Tagged / open access

Nepal paper by Lesley Milne (CMMPH)

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 .

Journal of Asian Midwives

As co-editor of the Journal of Asian Midwives I receive occasional updates from the Aga Khan University (AKU) library in Pakistan on the number of downloads of articles published in the journal.   The journal is fully Open Access and does not charge a submission or processing fees!  All articles in the Journal of Asian Midwives are stored online in the AKU Institutional Repository.  The latest update with data until end of September 2018 informed us that there had been: 18,462 downloads, from 167 countries/regions, across 56 articles.  Nearly 20,000 downloads is not bad for a fairly new journal, which only published its inaugural issue online in 2014.

What is interesting is that the detailed download figures show that Bournemouth University is the highest ranking university of all the downloading organisations.  Listed as fifth on the download list, Bournemouth is behind two commercial organisations, the Pakistan library network and Bangladesh-based Icddr-B.  The latter is one of the largest NGO (Non-Governmental Organisations in the world based on staff numbers.  Of course it helps that Bournemouth academic staff and PhD students have published five scientific articles in the past four editions of the journal [1-5].

 

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

References:

  1. Ireland, J., van Teijlingen, E., Kemp, J. (2015) Twinning in Nepal: the Royal College of Midwives UK and the Midwifery Society of Nepal working in partnership, Journal of Asian Midwives 2 (1): 26-33.
  2. 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.
  3. Baral, YR., Lyons, K., van Teijlingen, ER., Skinner, J., (2016) The uptake of skilled birth attendants’ services in rural Nepal: A qualitative study, Journal of Asian Midwives 3(3): 7-25.
  4. 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.
  5. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2017) Determinants of quality of care & access to Basic Emergency Obstetric & Neonatal Care facilities & midwife-led facilities in low & middle-income countries: A Systematic Review, Journal of Asian Midwives 4(2):25-51.

Congratulations on timely editorial in Nepal

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.

New BU publication disability & pregnancy

Two days ago the Open Access journal BMC Pregnancy & Childbirth published an important article on women with disabilities and their experiences with the maternity services when pregnant [1].  The new paper Dignity and respect during pregnancy and childbirth: a survey of the experience of disabled women’ has been co-authored by BU’s Dr. Jenny Hall (Centre for Excellence in Learning/CEL) and Prof. Vanora Hundley (Centre for Midwifery, Maternal & Perinatal Health/CMMPH) in collaboration with Dr. Bethan Collins (formerly of BU and now based at the University of Liverpool) and BU Visiting Faculty Jillian Ireland (Poole NHS Foundation Trust). The project was partially funded by the charity Birthrights and Bournemouth University.

Women’s experiences of dignity and respect in childbirth revealed that a significant proportion of women felt their rights were poorly respected and that they were treated less favourably because of their disability. The authors argue that this suggests that there is a need to look more closely at individualised care. It was also evident that more consideration is required to improve attitudes of maternity care providers to disability and services need to adapt to provide reasonable adjustments to accommodate disability, including improving continuity of carer.

 

Congratulations!

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health

 

Reference:

  1. Jenny Hall, Vanora Hundley, Bethan Collins & Jillian Ireland (2018) Dignity and respect during pregnancy and childbirth: a survey of the experience of disabled women, BMC Pregnancy & Childbirth, 18:328

Social Work, Precarity & Sacrifice as Radical Action for Hope

Congratulations to Professor Jonathan Parker on the publication of his latest article in the International Journal of Social Work & Human Services Practice. [1]   In this paper Professor Parker outlines the history and development of social work, primarily in the UK, in the context of uncertainty and ambiguity.  He suggests that in an age of increased precariousness, social work itself represents a precarious activity that can be misconstrued and used for political ends as well as for positive change. As a means of countering potentially deleterious consequences arising from this, the concept of sacrifice which is used to consider social work’s societal role as scapegoat on the one hand and champion of the oppressed on the other. The paper concludes that social work’s potential for developing and encouraging resilience and hope is indicated in the ‘sacrifices’ social workers make when walking alongside marginalised and disadvantaged people.

The paper is Open Access, meaning that anybody across the globe with internet access will be able to read it  free of cost.

 

Reference:

  1. Parker, J. ‘Social Work, Precarity and Sacrifice as Radical Action for Hope’, International Journal of Social Work and Human Services Practice Vol.6. No.2, 2018, pp. 46-55.

