/262-265.pdf
  30. Simkhada P, van Teijlingen E, Hundley V. (2013) Writing an academic paper for publication, Health Renaissance 11(1):1-5. www.healthrenaissance.org.np/uploads/Pp_1_5_Guest_Editorial.pdf
  31. van Teijlingen, E., Ireland, J., Hundley, V., Simkhada, P., Sathian, B. (2014) Finding the right title for your article: Advice for academic authors, Nepal Epidemiol 4(1): 344-347.
  32. van Teijlingen E., Hundley, V., Bick, D. (2014) Who should be an author on your academic paper? Midwifery 30: 385-386.
  33. Hall, J., Hundley, V., van Teijlingen, E. (2015) The journal editor: friend or foe? Women & Birth 28(2): e26-e29.
  34. Sathian, B., Simkhada, P., van Teijlingen, E., Roy, B, Banerjee, I. (2016) Grant writing for innovative medical research: Time to rethink. Med Sci 4(3):332-33.
  35. Pradhan, AK, van Teijlingen, ER. (2017) Predatory publishing: a great concern for authors, Med Sci 5(4): 43.
  36. van Teijlingen, E, Hundley, V. (2002) Getting your paper to the right journal: a case study of an academic paper, J Advanced Nurs 37(6): 506-11.
  37. Pitchforth, E, Porter M, Teijlingen van E, Keenan Forrest, K. (2005) Writing up & presenting qualitative research in family planning & reproductive health care, Fam Plann Reprod Health Care 31(2): 132-135.
  38. van Teijlingen, E (2004), Why I can’t get any academic writing done, Medical Sociol News 30(3): 62-63. britsoc.co.uk/media/26334/MSN_Nov_2004.pdf