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4. The Role of Wastewater Treatment Plants in Dissemination of Antibiotic Resistance: Source, Measurement, Removal and Risk Assessment.

Author

Drane, Kezia, Sheehan, Madoc, Whelan, Anna, Ariel, Ellen, and Kinobe, Robert

Subjects
HEALTH risk assessment, EMERGING contaminants, HORIZONTAL gene transfer, MOBILE genetic elements, SEWAGE disposal plants
Abstract

Antibiotic Resistance Genes (ARGs) are contaminants of emerging concern with marked potential to impact public and environmental health. This review focusses on factors that influence the presence, abundance, and dissemination of ARGs within Wastewater Treatment Plants (WWTPs) and associated effluents. Antibiotic-Resistant Bacteria (ARB) and ARGs have been detected in the influent and the effluent of WWTPs worldwide. Different levels of wastewater treatment (primary, secondary, and tertiary) show different degrees of removal efficiency of ARGs, with further differences being observed when ARGs are captured as intracellular or extracellular forms. Furthermore, routinely used molecular methodologies such as quantitative polymerase chain reaction or whole genome sequencing may also vary in resistome identification and in quantifying ARG removal efficiencies from WWTP effluents. Additionally, we provide an overview of the One Health risk assessment framework, as well as future strategies on how WWTPs can be assessed for environmental and public health impact. [ABSTRACT FROM AUTHOR]

Published
2024
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5. Prescribing Patterns for Postpartum Contraception Among Breastfeeding Patients Insured Under Medicaid in Rhode Island: A PRAMS Analysis.

Author

WHELAN, ANNA R., AMANULLAH, SIRAJ, and GJELSVIK, ANNIE

Subjects
*POSTPARTUM contraception, *PREGNANT women, *MEDICAID, *INSURANCE companies, *BREASTFEEDING
Abstract

INTRODUCTION: Disparities in contraceptive counseling are well documented in the United States. People of color, those of lower socio-economic status, and Medic- aid insurance are more likely to receive contraception/ sterilization counseling than White patients. Postpartum contraceptive choice is an important aspect for pregnant people, especially for those who plan to breastfeed. This study assessed postpartum contraception/sterilization prescription among breastfeeding people in Rhode Island insured under Medicaid compared to other insurance carriers. METHODS: Secondary analysis of data from the Rhode Island Pregnancy Risk Assessment Monitoring System (PRAMS) from 2016-2019. Participants who answered yes to 'having ever breastfed' were included and dichotomized based on insurance into 'Medicaid' or 'other insurance'. Primary outcome was postpartum contraception/sterilization prescription. Stata software version 15 was used to perform multivariable logistic regression accounting for complex survey design and weighting. RESULTS: Of 3686 participants, 868 (24.4%) were insured under Medicaid. Medicaid participants were younger, had higher BMIs and were more likely to identify as Black or mixed race or Hispanic ethnicity than those with other insurers. Those insured under Medicaid were 1.5 times more likely to be prescribed postpartum contraception than those with other insurers (95% CI 1.26,1.78). After adjusting for race/ethnicity, education level, marital status and preterm delivery, those with Medicaid were 1.28 times more likely to be prescribed contraception (95% CI 1.05,1.57). CONCLUSION: In this study, breastfeeding participants with Medicaid were more likely to be prescribed post- partum contraception than those with other insurances. Future research should be focused on assessing provider bias, contraception coercion, and initiatives to pro-vide equitable and patient-centered counseling in this population. [ABSTRACT FROM AUTHOR]

Published
2024

7. Perinatal Mental Health Disorders: A Review of Lessons Learned from Obstetric Care Settings

Author

Ayala,Nina K, Lewkowitz,Adam K, Whelan,Anna R, Miller,Emily S, Ayala,Nina K, Lewkowitz,Adam K, Whelan,Anna R, and Miller,Emily S

Abstract

Nina K Ayala,1,2 Adam K Lewkowitz,1,2 Anna R Whelan,1,2 Emily S Miller1,2 1Division of Maternal Fetal Medicine, Women and Infants Hospital of Rhode Island, Providence, RI, USA; 2Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, RI, USACorrespondence: Nina K Ayala, Division of Maternal Fetal Medicine, Women & Infants Hospital of Rhode Island, 101 Dudley Street, Providence, RI, 02905, USA, Tel +1 401-274-1122, ext. 43435, Email nina.ayala.md@gmail.comAbstract: Perinatal mental health has garnered significant attention within obstetrics over the last couple of decades as the long- and short-term morbidities of untreated perinatal mental health disorders on both the mother and fetus/neonate have become increasingly apparent. There have been major strides in increasing screening for perinatal mental health disorders, clinician comfort with prescribing common psychiatric medications, and integrating mental health professionals into prenatal care via health services approaches such as the collaborative care model. Despite these advances, however, gaps still remain in the tools used for screening and diagnosis, obstetric clinician training in diagnosis and management of perinatal mood and anxiety disorders, as well as patient access to mental health care during pregnancy and especially postpartum. Herein we review the state of perinatal mental health from the perspective of the obstetric provider and identify areas of ongoing innovation.Keywords: perinatal mental health, perinatal depression, perinatal anxiety, collaborative care

Published
2023

9. Internal Versus External Intrapartum Monitoring and Birthing Persons Perception of Control During Childbirth.

Author

POLNASZEK, BROCK E., WHELAN, ANNA R., RECABO, OLIVIA, ROSSEN, JULIA, LEWKOWITZ, ADAM K., and AYALA, NINA K.

Abstract

The article focuses on how internal intrapartum monitors, like fetal scalp electrodes, affect birthing individuals' perceived control, emphasizing the link between internal monitoring and cesarean delivery likelihood. Topics discussed include the impact of perceived control on postpartum well-being, the significance of early communication about potential cesarean delivery, and insights into experiences with specific monitoring methods.

Published
2024

10. Immediate Postpartum Long-acting Reversible Contraceptives (LARC) Among Low- versus High-Risk Obstetric Populations.

Author

WHELAN, ANNA R., HO, ZANDRA, RASIAH, STEPHEN S., and BROWN, BENJAMIN P.

Abstract

The article discusses a rare case of dorsolateral medullary infarct where the patient presented with isolated dysphagia, contrary to the typical symptoms associated with posterior circulation cerebrovascular events, such as dizziness and ataxia. Topics include the patient's presentation with dysphagia in the context of a dorsolateral medullary infarct, the significance of recognizing atypical stroke symptoms, and the potential complications and prognosis associated with this condition.

