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Article ; Online: Assessing bleeding risk in patients taking anticoagulants.

Shoeb, Marwa / Fang, Margaret C

2013 Volume 35, Issue 3, Page(s) 312–319

Abstract: Anticoagulant medications are commonly used for the prevention and treatment of thromboembolism. Although highly effective, they are also associated with significant bleeding risks. Numerous individual clinical factors have been linked to an increased ... ...

Abstract	Anticoagulant medications are commonly used for the prevention and treatment of thromboembolism. Although highly effective, they are also associated with significant bleeding risks. Numerous individual clinical factors have been linked to an increased risk of hemorrhage, including older age, anemia, and renal disease. To help quantify hemorrhage risk for individual patients, a number of clinical risk prediction tools have been developed. These risk prediction tools differ in how they were derived and how they identify and weight individual risk factors. At present, their ability to effective predict anticoagulant-associated hemorrhage remains modest. Use of risk prediction tools to estimate bleeding in clinical practice is most influential when applied to patients at the lower spectrum of thromboembolic risk, when the risk of hemorrhage will more strongly affect clinical decisions about anticoagulation. Using risk tools may also help counsel and inform patients about their potential risk for hemorrhage while on anticoagulants, and can identify patients who might benefit from more careful management of anticoagulation.
MeSH term(s)	Age Factors ; Anemia/drug therapy ; Anticoagulants/adverse effects ; Anticoagulants/therapeutic use ; Female ; Hemorrhage/chemically induced ; Hemorrhage/prevention & control ; Humans ; Kidney Diseases/drug therapy ; Male ; Patient Education as Topic ; Risk Assessment ; Risk Factors
Chemical Substances	Anticoagulants
Language	English
Publishing date	2013-03-12
Publishing country	Netherlands
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Review
ZDB-ID	1230645-9
ISSN	1573-742X ; 0929-5305
ISSN (online)	1573-742X
ISSN	0929-5305
DOI	10.1007/s11239-013-0899-7
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Article ; Online: Global health hospitalists: the fastest growing specialty's newest niche.

Shoeb, Marwa / Le, Phuoc / Greysen, S Ryan

Journal of hospital medicine

2013 Volume 8, Issue 3, Page(s) 162–163

MeSH term(s)	Adult ; Female ; Global Health/trends ; Hospitalists/trends ; Humans ; Male ; Societies, Medical/trends ; Surveys and Questionnaires
Language	English
Publishing date	2013-03
Publishing country	United States
Document type	Letter
ZDB-ID	2233783-0
ISSN	1553-5606 ; 1553-5592
ISSN (online)	1553-5606
ISSN	1553-5592
DOI	10.1002/jhm.2017
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Article ; Online: Author Correction: Genotypic characterization of multiple drug resistant Escherichia coli isolates from a pediatric cancer hospital in Egypt.

Hassan, Reem / Tantawy, Marwa / Gouda, Nouran A / Elzayat, Mariam G / Gabra, Sara / Nabih, Amena / Diab, Aya A / El-Hadidi, Mohamed / Bakry, Usama / Shoeb, Mohamed R / Elanany, Mervat / Shalaby, Lobna / Sayed, Ahmed A

Scientific reports

2020 Volume 10, Issue 1, Page(s) 7415

Abstract: An amendment to this paper has been published and can be accessed via a link at the top of the paper. ...

Abstract	An amendment to this paper has been published and can be accessed via a link at the top of the paper.
Language	English
Publishing date	2020-04-29
Publishing country	England
Document type	Published Erratum
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-020-64153-7
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Article ; Online: Author Correction

Reem Hassan / Marwa Tantawy / Nouran A. Gouda / Mariam G. Elzayat / Sara Gabra / Amena Nabih / Aya A. Diab / Mohamed El-Hadidi / Usama Bakry / Mohamed R. Shoeb / Mervat Elanany / Lobna Shalaby / Ahmed A. Sayed

Scientific Reports, Vol 10, Iss 1, Pp 1-

Genotypic characterization of multiple drug resistant Escherichia coli isolates from a pediatric cancer hospital in Egypt

2020 Volume 1

Abstract: An amendment to this paper has been published and can be accessed via a link at the top of the paper. ...

