Tagged / Health

New paper on Nepal by FHSS’s Dr. Nirmal Aryal

international, Publishing, writing

Many congratulations to Dr. Nirmal Aryal, postdoctoral researcher in FHSS for his new publication ‘Blood pressure and hypertension in people living at high altitude in Nepal’ in Hypertension Research [1]. Hypertension Research is a prestigious journal published by Nature (Impact Factor of 3.4).

This is the first study of its kind to collect cardiovascular disease and risk factors related information at four different altitude levels above or equal to 2800 m and from ethnically diverse samples. This paper highlighted that despite known hypoxia-induced favourable physiological responses on blood pressure, high altitude residents (>2800 m) in Nepal might have an increased risk of raised blood pressure associated with lifestyle factors and clinicians should be aware of it. The authors previously published a systematic review paper summarizing global evidence on the relationship between blood pressure and high altitude [2].

This publication is available online at: https://www.nature.com/articles/s41440-018-0138-x and pre-refereed version is available in BURO.

Well done!

Dr. Pramod Regmi & Prof. Edwin van Teijlingen

 

References:

  1. Aryal N, Weatherall M, Bhatta YKD, Mann S. Blood pressure and hypertension in people living at high altitude in Nepal. Hypertension Res 2018 doi: 10.1038/s41440-018-0138-x[published Online First: Epub Date]|
  2. Aryal N, Weatherall M, Bhatta YKD, Mann S. Blood pressure and hypertension in adults permanently living at high altitude: a systematic review and meta-analysis. High Alt Med Biol 2016; 17: 185-193.

Training opportunity – completing and submitting your IRAS application

NHS, Research Ethics, Training

Are you currently in the process of designing, setting up or planning your research study, and would like to extend your project into the NHS?

Yes? Then you may want to take advantage of this training opportunity.

Oliver Hopper (Research & Development Coordinator, Royal Bournemouth and Christchurch Hospital) and Suzy Wignall (Clinical Governance Advisor, R&KEO)  will be running a training session on how to use, and complete your own application within the IRAS system.

IRAS (Integrated Research Application System) is the system used to gain approvals from the NHS Research Ethics Committee and Health Research Authority, before rolling out your study to NHS Trusts. To support this, the session will include the background to research ethics and the approvals required for NHS research.

The session will also be interactive, and so as participants, you will have the opportunity to go through the form itself and complete the sections, with guidance on what the reviewers are expecting to see in your answers, and tips on how to best use the system.

The training will take place in Studland House – Lansdowne Campus, room 102 on Wednesday 5th December, at 09:30am – 12:30pm.

Get in touch with Research Ethics if you would like to register your interest and book a place.

Training opportunity – completing and submitting your IRAS application

NHS, Research Ethics, Training

Are you currently in the process of designing, setting up or planning your research study, and would like to extend your project into the NHS?

Yes? Then you may want to take advantage of this training opportunity.

Oliver Hopper (Research & Development Coordinator, Royal Bournemouth and Christchurch Hospital) and Suzy Wignall (Clinical Governance Advisor, R&KEO)  will be running a training session on how to use, and complete your own application within the IRAS system.

IRAS (Integrated Research Application System) is the system used to gain approvals from the NHS Research Ethics Committee and Health Research Authority, before rolling out your study to NHS Trusts. To support this, the session will include the background to research ethics and the approvals required for NHS research.

The session will also be interactive, and so as participants, you will have the opportunity to go through the form itself and complete the sections, with guidance on what the reviewers are expecting to see in your answers, and tips on how to best use the system.

The training will take place in Studland House – Lansdowne Campus, room 102 on Wednesday 5th December, at 09:30am – 12:30pm.

Get in touch with Research Ethics if you would like to register your interest and book a place.

Health Research Survey – have your say

Knowledge Exchange, NHS

Do you want to have a say in deciding priorities for health research? 

Have your say and rank priorities for research to help make care safer for adults with complex health needs. The list of priority areas in this survey was identified by patients, carers, the public and healthcare staff who filled out the first survey earlier this year. The survey is open to those not currently doing healthcare research.