Published
2023

15. Unplanned Operative Delivery is Associated with Decreased Perception of Control over Labor.

Author

WHELAN, ANNA R., RECABO, OLIVIA, AYALA, NINA K., CLARK, MELISSA A., and LEWKOWITZ, ADAM K.

Subjects
*DELIVERY (Obstetrics), *PERCEIVED control (Psychology), *LABOR (Obstetrics), *PERINATAL mood & anxiety disorders, *OBSTETRICS
Abstract

The article focuses on the impact of unplanned operative delivery on perceived control over labor, suggesting that patients undergoing such procedures may experience reduced sense of control during childbirth. Topics include factors associated with perceived control, comparison between unplanned cesarean delivery/operative vaginal delivery (uCD/OVD) and spontaneous vaginal delivery (SVD), and implications for perinatal mental health interventions.

Published
2024

19. TET2 coactivates gene expression through demethylation of enhancers

Author

Wang, Lu, primary, Ozark, Patrick A., additional, Smith, Edwin R., additional, Zhao, Zibo, additional, Marshall, Stacy A., additional, Rendleman, Emily J., additional, Piunti, Andrea, additional, Ryan, Caila, additional, Whelan, Anna L., additional, Helmin, Kathryn A., additional, Morgan, Marc Alard, additional, Zou, Lihua, additional, Singer, Benjamin D., additional, and Shilatifard, Ali, additional

Published
2018
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20. Reducing Office Workers' Sitting Time at Work Using Sit-Stand Protocols: Results From a Pilot Randomized Controlled Trial

Author

Li, Ingrid, Mackey, Martin, Foley, Bridget, Pappas, Evangelos, Edwards, Kate, Chau, Josephine, Engelen, Lina, Voukelatos, Alexander, Whelan, Anna, Bauman, Adrian E, Winkler, Elisabeth, Stamatakis, Emmanuel, Li, Ingrid, Mackey, Martin, Foley, Bridget, Pappas, Evangelos, Edwards, Kate, Chau, Josephine, Engelen, Lina, Voukelatos, Alexander, Whelan, Anna, Bauman, Adrian E, Winkler, Elisabeth, and Stamatakis, Emmanuel

Abstract

Objective: To examine the effects of different sit-stand protocols on work-time sitting and physical activity (PA) of office workers. Methods: Participants (n = 26, 77% women, mean age 42) were randomly allocated to usual sitting (control) or one of three sit-stand protocols (intervention) facilitated by height-adjustable workstations for a 4-week period between June and August 2015. Sitting, standing, and stepping time were assessed by inclinometry (activPAL); leisure-time physical activity (LTPA) by self-report. One-way analysis of covariance (ANCOVA) and post-hoc (Bonferroni) tests explored between-group differences. Results: Compared with baseline, intervention groups reduced work sitting time by 113 minutes/8-hour workday (95% confidence interval [CI] [-147,-79]) and increased work standing time by 96 minutes/8-hour workday (95% CI [67,125]) without significantly impacting LTPA/sleep time. Conclusions: Sit-stand protocols facilitated by height-adjustable workstations appear to reduce office workers' sitting time without significant adverse effects on LTPA.

Published
2017

23. 'It gave us the stories to tell' A grounded ethnographic case study of a development NGO embarking on a humanitarian project

Author

Ritchie, Jan, Public Health & Community Medicine, Faculty of Medicine, UNSW, Whelan, Anna, Public Health & Community Medicine, Faculty of Medicine, UNSW, Hickling, Carina, Community Medicine, Faculty of Medicine, UNSW, Ritchie, Jan, Public Health & Community Medicine, Faculty of Medicine, UNSW, Whelan, Anna, Public Health & Community Medicine, Faculty of Medicine, UNSW, and Hickling, Carina, Community Medicine, Faculty of Medicine, UNSW

Abstract

Organisational capacity development in an international Non-Government Organisation (NG0) is a complex process of change going beyond accomplishing technical skills. NGOs are important actors in global efforts for development and humanitarian interventions, yet their internal operations are inadequately understood. The study aimed to generate contextualised understanding of the organisational outcomes of combining development and humanitarian sexual and reproductive health and rights practice in an international NGO. The exploration is a grounded case study built on a cross-disciplinary approach which begins with a personal journey to better understand and manage NGO capacity development and change. The data, comprising predominantly of 129 interviews, observations and hundreds of documents was gathered during 36 months of fieldwork, explored the implementation of of a humanitarian project as it was conceptualised, housed and implemented by a development NGO. The original focus was on organisational capacity development and change; seeking to understand how the organisation dealt with integrating the new humanitarian practice. However the research based on the unique insight gained from the in-depth study revealed much about the inner operations and negotiation processes within NGOs. The findings indicate a need for refining and contextualising our understanding of organisational capacity development and organisational change in development NGOs. This research contributes to building an appreciation of the political aspects of development work and humanitarian interventions that takes into account the ability of the organisation to commit, engage and create internal legitimacy for the new practice.

Published
2015

24. Rethinking humanitarian accountability: Implementation of sexual and reproductive health services in two complex emergencies

Author

Zwi, Anthony, Social Sciences, Faculty of Arts & Social Sciences, UNSW, Whelan, Anna, Public Health & Community Medicine, Faculty of Medicine, UNSW, Chynoweth, Sarah, Social Sciences, Faculty of Arts & Social Sciences, UNSW, Zwi, Anthony, Social Sciences, Faculty of Arts & Social Sciences, UNSW, Whelan, Anna, Public Health & Community Medicine, Faculty of Medicine, UNSW, and Chynoweth, Sarah, Social Sciences, Faculty of Arts & Social Sciences, UNSW

Abstract

Background: The UN estimates that 51.2 million people were displaced by conflict at the end of 2013. These communities have a right to reproductive health (RH) care, which is a minimum standard for humanitarian health service delivery. Yet implementation of RH services in crises remains sporadic and effective accountability mechanisms to enable provision are weak. Methodology: This qualitative study explored the implementation of RH care after the 2008 Myanmar cyclone and 2010 Haiti earthquake. It applied a constructivist grounded theory approach to case study data. Three iterative phases of data collection were undertaken. The first explored barriers and enablers to RH implementation and identified socialising accountability, which refers to informal, interpersonal norms and behaviours among interdependent actors, as a key enabler. A second phase examined in more detail the role of socialising accountability within the two case studies and identified accountability to personal ethics as an additional critical enabler. The third phase explored the findings with humanitarian experts to assess the potential value and practical application of socialising and personal accountabilities in advancing effective humanitarian action. Methods: Semi-structured interviews were held with 98 humanitarian staff representing 47 organisations. 15 focus group discussions were conducted with 349 displaced persons, and 11 medical facilities were evaluated using inter-agency assessment tools. Participant selection was identified through chain-referral and purposive sampling. Data were analysed using NVivo 10. Results: The lack of effective formal humanitarian accountability mechanisms undermined RH implementation in both case studies. Socialising and personal accountabilities in part compensated for these gaps and helped to strengthen accountability processes as well as facilitate RH service implementation. This study proposes an ecological approach to humanitarian accountability that re

Published
2015

25. Obstetric Emergency Simulation: A Pre/Post Survey Analysis of High-Fidelity Teamwork Among Emergency Department Physicians.

