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McCall D, Luu X, Krogh C, Phelan L, Dempsey A, Acosta C, Marshall F, Svejkar D, Pruscino C, Beres MA. A Comparative Account of Institutional Approaches to Addressing Campus-Based Sexual Violence in Australia and Aotearoa New Zealand. Violence Against Women 2024; 30:1586-1613. [PMID: 37461389 PMCID: PMC10998435 DOI: 10.1177/10778012231183654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2023]
Abstract
Sexual violence is prevalent on university campuses globally. In this article, we report a qualitative insider research study examining practices for addressing sexual violence at four universities across Australia and Aotearoa New Zealand. We collected, analysed, and synthesised descriptive information about the practices at each institution. We found unique institutional approaches that nonetheless share some commonalities, yieldingseveral themes that are central to practice. In reflecting on our findings, we conclude with an outline of critical considerations and a call to action for future efforts to address campus-based sexual violence, particularly as this field remains underdeveloped across Australia and Aotearoa New Zealand.
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Affiliation(s)
- Deanna McCall
- Student Central, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Xuan Luu
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Chris Krogh
- School of Humanities, Creative Industries and Social Sciences, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Liam Phelan
- School of Environmental and Life Sciences, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Amy Dempsey
- Campus Community Division, Monash University, Clayton, Victoria, Australia
| | - Carmen Acosta
- Campus Community Division, Monash University, Clayton, Victoria, Australia
| | - Fiona Marshall
- Campus Community Division, Monash University, Clayton, Victoria, Australia
| | - Domenic Svejkar
- Design Innovation Research Centre, University of Technology Sydney, Sydney, New South Wales, Australia
| | - Catharine Pruscino
- Office of the Provost, University of Technology Sydney, Sydney, New South Wales, Australia
| | - Melanie A. Beres
- Te Whare Tāwharau, University of Otago, Dunedin, Otago, New Zealand
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Ton V, Kahlon T, Drezek K, Soydara C, Rupert L, Camuso J, Milley K, Logan T, Dempsey A, Coglianese E, Mastoris I, Osho A, Michel E, D'Alessandro D, Lewis G. Distinct Pressure-Flow Phenotypes During Exercise in Patients Supported with Left Ventricular Assist Devices (lvad). J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Krening C, Dempsey A, Lowery D, De Leon B. Remote, Centralized Electronic Fetal Monitoring Using a Dedicated Fetal Telemetry Room. J Obstet Gynecol Neonatal Nurs 2022. [DOI: 10.1016/j.jogn.2022.05.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Dempsey A. Promoting the Safe Reduction of Primary Cesarean Births. J Obstet Gynecol Neonatal Nurs 2022. [DOI: 10.1016/j.jogn.2022.05.069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Logan T, Barnes J, Ton V, Thomas S, Camuso J, Milley K, Dempsey A, D'Alessandro D, Coglianese E. Outcomes in Patients with a Centrifugal Flow with Full Magnetic Levitation Left Ventricular Assist Device (CF-FML LVAD) Who Did Not Receive Bridging with a Continuous Heparin Infusion (CHI) After Implantation. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Hoskins C, Dempsey A, Brou L. A Mixed-Methods Study of the Effect of Abdominal Binders on Opioid Use and Postoperative Pain After Cesarean Birth. Nurs Womens Health 2022; 26:30-37. [PMID: 35032465 DOI: 10.1016/j.nwh.2021.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 12/01/2021] [Accepted: 12/01/2021] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To compare levels of postoperative oxycodone use and incisional pain between two randomized groups-an intervention and a control. DESIGN Mixed-methods design; quantitative data achieved via a randomized controlled trial, with qualitative data collected on binder use. The primary variable was oxycodone (in milligrams) required during the first 48 hours after birth, and the secondary variable was incisional pain levels measured on Postoperative Days 1 and 2. SETTING Acute-care community hospital in Wheat Ridge, Colorado, and an acute care urban hospital in Denver, Colorado. PARTICIPANTS A total of 220 individuals in the postpartum period after having cesarean birth. INTERVENTIONS/MEASUREMENTS Participants were randomized to the intervention group (binder) or the control group (no binder). Data were collected on opioid usage for the first 48 hours. Participants in both groups were asked to rate their incisional pain on Postoperative Day 1 (24 hours after birth) and Postoperative Day 2 (48 hours after birth). Participants in the binder group were also asked to provide feedback on their experience wearing the binder. RESULTS A total of 196 participants completed the study. The overall amount of oxycodone taken by individuals in the binder group was lower than that in the control group, but the difference was not statistically significant (p = .10). Pain scores in the binder group were significantly lower on Day 2 compared with the control group (p = .002). The majority of individuals in the binder group provided positive feedback about their experience wearing the binder. CONCLUSION Individuals routinely receive medications to assist with pain management postoperatively. Because of growing concerns related to the nation's opioid addiction crisis, there is interest in using multimodal treatments to achieve adequate pain control for individuals postoperatively. Abdominal binders are a low-cost intervention to assist with pain management and, given the results of this study, seem like a reasonable option to consider.