The survey can be accessed here. Deadline: 12 November 2018

The NIHR Imperial Patient Safety Translational Research Centre, who are running this survey with the James Lind Alliance, will host a workshop on 17th December (London) with the results of this survey to come to a consensus for the top 10 areas for research. The results will be widely publicised to encourage research funding bodies and research teams to address these questions. It will also do research in some of these areas itself.

Dorset physio shares first experience as Principal Investigator on NIHR funded study

NHS

A recent article published on the Wessex Clinical Research Network website explores the experience of a local physiotherapist, based at Dorset County Hospital (DCH), who became the Principal Investigator for a clinical research study. Having undertaken the role for the first time, the article contains his experience of performing the duty and how this was balanced with his pre-existing clinical tasks and responsibilities.

The CORKA study investigates rehabilitation for patients that have undergone a knee arthoplasty and was the first collaborative study between DCH and Dorset Healthcare. To date the study has recruited over 300 participants.

Remember that support is on offer at BU if you are thinking of introducing your research ideas into the NHS – email the Research Ethics mailbox, and take a look at the Clinical Governance blog.

Good Clinical Practice refresher – Monday 12th November

NHS, Research Ethics, Training

Are you currently undertaking research within the NHS and your Good Clinical Practice (GCP) training is due to expire? Or has it expired recently?

GCP certification lasts for two years, so if your training is due to expire, has expired, or you want to validate your learning, then take advantage of the upcoming refresher half day session, taking place at Poole Hospital on Monday 12th November, 9am – 12:30pm.

Spaces are still remaining, so if you’d like to enrol, get in touch with Research Ethics or the Wessex Clinical Research Network.

Failing to publish data from clinical trials presents risk to human health

NHS, open access, Publishing, Research Ethics, Research Integritiy

A recent inquiry into research integrity was made earlier this year by the Science and Technology Committee, which revealed that nearly half of clinical trials fail to publish their results.

This lack of publishing has been deemed a risk to human health and a contributory factor in research wastage.

The article gives examples of a number of studies that are yet to be published, and how this activity ‘threaten(s) research integrity, and in some cases, endanger(s) human life’. The full article can be found here.

The University has administrative access to the ClinicalTrials.gov system – get in touch with us  if you are conducting clinical research, to ensure that you have access.

Nepal paper by Lesley Milne (CMMPH)

international, open access, Publishing, writing

Congratulations to Lesley Milne, senior lecturer in midwifery, on the acceptance of her latest paper on maternity care in Nepal.  This new paper ‘Gender inequalities and childbearing: A qualitative study of two maternity units in Nepal’ will appear soon in the Open Access publication: Journal of Asian Midwives [1].   This is the second publication from a qualitative research study undertaken in two birthing facilities in Kathmandu Valley to examine barriers to women accessing these services from the perspective of hospital staff [2].

The study received financial support from Wellbeing of Women and the RCM (Royal College of Midwives) as Lesley won their first International Fellowship Award.   The study was a collaboration led by Lesley in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) with two of FHSS’s Visiting Faculty, namely Prof. Padam Simkhada who is based at Liverpool John Moores University and Jillian Ireland, Professional Midwifery Advocate based at Poole NHS Hospitals Foundation Trust.

Well done!

Profs. Vanora Hundley & Edwin van Teijlingen

 

 

 

References

  1. Milne, L., Ireland, J., van Teijlingen, E., Hundley, V., Simkhada, P.P. (2018) Gender inequalities and childbearing: A qualitative study of two maternity units in Nepal, Journal of Asian Midwives (accepted).
  2. Milne, L., van Teijlingen, E., Hundley, V., Simkhada, P., Ireland, J. (2015) Staff perspectives of barriers to women accessing birthing services in Nepal: A qualitative study BMC Pregnancy & Childbirth 15:142 www.biomedcentral.com/1471-2393/15/142 .