Author

POLNASZEK, BROCK E., GRIFFIN, LAURIE B., WHELAN, ANNA R., SOEHL, JOHN, CLARK, MELISSA A., LEWKOWITZ, ADAM K., and HAMEL, MAUREEN

Subjects
*EMERGENCY physicians, *HOSPITAL emergency services, *OBSTETRICAL emergencies, *HEALTH care teams
Abstract

This article discusses a study that examined the impact of obstetric emergency simulations on teamwork among emergency department physicians. The simulations were conducted at a care center without obstetric providers, and the results showed that physicians reported higher levels of teamwork after the simulations. The study found differences based on gender, with male physicians reporting improvements in certain teamwork components and female physicians reporting support from the opposite healthcare system. The study suggests that these simulations can improve teamwork among emergency department physicians and calls for further research on long-term effects and perinatal outcomes. A survey conducted among emergency department clinicians found that multidisciplinary obstetric emergency simulations improved confidence, team performance, and communication. However, areas for improvement were identified, such as the need for a care team leader and transparent thinking by the leader. Overall, the simulations were found to be beneficial in enhancing teamwork and communication skills in obstetric emergencies. [Extracted from the article]

Published
2024

26. Effectiveness of strategies for discouraging brain drain

Author

Whelan, Anna

Subjects
Medical personnel -- Emigration and immigration, Brain drain -- Prevention, Brain drain -- Research
Abstract

The paper by Kupfer et al. raises an issue of great public health importance, namely, scientific brain drain, and describes how the authors' institution had developed strategies to stem it. [...]

Published
2004

27. A 3-Arm randomised controlled trial of Communicating Healthy Beginnings Advice by Telephone (CHAT) to mothers with infants to prevent childhood obesity.

Author

Li Ming Wen, Chris Rissel, Baur, Louise A., Hayes, Alison J., Huilan Xu, Whelan, Anna, Myna Hua, Shaw, Miranda, Phongsavan, Philayrath, Wen, Li Ming, Rissel, Chris, Xu, Huilan, and Hua, Myna

Subjects
TELEPHONE in medicine, PREVENTION of childhood obesity, MATERNAL & infant welfare, HEALTH care intervention (Social services), BREASTFEEDING, RANDOMIZED controlled trials, EDUCATION of mothers, CHILD health services, COMMUNITY health nursing, COMPARATIVE studies, EXERCISE, HEALTH education, RESEARCH methodology, MEDICAL cooperation, POSTNATAL care, RESEARCH, TELEPHONES, SOCIAL support, EVALUATION research
Abstract

Background: With an increasing prevalence of obesity in young children globally, there is an urgent need for the development of effective early interventions. A previous Healthy Beginnings Trial using a nurse-led home visiting program has demonstrated that providing mothers with evidence-based advice can improve maternal practice regarding obesity prevention, and can reduce Body Mass Index (BMI) in the first few years of life. However, the costs for scale-up of home visiting limit its population reach. This trial aims to determine the efficacy of Communicating Healthy Beginnings Advice by Telephone (CHAT) to mothers with infants in improving infant feeding practices and preventing the early onset of childhood overweight and obesity.Methods/design: We propose a 3-arm randomised controlled trial (RCT) with a consecutive sample of 1056 mothers with their newborn children in New South Wales (NSW) Australia. Pregnant women who are between weeks 28 and 34 of their pregnancy will be invited to participate in the CHAT trial. Informed consent will be obtained, and after baseline data collection, participants will be randomly allocated to the telephone intervention, text messaging intervention, or the control group. The intervention comprises telephone consultations or text messages, together with 6 intervention packages being mailed at specific times from the third trimester of pregnancy until 12 months post birth. The main trial outcome measures include a) duration of breastfeeding, b) timing of introduction of solids, c) nutrition behaviours, physical activity and television viewing, and d) weight and BMI z-score at 12 and 24 months, e) cost-effectiveness, as well as f) feasibility and acceptability of the interventions.Discussion: The results will ascertain whether early intervention using telephone consultation or text messaging together with staged mailed intervention resources can be feasible and effective in improving infant feeding practices, physical activity and reducing children's BMI in the early years of life. If proven to be feasible, effective as well as cost-effective, the trial results will inform a series of recommendations for policy and practice related to promoting healthy infant feeding and physical activity in young children in the first years of life.Trial Registration: The CHAT Trial is registered with the Australian Clinical Trial Registry ( ACTRN12616001470482p ). It was registered on October 21, 2016. [ABSTRACT FROM AUTHOR]

Published
2017
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28. Foetal Health Locus of Control and iron supplementationadherence among pregnant women in Bali

Author

Wulandari, Luh Putu Lila, Craig, Phillippa (Pippa), Whelan, Anna, Wulandari, Luh Putu Lila, Craig, Phillippa (Pippa), and Whelan, Anna

Abstract

Objective: This study aims to explore whether adherence to taking iron supplementation is associated with health beliefs as measured by the Foetal Health Locus of Control (FHLC). Background: Anaemia in pregnancy is major health problem in Indonesia. Non-adherence to iron supplement intake has been one factor that hindered the effectiveness of an iron supplementation in reducing anaemia during pregnancy. Insufficient attention has been given to why such a phenomenon occurs. Methods: A cross-sectional study was conducted in South Kuta, Bali, Indonesia. Pregnant women were invited to complete a self-administered questionnaire comprising questions on the frequency of taking iron supplement in addition to the FHLC scale. Results: This study was among the first using the FHLC scale in a non-English-speaking background country. Of the 360 pregnant women invited to participate, 299 returned completed questionnaires. Conclusion: Using the FHLC scale we learned that Internal and Chance scales were associated with supplementation adherence. It is recommended that health counselling be introduced to improve iron supplementation adherence among pregnant women in Bali taking into consideration these predictors of adherence.