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Dempsey A, Krening C. Using an Obstetric Patient Safety Program to Standardize Postpartum Hemorrhage Care Across a Health Care System. J Obstet Gynecol Neonatal Nurs 2021. [DOI: 10.1016/j.jogn.2021.08.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Javernick JA, Dempsey A, DeLeon B. Low-Intervention Birth Suites Within a Community Hospital: An Innovative Approach to Perinatal Services. J Midwifery Womens Health 2021; 66:520-525. [PMID: 33619892 DOI: 10.1111/jmwh.13207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 11/08/2020] [Accepted: 11/10/2020] [Indexed: 11/30/2022]
Abstract
Perinatal care leaders at a community hospital located in the Denver, Colorado metropolitan area searched for an innovative way to provide a low-intervention option that promoted physiologic birth for women seeking intrapartum care. This reasonably priced project focused on the transformation of traditional labor and delivery rooms into birth suites and included installation of birth slings, full-size beds with home-like mattresses, new sleep sofas for the partners, and the removal of computer screens and electronic fetal monitors. In addition, the team wrote a specific birth suite policy, provided nurse education focused on intermittent auscultation and labor support techniques, and developed a birth suite curriculum for patient education. This innovative model of care demonstrated outcomes similar to those seen in community-based birth centers and received positive feedback from families who labored and gave birth in these suites. In the instance when the birth suite is no longer the appropriate environment for intrapartum care secondary to risk factors, a woman's preference, or obstetric emergency management, this model allows for expeditious transfer of the woman or newborn to a location where an appropriate higher level of care can be provided. Converting 2 labor and delivery rooms to low-intervention birth suites required minimal funding and enabled a community hospital in Colorado to expand its perinatal services to women who are seeking low-intervention birth options that promote physiologic birth.
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Affiliation(s)
- Julie A Javernick
- Westside Women's Care, Arvada and Wheat Ridge, Colorado.,Denver College of Nursing, Denver, Colorado
| | - Amy Dempsey
- Lutheran Medical Center, Wheat Ridge, Colorado
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Dempsey A, Sripad P, Sultana K, Kirk K, Hossain SMI, Warren C. Pathways to service access for pre-eclampsia and eclampsia in rural Bangladesh: Exploring women's care-seeking. PLoS One 2021; 16:e0245371. [PMID: 33539410 PMCID: PMC7861535 DOI: 10.1371/journal.pone.0245371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2019] [Accepted: 12/29/2020] [Indexed: 11/15/2022] Open
Abstract
Background While women in low- and middle-income countries face a range of barriers to accessing care for hypertensive disorders of pregnancy, there is little understanding of the pathways taken to overcome these constraints and reach the services they need. This study explores the perspectives of women and communities on the influences that impact care-seeking decisions and pathways to health services. Methods To understand individual perspectives, we conducted 22 in-depth interviews (IDIs) with pre-eclampsia and eclampsia survivors (PE/E) in a tertiary hospital, where they received care after initiating PE/E services in different parts of the country. In four districts, we conducted one male and one female focus group discussion (FGD) to unearth care-seeking pathways and explore normative perspectives and the range of internal and external influences. Careful thematic analysis using Atlas-ti was applied. Results Prevailing views of women and communities across settings in Bangladesh indicate varied pathways to care throughout their pregnancy, during childbirth, and in the postnatal period influenced by internal and external factors at the individual, familial, social, and health systems levels. Internal influences draw on women’s own awareness of hypertension complications and options, and their ability to decide to seek care. External factors include social influences like family and community norms, culturally-accepted alternatives, and community perceptions of the health system’s capacity to provide quality care. The interaction of these factors often delay care seeking and can lead to complex pathways to care. Conclusion Women’s individual pathways to care were diverse, despite the homogenous community perceptions of the influences on women’s care-seeking behaviors. This finding supports the need for improving quality of care in primary healthcare facilities and strengthening gender equity and community-based promotion activities through targeted policy and programming.