FHSS student awarded Chiropractor of the Year 2018-19

Centre for Excellence in Learning, PG research, Student Engagement, student research

Congratulations to Amy Miller!   At the British Chiropractic Council’s annual conference 13-14th October, Bournemouth University PhD student Amy Miller was awarded the British Chiropractic Association’s award of ‘Chiropractor of the Year 2018-19’ for her contributions to research and engagement. 

Amy is based in the Faculty of Health & Social Sciences  (FHSS).  Her PhD is investigating an inter-professional student-led breastfeeding clinic for student learning, and breastfeeding outcomes and experiences.  Amy is supervised by Associate Professor Sue Way, Senior Lecturer in Midwifery Dr. Alison Taylor and Prof. Edwin van Teijlingen all based in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH). The British Chiropractic Association’s award for Chiropractor of the Year recognises individuals who have made a significant contribution to the profession.

 

 

SAIL meet in Hunstanton

innovation

Last week saw the bi-annual meeting of the Stay Active and Independent for Longer (SAIL) Research Team. Research colleagues from Belgium, the Netherlands and France travelled to Hunstanton, Norfolk to meet with UK partners from Norfolk County Council, University of East Anglia and Bournemouth University. The project is in 4 phases: Explore, Design and Develop, Test and Evaluate. October 2018 will see the SAIL project move into the third phase: Test. The visit to Hunstanton provided an opportunity to see at first hand the challenges which face the area in terms of supporting an aging population now and in the future. The Mayor of Hunstanton hosted an evening reception in the Town Hall to welcome the SAIL Research Team and to learn more about the progress which is being made.

Prof Ann Hemingway & Prof Adele Ladkin  meeting the Mayor of Hunstanton with Charlotte Watts, a project partner from Norfolk County Council.

Good luck today to our DEALTS 2 finalists for the 9th National Dementia Care Awards!

The Dementia Education And Learning Through Simulation 2 (DEALTS 2) programme has been shortlisted for the 9th National Dementia Care Awards 2018 in the Best Dementia Training Initiative category, which recognises the vital role of effective training in dementia care. Today is the judging day and the award will be made to an individual or organisation that can demonstrate the value of a training initiative which has been successfully implemented.

“I was over the moon when I found out DEALTS 2 had been shortlisted, it is a real honour to be a finalist in the 2018 competition,” says Dr Michelle Heward, 1/4 of the DEALTS 2 research team. “We had been nominated by a colleague from another university who completed an application.”

The DEALTS 2 programme is a national simulation-based dementia education programme for hospital staff with regular contact with people with dementia. The programme is an innovative, low cost, high impact training toolkit which aims to facilitate staff to consider experiences from the point of view of a person living with dementia, enabling staff to see beyond the diagnosis and see the person.

These resources can be adapted to be relevant in different settings and have been designed using low key simulation scenarios, which will allow staff to make positive changes to how they care and support people with dementia. The training also integrates theory into practice introducing the Humanising Values Framework (HVF) a philosophical lens developed at BU that identifies potentially humanising and dehumanising care and support. The HVF enables trainers to support staff morals as well as improve the care of people with dementia.

“The team has worked hard to deliver 13 train-the-trainer sessions nationally across England in 2017 with 196 trainers attending. The toolkit has been developed iteratively to encapsulate feedback from dementia specialists, trainers and informal carers,” says Dr Heward.

Click here to find out more about the DEALTS 2 programme, or get in touch with Dr Michelle Heward here. The DEALTS team includes Professor Jane Murphy, Dr Michele Board and Ashley Spriggs.

Congratulations to Dr. Alison Taylor

PG research, Publishing, student research, writing

Congratulations to Dr. Alison Taylor whose PhD paper ‘The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers‘ has just appeared online [1].  This paper, in Women and Birth (published by Elsevier), was co-authored with her PhD supervisors Prof. Emerita Jo Alexander, Prof. Kath Ryan (University of Reading) and Prof. Edwin van Teijlingen.

