Tagged / Prof. Edwin van Teijlingen

The PhD examiner

international, PG research

Being asked to examine a PhD thesis is a honour for most academics.  As an examiner you always learn something new.  If not about the topic itself, you may learn different ways of applying a research method or new theoretical explanations or even new ideas for supervising your own PhD students.  It is a joy to have an in-depth scientific discussion with a dedicated and motivated candidate. Usually the candidate is a little nervous, especially at the start of the viva, and I see it as one of my tasks as an examiner to help the candidate to relax a little.

Today I had the pleasure of being one of the examiners for a PhD at the University of Maastricht (the Netherlands).   The PhD candidate (now Dr.) Franka Cadée was a little nervous according to her supervisors, although it did not show during the viva.

Interestingly, enough I also felt nervous!  Before today I had examined 50th PhD thesis in seven different countries.  However, I probably had not felt this nervous since my own viva nearly three decades ago.  Why was I nervous?  First, although I am Dutch and I have studied in the Netherlands and the UK, I had never attended a PhD examination in the Netherlands.  And PhD examinations really do differ between the UK and most northern European countries, especially the public defence of the thesis by the candidate in front of examiners, colleagues, friends and family.  Secondly, the candidate today is the president of the ICM (the International Confederation of Midwives).  Of course, this does not make any difference in the examination process, this candidate was treated the same as any other student would have been.  Thirdly, and most importantly, the ICM had globally advertised the public defence of Dr. Cadée’s thesis to midwives, maternity policy-makers, member of International Non-Governmental Organisations and maternity care providers and invited ‘everybody’ to watch on ZOOM.

I really think it was the latter that made me more nervous than the much more private UK PhD viva with perhaps five or six people in a small class room, or, these days, on ZOOM.

Finally, my congratulations to Dr. Franka Cadée on the successful defence of her thesis Twinning, a promising dynamic process to strengthen the agency of midwives.

 

Professor Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

COVID-19 affects research into other diseases

international, Publishing, Research Integritiy, Training, writing

A systematic review published late last week assesses the impact of the COVID-19 pandemic on on-going and new clinical trials and research on a range of diseases [1]. The COVID-19 pandemic has resulted in a series of public health policies, including lock down, that have crippled the healthcare systems of many countries. These measures hugely impact on study participants, care providers, researchers, trial sponsors, and research organizations conducting clinical trials. This pandemic has a substantial impact on the trial sites as they experience difficulty in the continuation of trial activities which eventually hampers the progress of the trial and delays study timelines. Most sites are struggling due to delayed subject enrolment, shortfalls in monitoring, and risks of compromised data integrity, and this situation also has a negative impact on the start of future. Researchers are also concerned regarding the delay or cancellations of trials in the pandemic, which will have financial consequences for research organizations/human resources.

According to one survey, about two-thirds of the respondents have stopped or will soon halt subject enrolment in ongoing clinical trials, one-third halted randomization, and fifty percent of respondents are delaying or planning to delay the studies.  Adopting new approaches and understanding the key risk indicators will help managers support trial sites with flexibility and ingenuity. For instance, switching patient site visits to new-trial virtualization, and telemedicine to interact with patients will help manage current clinical trials also beneficial for the post-pandemic era.

 

Reference:

  1. Sathian B, Asim M,  Banerjee I, Pizarro AB, Roy B, van Teijlingen ER, Borges do Nascimento IJ, Alhamad HK.  Impact of COVID-19 on clinical trials and clinical research: A systematic review. Nepal J Epidemiol. 2020;10(3); 878-887

 

New FHSS nutrition publication

Publishing, student research, writing

Congratulations to Dr. Jib Acharya on the publication of his latest research paper ‘Exploring Food-Related Barriers and Impact on Preschool-Aged Children in Pokhara, Nepal: A Qualitative Review’ which is based on his PhD research [1].  Dr. Acharya has published several papers [2-3] from his PhD thesis in collaboration with his supervisors, Prof. Jane Murphy, Dr. Martin Hind and Prof, Edwin van Teijlingen.

Congratulations!

 

References:

  1. Acharya, J., van Teijlingen, E., Murphy, J., Hind, M., Ellahi, B., Joshi, A. (2020) Exploring Food-Related Barriers and Impact on Preschool-Aged Children in Pokhara, Nepal: A Qualitative Review, Participation 22(20): 98-110.
  2. Acharya, J., van Teijlingen E., Murphy, J., Hind, M. (2015) Assessment of knowledge, beliefs & attitudes towards healthy diet among mothers in Kaski, Nepal, Participation 17(16): 61-72.
  3. Acharya, J., van Teijlingen E, Murphy, J., Hind, M. (2015) Study of nutritional problems in preschool aged children in Kaski District Nepal, Journal of Multidisciplinary Research in Healthcare 1(2): 97-118. http://dspace.chitkara.edu.in/jspui/bitstream/1/560/1/12007_JMRH_Acharya.pdf

 

 

 

PhD student paper out in print today

international, PG research, Publishing, student research, writing

Congratulations to FHSS Social Worker Dr. Orlanda Harvey, whose Ph.D. paper ‘Support for non-prescribed anabolic androgenic steroids users: a qualitative exploration of their needs’ published this week in the journal Drugs: Education, Prevention and Policy [1].  