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Affiliation(s)
- Amy Dempsey
- Population Council, Washington, DC, United States of America
- * E-mail:
| | - Pooja Sripad
- Population Council, Washington, DC, United States of America
| | | | - Karen Kirk
- Population Council, Washington, DC, United States of America
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Dempsey A, Krening C, Vorgic L. Multisite Randomized Controlled Trial of Bladder Management in Labor With Epidural Analgesia/Anesthesia. J Obstet Gynecol Neonatal Nurs 2020; 49:564-570. [PMID: 32822650 DOI: 10.1016/j.jogn.2020.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/01/2020] [Indexed: 10/23/2022] Open
Abstract
OBJECTIVE To compare the effects of continuous indwelling catheterization with those of intermittent catheterization during labor with epidural analgesia/anesthesia on mode of birth and incidence of urinary tract infection (UTI) symptoms in the postpartum period. DESIGN Randomized clinical trial. SETTING Labor and delivery units at three metropolitan hospitals in the Western United States. PARTICIPANTS Women (N = 252) who were nulliparous with term, singleton pregnancies in labor with epidural analgesia/anesthesia. METHODS Participants were randomized to indwelling or intermittent (every 2 hours) catheterization groups after the administration of epidural analgesia/anesthesia during labor. One to 2 weeks after discharge, participants were contacted and questioned about symptoms of UTI. RESULTS A total of 252 participants were enrolled in the study: 81% (n = 202) gave birth vaginally, and 19% (n = 50) gave birth via cesarean. Between the indwelling and intermittent catheterization groups, demographic characteristics were similar. We found no significant difference in the incidence of cesarean birth between groups (15.6% vs. 22.5%, p = .172). Overall, 3% of participants reported and sought treatment for symptoms of UTI within 2 weeks with no significant difference between groups (p = .929). CONCLUSION We found no differences in mode of birth or symptoms of UTI in women who received indwelling or intermittent catheterization during epidural analgesia/anesthesia. We recommend additional research with objective data for UTI diagnosis and larger samples to study the multiple potential confounding variables associated with cesarean birth after catheterization during epidural analgesia/anesthesia.
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Sripad P, Kirk K, Adoyi G, Dempsey A, Ishaku S, Warren CE. Exploring survivor perceptions of pre-eclampsia and eclampsia in Nigeria through the health belief model. BMC Pregnancy Childbirth 2019; 19:431. [PMID: 31752764 PMCID: PMC6873558 DOI: 10.1186/s12884-019-2582-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2018] [Accepted: 11/05/2019] [Indexed: 01/05/2023] Open
Abstract
Background In Nigeria, hypertensive disorders have become the leading cause of facility-based maternal mortality. Many factors influence pregnant women’s health-seeking behaviors and perceptions around the importance of antenatal care. This qualitative study describes the care-seeking pathways of Nigerian women who suffer from pre-eclampsia and eclampsia. It identifies the influences – barriers and enablers – that affect their decision making, and proposes solutions articulated by women themselves to overcome the obstacles they face. Informing this study is the health belief model, a cognitive value-expectancy theory that provides a framework for exploring perceptions and understanding women’s narratives around pre-eclampsia and eclampsia-related care seeking. Methods This study adopted a qualitative design that enables fully capturing the narratives of women who experienced pre-eclampsia and eclampsia during their pregnancy. In-depth interviews were conducted with 42 women aged 17–48 years over five months in 2015 from Bauchi, Cross River, Ebonyi, Katsina, Kogi, Ondo and Sokoto states to ensure representation from each geo-political zone in Nigeria. These qualitative data were analyzed through coding and memo-writing, using NVivo 11 software. Results We found that many of the beliefs, attitudes, knowledge and behaviors of women are consistent across the country, with some variation between the north and south. In Nigeria, women’s perceived susceptibility and threat of health complications during pregnancy and childbirth, including pre-eclampsia and eclampsia, influence care-seeking behaviors. Moderating influences include acquisition of knowledge of causes and signs of pre-eclampsia, the quality of patient-provider antenatal care interactions, and supportive discussions and care seeking-enabling decisions with families and communities. These cues to action mitigate perceived mobility, financial, mistrust, and contextual barriers to seeking timely care and promote the benefits of maternal and newborn survival and greater confidence in and access to the health system. Conclusions The health belief model reveals intersectional effects of childbearing norms, socio-cultural beliefs and trust in the health system and elucidates opportunities to intervene and improve access to quality and respectful care throughout a woman’s pregnancy and childbirth. Across Nigerian settings, it is critical to enhance context-adapted community awareness programs and interventions to promote birth preparedness and social support.