The paper highlights that despite breastfeeding providing maximum health benefits to mother and baby, many women in the United Kingdom do not breastfeed, or do so briefly.  Alison’s study explored in a novel way the everyday experiences of first-time breastfeeding mothers in the early weeks following birth.  Five UK mothers were given a camcorder to capture their real-time experiences in a video diary, until they perceived their infant feeding was established. This meant that data were collected at different hours of the day by new mothers without a researcher being present.  Using a multidimensional approach to analysis, we examined how five mothers interacted with the camcorder as they shared their emotions, feelings, thoughts and actions in real-time. In total mothers recorded 294 video clips, total recording time exceeded 43 hours.

This paper focuses on one theme, the therapeutic role of the camcorder in qualitative research. Four subthemes are discussed highlighting the therapeutic impact of talking to the camcorder: personifying the camcorder; using the camcorder as a confidante; a sounding board; and a mirror and motivator. The paper concludes that frequent opportunities to relieve tension by talking to “someone” without interruption, judgement or advice can be therapeutic and that more research is needed into how the video diary method can be integrated into standard postnatal care to provide benefits for a wider population.

Alison is Senior Lecturer in Midwifery and a member of the Centre for Midwifery, Maternatal & Perinal Health.

 

 

Reference:

  1. Taylor, A.M., van Teijlingen, E., Alexander, J. & Ryan, K. The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers, Women Birth (2018), (online first)  https://doi.org/10.1016/j.wombi.2018.08.160

Wellbeing in Nepal – Libraries week

Edwin van Teijlingen, Professor of Reproductive Health Research, will talk about wellbeing in Nepal. Professor van Teijlingen has done over a decade of field research in Nepal, especially on community-based projects on maternal health.

Edwin has extensive experience in public and reproductive health and has collaborated in large-scale evaluations of community-based public-health interventions.

Most publications by Professor van Teijlingen can be found on BURO, Bournemouth University’s repository.

Thursday 11 October, 3.30pm – 4.30pm, EB306, Executive Business Centre, Lansdowne Campus

International Conference on Migration Health (Rome)

conferences, international, Publishing, writing

Two days ago Bournemouth University Visiting Professor Padam Simkhada presented our paper ‘Problems faced by Nepalese female migrants workers in the Gulf Countries: A quantitative survey’ at the International Conference on Migration Health in Rome, Italy [1].  The study reports on the health and other problems experienced by Nepali women migrants at their work place during foreign employment in Gulf Countries.  The paper is building on earlier research with the charity Pourakhi in Kathmandu which helps women who return from working abroad in trouble.  The first paper was publish earlier this year in the journal BMC International Health & Human Rights [2].  

The conference presentation was co-authored with BU’s Dr. Pramod Regmi and Prof. Edwin van Teijlingen, Ms. Manju Gurung from Pourakhi, Ms. Samjhana Bhujel from Green Tara Nepal, and Padam Simkhada, who is professor in the Public Health Institute at Liverpool John Moores University.

 

References:

  1. Simkhada, P., van Teijlingen, E., Bhujel, S, Gurung, M., Regmi, P. Problems faced by Nepalese female migrants workers in the Gulf Countries: A quantitative survey’ [Abstract: 238] presented at Internat. Conf. Migration Health, Rome, 1-3 Oct. 2018, http://istmsite.membershipsoftware.org/files/Documents/Activities/Meetings/Migration/FOR%20WEBSITE%20-%20ORAL%20accepted%20abstracts%20-%20session-bookmark.pdf
  2. 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 and Malaysia, BMC International Health & Human Rights 18(4): 1-7. http://rdcu.be/E3Ro

Ouch! Missing reference

international, Publishing, writing

One of the first rules of drafting a scientific paper is that one cites the key literature in the respective field.  So as someone who teaches people how to write and publish in this week’s experience of getting a paper rejected was not great, if not disheartening!   Earlier this week we submitted a research paper to the Journal of Travel Medicine on a study of the health and well-being of female migrant workers in Nepal.  This is high quality journal in which we have published before, including one paper on migrants’ health [1-3]. 