Anabolic Androgenic Steroids (AAS) are used by the general population (particularly male gym users) for their anabolic effects (increased muscle mass). Few studies have sought AAS users’ views on what information and support they need. This study focuses on ideal support wanted by people who use AAS. Interviews were conducted with 23 self-declared adult AAS users. Using thematic analysis, six themes were identified aligned to support and information wanted by AAS users: (1) specific types of information wanted: managing risks, (2) mechanisms for communication of advice, (3) specific types of support wanted: medical and emotional, (4) stigmatisation of people who use AAS, (5) paying for support services, (6) legality of AAS use.

This interesting qualitative piece of work was submitted over one year ago (August 2019) it was accepted by the journal late last year (13th Dec ember 2019 and published online the following months.  It has taken from January 2020 till mid-September to appear in the print issue!

The paper is co-authored by Orlanda’s supervisors: Dr. Margarete Parrish, Dr. Steven Trenoweth and Prof. Edwin van Teijlingen.  Moreover, this is Orlanda’s third paper from her thesis research,  her systematic literature review has been published in BMC Public Health [2] and a further findings papers  has been submitted to an academic journal.

 

References:

  1. Harvey, O., Parrish, M., van Teijlingen, E., Trenoweth, S. (2020) Support for non-prescribed Anabolic Androgenic Steroids users: A qualitative exploration of their needs Drugs: Education, Prevention & Policy 27:5, 377-386. doi 10.1080/09687637.2019.1705763
  2. Harvey, O., Keen, S., Parrish, M., van Teijlingen, E. (2019) Support for people who use Anabolic Androgenic Steroids: A Systematic Literature Review into what they want and what they access. BMC Public Health 19: 1024 https://doi.org/10.1186/s12889-019-7288-x https://rdcu.be/bMFon

New CMMPH midwifery paper

NHS, Publishing, writing

Today the European Journal of Midwifery published our paper ‘Midwives’ views towards women using mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature’.  There are many apps to help women to monitor aspects of their own pregnancy and maternal health. This literature review aims to understand midwives’ perspectives on women self-monitoring their pregnancy using eHealth and mHealth, and establish gaps in research. mHealth (mobile health) is the use of mobile devices, digital technologies for health, health analytics, or tele-health, whilst eHealth (electronic health) is the health care supported by electronic processes.

It established that midwives generally hold ambivalent views towards the use of eHealth and mHealth technologies in antenatal care. Often, midwives acknowledged the potential benefits of such technologies, such as their ability to modernise antenatal care and to help women make more informed decisions about their pregnancy. However, midwives were quick to point out the risks and limitations of these, such as the accuracy of conveyed information, and negative impacts on the patient-professional relationship.  The authors conclude that with COVID-19 making face-to-face maternity service provision more complicated and with technology is continuously developing, there is a compelling need for studies that investigate the role of eHealth and mHealth in self-monitoring pregnancy, and the consequences this has for pregnant women, health professionals and organisations, as well as midwifery curricula.

 

Prof. Edwin van Teijlingen

Centre for Midwifery, Maternal & Perinatal Health (CMMPH)

 

Reference:

  1. Vickery, M., Way, S., Hundley, V., Smith, G., van Teijlingen, E., Westwood G. (2020) Midwives’ views women’s use of mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature, European Journal of Midwifery 4: 36 DOI: https://doi.org/10.18332/ejm/126625

FHSS PhD student’s poster at prestigious GLOW conference

conferences, international, PG research, Publishing, student research, Women's Academic Network, writing

Today and tomorrow Sulochana Dhakal-Rai will have her poster ‘Factors contributing to rising Caesarean Section rates in South Asia: a systematic review’ online at this year’s GLOW Conference [Global Women’s Research Society Conference].  This year for the first time, this international conference is held completely online.  Sulochana’s PhD project is supervised by Dr. Pramod Regmi, P., Dr. Juliet Wood and Prof Edwin van  Teijlingen at BU with Prof. Ganesh Dangal [Professor of Obstetrics and Gynaecology at Kathmandu Model Hospital] who acts as local supervisor in Nepal.  Sulochana has already published two papers from her on-going thesis research [1-2].