New BU migrants’ health publication

The Journal of Immigrant and Minority Health (Springer) just accepted the latest paper by former FHSS Ph.D. student Dr. Pratik Adhikary (photo). [1]  His latest paper ‘Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study’ is the fourth, and probably final, paper from his Bournemouth University Ph.D. thesis.  This latest paper is based on the qualitative part of the mixed-methods thesis, his previous papers focused more on the quantitative data. [2-4] 

Since this is a qualitative paper it also offers a more theoretical underpinning than the previous papers.  The work uses the dual labour market theory which associates labour migration specifically to the host economy as it explains migration from the demand side. Labour migrants from less developed economies travel to fill the unskilled and low-skill jobs as guest workers in more developed economies to do the jobs better trained and paid local workers do not want to do.  This theory also explains the active recruitment through labour agents in Nepal to help fulfil the demand for labour abroad, and it helps explain some of the exploitation highlighted in host countries. The theory also helps explain why lowly skilled migrant workers are often at a higher risk to their health than native workers . Similar to migrant workers from around the world, Nepali migrant workers also experience serious health and safety problems in the host countries including accidents and injuries.

The latest article will be Open Access in the Journal of Immigrant and Minority Health!

 

References:

  1. Adhikary P, van Teijlingen E., Keen S. (2018) Workplace accidents among Nepali male workers in the Middle East and Malaysia: A qualitative study, Journal of Immigrant and Minority Health (First Online), https://link.springer.com/article/10.1007/s10903-018-0801-y
  2. Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
  3. Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10.
  4. 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

New publication by CMMPH Visiting Faculty Dr. Luyben

Congratulations to Dr. Ans Luyben on her latest co-authored midwifery publication: ‘Conscientious objection to participation in abortion by midwives and nurses: a systematic review of reasons’ in the Open Access journal BMC Medical Ethics.  The UK co-authors are linked with Liverpool John Moores University and the University of Liverpool, whilst the third co-author is from Germany.  Ans works in Swtzerland and she is Visiting Faculty in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

What it means to be Open? – Open Research day, 3rd of July

We would like to welcome everybody interested in research to our next Open Research day.

There will be drinks and cake!

When: 3rd of July

Where:

  • BG11 – 9am-12pm – presentation from 10am to 11am
  • FG04 – 1pm-4pm – presentation from 2pm to 3pm

Staff from RKEO and the library will be on hand to answer any enquiries you might have about Open Research.

There will also be a presentation entitled What it means to be Open? with a PechaKucha by members of RKEO and the library team, where we will explain the concept of Open Access, Research Data Management, link with REF2021 and how to deposit your research through BRIAN. Researchers are also going to share why they publish Open Access at Bournemouth University.

You are welcome to dip in and out, no need to stay for the full three hours!!

José

HSS Faculty Librarian

jlopezblanco@bournemouth.ac.uk

Two reviews by BU academics in the American Anthropologist in 2018

The first review by a Bournemouth University academic  in the prestigious  journal American Anthropologist was published in its February issue.  Dr. Sue Sudbury who is Principal Academic in Media Production reviewed the film ‘The Anthropologist’ [1].  She wrote in this Open Access review that this film raises many interesting issues about the role of the anthropologist and deftly illustrates the divide that exists when different cultures come together.   Her conclusion of the review is that ‘The Anthropologist’ is an intriguing and memorable film about environmental anthropologists and the important work they do collecting and telling the stories of people whose lives are being reshaped by climate change. It is also about the relationship between female anthropologists and their daughters. As such, it does an important job of introducing the subject and will no doubt generate discussion, but it is not an anthropological film and doesn’t claim to be.

The second one, a book review this time, appeared this week in the June issue.    Prof. Edwin van Teijlingen in Bournemouth University’s Centre for Midwifery, Maternal & Perinatal Health (CMMPH) reviewed the book Midwives and Mothers: The Medicalization of Childbirth on a Guatemalan Plantation by the American anthropologist Sheila Cosminsky [2].  He reminds the reader that some of the work in this book work has previously been published in articles, as clearly stated in the acknowledgments (p. xii).  He highlights that “on reading the book I remembered with joy snippets from some of the articles on Doña María I read nearly thirty years ago while working on my PhD thesis.” Cosminsky does a great job of bringing together a lifetime of anthropological (field)work in a comprehensive and easy‐to‐read book.

It is not often that we see reviews written by BU staff in this impressive journal, let alone two in subsequent issues.