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Affiliation(s)
- Pooja Sripad
- Population Council, 4301 Connecticut Avenue NW Suite 280, Washington, DC, 20008, USA.
| | - Karen Kirk
- Population Council, One Dag Hammarskjöld Plaza, 3rd Floor, New York, NY, 10017, USA
| | - Gloria Adoyi
- Population Council, No. 16 Mafemi Crescent, Utako District, Abuja, Nigeria
| | - Amy Dempsey
- Population Council, 4301 Connecticut Avenue NW Suite 280, Washington, DC, 20008, USA
| | - Salisu Ishaku
- Population Council, No. 16 Mafemi Crescent, Utako District, Abuja, Nigeria.,Julius Center for Health Science and Primary Care, University Medical Center, Utrecht University, Utrecht, Netherlands
| | - Charlotte E Warren
- Population Council, 4301 Connecticut Avenue NW Suite 280, Washington, DC, 20008, USA
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Matthys M, Dempsey A, Basu A, Dreher N, Esserman L, van ’t Veer L, Melisko M. Using the patient-reported outcomes measurement information system (PROMIS) to investigate symptom burden enrichment in stage IV patients at an academic center. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz242.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Krening C, Dempsey A. Enhanced Recovery After Surgery and Cesarean Birth. J Obstet Gynecol Neonatal Nurs 2019. [DOI: 10.1016/j.jogn.2019.04.166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Dempsey A, Butt M, Kirby J. 1006 Prevalence and impact of dietary avoidance among individuals with hidradenitis suppurativa. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.03.1082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Gillman N, Dempsey A, Hecimovich M. Current practice of exercise prescription for knee joint osteoarthritis. J Sci Med Sport 2018. [DOI: 10.1016/j.jsams.2018.09.204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Bailey A, Dempsey A, Scott B, Hiscock D. Can low dose Nordic hamstring exercises reduce the risk of hamstring injury? A randomised control study. J Sci Med Sport 2018. [DOI: 10.1016/j.jsams.2018.09.075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Hecimovich M, King D, Dempsey A, Gittins M, Murphy M. In situ use of the King-Devick Eye Tracking and changes seen with youth Sport Related Concussion: Saccadic and blinks counts. J Sci Med Sport 2018. [DOI: 10.1016/j.jsams.2018.09.090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Roy S, Sultana K, Kirk K, Sripad P, Dempsey A, Warren C, Hossain S. 305. Birth outcomes with early-and late-onset sign/symptoms of preeclampsia/eclampsia: A cross-sectional postpartum study in Bangladesh. Pregnancy Hypertens 2018. [DOI: 10.1016/j.preghy.2018.08.125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Sripad P, Dempsey A, Guta YR, Ismail H, Warren CE. 287. Contextualizing care for women with pre-eclampsia and eclampsia in Ethiopia: Exploring policy and implementation environments. Pregnancy Hypertens 2018. [DOI: 10.1016/j.preghy.2018.08.350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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MacLennan J, Wilson D, Dempsey A. Should prenatal contraceptive counseling focus on improving patient knowledge? Contraception 2017. [DOI: 10.1016/j.contraception.2017.07.110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Wolpert G, Wilson D, Dempsey A. Antenatal contraceptive counseling practices influence contraceptive choice postpartum. Contraception 2017. [DOI: 10.1016/j.contraception.2017.07.109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Javernick JA, Dempsey A. Reducing the Primary Cesarean Birth Rate: A Quality Improvement Project. J Midwifery Womens Health 2017; 62:477-483. [DOI: 10.1111/jmwh.12606] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Revised: 12/07/2016] [Accepted: 12/11/2016] [Indexed: 11/28/2022]