Two days later the journal editor emailed us to say: “”We feel that the scope of your paper would not justify a full original article in the Journal of Travel Medicine”, which is, in our opinion, a fair judgement.  My co-authors and I between us have over 300 papers published and most have been rejected or at least we have been asked for a resubmission, so nothing new here. What was more upsetting than the rejection itself was the additional comment.  The editor added:

“The authors should ideally include the two following references:

……(first reference omitted)   …. +

Identifying the gaps in Nepalese migrant workers’ health and well-being: a review of the literature.

Simkhada PP, Regmi PR, van Teijlingen E, Aryal N. J Travel Med. 2017 Jul 1;24(4). doi: 10.1093/jtm/tax021. Review.

 

We agree with the editor that we should have included the two listed key papers. Crucially, it is more than a little mistake to have missed the second paper since we wrote it ourselves.  There are many lessons to be learnt from this: (a) check you have covered the key literature in your paper, either in the Background section and/or the Discussion; (b) don’t underestimate the importance of your own work; (c) you’re never too old to make mistakes (and to learn from them); (d) be thankful for good editors and reviewers; (e) do what you advise others to do; (f) etc. ………………

 

In shame,

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Hind, C., Bond, C.M., Lee, A., van Teijlingen E. (2008) Needs assessment study for community pharmacy travel medicine services, Journal of Travel Medicine 15(5): 328-334.
  2. Bhatta, P., Simkhada, P., van Teijlingen E., Maybin, S. (2009) A questionnaire study of VSO volunteers: Health risk & problems encountered. Journal of Travel Medicine 16(5): 332-337.
  3. 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 Medicine 24 (4): 1-9.

Congratulations on timely editorial in Nepal

international, open access, Publishing, writing

Congratulations to FHSS academics Dr. Pramod Regmi and Dr. Nirmal Ayral who published an editorial yesterday in a scientific journal in Nepal.  The paper ‘Experts warn Nepal Government not to reduce local Public Health spending’ [1] was co-authored by Dr. Bibha Simkhada who has just been offered a post as Lecturer in Nursing in the Department of Nursing & Clinical Sciences, she shall be starting with us on November 1st.  Further co-authors include FHSS Visiting Professor Padam Simkhada and Dr . Sujan Marahatta, the journal’s editor.  He is based at Manmohan Memorial Institute of Health Sciences (MMIHS) in Kathmandu, Nepal.  Bournemouth University has a long-standing research collaboration with MMIHS.

The editorial warns about the risks of losing the focus on public health and its wider national and global perspective in the recently changed political arena of Nepal.  Since 2015 Nepal has moved from a central state to a federal republic, whereby the seven new Provinces have gained much more power and control in the decentralisation process.  Moreover the first local elections for two decades in 2017 meant a lot of new and inexperienced local politicians were voted in.  Many of these local people had little prior experience of political processes, governing health systems, the notion of priority setting, running sub-committees of elected representatives, political decision-making at local level, etc.  The paper argues that Public Health can easily disappear of the radar.  The untrained newly elected representatives with no political experience are most likely to be drawn into proposing and supporting popular measures including developing new buildings, black-top roads, hospitals, etc., rather than measures that increase the local or regional budget for teachers, Continuous Professional Development (CPD) for community health workers, and preventative public health measures in general.  Buildings and roads are immediate demonstration to voters that politicians have done something useful, reducing maternal mortality by 2.6% or employing two additional health workers doesn’t give politicians neither the same publicity, nor do such policies have immediate signs of success, and hence are unlikely to be vote winners.

The Journal of Manmohan Memorial Institute of Health Sciences is part of the Open Access publishing of Nepal Journals OnLine (NepJOL) supported by INASP.  The editorial also illustrates the kind of work conducted in Bournemouth University’s Integrative Wellbeing Research Centre (iWell).

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference:

Simkhada, P., Teijlingen van, E., Simkhada, B., Regmi, P., Aryal, N., Marahatta, S.B. (2018) Experts warn Nepal Government not to reduce local Public Health spending, Journal of Manmohan Memorial Institute of Health Sciences, 4(1): 1-3.