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  1. Article ; Online: Escaping the Siren Song-Transitioning to Part-Time Work.

    Marshall, Ariela L

    JAMA

    2023  Volume 330, Issue 6, Page(s) 501–502

    MeSH term(s) Humans ; Employment ; Students ; Time Factors
    Language English
    Publishing date 2023-07-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2023.13214
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  2. Article ; Online: Supporting Physicians Along the Entire Journey of Fertility and Family Building.

    Marshall, Ariela L / Salles, Arghavan

    JAMA network open

    2022  Volume 5, Issue 5, Page(s) e2213342

    MeSH term(s) Fertility ; Health Services ; Humans ; Physicians
    Language English
    Publishing date 2022-05-02
    Publishing country United States
    Document type Journal Article ; Comment
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2022.13342
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  3. Article ; Online: Thrombocytopenia in pregnancy.

    Pishko, Allyson M / Marshall, Ariela L

    Hematology. American Society of Hematology. Education Program

    2022  Volume 2022, Issue 1, Page(s) 303–311

    Abstract: Hematologists are often consulted for thrombocytopenia in pregnancy, especially when there is a concern for a non-pregnancy-specific etiology or an insufficient platelet count for the hemostatic challenges of delivery. The severity of thrombocytopenia ... ...

    Abstract Hematologists are often consulted for thrombocytopenia in pregnancy, especially when there is a concern for a non-pregnancy-specific etiology or an insufficient platelet count for the hemostatic challenges of delivery. The severity of thrombocytopenia and trimester of onset can help guide the differential diagnosis. Hematologists need to be aware of the typical signs of preeclampsia with severe features and other hypertensive disorders of pregnancy to help distinguish these conditions, which typically resolve with delivery, from other thrombotic microangiopathies (TMAs) (eg, thrombotic thrombocytopenic purpura or complement-mediated TMA). Patients with chronic thrombocytopenic conditions, such as immune thrombocytopenia, should receive counseling on the safety and efficacy of various medications during pregnancy. The management of pregnant patients with chronic immune thrombocytopenia who are refractory to first-line treatments is an area that warrants further research. This review uses a case-based approach to discuss recent updates in diagnosing and managing thrombocytopenia in pregnancy.
    Language English
    Publishing date 2022-12-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2084287-9
    ISSN 1520-4383 ; 1520-4391
    ISSN (online) 1520-4383
    ISSN 1520-4391
    DOI 10.1182/hematology.2022000375
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  4. Article ; Online: The value of teaching the influence of sex and gender on health outcomes.

    Martin, Kelsey / Marshall, Ariela L / Mazure, Carolyn M

    The Lancet. Haematology

    2023  Volume 10, Issue 5, Page(s) e318–e319

    MeSH term(s) Male ; Female ; Humans ; Gender Identity ; Surveys and Questionnaires ; Outcome Assessment, Health Care
    Language English
    Publishing date 2023-05-04
    Publishing country England
    Document type Journal Article
    ISSN 2352-3026
    ISSN (online) 2352-3026
    DOI 10.1016/S2352-3026(23)00055-8
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  5. Article ; Online: Stuck in the Strug Era.

    Marshall, Ariela L / Wolanskyj-Spinner, Alexandra P

    Mayo Clinic proceedings

    2022  Volume 97, Issue 3, Page(s) 447–448

    Language English
    Publishing date 2022-02-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 124027-4
    ISSN 1942-5546 ; 0025-6196
    ISSN (online) 1942-5546
    ISSN 0025-6196
    DOI 10.1016/j.mayocp.2021.10.017
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  6. Article ; Online: Work Patterns of Women Physicians During Vacation: A Cross-Sectional Study.