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Dempsey A, Farringdon F, Piggott B, Chivers P. Alcohol, illicit drug and supplement use in community Australian Rules football clubs, what do we know? J Sci Med Sport 2017. [DOI: 10.1016/j.jsams.2017.01.143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Peterson A, Brown A, Savage A, Dempsey A. Factors associated with bleeding evaluation and early discontinuation among etonogestrel contraceptive implant users. Contraception 2016. [DOI: 10.1016/j.contraception.2016.07.091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Dempsey A, Javernick JA. A Team Approach to Reduce the Rate of Primary Cesarean Births at a Community Hospital. J Obstet Gynecol Neonatal Nurs 2016. [DOI: 10.1016/j.jogn.2016.03.099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Stacey R, Lynch C, Korte J, Dempsey A. Does trust in the health care system influence choice of postpartum contraception? Contraception 2014. [DOI: 10.1016/j.contraception.2014.05.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Stacey R, Yeadon K, Dempsey A. Tracking postpartum contraceptive choice along the continuum of prenatal and postpartum care. Contraception 2014. [DOI: 10.1016/j.contraception.2014.05.118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Hall M, Wrigley T, Metcalf B, Hinman R, Dempsey A, Mills P, Wang Y, Cicuttini F, Lloyd D, Bennell K. Higher knee load, not knee extensor strength predicts medial cartilage degradation over 2 years following partial meniscectomy. J Sci Med Sport 2013. [DOI: 10.1016/j.jsams.2013.10.213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Dempsey A. Massive Transfusion Protocol: Saving Our Patients Lives. J Obstet Gynecol Neonatal Nurs 2013. [DOI: 10.1111/1552-6909.12193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Kalsi R, Dempsey A, Bunney EB. Compartment Syndrome of the Foot After Calcaneal Fracture. J Emerg Med 2012; 43:e101-6. [DOI: 10.1016/j.jemermed.2009.08.059] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2008] [Revised: 07/26/2009] [Accepted: 08/30/2009] [Indexed: 11/27/2022]
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Joyner A, Dempsey A. Educating young women about long-acting reversible implantable contraceptive. Contraception 2012. [DOI: 10.1016/j.contraception.2012.04.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Dempsey A, Savage A, Billingsley C, Korte J. Predictors of long-acting reversible contraception use among unmarried young adults. Contraception 2011. [DOI: 10.1016/j.contraception.2011.05.057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Gillesby E, Burns S, Dempsey A, Kirby S, Mogensen K, Naylor K, Petrella J, Vanicelli R, Whelan B. Comparison of delayed versus immediate pushing during second stage of labor for nulliparous women with epidural anesthesia. J Obstet Gynecol Neonatal Nurs 2011; 39:635-44. [PMID: 21044148 DOI: 10.1111/j.1552-6909.2010.01195.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE To determine if the use of delayed pushing after the onset of the second stage of labor decreases the time of active pushing and decreases maternal fatigue. DESIGN Randomized clinical trial. SETTING Labor and delivery unit of a not-for-profit community hospital. PATIENTS/PARTICIPANTS Convenience sample of nulliparous laboring women with epidural anesthesia. INTERVENTIONS Immediate or delayed pushing (2 hours) during the second stage of labor at the time of complete cervical dilatation. MAIN OUTCOME MEASURES The length of pushing, total length of the second stage, and maternal fatigue. RESULTS A total of 77 women were studied (immediate pushing group=39; delayed pushing=38). The immediate pushing group averaged 94 (± 57) minutes in active pushing, while the delayed pushing group averaged 68 (± 46) minutes, a statistically significant difference (p=.04). No significant differences were found in fatigue scores between the immediate and delayed pushing groups (p>.05). CONCLUSIONS We found that by delaying the onset of active pushing for 2 hours after the beginning of the second stage of labor, the time that nulliparous women with epidural anesthesia spent in active pushing was significantly decreased by 27%. Although the delayed pushing group rested for up to 2 hours, the total time in the second stage of labor averaged only 59 minutes longer than the immediate pushing group.
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Affiliation(s)
- Erica Gillesby
- Labor & Delivery, Exempla Lutheran Medical Center, Wheat Ridge, CO 80033, USA.
