BU Research Blog

31 July 2017

Innovate UK announce Digital Technology for Healthcare call

Funding opportunities, innovation Lisa Andrews

Innovate UK is to invest up to £8 million in projects that develop new digital technology solutions to healthcare challenges.

This competition is being run under the digital health technology catalyst, which is part of the Industrial Strategy Challenge Fund. The aim is to support the development of digital health products that meet NHS needs. It is a new £35 million funding programme over 4 years.

Innovate UK are seeking feasibility or development projects that advance digital health or digitally-enabled medical technologies. These should:

improve patient outcomes, such as through better clinical decision-making and supporting them to manage their own care
offer new approaches to healthcare that transform its delivery
reduce the demand on the health system, make it more efficient and create savings

Competition information

the competition opens on 31 July 2017, and the deadline for registrations is 4 October 2017
feasibility studies can range from £50,000 to £75,000 and last up to one year
industrial research and experimental development projects can range from £500,000 to £1 million and last up to 3 years
you can work alone or in collaboration with other organisations, but projects must be led by a UK-based SME
you could get up to 70% of your eligible project costs
projects must start by 1 February 2018

You can find more information and apply to the call here.

Innovate UK are holding a briefing webinar for applicants on Tuesday 1st August at 10:00am. To register click here.

29 July 2017

New research ethics paper Faculty of Health & Social Sciences

international, Publishing, Research Ethics, writing Edwin van Teijlingen

Next months sees the publication of our latest article on research ethics in developing countries [1]. Our paper argues that despite a significant increase in health research activity in low-and middle-income countries (LMICs) in recent years, only limited work has been done to address ethical concerns. Most ethics committees in LMICs lack the authority and/or the capacity to monitor research in the field. This is important since not all research, particularly in LMICs region, complies with ethical principles, sometimes this is inadvertently or due to a lack of awareness of their importance in assuring proper research governance. With several examples from Nepal, this paper reflects on the steps required to obtain informed consents and highlights some of the major challenges and barriers to seeking informed consent from research participants. At the end of this paper, we also offer some recommendations around how can we can promote and implement optimal informed consent taking process.

The paper is co-written by six authors, and interestingly five are graduates of the University of Aberdeen. These Aberdeen University graduates are currently affiliated with five different universities. Four of who are based in the UK at: the University of Liverpool, the University of the West of England, the University of Oxford, and in Bournemouth University’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and one in the USA: Georgetown University. The sixth co-author, Nirmal Aryal, is currently a PhD student at the University of Otago in Dunedin (New Zealand). Whilst Liverpool-based researcher Dr. Pramod Regmi is heading back for Bournemouth University to become a lecturer in International Health in the Faculty of Health & Social Sciences this autumn.

Prof. Edwin van Teijlingen

CMMPH

Reference:

Regmi, P.R., Aryal, N., Kurmi, O., Pant, P.R., van Teijlingen, E., Wasti, P.P. (2017) Informed consent in health research: challenges and barriers in low-and middle-income countries with specific reference to Nepal, Developing World Bioethics 17(2):84-89

25 July 2017

Nuffield Research Placements: “My experience at the Orthopaedic Research Institute”

Coffee Morning, innovation, Knowledge Exchange, PG research, Public engagement, Student Engagement, student research Francesco Ferraro

Hi, my name is Holly Coombs.

I am currently doing a research placement at Bournemouth University as part of the Nuffield programme, which gives people at the end of their first year of A-levels a chance to work with professionals in science based professions.

Alongside PGR Francesco Ferraro, I have been predominantly working on his study on inspiratory muscle training and how by using a device called POWERbreathe is possible to improve inspiratory muscles strength.

I will be at Bournemouth University for four weeks where at the end I am going to write a report that will hopefully be published by the Young Scientist Journal.

My report is going to be on the Timed Up and Go test (TUG). It is going to include information about what the TUG test is, as well as how it can help us to predict falls and measure stability.

My whole aim of this placement is to gain research skills that will help me later in life as I intend to pursue a medical career.

On the 20th July, I got the chance to use two surgical simulators:

The Orthopaedic Research Institute (ORI) contains the Ossim SimK total knee replacement simulator, and the VirtaMed knee arthroscopy. This is the only lab in Europe where the two simulators are together.