    Marshall, Ariela L / Elafros, Melissa / Duma, Narjust

    Journal of women's health (2002)

    2021  Volume 31, Issue 4, Page(s) 573–579

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Burnout, Professional/epidemiology ; Burnout, Professional/psychology ; COVID-19/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Job Satisfaction ; Male ; Pandemics ; Physicians, Women
    Language English
    Publishing date 2021-06-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1139774-3
    ISSN 1931-843X ; 1059-7115 ; 1540-9996
    ISSN (online) 1931-843X
    ISSN 1059-7115 ; 1540-9996
    DOI 10.1089/jwh.2021.0100
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    Zs.A 3584: Show issues Location:
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  7. Article: Documentation of Menstrual Concerns in Women with Inherited Bleeding Disorders: A Single Center Retrospective Cohort Study.

    van Tienhoven, Ximena A / Pishko, Allyson M / Chiang, Elaine / Cuker, Adam / Marshall, Ariela L

    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

    2023  Volume 45, Issue 9, Page(s) 637–641

    MeSH term(s) Female ; Humans ; Retrospective Studies ; Blood Coagulation Disorders, Inherited ; Menstruation ; Documentation ; Menorrhagia
    Language English
    Publishing date 2023-05-19
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2171082-X
    ISSN 1701-2163
    ISSN 1701-2163
    DOI 10.1016/j.jogc.2023.05.015
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    Zs.A 6445: Show issues Location:
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  8. Article ; Online: Signs, Sources, Coping Strategies, and Suggested Interventions for Burnout Among Preclerkship Students at a U.S. Medical School: A Qualitative Focus Group Study.

    Melo, Valeria D / Saifuddin, Hiba / Peng, Lillian T / Wolanskyj-Spinner, Alexandra P / Marshall, Ariela L / Leep Hunderfund, Andrea N

    Academic medicine : journal of the Association of American Medical Colleges

    2024  

    Abstract: Purpose: Research suggests that burnout can begin early in medical school, yet burnout among preclerkship students remains underexplored. This study aimed to characterize burnout signs, sources, coping strategies, and potential interventions among ... ...

    Abstract Purpose: Research suggests that burnout can begin early in medical school, yet burnout among preclerkship students remains underexplored. This study aimed to characterize burnout signs, sources, coping strategies, and potential interventions among preclerkship students at one U.S. medical school.
    Method: The authors conducted a qualitative study of preclerkship students at Mayo Clinic Alix School of Medicine (MCASOM) during June 2019. Participants completed 2 Maslach Burnout Inventory (MBI) items (measuring frequency of emotional exhaustion and depersonalization) and 2 free-text questions on burnout before participating in 1 of 3 semistructured focus groups. Focus group questions were derived from a literature review on medical student burnout with input from the MCASOM Student Life and Wellness Committee. Group discussions were recorded, transcribed, coded inductively, and analyzed iteratively (along with free-text comments) using a general inductive approach from a constructivist perspective.
    Results: Eighteen of 111 eligible students (16%) participated, with 5/18 (28%) reporting weekly emotional exhaustion and/or depersonalization on MBI items. Analysis of focus group transcripts showed that most students had experienced burnout symptoms during their first or second year, corresponding with school-related stressors and manifesting in cognitive-emotional, physical, and verbal-behavioral ways. Students identified systemic, institutional, and individual burnout drivers and discussed how these drivers interacted (e.g., high standards of excellence at the system level interacted with anxiety and maladaptive thinking at the individual level, creating pressure to always do more). Students used various coping strategies (e.g., self-care, peer support, reframing, and compartmentalization) but emphasized limitations of these strategies and recommended interventions directed toward systemic and institutional burnout drivers.
    Conclusions: This study offers insights into burnout signs and sources among preclerkship medical students that can inform future large-scale studies. Results suggest that burnout emerges from dynamic interactions among systemic, institutional, and individual factors and may benefit from multipronged interventions.
    Language English
    Publishing date 2024-04-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 96192-9
    ISSN 1938-808X ; 1040-2446
    ISSN (online) 1938-808X
    ISSN 1040-2446
    DOI 10.1097/ACM.0000000000005744
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    Zs.A 112: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  9. Article ; Online: Diagnosis, treatment, and prevention of venous thromboembolism in pregnancy.