Published
2012

29. Conflict and Development: Challenges in responding to reproductive health needs in Timor-Leste

Author

Wayte, Kayli, Zwi, Anthony, Belton, Suzanne, Martins, Joao, Martins, Nelson, Whelan, Anna, Kelly, Paul, Wayte, Kayli, Zwi, Anthony, Belton, Suzanne, Martins, Joao, Martins, Nelson, Whelan, Anna, and Kelly, Paul

Abstract

In April and May 2006, internal conflict in Timor-Leste led to the displacement of approximately 150,000 people, around 15% of the population. The violence was most intense in Dili, the capital, where many residents were displaced into camps in the city or to the districts. Research utilising in-depth qualitative interviews, service statistics and document review was conducted from September 2006 to February 2007 to assess the health sector's response to reproductive health needs during the crisis. The study revealed an emphasis on antenatal care and a maternity waiting camp for pregnant women, but the relative neglect of other areas of reproductive health. There remains a need for improved coordination, increased dialogue and advocacy around sensitive reproductive health issues as well as greater participation of the health sector in response to gender-based violence. Strengthening neglected areas and including all components of sexual and reproductive health in coordination structures will provide a stronger foundation through which to respond to any future crises in Timor-Leste.

Published
2008

30. Centering birth : a prospective cohort study of birth centres and labour wards

Author

Whelan, Anna

Subjects
Childbirth -- Social aspects, Natural childbirth -- New South Wales, Labor (Obstetrics), reproductive and urinary physiology, Women's hospitals -- New South Wales
Abstract

The development of birth centres in Australia began in the late 1970s as a response to the medicalisation of childbirth and consumer demand for more humane treatment during pregnancy and birth. Profileration of birth centres has occurred in the 1990s with Commonwealth government funding through the Alternative Birthing Services Program. The provision of care for pregnant women is an important public health issue which costs the community a considerable proportion of the health budget. Evaluation of publicly funded programs is important to ensure that the community and users of services are getting a service which does them more good than harm and is cost-effective and efficient. This means effective from a societal perspective, not only to hospitals or Area Health Services. This thesis is a prospective cohort study of 568 comparable low-risk women booked into two hospitals - the Royal Hospital for Women, Paddington and The Wollongong Hospital, lllawarra Labour and birth outcomes are described for a sample of 325 women booked into two birth centres and 243 booked into two labour wards. 394 women were surveyed antenatally and 169 postnatally with labour records used to verify procedures and events during the last trimester until discharge from hospital after the birth. Data showed that birth centre women had different characteristics to labour ward women in terms of expectations of birth. They had stronger opinions on what they wanted and did not want in labour and had fewer anxieties about the process. They were more positive about coping in labour and had higher internal locus of control scores. Satisfaction with antenatal care was higher in the birth centre group. The socio-economic profile was similar for both groups with about 13% on low to very low incomes and about 10% unemployed. Both groups had similar rates of complications in labour, but significantly more labour ward women were induced, monitored, had a range of other interventions and epidurals, forceps and caesarean births. More labour ward women were delivered by obstetricians and more had episiotomies, and were in hospital for longer than the birth centre sample, despite the birth centre group having longer labours, on average. More labour ward babies had foetal heart sound abnormalities recorded, although Apgar scores were little different. Complication rates during labour for babies were similar, but labour ward infants were twice as likely to be admitted to Special Care Nursery. Postnatally, birth centre women were more satisfied with themselves and their response to pain and more felt that birth had been fulfilling. Their partners were generally satisfied with the birth although more labour ward men expressed concern at being left alone at times when it worried them. No difference was found in the rate of postnatal problems or depression between the two groups. Economic analysis showed that TWH birth centre cost less per birth and RHW about $10 more per birth for the sample. Implications for the hospitals, ABSP and federal government are discussed.