Indeed, the ORI produces high-quality research which helps doctors and students to understand and learn more about many fields, including orthopaedic surgery, knee and hip replacements. With the aid of Shayan Bahadori (Orthopaedic Research project manager), I progressed from drilling holes into a piece of woods to trying a full knee replacement. Next, I got to try my hand at a knee arthroscopy which I found very challenging.

From trying these surgical simulators, I have learned that perseverance and resilience are essential. At first, I found that even just drilling holes into a piece of wood using the simulator was incredibly hard. However, as I used and practiced the simulators more, I could feel myself improving and progressing in the fundamental skills required.

This is a valuable experience to have gained as it is essential for all careers, not just medical ones.

In conclusion, continuing my placement, I hope to assist in the carrying out of respiratory muscles tests and I hope that by the end of my internship I will have a greater understanding of what it takes to conduct a research study and also how the data collected can be used and analysed.

21 July 2017

BU prof speaking at the University of Sheffield

international, writing Edwin van Teijlingen

BU professor Edwin van Teijlingen from the Centre for Midwifery, Maternal & Perianal Health (CMMPH) had the honour of being invited to speak at a workshop ran yesterday by the Sheffield Institute for International Development. The workshop ‘Nepal: Reconstruction, Resilience and Development’ was organised by the University of Sheffield.

Prof. Edwin van Teijlingen spoke about endemic corruption in Nepal and opportunities that are offered by disasters such as earthquakes for more corruption. He pointed out that there is little research on corruption in Nepal, despite its low ranking on the international Corruption Perceptions Index. The presentation can be viewed here: Nepal earthquake corruption 2017 .

He pointed out that disasters are confusing events with often loads of money and relief aid arriving under chaotic conditions. Immediate emergency aid needs to be distributed to unknown people (‘those affected’), in difficult to access areas, under often chaotic socio-political conditions.

He also reminded the audience that corruption (and corrupt behaviour) are not limited to low-income countries. He highlighted the Ariana Grande case in Manchester (UK) where thousands falsely claimed to have been at the original attacked concert when applying for a ticket for the Manchester One Love concert.

21 July 2017

Good month for BU reproductive health publications

Centre for Excellence in Learning, international, Knowledge Transfer, PG research, Publishing, student research Edwin van Teijlingen

This month has been exceptionally good for BU publications in the field of midwifery and maternity care. Two PhD students has their articles published in international academic journals, one member of staff had a textbook chapter published, an interdisciplinary team has been accepted for publication in the British Journal of Midwifery, and a member of the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) co-authored this month’s editorial in the Journal of Asian Midwives as well as an epidemiology paper on the HPV (Human Papilloma Virus) in Nepal.

The first of this success story was CMMP PhD student Preeti Mahato whose her latest paper ‘Factors related to choice of place of birth in a district in Nepal’ appeared in the Elsevier journal Sexual & Reproductive Healthcare [1]. The second PhD paper was also based on research in Nepal this time by Sheetal Sharma whose paper ‘Evaluation a Community Maternal Health Programme: Lessons Learnt’ appeared in Journal of Asian Midwives [2]. The textbook chapter was by Dr. Jenny Hall who contributed a chapter to the latest edition of Mayes Midwifery , which is the classic midwifery textbook and now in its 15th edition [3]. The interdisciplinary paper is by Angela Warren, service user and carer coordinator PIER partnership, Dr Mel Hughes, principal academic in social work, academic lead for PIER partnership, and Dr Jane Fry and Dr Luisa Cescutti-Butler who are both senior lecturers in midwifery in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) [4]. The latest issue of the Nepal Journal of Epidemiology carried a CMMPH co-authored paper on the HPV in young women in Nepal [5]. The final piece, an editorial, appeared yesterday in the latest issue of the Journal of Asian Midwives [6].

Congratulations to all authors!