    Marshall, Ariela L

    Postgraduate medicine

    2014  Volume 126, Issue 7, Page(s) 25–34

    Abstract: Pregnancy and the puerperium put women at increased risk of venous thromboembolism (VTE) due to both baseline maternal risk factors and the development of pregnancy-related prothrombotic anatomic and physiologic changes. Pregnant women are at an ... ...

    Abstract Pregnancy and the puerperium put women at increased risk of venous thromboembolism (VTE) due to both baseline maternal risk factors and the development of pregnancy-related prothrombotic anatomic and physiologic changes. Pregnant women are at an approximately 5-fold increased risk of VTE compared with nonpregnant women, and the risk of VTE increases further (to ≥ 20-fold) in puerperium; risk remains increased until approximately 12 weeks postpartum. Pregnancy-related VTE accounts for about 10% of maternal deaths in the developed world. Clinicians should promptly evaluate any signs or symptoms suspicious for VTE, generally starting with ultrasound of the lower extremities. For treatment of women with established VTE, low molecular weight heparins (LMWHs) are preferred due to a favorable safety and efficacy profile. Unfractionated heparin (UFH) and potentially fondaparinux are alternatives. Warfarin should be avoided in the antepartum period due to teratogenicity, and the non-vitamin K oral anticoagulants are currently not recommended due to the lack of data. Low molecular weight heparin, UFH, and warfarin are all acceptable in the postpartum period and for breast-feeding women, but the non-vitamin K oral anticoagulants should be avoided. Prophylaxis (generally with LMWH or in some cases UFH) is recommended for women at highest risk of pregnancy-related VTE, such as those with inherited thrombophilias and a strong family or personal history of VTE. Prophylaxis with LMWH and aspirin is recommended for women with antiphospholipid syndrome. Clinicians should engage in multidisciplinary discussion, particularly around the time of delivery, to manage the details of anticoagulation in their pregnant patients.
    MeSH term(s) Anticoagulants/pharmacology ; Anticoagulants/therapeutic use ; Antiphospholipid Syndrome/diagnosis ; Antiphospholipid Syndrome/therapy ; Breast Feeding ; Female ; Heparin/pharmacology ; Heparin/therapeutic use ; Humans ; Postnatal Care ; Pregnancy ; Pregnancy Complications, Hematologic/diagnosis ; Pregnancy Complications, Hematologic/epidemiology ; Pregnancy Complications, Hematologic/prevention & control ; Pregnancy Complications, Hematologic/therapy ; Pulmonary Embolism/diagnosis ; Pulmonary Embolism/therapy ; Risk Factors ; Thrombophilia/genetics ; Venous Thromboembolism/diagnosis ; Venous Thromboembolism/prevention & control ; Venous Thromboembolism/therapy
    Chemical Substances Anticoagulants ; Heparin (9005-49-6)
    Language English
    Publishing date 2014-11
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 410138-8
    ISSN 1941-9260 ; 0032-5481
    ISSN (online) 1941-9260
    ISSN 0032-5481
    DOI 10.3810/pgm.2014.11.2830
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    Ua VI Zs.407: Show issues Location:
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  10. Article ; Online: In cancer-associated VTE, apixaban was noninferior to dalteparin for recurrence and did not increase major bleeding.

    Riaz, Irbaz Bin / Marshall, Ariela L / Badgett, Robert G

    Annals of internal medicine

    2020  Volume 173, Issue 4, Page(s) JC21

    Abstract: Source citation: Agnelli G, Becattini C, Meyer G, et al. ...

    Abstract Source citation: Agnelli G, Becattini C, Meyer G, et al.
    MeSH term(s) Anticoagulants/adverse effects ; Dalteparin ; Hemorrhage/chemically induced ; Humans ; Neoplasms/complications ; Pyrazoles ; Pyridones ; Recurrence ; Venous Thromboembolism/drug therapy ; Venous Thromboembolism/prevention & control
    Chemical Substances Anticoagulants ; Pyrazoles ; Pyridones ; apixaban (3Z9Y7UWC1J) ; Dalteparin (S79O08V79F)
    Language English
    Publishing date 2020-08-17
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/ACPJ202008180-021
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