

This video can be accessed here!
Prof. Edwin van Teijlingen
CMMPH
Latest research and knowledge exchange news at Bournemouth University
This video can be accessed here!
Prof. Edwin van Teijlingen
CMMPH
Published earlier this week in the Nepal Journal of Epidemiology a BU co-authored paper on ‘Cigarette smoking dose-response and suicidal ideation among young people in Nepal: a cross-sectional study’ [1]. The authors conducted a cross-sectional questionnaire-based survey with 452 young people in Nepal’s second largest city Pokhara. The study matched participants by age and smoking status. The mean age was 21.6 years and 58.8% were males. The overall rate of suicidal ideation in our cohort was 8.9%. Smokers were slightly more likely to report suicidal ideation than non-smokers (aOR 1.12). The risk of developing suicidal ideation was 3.56 (95% CI 1.26-10.09) times more in individuals who smoked greater than 3.5 cigarettes per week (p=0.01).
The paper concludes that the rate of suicidal ideation was slightly higher among smokers and a dose-response relationship existed linked with the number of cigarettes smoked per week. Being aware of the link between smoking and
suicidal ideation may help health care professionals working with young people to address more effectively the issues of mental well-being and thoughts about suicide. The Nepal Journal of Epidemiology is an Open Access journal hence this public health paper is freely available to readers across the globe.
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Our editorial today in the Nepal Journal of Epidemiology highlights some of the key issues related to COVID-19 related to a low-income country such as Nepal [1]. There are various Public Health challenges to preventing the spread of COVID-19 in South Asia including Nepal. Learning from the COVID-19 outbreak in China, there will be slowdown of economic activity with damaged supply chains which impact upon the public health systems in Nepal. Moreover, there is limited coordination among different stakeholders in healthcare management with few policies in place for infection prevention and control, shortage of testing kits and medical supplies (shortages of masks, gloves), and poor reporting are major challenges to be tackled in case of the COVID-19.
All South Asian countries are vulnerable to a mass outbreak with high population density in cities which is challenging to create social distancing, made worse by generally poor hygiene and often low (health) literacy. Additionally, some COVID-19 cases remain asymptomatic; so it is difficult to predict the epidemic outbreak that may introduces further difficulty in diagnosis of newer cases. Finally, healthcare workers across the globe were infected at high rates during the MERS and SARS outbreaks, so Nepal has to initiate health workers’ training including simulation exercises to provide health staff with a clearer picture of the complexities and challenges associated with COVID-19 and containing potential outbreaks.
This editorial has a very different time span between submission and publication than the one highlighted last week on the BU Research Blog (see details here!). This COVID-19 editorial took exactly one month between submission and publication, the one mentioned last week took three-and-a-half years between submission and publication.
Prof. Edwin van Teijlingen
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Abstract
Junior colleagues or PhD students submitting their first manuscript often ask: “How long will it take before the editor comes back to me with a decision?” My stock answer is: “It depends!” It depends on the nature of the journal, the support available to the editor, how busy the editor is, or how difficult she finds it to allocate your paper to appropriate reviewers. Moreover, once sent out for review it depends how busy the reviewers are. I often have to remind my colleagues and student that academics are hardly ever paid for being a reviewer, and hence they do their reviewing over and above a usually heavy academic teaching and research load.
This short article highlights the case of one of our research papers which took four years from the day of submission to the journal to finally appearing in print. And, I hasten to say, it was not because the initially submitted manuscript was so bad that the authors had to make major changes and re-write or re-structure the whole paper. This blog highlights some of the unexpected hiccups in the process of getting an article published.
Introduction
On October the 5th 2016 Samridhi Pradhan, who worked for Green Tara Nepal in Kathmandu and who was Bournemouth University Visiting faculty at the time, emailed the then editor of an English-language journal based in Nepal with our manuscript. She wrote: “Respected Editor, I wish to submit a new manuscript entitled “Factors affecting the uptake of institutional delivery, antenatal and postnatal care services” in Nawalparasi district, Nepal in your esteemed Kathmandu University Medical Journal (KUMJ).” The editor wrote back the same day thanking us for our submission, and presenting us with a “manuscript ID o20161006250 for your valuable paper.…We will very soon go for initial screening and let you notify.” We expected the editor to send this manuscript out for review, then for us to get feedback a few months later, make some (minor) changes and have the paper published in 2017.
Then nothing happened for a year although we emailed and phoned the editor of KUMJ regularly. There seems to be a problem finding reviewers, and we offered to other potential reviewers. In December one of our co-authors Dr. Sharada Wasti informed our team that the KUMJ editor had suggested in a conversation with home that our paper would appear in the December volume of the journal. Dr. Waste emailed on 15 December 2017: “I will follow up and keep update with you by the end of this month.” KUMJ duly published Vol. 15 (4) labelled Oct.-Dec. 2017 but our paper was not included.