Prof. Edwin van Teijlingen

CMMPH

References:

Mahato, P., van Teijlingen, E., Simkhada, P., Sheppard, Z., Silwal, R.C. (2017) Factors related to choice of place of birth in a district in Nepal, Sexual & Reproductive Healthcare 13 : 91-96.
Sharma, S., Simkhada, P., Hundley, V., van Teijlingen, E., Stephens, J., Silwal, R.C., Angell, C. (2017) Evaluation a Community Maternal Health Programme: Lessons Learnt. Journal of Asian Midwives. 4 (1): 3–20.
Hall, J. (2017) ‘Fertility and it’s control’ In: Macdonald, S. & Johnson, G. Mayes’ Midwifery, 15th Edition, London: Elsevier.
Warren, A., Hughes, M., Fry, J., Cescutti-Butler, L. (2017) ‘Involvement in midwifery education: experiences from a university service user and carer partnership’ British Journal of Midwifery (forthcoming).
Sathian, B., Babu, MGR., van Teijlingen, E.R., Banerjee, I., Subramanya, H.S., Roy, B., Subramanya, H., Rajesh, E., Devkota, S. (2017) Ethnic variation in perception of Human Papillomavirus and its Vaccination among young women in Nepal, Nepal Journal of Epidemiology 7 (1): 647-658. http://www.nepjol.info/index.php/NJE/article/view/17757
Jan, R., van Teijlingen, E. (2017) Exciting Times in South-Asian Midwifery, Journal of Asian Midwives 4 (1):1

20 July 2017

New publication Sheetal Sharma (PhD graduate 2017)

international, open access, PG research, Publishing, student research, writing Edwin van Teijlingen

Congratulations to Sheetal Sharma whose latest article appeared in today’s new issue of Journal of Asian Midwives [1]. Sheetal wrote the paper ‘Evaluation a Community Maternal Health Programme: Lessons Learnt’ with her PhD supervisors Dr. Catherine Angell, Prof. Vanora Hundley, Prof. Edwin van Teijlingen and Prof. Padam Simkhada (Liverpool John Moores University & FHSS Visiting Professor) and the director of Green Tara Nepal Mr. Ram Chandra Silwal and the founder of Green Tara Trust, London, Dr. Jane Stephens. The Journal of Asian Midwives is an Open-Access journal hence this article is freely available across the globe.

Focus groups in open air in rural Nepal, (c) Sheetal Sharma

Reference:

Sharma, S., Simkhada, P., Hundley, V., van Teijlingen, E., Stephens, J., Silwal, R.C., Angell, C. (2017) Evaluation a Community Maternal Health Programme: Lessons Learnt. Journal of Asian Midwives. 4(1): 3–20.

19 July 2017

New publication by FHSS PhD student

international, open access, PG research, Publishing, Student Engagement, writing Edwin van Teijlingen

Congratulations to Faculty of Health & Social Sciences (FHSS) PhD student Folashade Alloh and Dr. Pramod Regmi, newly appointed lecturer in International Health. They just published ‘Effect of economic and security challenges on the Nigerian health sector’ in the journal African Health Sciences. The paper is Open Access and can be found here!

Well done!

Prof. Edwin van Teijlingen

CMMPH

17 July 2017

New maternity research paper on Nepal

international, PG research, Publishing, student research, writing Edwin van Teijlingen

Congratulations to Preeti Mahato, PhD student in the Centre for Midwifery, Maternal & Perinatal Health, on the publication of her latest paper ‘Factors related to choice of place of birth in a district in Nepal’ in the Elsevier journal Sexual & Reproductive Healthcare [1]. The paper based on her research work in Nawalparasi, southern Nepal. This new paper is the third paper form Preeti’s PhD work [2-3].

Reference:

Mahato, P., van Teijlingen, E., Simkhada, P., Sheppard, Z., Silwal, R.C. (2017) Factors related to choice of place of birth in a district in Nepal, Sexual & Reproductive Healthcare 13 : 91-96.
Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2016) Birthing centres in Nepal: Recent developments, obstacles and opportunities, Journal of Asian Midwives 3(1): 18-30. http://ecommons.aku.edu/cgi/viewcontent.cgi?article=1033&context=jam
Mahato, P.K., Regmi, P.R., van Teijlingen, E., Simkhada, P., Angell, C., Sathian, B. (2015) Birthing centre infrastructure in Nepal post 2015 earthquake. Nepal Journal of Epidemiology 5(4): 518-519. http://www.nepjol.info/index.php/NJE/article/view/14260/11579

14 July 2017

New publication on Community Hospitals

international, Knowledge Exchange, open access, Publishing, writing Edwin van Teijlingen

The Health Services Journal published a commentary this week on Community Hospitals [1]. This online article is written by Dr. Emma Pitchforth who is based at RAND Europe in Cambridge (& BU Visiting Faculty), Prof. Edwin van Teijlingen (Faculty of Health & Social Sciences) and Dr. Ellen Nolte based at the European Observatory on Health Systems and Policies.