Abstract	An amendment to this paper has been published and can be accessed via a link at the top of the paper.
Keywords	Medicine ; R ; Science ; Q
Language	English
Publishing date	2020-04-01T00:00:00Z
Publisher	Nature Publishing Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Genotypic characterization of multiple drug resistant Escherichia coli isolates from a pediatric cancer hospital in Egypt.

Scientific reports

2020 Volume 10, Issue 1, Page(s) 4165

Abstract: Infection with multiple drug resistant (MDR) Escherichia coli poses a life threat to immunocompromised pediatric cancer patients. Our aim is to genotypically characterize the plasmids harbored in MDR E. coli isolates recovered from bacteremic patients of ...

Abstract	Infection with multiple drug resistant (MDR) Escherichia coli poses a life threat to immunocompromised pediatric cancer patients. Our aim is to genotypically characterize the plasmids harbored in MDR E. coli isolates recovered from bacteremic patients of Children's Cancer Hospital in Egypt 57357 (CCHE 57357). In this study, 21 carbapenem-resistant E. coli (CRE) isolates were selected that exhibit Quinolones and Aminoglycosides resistance. Plasmid shot-gun sequencing was performed using Illumina next- generation sequencing platform. Isolates demonstrated resistant to all beta-lactams, carbapenems, aminoglycosides and quinolones. Of the 32 antimicrobial resistant genes identified that exceeded the analysis cutoff coverage, the highest represented genes were aph(6)-Id, sul2, aph(3″)-Ib, aph(3')-Ia, sul1, dfrA12, TEM-220, NDM-11. Isolates employed a wide array of resistance mechanisms including antibiotic efflux, antibiotic inactivation, antibiotic target replacements and antibiotic target alteration. Sequenced isolates displayed diverse insertion sequences, including IS26, suggesting dynamic reshuffling of the harbored plasmids. Most isolates carried plasmids originating from other bacterial species suggesting a possible horizontal gene transfer. Only two isolates showed virulence factors with iroA gene cluster which was found in only one of them. Outside the realms of nosocomial infections among patients in hospitals, our results indicate a transfer of resistant genes and plasmids across different organisms.
MeSH term(s)	Anti-Bacterial Agents/pharmacokinetics ; Cancer Care Facilities/statistics & numerical data ; Drug Resistance, Multiple, Bacterial/genetics ; Egypt ; Escherichia coli/drug effects ; Escherichia coli/genetics ; Escherichia coli Proteins/genetics ; Escherichia coli Proteins/metabolism ; Genotype ; Humans ; Microbial Sensitivity Tests ; Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
Chemical Substances	Anti-Bacterial Agents ; Escherichia coli Proteins
Language	English
Publishing date	2020-03-05
Publishing country	England
Document type	Journal Article
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-020-61159-z
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Article ; Online: The forest for the trees: tuberculosis control efforts in west Kalimantan.

Shoeb, Marwa / Lopez de Castilla, Diego / Pottinger, Paul

Tropical doctor

2011 Volume 41, Issue 1, Page(s) 63–64

Abstract: Alam Sehat Lestari (ASRI), an Indonesian-American, non-proﬁt organization located on the border of Gunung Palung National Park in west Kalimantan on the island of Borneo, is linking the delivery of health care to the conservation of natural resources. ... ...

Abstract	Alam Sehat Lestari (ASRI), an Indonesian-American, non-proﬁt organization located on the border of Gunung Palung National Park in west Kalimantan on the island of Borneo, is linking the delivery of health care to the conservation of natural resources. The clinic's experience shows that an unconventional 'forests-for-health care' incentive programme can provide a powerful way to break the cycle that links poverty, poor health and environmental destruction around the park. However, the challenges of preventing, diagnosing and treating tuberculosis in this setting remain considerable and success will still depend upon a multilateral collaborative approach.
MeSH term(s)	Antitubercular Agents/economics ; Antitubercular Agents/therapeutic use ; Borneo ; Conservation of Natural Resources/economics ; Conservation of Natural Resources/methods ; Delivery of Health Care/economics ; Delivery of Health Care/methods ; Humans ; Mycobacterium tuberculosis/drug effects ; Mycobacterium tuberculosis/isolation & purification ; Organizations, Nonprofit ; Program Evaluation ; Trees ; Tuberculosis/diagnosis ; Tuberculosis/drug therapy ; Tuberculosis/microbiology ; Tuberculosis/prevention & control ; Tuberculosis, Multidrug-Resistant/diagnosis ; Tuberculosis, Multidrug-Resistant/drug therapy ; Tuberculosis, Multidrug-Resistant/microbiology ; Tuberculosis, Multidrug-Resistant/prevention & control
Chemical Substances	Antitubercular Agents
Language	English
Publishing date	2011-01
Publishing country	England
Document type	Letter
ZDB-ID	193169-6
ISSN	1758-1133 ; 0049-4755
ISSN (online)	1758-1133
ISSN	0049-4755
DOI	10.1258/td.2010.100108
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Article ; Online: Genotypic characterization of multiple drug resistant Escherichia coli isolates from a pediatric cancer hospital in Egypt