References

  1. Dhakal-Rai, S., Regmi, PR, van Teijlingen, E, Wood, J., Dangal G, Dhakal, KB. (2018) Rising Rate of Caesarean Section in Urban Nepal, Journal of Nepal Health Research Council 16(41): 479-80.
  2. Dhakal Rai, S., Poobalan, A., Jan, R., Bogren, M., Wood, J., Dangal, G., Regmi, P., van Teijlingen, E., Dhakal, K.B., Badar, S.J., Shahid, F. (2019) Caesarean Section rates in South Asian cities: Can midwifery help stem the rise? Journal of Asian Midwives, 6(2):4–22.

Productive week CMMPH

international, PG research, Publishing, student research, writing

Some weeks are more productive than others and this week the  academics in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) have been very busy.   Professor Hundley published  a paper  ‘The initiation of labour at term gestation: physiology and practice implications’ with two midwifery colleagues [1].   The further two CMMPH paper accepted this week were systematic reviews: (a)  Perceived Stress and Diet Quality in Women of Reproductive Age: A Systematic Review and Meta-Analysis; and (b)  ‘Midwives’ views towards women using mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature’ [2-3].  Fourthly, CMMPH PhD student Sulochana Dhakal-Rai had a poster accepted at this year’s GLOW conference, which will be held, for the first time, online.  This poster based on her PhD ‘Factors contributing to rising caesarean section rates in South Asia: ​a systematic review’ is supervised by Dr. Juliet Wood, Dr. Pramod Regmi, Prof. Edwin van Teijlingen and Prof.  Ganesh Dangal (based in Nepal).

 

Congratulations!

Prof. Edwin van Teijlingen

 

References:

  1. Hundley V, Downe S, Buckley S (2020) The initiation of labour at term gestation: physiology and practice implications. Best Practice & Research Clinical Obstetrics & Gynecology 67: 4-18  https://www.sciencedirect.com/journal/best-practice-and-research-clinical-obstetrics-and-gynaecology/vol/67/suppl/C

  2. Khaled K, Tsofliou F, Hundley V, Helmreich R, Almilaji O Perceived Stress and Diet Quality in Women of Reproductive Age: A Systematic Review and Meta-Analysis Nutrition (in press) 

  3. Vickery M, van Teijlingen E, Hundley V, Smith GB, Way S, Westward G. Midwives’ views towards women using mHealth and eHealth to self-monitor their pregnancy: A systematic review of the literature.  European Journal of Midwifery (in press)

Interdisciplinary Public Health

international, open access, Publishing, Research Integritiy, writing

Yesterday the Journal of Manmohan Memorial Institute of Health Sciences published our editorial ‘Public Health is truly interdisciplinary’ [1].  This editorial was largely written to counteract some of the jurisdictional claims made in Nepal by certain people in Public Health.  These claims express themselves in arguments around the question whether Public Health is a single academic discipline or profession or whether it is a broad profession comprising many different academic disciplines.  There are two quite distinct and opposing views. Some argue that Public Health is a broad-ranging single discipline covering sub-disciplines such as Epidemiology, Management, Public Health Practice, Health Psychology, Medical Statistics, Sociology of Health & Illness and Public Health Medicine.  Those who support this argument, typically see: (a) Public Health is the overarching dominant discipline, which brings these sub-disciplines together; and (b) that a true Public Health practitioner amalgamates all these individual elements.  Others argue that Public Health is more an overarching world view or  interdisciplinary approach for wide-ranging group of professionals and academics [2]. In this view some Public Health professionals are first trained as clinicians, others as psychologists, health economists, health management, statisticians, or demographers, and so on and have later specialised in Public Health.

However,  their are people in the field claiming that Public Health is a single discipline that can only /or even best be practice and taught by those with an undergraduate degree in Public Health.  Basically suggesting you you need a Public Health degree to practice or teach the discipline.  Our editorial argues that this latter view suggests a rather limited understanding of the broad church that is Public Health.

This latest editorial is co-authored by Dr. Sharada P. Wasti in Nepal, Prof. Padam Simkhada, who is based at the University of Huddersfield and BU Visiting Faculty and Prof. Edwin van Teijlingen in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH).  Both articles listed below are Open Access and free available to readers across the globe.

 

References:

  1. Wasti, S.P., van Teijlingen, E., Simkhada, P. (2020) Public Health is truly interdisciplinary. Journal of Manmohan Memorial Institute of Health Sciences 6(1): 21-22.
  2. van Teijlingen, E., Regmi, P., Adhikary, P., Aryal, N., Simkhada, P. (2019). Interdisciplinary Research in Public Health: Not quite straightforward. Health Prospect, 18(1), 4-7.