The authors highlight the recently completed NIHR study on Community Hospitals [2]. The notion of a Community Hospital in the UK is evolving from the traditional model of a local hospital staffed by general practitioners and nurses and serving mainly rural populations. Along with the diversification of models, there is a renewed policy interest in community hospitals and their potential to deliver integrated care. However, there is a need to better understand the role of different models of community hospitals within the wider health economy and an opportunity to learn from experiences of other countries to inform this potential.

With ease of access and a sense of homeliness, there is potential for Community Hospitals to be better integrated into NHS in England. The authors suggest that a more strategic role for ‘traditional’ Community Hospitals might be timely within the NHS in England. They further conclude that if challenges around Community Hospitals are addressed and their within the English health system is properly defined, they could provide positive benefits to the health service. It seems that, if done correctly, Community Hospitals could be a traditional solution to help address some of the modern day challenges of the NHS.The full NIHR report is Open Access and can be found here!

Last year the research team had already published a scoping review article from the NIHR study [3].

References:

Pitchforth, E., van Teijlingen, E., Nolte, E. (2017) Community hospitals: a traditional solution to help today’s NHS? Health Services Journal (11 July) https://www.hsj.co.uk/community-services/community-hospitals-a-traditional-solution-to-help-todays-nhs/7020019.article#/scientific-summary
Pitchforth, E., Nolte, E., Corbett, J., Miani., C, Winpenny., E, van Teijlingen, E., Elmore, N,, King, S,, Ball, S,, Miler, J,, Ling, T. (2017) Community hospitals and their services in the NHS: identifying transferable learning from international developments – scoping review, systematic review, country reports and case studies Health Services & Delivery Research 5(19): 1-248.
Wimpenny, E.M., Corbett, J., Miami, C., King, S., Pitchforth, E., Ling, T., van Teijlingen, E. Nolte, E. (2016) Community hospitals in selected high income countries: a scoping review of approaches and models. International Journal of Integrated Care 16(4): 13 http://dx.doi.org/10.5334/ijic.2463

9 July 2017

Successful Breastfeeding Debate in 2017 Festival of Learning

Festival of Learning, Public engagement Edwin van Teijlingen

Yesterday, on the first day of BU’s Festival of Learning, we organised a debate on breastfeeding in society. The debate was structured around the motion “This house believes that: Breastfeeding is over-rated and unpopular.”

In favour of the motion argued Dr. Ann Luce from the Faculty of Media and Communication (FMC) and Prof. Edwin van Teijlingen from the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) in the Faculty of Health & Social Sciences (FHSS).

Against the motion argued Dr. Catherine Angell (CMMPH) and Ms. Sue Hurst midwife and lactation advisor at St Mary’s Maternity Hospital which is part of Poole Hospital NHS Foundation Trust.

Before the debate started Prof. Vanora Hundley (CMMPH) asked the audience to vote on the motion. At this first vote the audience overwhelmingly voted against the motion (86%). After the presentations of the four debaters the audience was asked to vote again and this time the against vote had dropped to 71%. Prof. Hundley then opened up the debate to the wider audience and, after an occasionally heated debate, the audience were asked for their final vote. On this final occasion 85% voted against.

There was a general agreement that breastfeeding beneficial for both mother and baby and hence that it was not over-rated. There appeared to be sympathy for the view that breastfeeding was not popular, or at least not as popular as it should be, considering how good it is!

8 July 2017

Tenth anniversary PLOS ONE

BRIAN, international, open access, Publishing, writing Edwin van Teijlingen

On the tenth anniversary of the international Open Access journal PLOS ONE we received an email to inform us that one of our articles was among the top ten per cent of most cited articles in this journal. The email referred to our paper ‘Factors influencing adherence to antiretroviral treatment in Nepal: A mixed-methods study’ [1]. Not bad considering that PLOS ONE has published over 4,300 articles since its inception.