 

References:

  1. Sudbury S. (2018) The Anthropologist Seth Kramer, Daniel A. Miller, and Jeremy Newberger, dirs. 81 mins. English, Russian, Sakha, Kiribati, Spanish, and Quechua with English subtitles. New York: Ironbound Films, 2015, American Anthropologist 120(1): 169-170.
  2. van Teijlingen E. (2018) Midwives and Mothers: The Medicalization of Childbirth on a Guatemalan Plantation by Sheila Cosminsky, American Anthropologist 120(2): 369.

New BU mental health paper published

Congratulations to FHSS students Folashade Alloh and Igoche Onche who found out today that their ‘Mental health in low-and-middle-income countries (LMIC): Going beyond the need for funding’ has been accepted for publication by the editors of Health Prospect.  The paper is co-authored by FHSS staff Dr Pramod Regmi, Prof Edwin van Teijlingen and Dr Steven Trenoweth. Health Prospect is an Open Access journal.

More than 70% of the global mental health burden occurs in many low-and middle-income countries (LMIC). The paper discusses mental health issues in LMIC under different themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for mental health sector. The paper highlights that mental health education and health care services in most LMIC is poorly resourced; however, there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMIC, there is a need for effort to address cultural and professional practices that contribute to poor mental health among individuals. The authors argue that mental health should be integrated into primary health care in LMIC. Creating awareness on impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease of discussing mental health issues in these countries which will contribute to reducing stigma faced by mental health patients.

Congratulations to two FHSS PhD students

Congratulations to two Faculty of Health & Social Sciences PhD students, Preeti Mahato and Elizabeth Waikhaka, who co-authored a paper published in the WHO South-East Asia Journal of Public Health. Their paper is called ‘Social autopsy: a potential health-promotion tool for preventing maternal mortality in low-income countries’.[1]   Co-authors include Dr. Puspa Pant from the Centre for Child and Adolescent Health, University of the West of England (Bristol) and Dr. Animesh Biswas based at the Reproductive & Child Health Department, Centre for Injury Prevention & Research, Bangladesh (CIPRB) in the capital of Bangladesh, Dhaka.

The authors argue that verbal autopsy is used to attribute a clinical cause to a maternal death.  The aim of social autopsy is to determine the non-clinical contributing factors. A social autopsy of a maternal death is a group interaction with the family of the deceased woman and her wider local community, where facilitators explore the social causes of the death and identify improvements needed. Although still relatively new, the process has proved useful to capture data for policy-makers on the social determinants of maternal deaths. This article highlights the potential role of social autopsy in health promotion.

Reference:

  1. Mahato, P.K, Waithaka, E., van Teijlingen, E., Pant, P.R., Biswas, A. (2018) Social autopsy: a potential health-promotion tool for preventing maternal mortality in low-income countries. WHO South-East Asia Journal of Public Health 7(1): 24–28.

CMMPH lecturer Daisy Wiggins’ paper published

Congratulations to Daisy Wiggins in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) on the publication of her paper ‘The effect of a birthplace decision support tool on women’s decision-making and information gathering behaviours during pregnancy: mybirthplace study protocol’.  The paper is published in the Open Access journal Journal of Innovation in Health Informatics and can be accessed by clicking here!  The paper is co-authored by CMMPH’s Prof. Vanora Hundley, Dr. Carol Wilkins, as well asProf. Carol Bond (University of Wolverhampton) and the Chief Executive of the Royal College of Midwives (RCM) Gill Walton.

 

Congratulations to all!

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

Wiggins D, Hundley VA, Wilkins C, Bond C, Walton G. The effect of a birthplace decision support tool on women’s decision-making and information gathering behaviours during pregnancy: mybirthplace study protocol. J Innov Health Inform.2018;25(1):001–006.

 

BORDaR – a new dedicated research data repository.

Thursday 8 February saw the launch of BORDaR (Bournemouth Online Research Data Repository), Bournemouth University’s new research data repository, which provides a secure and open access home for data emanating from BU’s world leading research projects.

Our support for Research Data Management (RDM) begins here and is complemented by a RDM Library Guide which has been developed specifically for BU staff.  Use this guide to help you deposit your data Open Access as mandated by your research funder and to increase your research impact for REF 2021 – you can find guidance on developing a Data Management Plan, managing, documenting, depositing, sharing and securing your data.  You can also email bordar@bournemouth.ac.uk with your query.

Back in November a repository naming competition was held and from the Faculty of Science & Technology, Paul Cheetham’s suggestion of BORDaR was chosen as the winner by BU’s RDM Steering Group.  As his prize Paul received a much cherished copy of Armin Schmidt’s Earth resistance for archaeologists, from Pro-Vice-Chancellor Professor (Research and Innovation), John Fletcher.