Published
1994

33. The Seventeenth Data Release of the Sloan Digital Sky Surveys: Complete Release of MaNGA, MaStar, and APOGEE-2 Data

Author

null Abdurro’uf, Katherine Accetta, Conny Aerts, Víctor Silva Aguirre, Romina Ahumada, Nikhil Ajgaonkar, N. Filiz Ak, Shadab Alam, Carlos Allende Prieto, Andrés Almeida, Friedrich Anders, Scott F. Anderson, Brett H. Andrews, Borja Anguiano, Erik Aquino-Ortíz, Alfonso Aragón-Salamanca, Maria Argudo-Fernández, Metin Ata, Marie Aubert, Vladimir Avila-Reese, Carles Badenes, Rodolfo H. Barbá, Kat Barger, Jorge K. Barrera-Ballesteros, Rachael L. Beaton, Timothy C. Beers, Francesco Belfiore, Chad F. Bender, Mariangela Bernardi, Matthew A. Bershady, Florian Beutler, Christian Moni Bidin, Jonathan C. Bird, Dmitry Bizyaev, Guillermo A. Blanc, Michael R. Blanton, Nicholas Fraser Boardman, Adam S. Bolton, Médéric Boquien, Jura Borissova, Jo Bovy, W. N. Brandt, Jordan Brown, Joel R. Brownstein, Marcella Brusa, Johannes Buchner, Kevin Bundy, Joseph N. Burchett, Martin Bureau, Adam Burgasser, Tuesday K. Cabang, Stephanie Campbell, Michele Cappellari, Joleen K. Carlberg, Fábio Carneiro Wanderley, Ricardo Carrera, Jennifer Cash, Yan-Ping Chen, Wei-Huai Chen, Brian Cherinka, Cristina Chiappini, Peter Doohyun Choi, S. Drew Chojnowski, Haeun Chung, Nicolas Clerc, Roger E. Cohen, Julia M. Comerford, Johan Comparat, Luiz da Costa, Kevin Covey, Jeffrey D. Crane, Irene Cruz-Gonzalez, Connor Culhane, Katia Cunha, Y. Sophia Dai, Guillermo Damke, Jeremy Darling, James W. Davidson Jr., Roger Davies, Kyle Dawson, Nathan De Lee, Aleksandar M. Diamond-Stanic, Mariana Cano-Díaz, Helena Domínguez Sánchez, John Donor, Chris Duckworth, Tom Dwelly, Daniel J. Eisenstein, Yvonne P. Elsworth, Eric Emsellem, Mike Eracleous, Stephanie Escoffier, Xiaohui Fan, Emily Farr, Shuai Feng, José G. Fernández-Trincado, Diane Feuillet, Andreas Filipp, Sean P Fillingham, Peter M. Frinchaboy, Sebastien Fromenteau, Lluís Galbany, Rafael A. García, D. A. García-Hernández, Junqiang Ge, Doug Geisler, Joseph Gelfand, Tobias Géron, Benjamin J. Gibson, Julian Goddy, Diego Godoy-Rivera, Kathleen Grabowski, Paul J. Green, Michael Greener, Catherine J. Grier, Emily Griffith, Hong Guo, Julien Guy, Massinissa Hadjara, Paul Harding, Sten Hasselquist, Christian R. Hayes, Fred Hearty, Jesús Hernández, Lewis Hill, David W. Hogg, Jon A. Holtzman, Danny Horta, Bau-Ching Hsieh, Chin-Hao Hsu, Yun-Hsin Hsu, Daniel Huber, Marc Huertas-Company, Brian Hutchinson, Ho Seong Hwang, Héctor J. Ibarra-Medel, Jacob Ider Chitham, Gabriele S. Ilha, Julie Imig, Will Jaekle, Tharindu Jayasinghe, Xihan Ji, Jennifer A. Johnson, Amy Jones, Henrik Jönsson, Ivan Katkov, Dr. Arman Khalatyan, Karen Kinemuchi, Shobhit Kisku, Johan H. Knapen, Jean-Paul Kneib, Juna A. Kollmeier, Miranda Kong, Marina Kounkel, Kathryn Kreckel, Dhanesh Krishnarao, Ivan Lacerna, Richard R. Lane, Rachel Langgin, Ramon Lavender, David R. Law, Daniel Lazarz, Henry W. Leung, Ho-Hin Leung, Hannah M. Lewis, Cheng Li, Ran Li, Jianhui Lian, Fu-Heng Liang, Lihwai Lin, Yen-Ting Lin, Sicheng Lin, Chris Lintott, Dan Long, Penélope Longa-Peña, Carlos López-Cobá, Shengdong Lu, Britt F. Lundgren, Yuanze Luo, J. Ted Mackereth, Axel de la Macorra, Suvrath Mahadevan, Steven R. Majewski, Arturo Manchado, Travis Mandeville, Claudia Maraston, Berta Margalef-Bentabol, Thomas Masseron, Karen L. Masters, Savita Mathur, Richard M. McDermid, Myles Mckay, Andrea Merloni, Michael Merrifield, Szabolcs Meszaros, Andrea Miglio, Francesco Di Mille, Dante Minniti, Rebecca Minsley, Antonela Monachesi, Jeongin Moon, Benoit Mosser, John Mulchaey, Demitri Muna, Ricardo R. Muñoz, Adam D. Myers, Natalie Myers, Seshadri Nadathur, Preethi Nair, Kirpal Nandra, Justus Neumann, Jeffrey A. Newman, David L. Nidever, Farnik Nikakhtar, Christian Nitschelm, Julia E. O’Connell, Luis Garma-Oehmichen, Gabriel Luan Souza de Oliveira, Richard Olney, Daniel Oravetz, Mario Ortigoza-Urdaneta, Yeisson Osorio, Justin Otter, Zachary J. Pace, Nelson Padilla, Kaike Pan, Hsi-An Pan, Taniya Parikh, James Parker, Sebastien Peirani, Karla Peña Ramírez, Samantha Penny, Will J. Percival, Ismael Perez-Fournon, Marc Pinsonneault, Frédérick Poidevin, Vijith Jacob Poovelil, Adrian M. Price-Whelan, Anna Bárbara de Andrade Queiroz, M. Jordan Raddick, Amy Ray, Sandro Barboza Rembold, Nicole Riddle, Rogemar A. Riffel, Rogério Riffel, Hans-Walter Rix, Annie C. Robin, Aldo Rodríguez-Puebla, Alexandre Roman-Lopes, Carlos Román-Zúñiga, Benjamin Rose, Ashley J. Ross, Graziano Rossi, Kate H. R. Rubin, Mara Salvato, Sebástian F. Sánchez, José R. Sánchez-Gallego, Robyn Sanderson, Felipe Antonio Santana Rojas, Edgar Sarceno, Regina Sarmiento, Conor Sayres, Elizaveta Sazonova, Adam L. Schaefer, Ricardo Schiavon, David J Schlegel, Donald P. Schneider, Mathias Schultheis, Axel Schwope, Aldo Serenelli, Javier Serna, Zhengyi Shao, Griffin Shapiro, Anubhav Sharma, Yue Shen, Matthew Shetrone, Yiping Shu, Joshua D. Simon, M. F. Skrutskie, Rebecca Smethurst, Verne Smith, Jennifer Sobeck, Taylor Spoo, Dani Sprague, David V. Stark, Keivan G. Stassun, Matthias Steinmetz, Dennis Stello, Alexander Stone-Martinez, Thaisa Storchi-Bergmann, Guy S. Stringfellow, Amelia Stutz, Yung-Chau Su, Manuchehr Taghizadeh-Popp, Michael S. Talbot, Jamie Tayar, Eduardo Telles, Johanna Teske, Ani Thakar, Christopher Theissen, Andrew Tkachenko, Daniel Thomas, Rita Tojeiro, Hector Hernandez Toledo, Nicholas W. Troup, Jonathan R. Trump, James Trussler, Jacqueline Turner, Sarah Tuttle, Eduardo Unda-Sanzana, José Antonio Vázquez-Mata, Marica Valentini, Octavio Valenzuela, Jaime Vargas-González, Mariana Vargas-Magaña, Pablo Vera Alfaro, Sandro Villanova, Fiorenzo Vincenzo, David Wake, Jack T. Warfield, Jessica Diane Washington, Benjamin Alan Weaver, Anne-Marie Weijmans, David H. Weinberg, Achim Weiss, Kyle B. Westfall, Vivienne Wild, Matthew C. Wilde, John C. Wilson, Robert F. Wilson, Mikayla Wilson, Julien Wolf, W. M. Wood-Vasey, Renbin Yan, Olga Zamora, Gail Zasowski, Kai Zhang, Cheng Zhao, Zheng Zheng, Kai Zhu, Institute of Astronomy [Leuven], Catholic University of Leuven - Katholieke Universiteit Leuven (KU Leuven), Radboud University [Nijmegen], Department of Physics and Astronomy [Aarhus], Aarhus University [Aarhus], Institute for Astronomy [Edinburgh] (IfA), University of Edinburgh, Instituto de Astrofisica de Canarias (IAC), Universidad de Antofagasta, Centre de Physique des Particules de Marseille (CPPM), Aix Marseille Université (AMU)-Institut National de Physique Nucléaire et de Physique des Particules du CNRS (IN2P3)-Centre National de la Recherche Scientifique (CNRS), Universidad Nacional Autónoma de México = National Autonomous University of Mexico (UNAM), Institut de recherche en astrophysique et planétologie (IRAP), Université Toulouse III - Paul Sabatier (UT3), Université de Toulouse (UT)-Université de Toulouse (UT)-Institut national des sciences de l'Univers (INSU - CNRS)-Observatoire Midi-Pyrénées (OMP), Institut de Recherche pour le Développement (IRD)-Université Toulouse III - Paul Sabatier (UT3), Université de Toulouse (UT)-Université de Toulouse (UT)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National d'Études Spatiales [Toulouse] (CNES)-Centre National de la Recherche Scientifique (CNRS)-Météo-France -Institut de Recherche pour le Développement (IRD)-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National d'Études Spatiales [Toulouse] (CNES)-Centre National de la Recherche Scientifique (CNRS)-Météo-France -Centre National de la Recherche Scientifique (CNRS), European Southern Observatory (ESO), Centre de Recherche Astrophysique de Lyon (CRAL), École normale supérieure de Lyon (ENS de Lyon)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS), Astrophysique