Prof. Edwin van Teijlingen

7 July 2017

NIHR Webinar: CRN Study Support Service – 2-3pm Tuesday 25 July 2017

Funding opportunities, Training Lisa Andrews

The NIHR is the UK’s major funder of applied health research. The NIHR develops and supports the people who conduct and contribute to health research and equally supports the training of the next generation of health researchers. NIHR training programmes provide a unique opportunity for all professionals to improve the health of patients in their care through research.

Training and career development awards from the NIHR range from undergraduate level through to opportunities for established investigators and research leaders. They are open to a wide range of professions and designed to suit different working arrangements and career pathways and offer full support for dedicated research and clinical development.

This is a webinar for current and aspiring NIHR trainees that want to find out more about the support available from the NIHR Clinical Research Network (CRN). The NIHR CRN Study Support Service helps researchers and the life sciences industry plan, set up and deliver high quality research to time and target in the NHS in England.

The one hour webinar will include:

An explanation of who/which research is eligible to access CRN’s services
An overview of the support available from the NIHR CRN
Guidance on when and how to get in touch – and the importance of early engagement
Real examples of how NIHR trainees and other researchers have used the services
A live Q&A session

The webinar will be presented by Sine Littlewood, Head of Business Development & Marketing (non-commercial) at the NIHR CRN and Helen Harris-Joseph, Senior Programme Manager at the NIHR Trainees Coordinating Centre.

You can register for the webinar via the following link: bit.ly/studysupportservicewebinar

If you have any issues when registering please email tcc@nihr.ac.uk.

6 July 2017

Why Yawning is Important in Studying Multiple Sclerosis by Dr Simon Thompson

BRIAN, conferences, Fusion, innovation, international, Knowledge Exchange, Knowledge Transfer, Public engagement, Research themes, staff profile pages Simon Thompson

What is MS?

Multiple Sclerosis (MS) is a chronic debilitating and progressive condition that affects the fatty tissue sheath surrounding nerves. Loss of the myelin sheath is largely responsible for uncoordinated movements because the nerves cannot transmit signals smoothly across the complex neural circuitry. A common symptom of MS is excessive yawning together with fatigue.

Research study

Following recent completion of a study at the Osborne Centre, West Parley, we found that people with MS had higher cortisol levels when yawning compared with healthy participants.

Previous research at Bournemouth University

This research follows several years of research by the author at Bournemouth University with the first report on the “yawning envelope”, identifying the electrical trace during yawning (Refs. 1-2), and the first report on the association between yawning and cortisol levels following provoked yawning (Refs. 3-6).

Yawning “envelope”

“Contagious” yawning is seen in animals as well humans; it may involve empathy to perceived social cues in humans.

Yawning: (clockwise) Fox, Pig, Human, Hippopotamus

A series of 3 Q and A events with talks about findings was held at the MS Society local branch which facilitated an interesting and lively debate among participants, researchers and staff at the Centre.

Further research planned

We believe that threshold levels of cortisol trigger the yawn response which lowers brain temperature, particularly important in MS where brain temperatures can be elevated considerably following fatigue. A funding bid is in preparation to examine early detection of MS using these findings.

About the author

Simon B N Thompson is Associate Professor, Bournemouth University; and Visiting Professor, Université Paris Ouest Nanterre La Défense, France. He has presented to His Excellency Bernard Emié, the French Ambassador at the French Embassy, signalling formation of the Anglo-French International Scientific Council for Research into Multiple Sclerosis.

Acknowledgements

Thanks to all volunteers; Alister Coleman and Nicola Williams for assisting in data collection and analysis; Rod Slip, Group Co-ordinator and Kay Bundy, Fundraising Co-ordinator of the MS Society Osborne Centre for providing free facilities.