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Gillesby EJ, Mogensen KD, Burns SM, Kirby S, Naylor KS, Petrella J, Vanicelli R, Whelan B, Dempsey A. Comparison of Delayed Versus Immediate Pushing During Second Stage of Labor for Nulliparous Women With Epidural Anesthesia. J Obstet Gynecol Neonatal Nurs 2010. [DOI: 10.1111/j.1552-6909.2010.01123_1.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Lloyd D, Dempsey A, Doyle T, Elliott B. Different studies provide the biomechanical and neuromuscular evidence needed to design an effective intervention. J Sci Med Sport 2010. [DOI: 10.1016/j.jsams.2009.10.469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Marshall KW, Zhang H, Yager TD, Nossova N, Dempsey A, Zheng R, Han M, Tang H, Chao S, Liew CC. Blood-based biomarkers for detecting mild osteoarthritis in the human knee. Osteoarthritis Cartilage 2005; 13:861-71. [PMID: 16139532 DOI: 10.1016/j.joca.2005.06.002] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2005] [Accepted: 06/05/2005] [Indexed: 02/02/2023]
Abstract
OBJECTIVE This study was designed to test the utility of a blood-based approach to identify mild osteoarthritis (OA) of the knee. METHODS Blood samples were drawn from 161 subjects, including 85 subjects with arthroscopically diagnosed mild OA of the knee and 76 controls. Following RNA isolation, an in-house custom cDNA microarray was used to screen for differentially expressed genes. A subset of selected genes was then tested using real-time RT-PCR. Logistic regression analysis was used to evaluate linear combinations of the biomarkers and receiver operating characteristic curve analysis was used to assess the discriminatory power of the combinations. RESULTS Genes differentially expressed (3543 genes) between mild knee OA and control samples were identified through microarray analysis. Subsequent real-time RT-PCR verification identified six genes significantly down-regulated in mild OA: heat shock 90kDa protein 1, alpha; inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein; interleukin 13 receptor, alpha 1; laminin, gamma 1; platelet factor 4 (also known as chemokine (C-X-C motif) ligand 4) and tumor necrosis factor, alpha-induced protein 6. Logistic regression analysis identified linear combinations of nine genes--the above six genes, early growth response 1; alpha glucosidase II alpha subunit; and v-maf musculoaponeurotic fibrosarcoma oncogene homolog B (avian)--as discriminatory between subjects with mild OA and controls, with a sensitivity of 86% and specificity of 83% in a training set of 78 samples. The optimal biomarker combinations were then evaluated using a blind test set (67 subjects) which showed 72% sensitivity and 66% specificity. CONCLUSIONS Linear combinations of blood RNA biomarkers offer a substantial improvement over currently available diagnostic tools for mild OA. Blood-derived RNA biomarkers may be of significant clinical value for the diagnosis of early, asymptomatic OA of the knee.
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Affiliation(s)
- K W Marshall
- Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, Toronto, Ontario, Canada
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Abstract
Genes play a very important role in the etiology of hypertension. This paper reviews the current pool of candidate genes for human hypertension. Some of the genes studied in rat models of hypertension are also discussed. The methods for studying the genetics of hypertension are reviewed. A discussion of the role of cardiac gene libraries and gene databases in the characterization of cardiovascular disease is also included. This review is concluded by a discussion on the future role of genomics and cardiovascular gene databases in medical research.
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Affiliation(s)
- K T Tan
- Department of Laboratory Medicine and Pathobiology and Medicine, The Centre for Cardiovascular Research, The Toronto Hospital Research Institute, University of Toronto, Toronto, Ontario M5G 1L5, Canada
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Abstract
An update on management from pre-operative preparation of donor site skin for grafting to post-operative care of the wound
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Affiliation(s)
- A Fowler
- Rainsford Mowlem Burns Unit, Mount Vernon Hospital NHS Trust, Northwood, UK
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Liew CC, Hwang DM, Wang RX, Ng SH, Dempsey A, Wen DH, Ma H, Cukerman E, Zhao XG, Liu YQ, Qiu XK, Zhou XM, Gu JR, Tsui S, Fung KP, Waye MM, Lee CY. Construction of a human heart cDNA library and identification of cardiovascular based genes (CVBest). Mol Cell Biochem 1997; 172:81-7. [PMID: 9278234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The availability of high quality cDNA libraries is often crucial to the successful identification and characterization of genes. The concepts and potential pitfalls of constructing cDNA libraries are presented. Various applications requiring high quality cDNA libraries are outlined, including large-scale single pass sequencing of cDNA clones to generate expressed sequence tags (ESTs) and differential screening of cDNA libraries. The usefulness of combining such approaches for the discovery of novel disease-related and cardiovascular-based ESTs (CVBest) is discussed.