Four days later on December 19th 2017 we received an email for the editor with a set of minor comments and questions about the manuscript for reviewers. We made the requested amendments and resubmitted our paper on January 10th 2018. Months passed and KUMJ published two more issues in 2018 without our paper despite our team sending reminders regularly. Then on the last day of July 2018 Dr. Wasti emailed our team that he had had contact with the editor who had made it clear that: “This paper has been accepted” and it was supposed to come published in the last volume, which would have been the April-June 2018 issue Vol.16 (2). Dr. Wasti added that the editor had made it clear that although it was not covered, KUMJ “will publish in our upcoming volume.” This next issue Vol. 16 (3) again failed to publish our paper.
Then there was a long gap with KUMJ changing editors, correspondence being mislaid and manuscripts getting lost. Due to Dr. Wasti’s persistence in contacting the editors we received a request to update our paper with 2019 data in December 2019, nearly a year and a half after re-submission. A few days later that month we were informed that the journal was finally going to publish our paper. Another wo months passed before the editor email that say: “Congratulation, your paper has been finalized and selected for coming issue of KUMJ, paper has been uploaded in our website www.kumj.com.np.”
Some papers take longer to get published than others!
Our paper is now online first 3½ years after the initial submission. And to add insult to injury the journal is backdating the paper to appear with a publication date of September 2019, so it will be published in Vol.17(3) labelled July-Sept. 2019. This is, of course, an unusual story with a very long gap between first submission of a manuscript and the final appearance of the paper in print. It is unusual because the paper was only ever submitted to one journal. It is more likely that the publish process takes time because the first journal rejects the paper, the second paper also rejects your paper and then the subsequent paper asks for a set of alterations and changes. For example, van Teijlingen and Hundley (2002) outlined such process for one of their papers which took two years from initial submission to publication. However, this paper was submitted to five different journals in succession after having between rejected by the first four.
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Congratulations on the latest paper published yesterday by Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Reproductive Health (CMMPH) and colleagues. This paper ‘Factors associated with contraceptive use in rural Nepal: Gender and decision-making’ [1], is freely available for the next 49 days through our personalized link: click here!
This research paper in the journal Sexual and Reproductive Healthcare reports on a secondary analysis of pas a quantitative cross-sectional study in four villages of a hilly district in Nepal. This authors found that gender was associated with current/ever use of contraceptives but decision-making was not found associated with current/eve use of contraceptives. And, as perhaps was to be expected, socio-economic factors such as husband’s and wife’s education; and indicators showing sharing of childcare responsibilities were found to be associated with contraceptive use. the paper concludes that educational, health promotional and family planning programmes involving husbands are needed to promote use of contraceptives.
Preeti’s co-authors are based at Dorset County Hospital in Dorchester, at CMMPH and at Singapore Clinical Research Institute/Duke-NUS Graduate Medical School, Singapore.
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The Departments of Psychology (SciTech), Midwifery and Health Sciences (HSS) from Bournemouth University and SSLA part of Symbiosis International (Deemed University) were successful in getting the United Kingdon India Education Research Initiative (UKIERI) funding to support 10 UK Psychology Students and Staff to visit India. This initiative receives further support from Global Engagement Hub, Bournemouth University.
The Study in India Programme has been designed in collaboration with BU’s project partner university Symbiosis International in India, where this will be hosted. This exchange will offer a program of interactive lectures, workshops, research methods seminars, clinical experience observations, and relevant field visits.
Students will also contribute to research with Sheetal Astitva, which is a GCRF funded initiative aimed to improve mental health in rural India and Nepal. The lead researchers for this initiative are Prof. Edwin van-Teijlingen and Dr. Shanti Shanker.
Congratulations to Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the acceptance of her latest academic paper in the journal Sexual & Reproductive Healthcare. [1] Contraceptive use is one of the most effective methods for reducing the number of pregnancies and thus benefiting the health and survival of women and children, especially in low-income countries such as Nepal. Increased contraceptive use and thus decreased fertility results in decreased obstetric risk mainly by reducing unwanted pregnancy in women with high parity. This paper reports of factors that act as barriers to contraceptive use or that act as facilitators of its use.
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Last week migration researchers in the Faculty of Health & Social Sciences were awarded two competitive grants through GCRF funding to Bournemouth University. The first project Nepal-Malaysia-UK partnership on Nepali migrants’ health research is led by Dr. Pramod Regmi (lecturer in International Health) and Dr. Nirmal Aryal (Post Doctoral Researcher) and Prof. Edwin van Teijlingen. The second GCRF-funded project focuses on Investigating sudden cardiac death of Nepali labour migrants in Malaysia. The project is the brain child of Dr. Nirmal Aryal who is supported by Dr. Pramod Regmi and Prof. Edwin van Teijlingen.