Interprétation Modélisation (AIM (UMR_7158 / UMR_E_9005 / UM_112)), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Institut national des sciences de l'Univers (INSU - CNRS)-Université Paris-Saclay-Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité), Laboratoire d'Etude du Rayonnement et de la Matière en Astrophysique et Atmosphères = Laboratory for Studies of Radiation and Matter in Astrophysics and Atmospheres (LERMA), École normale supérieure - Paris (ENS-PSL), Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Institut national des sciences de l'Univers (INSU - CNRS)-Observatoire de Paris, Université Paris sciences et lettres (PSL)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-CY Cergy Paris Université (CY), Laboratoire d'études spatiales et d'instrumentation en astrophysique = Laboratory of Space Studies and Instrumentation in Astrophysics (LESIA), Institut national des sciences de l'Univers (INSU - CNRS)-Observatoire de Paris, Université Paris sciences et lettres (PSL)-Université Paris sciences et lettres (PSL)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité), Institut d'Astrophysique de Paris (IAP), Institut national des sciences de l'Univers (INSU - CNRS)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Univers, Transport, Interfaces, Nanostructures, Atmosphère et environnement, Molécules (UMR 6213) (UTINAM), Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Observatoire de la Côte d'Azur (OCA), Institut national des sciences de l'Univers (INSU - CNRS)-Centre National de la Recherche Scientifique (CNRS), University of St Andrews. School of Physics and Astronomy, University of St Andrews. Centre for Contemporary Art, European Space Agency, National Aeronautics and Space Administration (US), Alfred P. Sloan Foundation, and Abdurro'uf, Katherine Accetta, Conny Aerts, Victor Silva Aguirre, Romina Ahumada, Nikhil Ajgaonkar, N. Filiz Ak, Shadab Alam, Carlos Allende Prieto, Andres Almeida, Friedrich Anders, Scott F. Anderson, Brett H. Andrews, Borja Anguiano, Erik Aquino-Ortiz, Alfonso Aragon-Salamanca, Maria Argudo-Fernandez, Metin Ata, Marie Aubert, Vladimir Avila-Reese, Carles Badenes, Rodolfo H. Barba, Kat Barger, Jorge K. Barrera-Ballesteros, Rachael L. Beaton, Timothy C. Beers, Francesco Belfiore, Chad F. Bender, Mariangela Bernardi, Matthew A. Bershady, Florian Beutler, Christian Moni Bidin, Jonathan C. Bird, Dmitry Bizyaev, Guillermo A. Blanc, Michael R. Blanton, Nicholas Fraser Boardman, Adam S. Bolton, Mederic Boquien, Jura Borissova, Jo Bovy, W.N. Brandt, Jordan Brown, Joel R. Brownstein, Marcella Brusa, Johannes Buchner, Kevin Bundy, Joseph N. Burchett, Martin Bureau, Adam Burgasser, Tuesday K. Cabang, Stephanie Campbell, Michele Cappellari, Joleen K. Carlberg, Fabio Carneiro Wanderley, Ricardo Carrera, Jennifer Cash, Yan-Ping Chen, Wei-Huai Chen, Brian Cherinka, Cristina Chiappini, Peter Doohyun Choi, S. Drew Chojnowski, Haeun Chung, Nicolas Clerc, Roger E. Cohen, Julia M. Comerford, Johan Comparat, Luiz da Costa, Kevin Covey, Jeffrey D. Crane, Irene Cruz-Gonzalez, Connor Culhane, Katia Cunha, Y. Sophia Dai, Guillermo Damke, Jeremy Darling, James W. Davidson Jr., Roger Davies, Kyle Dawson, Nathan De Lee, Aleksandar M. Diamond-Stanic, Mariana Cano-Diaz, Helena Dominguez Sanchez, John Donor, Chris Duckworth, Tom Dwelly, Daniel J. Eisenstein, Yvonne P. Elsworth, Eric Emsellem, Mike Eracleous, Stephanie Escoffier, Xiaohui Fan, Emily Farr, Shuai Feng, Jose G. Fernandez-Trincado, Diane Feuillet, Andreas Filipp, Sean P Fillingham, Peter M. Frinchaboy , Sebastien Fromenteau, Lluis Galbany, Rafael A. Garcia, D. A. Garcia-Hernandez, Junqiang Ge, Doug Geisler, Joseph Gelfand, Tobias Geron, Benjamin J. Gibson, Julian Goddy, Diego Godoy-Rivera, Kathleen Grabowski, Paul J. Green, Michael Greener, Catherine J. Grier, Emily Griffith, Hong Guo, Julien Guy, Massinissa Hadjara, Paul Harding, Sten Hasselquist, Christian R. Hayes, Fred Hearty, Jesus Hernandez, Lewis Hill, David W. Hogg, Jon A. Holtzman, Danny Horta, Bau-Ching Hsieh, Chin-Hao Hsu, Yun-Hsin Hsu, Daniel Huber, Marc Huertas-Company, Brian Hutchinson, Ho Seong Hwang, Hector J. Ibarra-Medel, Jacob Ider Chitham, Gabriele S. Ilha, Julie Imig, Will Jaekle, Tharindu Jayasinghe, Xihan Ji, Jennifer A. Johnson, Amy Jones, Henrik Jonsson, Ivan Katkov, Dr. Arman Khalatyan, Karen Kinemuchi, Shobhit Kisku, Johan H. Knapen, Jean-Paul Kneib, Juna A. Kollmeier, Miranda Kong, Marina Kounkel, Kathryn Kreckel, Dhanesh Krishnarao, Ivan Lacerna, Richard R. Lane, Rachel Langgin, Ramon Lavender, David R. Law, Daniel Lazarz, Henry W. Leung, Ho-Hin Leung, Hannah M. Lewis, Cheng Li, Ran Li, Jianhui Lian, Fu-Heng Liang, Lihwai Lin, Yen-Ting Lin, Sicheng Lin, Chris Lintott, Dan Long, Penelope Longa-Pena, Carlos Lopez-Coba, Shengdong Lu, Britt F. Lundgren, Yuanze Luo, J. Ted Mackereth, Axel de la Macorra, Suvrath Mahadevan, Steven R. Majewski, Arturo Manchado, Travis Mandeville, Claudia Maraston, Berta Margalef-Bentabol, Thomas Masseron, Karen L. Masters, Savita Mathur, Richard M. McDermid, Myles Mckay, Andrea Merloni, Michael Merrifield, Szabolcs Meszaros, Andrea Miglio, Francesco Di Mille, Dante Minniti, Rebecca Minsley, Antonela Monachesi, Jeongin Moon, Benoit Mosser, John Mulchaey, Demitri Muna, Ricardo R. Munoz, Adam D. Myers, Natalie Myers, Seshadri Nadathur, Preethi Nair, Kirpal Nandra, Justus Neumann, Jeffrey A. Newman, David L. Nidever, Farnik Nikakhtar, Christian Nitschelm, Julia E. O'Connell, Luis Garma-Oehmichen, Gabriel Luan Souza de Oliveira, Richard Olney, Daniel Oravetz, Mario Ortigoza-Urdaneta, Yeisson Osorio, Justin Otter, Zachary J. Pace, Nelson Padilla, Kaike Pan, Hsi-An Pan, Taniya Parikh, James Parker, Sebastien Peirani, Karla Pena Ramirez, Samantha Penny, Will J. Percival, Ismael Perez-Fournon, Marc Pinsonneault, Frederick Poidevin, Vijith Jacob Poovelil, Adrian M. Price-Whelan, Anna Barbara de Andrade Queiroz, M. Jordan Raddick, Amy Ray, Sandro Barboza Rembold, Nicole Riddle, Rogemar A. Riffel, Rogerio Riffel, Hans-Walter Rix, Annie C. Robin, Aldo Rodriguez-Puebla, Alexandre Roman-Lopes, Carlos Roman-Zuniga, Benjamin Rose, Ashley J. Ross, Graziano Rossi, Kate H. R. Rubin, Mara Salvato, Sebastian F. Sanchez, Jose R. Sanchez-Gallego, Robyn Sanderson, Felipe Antonio Santana Rojas, Edgar Sarceno, Regina Sarmiento, Conor Sayres, Elizaveta Sazonova, Adam L. Schaefer, Ricardo Schiavon, David J Schlegel, Donald P. Schneider, Mathias Schultheis, Axel Schwope, Aldo Serenelli, Javier Serna, Zhengyi Shao, Griffin Shapiro, Anubhav Sharma, Yue Shen, Matthew Shetrone, Yiping Shu, Joshua D. Simon, M. F. Skrutskie, Rebecca Smethurst, Verne Smith, Jennifer Sobeck, Taylor Spoo, Dani Sprague, David V. Stark, Keivan G. Stassun, Matthias Steinmetz, Dennis Stello, Alexander Stone-Martinez, Thaisa Storchi-Bergmann, Guy S. Stringfellow, Amelia Stutz, Yung-Chau Su, Manuchehr Taghizadeh-Popp, Michael S. Talbot, Jamie Tayar, Eduardo Telles, Johanna Teske, Ani Thakar, Christopher Theissen, Daniel Thomas, Andrew Tkachenko, Rita Tojeiro, Hector Hernandez Toledo, Nicholas W. Troup, Jonathan R. Trump, James Trussler, Jacqueline Turner, Sarah Tuttle, Eduardo Unda-Sanzana, Jose Antonio Vazquez-Mata, Marica Valentini, Octavio Valenzuela, Jaime Vargas-Gonzalez, Mariana Vargas-Magana, Pablo Vera Alfaro, Sandro Villanova, Fiorenzo Vincenzo, David Wake, Jack T. Warfield, Jessica Diane Washington, Benjamin Alan Weaver, Anne-Marie Weijmans, David H. Weinberg, Achim Weiss, Kyle B. Westfall, Vivienne Wild, Matthew C. Wilde, John C. Wilson, Robert F. Wilson, Mikayla Wilson, Julien Wolf, W. M. Wood-Vasey, Renbin Yan, Olga Zamora, Gail Zasowski, Kai Zhang, Cheng Zhao, Zheng Zheng, Zheng Zheng, Kai Zhu