References

1. Thompson, S.B.N., 2013. How to catch a yawn: initial observations of a randomised controlled trial. WMC Neurology, 4(8), doi: 10.9754/journal.wmc.2013.004371.
2. Thompson, S.B.N., Frankham, C., & Bishop, P., 2014. The art of capturing a yawn using the science of nerve impulses and cortisol levels in a randomized controlled trial. Thompson Cortisol Hypothesis as a potential predictor of neurological impairment. International Journal of Arts & Sciences, 7(3), 529-543.
3. Thompson, S.B.N., 2011. Born to yawn? Cortisol linked to yawning: a new hypothesis. Medical Hypotheses, 77, 861-862.
4. Thompson, S.B.N., & Bishop, P., 2012. Born to yawn? Understanding yawning as a warning of the rise in cortisol levels: randomized trial. Interactive Journal of Medical Research, 1(2), e4, 1-9, doi: 10.2196/ijmr.2241.
5. Thompson, S. B. N., Daly, S., Le Blanche, A., Adibi, M., Belkhiria, C., Driss, T., de Marco, G., 2016. fMRI randomized study of mental and motor task performance and cortisol levels to potentiate cortisol as a new diagnostic biomarker. Journal of Neurology & Neuroscience, 7(2); 92: 1-8.
6. Thompson, S.B.N., 2017. Hypothesis to explain yawning, cortisol rise, brain cooling and motor cortex involvement of involuntary arm movement in neurologically impaired patients. Journal of Neurology & Neuroscience, 8(1); 167: 1-5.

4 July 2017

New paper Dr. Jenny Hall

Publishing, Women's Academic Network, writing Edwin van Teijlingen

Congratulations to Dr. Jenny Hall in the Faculty of Health & Social Sciences (FHSS) on her new published discussion paper ‘Educating student midwives around dignity and respect’ in the international journal Women and Birth (published by Elsevier). The paper, co-authored with Mary Mitchell (University of the West of England), discusses the issue that there is currently limited information available on how midwifery students learn to provide care that promotes dignity and respect.

Well done!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

Reference:

Hall, J., Mitchell, M. (2017) ‘Educating student midwives around dignity and respect’, Women & Birth 30(3): 214-219.

27 June 2017

Multiple Sclerosis Research in Bournemouth – Dr Simon B N Thompson

BRIAN, BU Challenges, conferences, Fusion, Grants Academy, innovation, international, Public engagement, Research assessment, Research Integritiy, Research themes, staff profile pages Simon Thompson

MS is a chronic debilitating and progressive condition that affects the fatty tissue sheath surrounding nerves. Incomplete innervation due to loss of the myelin sheath is largely responsible for uncoordinated movements. Brain temperature fluctuations are also often seen in people with MS together with fatigue when carrying out mentally or physically demanding tasks. These are commonly associated with excessive yawning yet the cause of fatigue in MS is not well understood.

A recently completed study asked participants to produce saliva into a small tube so that their cortisol levels could be analysed. They were also asked to look at presentations that provoked a yawning response. Results revealed that all of the participants had elevated cortisol levels after yawning and that there was a marked difference in cortisol levels between the healthy participants and those with MS.

Yawning: Pynq Thompson aged 28 days

Thompson Cortisol Hypothesis (Ref.1) proposes threshold levels of cortisol trigger the yawn response which lowers brain temperature. Correlation between brain temperature and cortisol is to be further examined together with comparison between UK and Norwegian participants with MS since the incidence of MS is greater in Scandinavian countries (and Canada and Scotland) possibly due to vitamin D and K reduction with reduced sunlight.

Previous studies have examined electromyograph (EMG) activity during yawning and manipulation of conditions to provoke yawning (Refs. 2,3). Brain regions and cortisol activity has been identified in MS in an international study (Ref. 4); and a new understanding proposed of communication between the motor cortex and brain-stem (Ref.5).

Yawning EMG “envelope” of activity

We have recently completed a trial in Bournemouth that recruited over 80 healthy participants and over 30 people with Multiple Sclerosis (MS).

A funding bid is being prepared to examine the feasibility of producing the early detection of MS and cortisol-insufficiency syndromes using observed yawning frequency and cortisol levels.

Simon B N Thompson is Associate Professor, Bournemouth University; Visiting Professor, Université Paris Ouest Nanterre La Défense, France. Member of International Scientific Council for Research into Multiple Sclerosis following presentation to French Ambassador, His Excellency Bernard Emié, French Embassy.

Acknowledgements

Thanks to all volunteers; Alister Coleman and Nicola Williams for assisting in data collection and analysis; Rod Slip, Group Co-ordinator and Kay Bundy, Fundraising Co-ordinator of the MS Society Osborne Centre for providing free facilities.

Note

The author would welcome interest in collaborating in writing bids for funding international work.