Building Strong Primary Health Care in Nepal

international, Publishing, writing

New  BU co-authored article ‘Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal’ will be published soon [1].  This paper has been accepted by the international journal Global Health Action (published by Taylor & Francis).  The international authorship comprises Nepal, Denmark and the UK.

Nepal is currently facing a double burden of non-communicable diseases (NCDs) and communicable diseases, with rising trends in the former. This situation will add great pressure to already fragile health systems and pose a major challenge to the country’s development unless urgent action is taken. The paper argues that while the primary health care approach offers a common platform to effectively address NCDs through preventive and curative interventions, its potential is not fully tapped in Nepal. In line with the Alma-Ata and Astana declarations, the authors propose an integrated approach for Nepal, and other low-and middle-income countries, including six key reforms to enhance the primary care response to the increasing burden of NCDs.  These six key areas are: (1) Life-course approach to addressing NCDs; (2) Task shifting for NCD risk factor management; (3) Strengthening informal care givers; (4) Strengthening quality of PHC and health systems;  (5) Establish strategic information management system; and (6) Healthcare financing.

Publication Cover

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Gyawali, B., Khanal, P., Mishra, S.R., van Teijlingen, E., Meyrowitsch, D.W. (2020) Building Strong Primary Health Care to Tackle the Growing Burden of Non-Communicable Diseases in Nepal, Global Health Action (accepted) https://doi.org/10.1080/16549716.2020.1788262

 

BU Dementia paper published today

NHS, Publishing, writing

Today the international sociology journal Sociological Research Online (SAGE) published the paper  ‘Dementia as Zeitgeist: Social Problem Construction and the Role of a Contemporary Distraction’  [1].  Using notions of social problem construction and sociologies of legitimacy, this article explores dementia as Zeitgeist that has captured imaginations but as such is contingent and therefore precarious building an edifice that may be limited and may occlude dangers for people living with dementia.  This paper is written by two BU academics: Prof. Jonathan Parker (Department of Social Sciences & Social Work) and Dr. Vanessa Heaslip (Department of Nursing Science) and former one BU staff  member Dr. Clare Cutler .  Clare is now at the Wessex Institute for Health Research & Development.

 

Congratulations

Prof. Edwin van Teijlingen

CMMPH

New COVID-19 publication by FHSS academics

international, open access, Publishing, writing

Congratulations to Dr. Preeti Mahato, Dr. Nirmal Aryal and Dr. Pramod Regmi  in the Faculty of Health & Social Sciences on their latest COVID-19 publication.  Yesterday the Europasian Journal of Medical Sciences informed us of its acceptance of the article ‘Effects of COVID-19 during lockdown in Nepal’ [1].  The Europasian Journal of Medical Sciences is a peer-reviewed Open-Accessed journal which is published biannually online as well as in print version. It is an official publication of the Nirvana Psychosocial Care Center & Research Institute.

This is the fifth COVID-19 publication by our team since lock down began (in both the UK and Nepal).  Previous publications with colleagues based in the UK and elsewhere across the globe focused on maternity care, public health, Nepal and the apparent effect of COVID-19 on people from ethnic minorities int he UK [2-5].

 

Prof. Edwin van Teijlingen

CMMPH (Centre for Midwifery, Maternal & Perinatal Health)

 

References:

  1. Mahato, P., Tamang, P., Shahi, P., Aryal, N., Regmi, P., van Teijlingen, E., Simkhada, P. (2020) Effects of COVID-19 during lockdown in Nepal, Europasian Journal of Medical Sciences (accepted).
  2. Sathian, B., Asim, M., Mekkodathil, A., van Teijlingen, E., Subramanya, S.H., Simkhada, S.,Marahatta, S.B., Shrestha, U.M. (2020) Impact of COVID-19 on community health: A systematic review of a population of 82 million, Journal of Advanced Internal Medicine 9(1): 4-11. https://www.nepjol.info/index.php/JAIM/article/view/29159
  3. Tamang, P., Mahato, P., van Teijlingen E, Simkhada, P. (2020) Pregnancy and COVID-19: Lessons so far, Healthy Newborn Network [14 April] healthynewbornnetwork.org/blog/pregnancy-and-covid-19-lessons-so-far/
  4. Asim, M., Sathian, B., van Teijlingen, E.R., Mekkodathil, A., Subramanya, S.H., Simkhada, P. (2020) COVID-19 Pandemic: Public Health Implications in Nepal, Nepal Journal of Epidemiology 10 (1): 817-820. https://www.nepjol.info/index.php/NJE/article/view/28269
  5. Alloh, F.T., Regmi, P., van Teijlingen, E. (2020) Is ethnicity linked to incidence or outcomes of Covid-19? (Rapid Response) BMJ (14 May) 369:m1548