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Affiliation(s)
- C C Liew
- Department of Clinical Biochemistry, The Centre for Cardiovascular Research, The Toronto Hospital, Ontario, Canada
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Liew C, Hwang D, Wang R, Ng S, Dempsey A, Wen D, Ma H, Cukerman E, Zhao X, Liu Y, Qiu X, Zhou X, Gu J, Tsui S, Fung K, Waye M, Lee C. Mol Cell Biochem 1997; 172:81-87. [DOI: 10.1023/a:1006811403996] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Abstract
hnifU, a gene exhibiting similarity to nifU genes of nitrogen fixation gene clusters, was identified in the course of expressed sequence tag (EST) generation from a human fetal heart cDNA library. Northern blot of human tissues and polymerase chain reaction (PCR) using human genomic DNA verified that the hnifU gene represented a human gene rather than a microbial contaminant of the cDNA library. Conceptual translation of the hnifU cDNA yielded a protein product bearing 77% and 70% amino acid identity to NifU-like hypothetical proteins from Haemophilus influenzae and Saccharomyces cerevisiae, respectively, and 40-44% identity to the N-terminal regions of NifU proteins from several diazatrophs (i.e., nitrogen-fixing organisms). Pairwise determination of amino acid identities between the NifU-like proteins of nondiazatrophs showed that these NifU-like proteins exhibited higher sequence identity to each other (63-77%) than to the diazatrophic NifU proteins (40-48%). Further, the NifU-like proteins of non-nitrogen-fixing organisms were similar only to the N-terminal region of diazatrophic NifU proteins and therefore identified a novel modular domain in these NifU proteins. These findings support the hypothesis that NifU is indeed a modular protein. The high degree of sequence similarity between NifU-like proteins from species as divergent as humans and H. influenzae suggests that these proteins perform some basic cellular function and may be among the most highly conserved proteins.
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Affiliation(s)
- D M Hwang
- Department of Clinical Biochemistry, The Centre for Cardiovascular Research, The Toronto Hospital, University of Toronto, Canada
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Libonati JR, Apstein CS, Ngoy S, Sesselberg H, Herrick B, Balady G, Dempsey A, Davidoff R, Eberli FR. EXERCISE TRAINING FOLLOWING MYOCARDIAL INFARCTION DOES NOT ADVERSELY AFFECT LEFT VENTRICULAR GEOMETRY OR FUNCTION. Med Sci Sports Exerc 1995. [DOI: 10.1249/00005768-199505001-00885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Dempsey A, Phipps D. Coordination catalysis: Tautomeric vs. carbonion mechanisms in the racemisation of l-amine induced by pyruvate and Zn2+ ions. Inorganica Chim Acta 1979. [DOI: 10.1016/s0020-1693(00)89355-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Barwin BN, Dempsey A, Ivey B. Labour: when to worry. Can Med Assoc J 1978; 118:292-4. [PMID: 630488 PMCID: PMC1817932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
To ensure an optimum result in pregnancy it is essential that the physician be alert in the antenatal period to recognize those women and their babies who are at risk during labour. Premature labour, with its attendant risk of respiratory distress syndrome in the newborn, continues to be an important factor in perinatal morbidity and mortality. Early recognition of predisposing factors and the judicious use of myometrial inhibiting agents have helped to reduce the incidence of fetal prematurity in these cases. A long interval between rupture of the membranes and delivery continues to be a danger to both mother and fetus. Delivery is recommended when gestation is beyond 36 weeks or when there are signs of incipient infection, and once labour has begun antibiotics should be used prophylactically. Failure of labour to progress should be recognized and managed aggressively in its early stages. Amniotomy and oxytocin infusion have reduced considerably the incidence of prolonged labour and its risks to both mother and fetus. The role of intrapartum monitoring of the fetal heart rate, measurement of the pH in the fetus's scalp blood and assessment of amniotic fluid is discussed, as is the monitoring of maternal well-being.
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Barwin BN, Dempsey A, Hurteau GD. Graphic monitoring of labour. Can Med Assoc J 1976; 115:1089-90. [PMID: 1000439 PMCID: PMC1878913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
The parturograph is a composite record designed for the monitoring of fetal and maternal well-being and the progress of labour. It permits the early recognition of abnormalities and pinpoints the patients who would benefit most from intervention. Observations are made from the time of admission of the mother to the caseroom and recorded graphically. Factors assessed include fetal heart rate, maternal vital signs and urine, cervical dilatation, descent of the presenting fetal part, and frequency, duration and intensity of uterine contractions.
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