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A journal (through French from late Latin diurnalis, daily) has several related meanings:

  • a daily record of events or business; a private journal is usually referred to as a diary.
  • a newspaper or other periodical, in the literal sense of one published each day;
  • however, some publications issued at stated intervals, such as a magazine or the record of the transactions of society such as a scientific journal or academic journals in general, are called a journal. Journal, then, is sometimes used as a synonym for "magazine".

The word "journalist" for one whose business is writing for the public press has been in use since the end of the 17th century.

"Journal" is also applied to the record, day by day, of the business and proceedings of a public body:

  • The journals of the British Houses of Parliament contain an official record of the business transacted day by day in either house. The record does not take note of speeches, though some of the earlier volumes contain references to them. The journals are a lengthened account written from the "Votes and Proceedings" (in the House of Lords called "Minutes of Proceedings"), made day by day by the Clerks at the Table, and printed on the responsibility of the Clerk of the House. In the Commons the Votes and Proceedings, but not the Journal, bear the Speaker's signature in fulfilment of a former order that he should "peruse" them before publication. The journals of the British House of Commons begin in the first year of the reign of Edward VI in 1547, and are complete, except for a short interval under Elizabeth I. Those of the House of Lords date from the first year of Henry VIII in 1509. Before that date the proceedings in parliament were entered in the rolls of parliament, which extend from 1278 to 1503. The journals of the Lords are "records" in the judicial sense, those of the Commons are not (see Erskine May, Parliamentary Practice, 1906, pp. 201-202).
  • Section 5 of Article I of the United States Constitution requires the Congress of the United States to keep a journal of its proceedings. This journal, the Congressional Record is published by the Government Printing Office.
Journals of this sort are also often referred to as minutes.

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Effects of Intensive Medical Therapy on Microemboli and Cardiovascular Risk in Asymptomatic Carotid Stenosis [Original Contribution]
Spence, J. D., Coates, V., Li, H., Tamayo, A., Munoz, C., Hackam, D. G., DiCicco, M., DesRoches, J., Bogiatzi, C., Klein, J., Madrenas, J., Hegele, R. A.Objective  To assess the effect of more intensive medical therapy on the rate of transcranial Doppler (TCD) microemboli and cardiovascular events in patients with asymptomatic carotid stenosis (ACS).Design  A prospective study.Setting  A teaching hospital.Patients  Four hundred sixty-eight patients with ACS greater than 60% by Doppler peak velocity.Main Outcome Measures  We compared (1) the proportion of ACS patients who had microemboli on TCD, (2) cardiovascular events, (3) rate of carotid plaque progression, and (4) baseline medical therapy, before and since 2003.Results  Among 468 ACS patients, 199 were enrolled between January 1, 2000, and December 31, 2002; and 269 were enrolled between January 1, 2003, and July 30, 2007. Microemboli were present in 12.6% before 2003 and 3.7% since 2003 (P < .001). The decline in microemboli coincided with better control of plasma lipids and slower progression of carotid total plaque area. Since 2003, there have been significantly fewer cardiovascular events among patients with ACS: 17.6% had stroke, death, myocardial infarction, or carotid endarterectomy for symptoms before 2003, vs 5.6% since 2003 (P < .001). The rate of carotid plaque progression in the first year of follow-up has declined from 69 mm2 (SD, 96 mm2) to 23 mm2 (SD, 86 mm2) (P < .001).Conclusions  Cardiovascular events and microemboli on TCD have markedly declined with more intensive medical therapy. Less than 5% of patients with ACS now stand to benefit from revascularization; patients with ACS should receive intensive medical therapy and should only be considered for revascularization if they have microemboli on TCD.Published online December 14, 2009 (doi:10.1001/archneurol.2009.289).
Infectious Burden and Risk of Stroke: The Northern Manhattan Study [Original Contribution]
Elkind, M. S. V., Ramakrishnan, P., Moon, Y. P., Boden-Albala, B., Liu, K. M., Spitalnik, S. L., Rundek, T., Sacco, R. L., Paik, M. C.Objective  To determine the association between a composite measure of serological test results for common infections (Chlamydia pneumoniae, Helicobacter pylori, cytomegalovirus, and herpes simplex virus 1 and 2) and stroke risk in a prospective cohort study.Design  Prospective cohort followed up longitudinally for median 8 years.Setting  Northern Manhattan Study.Patients  Randomly selected stroke-free participants from a multiethnic urban community.Main Outcome Measure  Incident stroke and other vascular events.Results  All 5 infectious serological results were available from baseline samples in 1625 participants (mean [SD] age, 68.4 [10.1] years; 64.9% women). Cox proportional hazards models were used to estimate associations of each positive serological test result with stroke. Individual parameter estimates were then combined into a weighted index of infectious burden and used to calculate hazard ratios and confidence intervals for association with risk of stroke and other outcomes, adjusted for risk factors. Each individual infection was positively, though not significantly, associated with stroke risk after adjusting for other risk factors. The infectious burden index was associated with an increased risk of all strokes (adjusted hazard ratio per standard deviation, 1.39; 95% confidence interval, 1.02-1.90) after adjusting for demographics and risk factors. Results were similar after excluding those with coronary disease (adjusted hazard ratio, 1.50; 95% confidence interval, 1.05-2.13) and adjusting for inflammatory biomarkers.Conclusions  A quantitative weighted index of infectious burden was associated with risk of first stroke in this cohort. Future studies are needed to confirm these findings and to further define optimal measures of infectious burden as a stroke risk factor.Published online November 9, 2009 (doi:10.1001/archneurol.2009.271).
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