References

1. Thompson, S.B.N., 2011. Born to yawn? Cortisol linked to yawning: a new hypothesis. Medical Hypotheses, 77, 861-862.
2. Thompson, S.B.N., & Bishop, P., 2012. Born to yawn? Understanding yawning as a warning of the rise in cortisol levels: randomized trial. Interactive Journal of Medical Research, 1(2), e4, 1-9, doi: 10.2196/ijmr.2241.
3. Thompson, S.B.N., Frankham, C., & Bishop, P., 2014. The art of capturing a yawn using the science of nerve impulses and cortisol levels in a randomized controlled trial. Thompson Cortisol Hypothesis as a potential predictor of neurological impairment. International Journal of Arts & Sciences, 7(3), 529-543.
4. Thompson, S. B. N., Daly, S., Le Blanche, A., Adibi, M., Belkhiria, C., Driss, T., de Marco, G., 2016. fMRI randomized study of mental and motor task performance and cortisol levels to potentiate cortisol as a new diagnostic biomarker. Journal of Neurology & Neuroscience, 7(2); 92: 1-8.
5. Thompson, S.B.N., 2017. Hypothesis to explain yawning, cortisol rise, brain cooling and motor cortex involvement of involuntary arm movement in neurologically impaired patients. Journal of Neurology & Neuroscience, 8(1); 167: 1-5.

24 June 2017

“New” FHSS paper on obesity published July 2017

open access, Publishing, writing Edwin van Teijlingen

The American Journal of Men’s Health published our latest paper on obesity prevention in men. The paper ‘Clinical Effectiveness of Weight Loss and Weight Maintenance Interventions for Men: A Systematic Review of Men-Only Randomized Controlled Trials (The ROMEO Project)’ originates from a collaboration between BU and various universities in Scotland, led by the University of Aberdeen [1].

This systematic review paper found that reducing diets produced better weight loss than physical activity alone. The most effective interventions combined reducing diets, exercise, and behaviour change techniques . Group interventions produced favourable weight loss results. The paper reports that once engaged, men remained committed to a weight loss intervention.

The paper concludes that weight loss for men is best achieved and maintained with the combination of a reducing diet, increased physical activity, and behaviour change techniques. Strategies to increase engagement of men with weight loss services to improve the reach of interventions are needed. This paper is the thirteenth paper from a large NIHR grant [2-13].

The American Journal of Men’s Health is an open access, peer-reviewed resource for cutting-edge information regarding men’s health and illness. It is, however worth noting that although our paper is formally published in July 2017 it has been online for two years! The journal’s website states clearly that the article was first published online on June 30, 2015 BUT the issue in which it appears is published is July 1, 2017!

Prof. Edwin van Teijlingen

CMMPH

Reference:

Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2017) Clinical effectiveness of weight loss & weight maintenance interventions for men: a systematic review of men-only randomised controlled trials (ROMEO Project), American Journal of Men’s Health 11(4): 1096-1123. http://journals.sagepub.com/doi/full/10.1177/1557988315587550
Robertson, C, Archibald, D, Avenell, A, Douglas, F., Hoddinott, P., van Teijlingen E, Boyers, D., Stewart, F, Boachie, C, Fioratou E., Wilkins, D, Street, T., Carroll, P., Fowler, C. (2014) Systematic reviews of & integrated report on quantitative, qualitative & economic evidence base for the management of obesity in men. Health Technology Assessment 18(35): 1-424. http://www.journalslibrary.nihr.ac.uk/__data/assets/pdf_file/0019/118180/FullReport-hta18350.pdf
Stewart, F., Fraser, C., Robertson, C., Avenell, A., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2014) Are men difficult to find? Identifying male-specific studies in MEDLINE and Embase, Systematics Reviews 3,78.
Archibald, D, Douglas, F, Hoddinott, P, van Teijlingen, E, Stewart, F., Robertson, C., Boyers, D., Avenell, A. (2015) A qualitative evidence synthesis on management of male obesity. BMJ Open 5: e008372. doi:10.1136/bmjopen-2015-008372 http://bmjopen.bmj.com/content/5/10/e008372.full.pdf+html
Boyers, D, Stewart, F, Fraser, C, Robertson, C, Avenell, A, Archibald, D, Douglas, F, Hoddinott P, van Teijlingen E. (2015). A systematic review of the cost-effectiveness of non-surgical obesity interventions in men, Obesity Research & Clinical Practice 9(4), 310-327.
Robertson, C, Avenell, A, Boachie, C., Stewart, F., Archibald D., Hoddinott, P, Douglas, F, van Teijlingen E, Boyers D. (2016) Should weight loss and maintenance programmes be designed differently for men? Systematic review of long-term RCTs presenting data for men & women: The ROMEO Project, Obesity Research & Clinical Practice 10: 70-84.
Robertson, C., Avenell, A., Boachie, C., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) Should weight loss programmes be designed differently for men and women? The ROMEO Project, Appetite 87: 374.
Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) A systematic review of long-term weight management randomized controlled trials for obese men. The ROMEO Project, Appetite 87: 374.
Robertson, C., Avenell, A., Stewart, F., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D. (2015) A systematic review of weight loss interventions in the UK. The ROMEO Project, Appetite 87: 375.
Boyers, D., Avenell, A., Stewart, F., Robertson, C., Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., (2015) A systematic review of the cost-effectiveness of non-surgical obesity interventions in men, Appetite 87: 375.
Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E., Boyers, D., Avenell, A., Stewart, F., Robertson, C., (2015) A qualitative evidence synthesis on the management of male obesity. The ROMEO Project, Appetite 87: 381.
Avenell, A., Robertson, C., Boachie, C., Stewart, F Archibald, D., Douglas, F., Hoddinott, P., van Teijlingen, E. (2016) Sex based subgroup differences in randomized controlled trials: empirical evidence from Cochrane meta-analyses BMJ 355:i5826 http://www.bmj.com/content/355/bmj.i5826/rapid-responses
Avenell, A., Robertson, C., Stewart, F., Boyers, D., Douglas, F., Archibald, D., van Teijlingen, E., Hoddinott, P., Boachie, C. (2016) Sex can affect participation, engagement, and adherence in trials, BMJ 355:i6754 http://www.bmj.com/content/bmj/355/bmj.i6754.full.pdf

22 June 2017

New BU publication: Centre of Postgraduate Medical Research &Education

Knowledge Exchange, Publishing, writing Edwin van Teijlingen

Congratulations to Dr. Sam Rowlands, Visiting Professor in the Faculty of Health & Social Sciences, who published an interesting Commentary in the BJOG together with Prof. Roger Ingham from the University of Southampton. Their paper ‘Long-acting reversible contraception: conflicting perspectives of advocates and potential users’ argues that a patient-centred approach to contraceptive care is fundamental to women’s autonomy. The authors remind the readers that it needs to be appreciated that unintended pregnancy is most likely to be reduced by fulfilling the unmet need for contraception and encouraging those not using any form of contraception, or condoms only, to use a method of their choice accompanied by adequate instruction (where necessary) in correct usage.

21 June 2017

Maternal mental health in Nepal ICM presentation

international, PG research, Public engagement, Publishing, writing Edwin van Teijlingen

As promised to our audience at the 31st International Confederation of Midwifery Triennial Congress in Toronto today: the slides used on our session ‘Mental health training for community maternity workers in Nepal. The slides in PDF format can be accessed here: Nepal THET ICM 2017. Our project brought together academics, midwives, nurses, and other health workers in Nepal and the UK to help in the training of Auxiliary Nurse Midwives in Nawalparasi on key aspects of mental health and mental health promotion. The project led by Bournemouth University was funded under the Health Partnership Scheme (HPS) which is managed by a London-based organisation called THET (Tropical Health & Education Trust).

Can I also take the opportunity to list all our collaborators in Nepal and UK:

Padam Simkhada, Bhimsen Devkota, Shyam K. Maharjan, Lokendra Sherchan, Ram Chandra Silwal, Krishna Acharya, Bishnu G.C., Ram K. Maharjan, Bibha Simkhada, Jillian Ireland, Jane Stephens, Colette Fanning, Edwin van Teijlingen, Geeta Sharma, Samridhi Pradhan, Seam MacKay, Ish Fawcett, Andrea Lawrie, Dave Havelock, Liz Murphy, Rose Pringle, Sapana Bista, Chrissy Reeves & Flora Douglas.

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

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