Scientific Reports, Vol 10, Iss 1, Pp 1-

2020 Volume 10

Abstract: Abstract Infection with multiple drug resistant (MDR) Escherichia coli poses a life threat to immunocompromised pediatric cancer patients. Our aim is to genotypically characterize the plasmids harbored in MDR E. coli isolates recovered from bacteremic ... ...

Abstract	Abstract Infection with multiple drug resistant (MDR) Escherichia coli poses a life threat to immunocompromised pediatric cancer patients. Our aim is to genotypically characterize the plasmids harbored in MDR E. coli isolates recovered from bacteremic patients of Children’s Cancer Hospital in Egypt 57357 (CCHE 57357). In this study, 21 carbapenem-resistant E. coli (CRE) isolates were selected that exhibit Quinolones and Aminoglycosides resistance. Plasmid shot-gun sequencing was performed using Illumina next- generation sequencing platform. Isolates demonstrated resistant to all beta-lactams, carbapenems, aminoglycosides and quinolones. Of the 32 antimicrobial resistant genes identified that exceeded the analysis cutoff coverage, the highest represented genes were aph(6)-Id, sul2, aph(3″)-Ib, aph(3′)-Ia, sul1, dfrA12, TEM-220, NDM-11. Isolates employed a wide array of resistance mechanisms including antibiotic efflux, antibiotic inactivation, antibiotic target replacements and antibiotic target alteration. Sequenced isolates displayed diverse insertion sequences, including IS26, suggesting dynamic reshuffling of the harbored plasmids. Most isolates carried plasmids originating from other bacterial species suggesting a possible horizontal gene transfer. Only two isolates showed virulence factors with iroA gene cluster which was found in only one of them. Outside the realms of nosocomial infections among patients in hospitals, our results indicate a transfer of resistant genes and plasmids across different organisms.
Keywords	Medicine ; R ; Science ; Q
Language	English
Publishing date	2020-03-01T00:00:00Z
Publisher	Nature Publishing Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Postdischarge focus groups to improve the hospital experience.

Neeman, Naama / Quinn, Katie / Shoeb, Marwa / Mourad, Michelle / Sehgal, Niraj L / Sliwka, Diane

American journal of medical quality : the official journal of the American College of Medical Quality

2013 Volume 28, Issue 6, Page(s) 536–538

MeSH term(s)	California ; Focus Groups ; Humans ; Organizational Case Studies ; Patient Discharge ; Patient Satisfaction ; Quality Assurance, Health Care/methods
Language	English
Publishing date	2013-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	1131772-3
ISSN	1555-824X ; 1062-8606
ISSN (online)	1555-824X
ISSN	1062-8606
DOI	10.1177/1062860613488623
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Article ; Online: "Can we just stop and talk?" patients value verbal communication about discharge care plans.

Shoeb, Marwa / Merel, Susan Eva / Jackson, Molly Blackley / Anawalt, Bradley D

Journal of hospital medicine

2012 Volume 7, Issue 6, Page(s) 504–507

Abstract: Background: Studies show that hospitalized patients often do not understand their postdischarge care plan. There are few studies about patients' preferences regarding the content of discharge care plans.: Objective: To identify what patients view as ... ...