In the same week the International Journal of Environmental Research & Public Health (IJERPH) accepted our latest migration and health paper: ‘The Impact of Spousal Migration on the Mental Health of Nepali Women: A Cross-Sectional Study‘. [1] This paper was part of the journal’s Special Issue ‘The Health & Wellbeing of Migrant Populations’ and it is Open Access and hence freely available online. The international authors are all related to Bournemouth University, Dr. Nirnal Aryal and Prof. Edwin van Teijlingen are both in the Centre of Midwifery, Maternal & Perinatal Health (CMMPH) and Dr. Pramod Regmi and Dr. Steve Trenoweth are based in the Department of Nursing Sciences, whilst Dr. Pratik Adhikary was awarded his PhD from Bournemouth University and Prof. Padam Simkhada based at the University of Huddersfield is Visiting Professor at in the Faculty of Health & Social Sciences. The editor emailed us today to say “Thank you very much for your nice paper …. We are pleased to see it has raised a lot of interest since its publication in IJERPH. The article metrics show: in the first week alone we had 474 views and 133 downloads.”
Last, but not least, today we were informed by the review committee that our submission, ‘Workplace Harassment Faced by Female Nepali Migrants Working in Abroad’ has been accepted by the CESLAM (Centre for the Study of Labour and Mobility) Kathmandu Migration Conference 2020.
Prof. Edwin van Teijlingen
CMMPH
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The next Global Café will be on Wednesday 11 March 2020 at the third floor of BU’s Executive Business Centre, It starts at 18.30 with a light Buffet Dinner followed by a series of short talks at 19.00. These short talks will be from a range of four speakers and there will be time to network with other participants. We aim the finish at 21.00.
All welcome, please book your space here!
Dr. Emer Forde
In the last month we had several FHSS-Psychology success stories. The first one was a recently accepted joint publication between Mr. Paul Fairbairn and Dr. Fotini Tsofliou in the Department of Rehabilitation and Sport Sciences, Dr. Andrew Johnson in BU’s Department of Psychology. The joint paper is called ‘Effects of a high DHA multi-nutrient supplement and exercise on mobility and cognition in older women (MOBILE): A randomised semi-blinded placebo controlled study” in the British Journal of Nutrition [1].
Secondly, Dr. Sarah Collard in the Department of Psychology, Dr. Pramod Regmi in the Department of Nursing Science and FHSS Visiting Professor Katherine Barnard-Kelly are to be congratulated on their publication: ‘Exercising with an automated insulin delivery system: qualitative insight into the hopes and expectations of people with type 1 diabetes’ [2].
And last, but not least, Dr. Bibha Simkhada in the Department of Nursing Science together with FHSS colleagues Dr. Michele Board and Prof. Edwin van Teijlingen and Dr. Shanti Shanker in the Department of Psychology were awarded £17,180 in the most recent internal GCRF call. Their proposed project ‘The key issues in Dementia in South Asia’ will run from 2020-2021. Both Dr. Simkhada and Dr. Shanker are Global Engagement Lead (GEL) in their respective departments.
Good to see so many great cross-BU collaborations!
Professor Edwin van Teijlingen
CMMPH
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Fairbairn, P., Tsofliou, F., Johnson, A., Dyall, S.C. (2010) Effects of a high DHA multi-nutrient supplement and exercise on mobility and cognition in older women (MOBILE): A randomised semi-blinded placebo controlled study, British Journal of Nutrition (accepted).
Collard, S.S., Regmi, P.R., Hood, K.K., Laffel, L., Weissberg-Benchell, J., Naranjo, D., Barnard-Kelly, K. (2020) Exercising with an automated insulin delivery system: qualitative insight into the hopes and expectations of people with type 1 diabetes, Practical Diabetes 2020; 37(1): 19–23.
Congratulation to FHSS PhD student Sulochana Dhakal Rai who just published her latest article in the Journal of Asian Midwives. The paper ‘Caesarean Section rates in South Asian cities: Can midwifery help stem the rise?‘ [1] is highly topical in this Year of the Nurse and Midwife (see Bournemouth University’s earlier event on YouTube).
This paper is co-authored by Dr. Juliet Wood and Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH), Dr. Pramod Regmi Lecturer in International Health in the Department of Nursing Science, Dr. Amudha Poobalan at the University of Aberdeen, Dr. Malin Bogren at the University of Gothenburg in Sweden, Prof. Rafat Jan at the Aga Khan University in Pakistan and Dr. Ganesh Dangal at Kathmandu Model Hospital in Nepal and Dr.Keshar Bahadur Dhakal based at Karnali Academy of Health Science also in Nepal. This is Sulochana’s second PhD paper, her first paper was published last year [2].