Subjects
ABSORPTION-LINE SPECTRA, ACTIVE GALACTIC NUCLEI, anisotropic power spectrum, [SDU.ASTR.CO]Sciences of the Universe [physics]/Astrophysics [astro-ph]/Cosmology and Extra-Galactic Astrophysics [astro-ph.CO], Astrophysics - astrophysics of galaxies, absorption-line spectra, FOS: Physical sciences, Astronomy & Astrophysics, large-scale structure, OSCILLATION SPECTROSCOPIC SURVEY, cluster chemical abundances, reverberation mapping project, Astronomi, astrofysik och kosmologi, LARGE-SCALE STRUCTURE, Astronomy, Astrophysics and Cosmology, QB Astronomy, OLD STELLAR POPULATIONS, CLUSTER CHEMICAL ABUNDANCES, Instrumentation and Methods for Astrophysics (astro-ph.IM), QC, QB, MCC, FINAL TARGETING STRATEGY, Science & Technology, REVERBERATION MAPPING PROJECT, DAS, Astronomy and Astrophysics, ANISOTROPIC POWER SPECTRUM, oscillation spectroscopic survey, Astrophysics - Astrophysics of Galaxies, final targeting strategy, sdss-iv manga, QC Physics, [PHYS.ASTR.GA]Physics [physics]/Astrophysics [astro-ph]/Galactic Astrophysics [astro-ph.GA], Space and Planetary Science, Astrophysics of Galaxies (astro-ph.GA), active galactic nuclei, Physical Sciences, old stellar populations, Astrophysics - Instrumentation and Methods for Astrophysics, SDSS-IV MANGA, Astrophysics - instrumentation and methods for Astrophysics
Abstract