Abstract	Background: Studies show that hospitalized patients often do not understand their postdischarge care plan. There are few studies about patients' preferences regarding the content of discharge care plans. Objective: To identify what patients view as essential elements of a post-hospitalization plan. Design: Anonymous written survey distributed on the second day of admission to internal medicine wards. Setting: An academic tertiary care hospital and an academic county hospital in Seattle, Washington. Patients: Two hundred English-speaking adult inpatients ≥ 18 years or their proxies. Results: The majority of patients (64.5%) surveyed wanted verbal discharge instructions, with only 10.5% requesting written instructions (P < 0.0001). One hundred percent of patients valued the following discharge instructions as essential: "when you need to follow-up with [primary care provider] PCP," "warning signs to call PCP," and "medicines to continue post-hospitalization." One hundred percent of patients wanted "a lot of information about my condition" and "test results," but only 39% wanted "a lot of information about my medications" (P < 0.0001). When asked to choose the most important piece of discharge instruction related to their disease, 67.5% of patients chose "lifestyle changes." One hundred percent of patients thought that personal communication between the inpatient provider and the outpatient primary care provider was "extremely important" or "essential." Conclusion: Patients uniformly placed high value on: 1) verbal communication about discharge care plans; 2) information about lifestyle changes for improved health; and 3) personal communication between inpatient and outpatient providers.
MeSH term(s)	Academic Medical Centers ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Communication ; Educational Status ; Female ; Humans ; Internal Medicine ; Male ; Middle Aged ; Patient Discharge/standards ; Patient Education as Topic/methods ; Patient Preference/statistics & numerical data ; Professional-Patient Relations ; Tertiary Care Centers ; Washington ; Young Adult
Language	English
Publishing date	2012-07
Publishing country	United States
Document type	Journal Article
ZDB-ID	2233783-0
ISSN	1553-5606 ; 1553-5592
ISSN (online)	1553-5606
ISSN	1553-5592
DOI	10.1002/jhm.1937
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Article ; Online: Internal medicine rounding practices and the Accreditation Council for Graduate Medical Education core competencies.

Shoeb, Marwa / Khanna, Raman / Fang, Margaret / Sharpe, Brad / Finn, Kathleen / Ranji, Sumant / Monash, Brad

Journal of hospital medicine

2014 Volume 9, Issue 4, Page(s) 239–243

Abstract: Background: The Accreditation Council for Graduate Medical Education (ACGME) has established the requirement for residency programs to assess trainees' competencies in 6 core domains (patient care, medical knowledge, practice-based learning, ... ...

Abstract	Background: The Accreditation Council for Graduate Medical Education (ACGME) has established the requirement for residency programs to assess trainees' competencies in 6 core domains (patient care, medical knowledge, practice-based learning, interpersonal skills, professionalism, and systems-based practice). As attending rounds serve as a primary means for educating trainees at academic medical centers, our study aimed to identify current rounding practices and attending physician perceived capacity of different rounding models to promote teaching within the ACGME core competencies. Methods: We disseminated a 24-question survey electronically using educational and hospital medicine leadership mailing lists. We assessed attending physician demographics and the frequency with which they used various rounding models, as defined by the location of the discussion of the patient and care plan: bedside rounds (BR), hallway rounds (HR), and card-flipping rounds (CFR). Using the ACGME framework, we assessed the perceived educational value of each model. Results: We received 153 completed surveys from attending physicians representing 34 institutions. HR was used most frequently for both new and established patients (61% and 43%), followed by CFR for established patients (36%) and BR for new patients (22%). Most attending physicians indicated that BR and HR were superior to CFR in promoting the following ACGME competencies: patient care, systems-based practice, professionalism, and interpersonal skills. Conclusions: HR is the most commonly employed rounding model. BR and HR are perceived to be valuable for teaching patient care, systems-based practice, professionalism, and interpersonal skills. CFR remains prevalent despite its perceived inferiority in promoting teaching across most of the ACGME core competencies.
MeSH term(s)	Accreditation/organization & administration ; Accreditation/standards ; Adult ; Clinical Competence/standards ; Communication ; Education, Medical, Graduate/organization & administration ; Education, Medical, Graduate/standards ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Internal Medicine/education ; Internship and Residency/organization & administration ; Internship and Residency/standards ; Male ; Middle Aged ; Patient Care/standards ; Problem-Based Learning ; Professional Role
Language	English
Publishing date	2014-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	2233783-0
ISSN	1553-5606 ; 1553-5592
ISSN (online)	1553-5606
ISSN	1553-5592
DOI	10.1002/jhm.2164
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