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Congratulations to Dr. Pramod Regmi, lecturer in International Health, whose article ‘Hazards of Beauty’ featured in Republica, a national daily newspaper published in English in Nepal. Many transgender people who are using hormones are mostly attracted by its short-term benefit of amplification in their feminine look and seem to be ignorant about its dark side. This newspaper article highlights the key issues of a recent paper in BMJ Open published by staff in the Faculty of Health & Social Sciences on transgender in Nepal [1].
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Congratulations to Professor Steve Tee, Executive Dean in the Faculty of Health & Social Sciences, who has been invited to give a keynote speech at 2nd International Conference on Prospects and Challenges of Higher Education: Vision 2030.
Prof. Tee will be speaking about the concept of FUSION, Bournemouth University’s unique blend of education, research and practice. This international conference will be held in Kathmandu (Nepal) on 16-18 April.
Congratulations to Dr. Pratik Adhikary on the fifth (and final paper) from his PhD in the Faculty of Health & Social Sciences. This latest paper ‘Support networks in the Middle East & Malaysia: A qualitative study of Nepali returnee migrants’ experiences’ was recently published in the International Journal of Occupational Safety and Health [1].
This is one of the few studies focusing on the support networks of Nepali migrant worker in the Middle East and Malaysia. The previous four papers have focused more on living conditions and working conditions of migrant workers as well as occupational health and safety abroad [2-5].
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Last week FHSS’s Prof. Edwin van Teijlingen held a workshop on ‘academic publishing and writing’ with BU Visiting Professor Padam Simkhada. This event took place at Tribhuvan University, Nepal’s oldest and largest university. The capacity building workshop was organised by HEAN and the Health and Population Education Department at the Central Department of Education at Tribhuvan University. The local charity Green Tara Nepal acted as a facilitator. Bournemouth University has been collaborating with Green Tara Nepal for over a decade!
This capacity building workshop is part of Bournemouth University’s GCRF-funded project called “Sheetal Asthitva” covering India and Nepal. Sheetal Asthitva is the brain child of Dr. Shanti Shanker in the Department of Psychology.
“On the twelfth day of Christmas ….” the editor of the Journal of Health Research Ms Sunanta Wongchalee informed us that our paper ‘Silicone use in Nepali transgender women: The hazards of beauty’ has been accepted for publication [1]. That is nice belated Christmas present to receive on January 6th and a good start of the New Year. The paper is written by FHSS’s Dr. Pramod Regmi and Prof. Edwin van Teijlingen with Sanjeev Raj Neupane in Nepal. This is the second paper from this unique study on transgender women in Nepal, the first one was published last year in BMJ Open [2].
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For nearly a decade BU researchers have published widely about the hazards and risk of Nepali migrant workers in Asia and the Middle East [1-9]. Despite the fact that most migrant workers end up in semi-skilled and unskilled jobs in their host countries, only a minority report poor working environments. For example, in Pratik Adhikary’s PhD study in FHSS only just over a fifth of migrant workers reported that their work environment in the Middle East or Malaysia was poor or very poor [4]. This relatively high level of satisfaction appears to seems contradict reports in local media on the risks associated with Nepali migrants working abroad, especially focusing on the football world cup in Qatar [7], official reports that many hundreds of bodies of dead Nepali migrants return home every year [10], and the fact that many of these Nepali migrant workers end up doing the jobs the local populations finds too dirty, dangerous and demeaning (colloquially referred to as 3D-jobs). Why do so many who travel abroad take to do risky, dirty and otherwise undesirable jobs, but still assess their working environment as not too bad?
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The Nepal Journal of Epidemiology published its final edition of 2019 today, on the final day of the year. This issue included an editorial co-authored by BU academics and BU Visiting Faculty. The editorial ‘Vaping and e-cigarettes: A public health warning or a health promotion tool?’ [1] addresses the topical public health question of what to make of vaping. On the one hand, vaping is generally regarded as less harmful than smoking tobacco, but on the other hand, it can be a gateway drug to cigarettes and the process of vaping a range of chemicals it in itself not harmless.
The paper has been written by two academics based in CMMPH (Centre for Midwifery, Maternal & Perinatal Health), Dr. Preeti Mahato and Prof. Edwin van Teijlingen and FHSS Visiting Faulty members Prof. Padam Simkhada (based at the University of Huddersfield) and Dr. Brijesh Sathian (based at Trauma Surgery,in Hamad General Hospital, Doha, Qatar) in collaboration with e-cigarette user Mr. Cameron van Teijlingen (based in Dorset) and Dr. Mohammad Asim (based at Trauma Surgery,in Hamad General Hospital, Doha, Qatar). The Nepal Journal of Epidemiology is Open Access and therefore freely accessible across the globe.
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