Abdurro’uf et al., This paper documents the seventeenth data release (DR17) from the Sloan Digital Sky Surveys; the fifth and final release from the fourth phase (SDSS-IV). DR17 contains the complete release of the Mapping Nearby Galaxies at Apache Point Observatory (MaNGA) survey, which reached its goal of surveying over 10,000 nearby galaxies. The complete release of the MaNGA Stellar Library accompanies this data, providing observations of almost 30,000 stars through the MaNGA instrument during bright time. DR17 also contains the complete release of the Apache Point Observatory Galactic Evolution Experiment 2 survey that publicly releases infrared spectra of over 650,000 stars. The main sample from the Extended Baryon Oscillation Spectroscopic Survey (eBOSS), as well as the subsurvey Time Domain Spectroscopic Survey data were fully released in DR16. New single-fiber optical spectroscopy released in DR17 is from the SPectroscipic IDentification of ERosita Survey subsurvey and the eBOSS-RM program. Along with the primary data sets, DR17 includes 25 new or updated value-added catalogs. This paper concludes the release of SDSS-IV survey data. SDSS continues into its fifth phase with observations already underway for the Milky Way Mapper, Local Volume Mapper, and Black Hole Mapper surveys., This publication uses data generated via the Zooniverse.org platform, development of which is funded by generous support, including a Global Impact Award from Google, and by a grant from the Alfred P. Sloan Foundation. This publication makes use of data products from the Two Micron All Sky Survey, which is a joint project of the University of Massachusetts and the Infrared Processing and Analysis Center/California Institute of Technology, funded by the National Aeronautics and Space Administration and the National Science Foundation. This work has made use of data from the European Space Agency (ESA) mission Gaia (https://www.cosmos.esa.int/gaia), processed by the Gaia Data Processing and Analysis Consortium (DPAC; https://www.cosmos.esa.int/web/gaia/dpac/consortium). Funding for the DPAC has been provided by national institutions, in particular the institutions participating in the Gaia Multilateral Agreement.

Published
2022

34. Labetalol-Induced Hepatotoxicity during Pregnancy: A Case Report.

Author

Whelan A, Izewski J, Berkelhammer C, Walloch J, and Kay HH

Abstract

Background  Drug-induced liver injury is a common cause of transaminitis, occurring in up to 5% of patients who are hospitalized for liver failure. In pregnancy, transaminitis is seen in conditions which may require expedited delivery. Case  A 39-year-old G2P0010 at 27 2/7 weeks' gestation with chronic hypertension on labetalol was found to have elevated transaminases. Evaluation for preeclampsia, acute fatty liver, nonalcoholic steatohepatitis, cholelithiasis, infections, and autoimmune conditions were all negative. Labetalol was then discontinued, and liver biopsy was performed. After discontinuation of labetalol, her hepatitis improved, and she was discharged on hospital day 12 and went on to deliver at term. Conclusion  Labetalol-induced hepatitis should be considered in the differential for transaminitis during pregnancy to prevent iatrogenic preterm delivery., Competing Interests: Conflict of Interest None declared.

Published
2020
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35. A Case of Massive Hepatic Infarction in a Patient with HELLP Syndrome.

Author

Morgan J, Della Torre M, Whelan AR, Rodriguez SM, and DiGiovanni LM

Abstract

Background  Hepatic infarction is an exceedingly rare complication of hemolysis, elevated liver enzymes, and low platelets syndrome. Few cases have been described in the medical literature and the true incidence remains unknown. It can lead to fulminant liver failure, liver transplant, or death if not promptly addressed. Case Report  A 22-year-old primigravida presented with right upper quadrant and epigastric pain at 28 weeks' gestation. She had severely elevated blood pressures requiring intravenous antihypertensives as well as proteinuria, thrombocytopenia, and mild transaminitis. Within 6 hours of admission, her rapidly rising liver function tests (LFTs) necessitated urgent delivery by primary cesarean section. Her liver enzymes continued to rapidly worsen postoperatively and immediate postpartum computed tomography of the abdomen and pelvis revealed massive hepatic infarction, 11 × 10 × 15 cm, of the right lobe of the liver. Her transaminases peaked at alanine transferase of 2,863 IU/L and aspartate transferase of 2,732 IU/L. She received supportive multidisciplinary intensive care, and LFTs returned to normal by postoperative day 20. Conclusion  Hepatic infarction is an extraordinarily rare complication of pre-eclampsia. Early recognition and prompt multidisciplinary management are vital to prevent catastrophic bleeding, hepatic failure, and death.

Published
2019
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36. Sharing beliefs: what sexuality means to Muslim Iranian women living in Australia.

Author

Merghati Khoei E, Whelan A, and Cohen J

Subjects
Adult, Australia epidemiology, Dominance-Subordination, Female, Focus Groups, Humans, Iran ethnology, Middle Aged, Socioeconomic Factors, Women's Health, Attitude to Health ethnology, Cultural Characteristics, Islam, Religion and Sex, Sexual Behavior ethnology, Spouses ethnology
Abstract

In Iran, women's sexual self-understandings are strongly determined by religious teaching. This study explores the meanings generated through the lived experience of sexuality of women residing in Australia that may challenge certain received Islamic notions of sexuality. Interviews and focus group discussions were conducted with 51 Iranian women in Sydney alongside 10 semi-structured interviews with Shi'ite clergy in Iran. Findings suggest that the concept of sexual obedience within marriage is regarded as symbolic of an idealised Muslim femininity. Sexual obedience demonstrates women's high level of religious commitment but is also an indicator of modesty and self-respect. While some participants felt that it was a woman's duty to satisfy her husband on any sexual occasion, they did not utilize notions of subordination in their sexual lives. For other informants, however, concepts of subordination were more salient and tied to conservative religious leaders' interpretations of Quranic concepts and Iranian women's understandings of these same interpretations. Religion is an important factor influencing Iranian women's sexual self-understandings, being relevant both to sexual education and public health. Recognition of this issue will facilitate understanding of the cultural foundations of sexuality among Muslims and assist health providers in suggesting more culturally compatible forms of healthcare.

Published
2008
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