Two papers on health & migration in Nepal

This last week two separate papers have been accepted on aspects of health and well-being among migrants workers from Nepal.  The first in the International Journal of Migration, Health and Social Care is based on a completed PhD project in the Faculty of Health & Social Sciences with Dr. Pratik Adhikary as first author [1].  This paper ‘Health and well-being of Nepalese migrant workers abroad’ is co-authored by two former FHSS staff Dr. Zoe Sheppard and Dr. Steve Keen, and Prof. Edwin van Teijlingen of the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).

 

The second paper ‘A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East and Malaysia’ was accepted by the Open Access journal BMC International Health & Human Rights [2].  The lead author of this paper is Bournemouth University (BU) Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University) and two of his co-authors are based in Nepal: Manju Gurung (chair of Pourakhi Nepal) and Dr. Sharada Prasad Wasti and one at BU: Prof. Edwin van Teijlingen .

There is  a growing momentum in migration research at BU with further academic papers being published related to studies on migrant workers from Nepal [4-8], relatives of migrant workers [9], migration into the UK [10-12], Eastern European migration issues [13-15], migration and tourism [16], migration and the media [17] as well as migration in the past [18].

 

References:

  1. Adhikary P, Sheppard, Z., Keen S., van Teijlingen E. (2018) Health and well-being of Nepalese migrant workers abroad, International Journal of Migration, Health and Social Care (accepted). https://doi.org/10.1108/IJMHSC-12-2015-0052
  2. Simkhada, P.P., van Teijlingen, E.R., Gurung, M., Wasti, S. (2018) A study of Health Problems of Nepalese Female Migrants Workers in the Middle-East and Malaysia, BMC International Health & Human Rights (accepted Jan.).
  3. 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.
  4. van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Response: www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
  5. Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
  6. Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect 16(2): 3-10.
  7. 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.
  8. Simkhada, PP., Regmi, PR., van Teijlingen, E., Aryal, N. (2017) Identifying the gaps in Nepalese migrant workers’ health & well-being: A review of the literature, Journal of Travel Medicine 24 (4): 1-9.
  9. 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.
  10. Scammell, J., 2016. Nurse migration and the EU: how are UK nurses prepared? British Journal of Nursing, 25 (13), p. 764.
  11. Holscher, J., 2017. The effects of Brexit on the EU, the UK and Dorset – a migrant’s account. BAFES Working Papers, 1-11.
  12. Sapkota, T., Simkhada, P., van Teijlingen, E. (2014) Nepalese health workers’ migration to United Kingdom: A qualitative study. Health Science Journal 8(1):57-74.
  13. Filimonau, V., Mika, M. (2017) Return labour migration: an exploratory study of Polish migrant workers from the UK hospitality industry. Current Issues in Tourism, 1-22.
  14. Janta, H., Ladkin, A., Brown, L., Lugosi, P., 2011. Employment experiences of Polish migrant workers in the UK hospitality sector. Tourism Management, 32 (5): 1006-1019.
  15. Mai, N., Schwandner-Sievers, S. (2003) Albanian migration and new transnationalisms, Journal of Ethnic & Migration Studies 29(6): 939-948.
  16. Dwyer, L., Seetaram, N., Forsyth, P., Brian, K. (2014) Is the Migration-Tourism Relationship only about VFR? Annals of Tourism Research, 46: 130-143.
  17. Marino, S., Dawes, S. (2016). Fortress Europe: Media, Migration and Borders. Networking Knowledge, 9 (4).
  18. Parker Pearson, M., Richards, C., Allen, M., Payne, A., Welham, K. (2004) The Stonehenge Riverside project Research design and initial results Journal of Nordic Archaeological Science 14: 45–60.

Dr Emily Arden-Close from Psychology co-authors paper in The Lancet Respiratory Medicine

Dr Emily Arden-Close, a Senior Lecturer in Psychology, is a co-author on a paper entitled “Physiotherapy breathing retraining for asthma: a randomised controlled trial.” This was recently published in the prestigious journal Lancet Respiratory Medicine (impact factor 19.287). This paper reported the results of a large 3-arm randomised trial which demonstrated that breathing retraining delivered by DVD and booklet was equivalent in terms of effectiveness to face-to-face physiotherapy, and more effective than usual care, in terms of asthma-related quality of life at 12 months.  The paper is available open access at http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(17)30474-5/fulltext