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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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Exploratory Analysis of Diabetic Retinopathy Progression Through 3 Years in a Randomized Clinical Trial That Compares Intravitreal Triamcinolone Acetonide With Focal/Grid Photocoagulation [Clinical Sciences]
Bressler, N. M., Edwards, A. R., Beck, R. W., Flaxel, C. J., Glassman, A. R., Ip, M. S., Kollman, C., Kuppermann, B. D., Stone, T. W., for the Diabetic Retinopathy Clinical Research Network Objective  To compare the effect of intravitreal triamcinolone acetonide with focal/grid photocoagulation on the progression of diabetic retinopathy. Methods  We performed an exploratory analysis of participants with diabetic macular edema randomly assigned to receive laser therapy or intravitreal triamcinolone acetonide (1 or 4 mg). Fundus photographs were obtained at baseline and 1, 2, and 3 years. The main outcome measure was progression to proliferative diabetic retinopathy or worsening of 2 or more severity levels on reading-center masked assessment of 7-field fundus photographs, plus additional eyes that received panretinal photocoagulation or had a vitreous hemorrhage. Results  From July 15, 2004, through May 5, 2006, 840 eyes from 693 participants were enrolled in the study and randomly assigned to receive laser therapy (n = 330), 1 mg of triamcinolone acetonide (n = 256), or 4 mg of triamcinolone acetonide (n = 254). The cumulative probability of progression of retinopathy at 2 years was 31% (laser group), 29% (1-mg group), and 21% (4-mg group) (P = .64 in the 1-mg group and .005 in the 4-mg group compared with the laser group). These differences appeared to be sustained at 3 years. Conclusions  Intravitreal triamcinolone acetonide (4 mg) appeared to reduce the risk of progression of diabetic retinopathy. Given the exploratory nature of this analysis and because intravitreal triamcinolone adverse effects include cataract formation and glaucoma, use of this treatment merely to reduce the rates of progression of proliferative diabetic retinopathy or worsening of the level of diabetic retinopathy does not seem warranted at this time.
Melanoma-Associated Retinopathy: A Paraneoplastic Autoimmune Complication [Clinical Sciences]
Lu, Y., Jia, L., He, S., Hurley, M. C., Leys, M. J., Jayasundera, T., Heckenlively, J. R. Objectives  To study 11 patients with melanoma-associated retinopathy (MAR) to clarify the reliability of various methods of diagnostic testing, to determine the underlying antigenic retinal proteins, and to study the clinical histories and types of associated melanomas. Methods  Clinical data were obtained from patients with melanoma who developed marked visual problems. Testing included electroretinography, kinetic visual fields, comparative studies of Western blots, and indirect immunohistologic examination to detect antiretinal antibodies, as well as proteomic studies to identify underlying antigenic retinal proteins. Results  Patients with MAR typically have rapid onset of photopsias, scotomata, and loss of central or paracentral vision. Ophthalmoscopy seldom shows significant changes early, but electroretinograms are abnormal. Results of Western blots and immunohistologic examination can show antiretinal antibodies but not always. Most patients (9 of 11) had a strong family history of autoimmune disorders. Any type of melanoma (cutaneous, choroidal, ciliary body, or choroidal nevi) may be associated with this paraneoplastic autoimmune reactivity. MAR may precede or follow the diagnosis of melanoma. Patients with MAR have the same antigenic retinal proteins that have been associated with cancer-associated retinopathy. In addition, 2 new antigenic retinal proteins, aldolase A and aldolase C, were found. Conclusions  There was a high prevalence of positive family histories of autoimmune disease in patients with MAR. To confirm the disorder, multiple clinical and serum diagnostic techniques (Western blot or indirect immunohistologic examination) are needed. Two newly observed antigenic retinal proteins, aldolase A and aldolase C, are associated with MAR.
Risk of Endophthalmitis After Intravitreal Drug Injection When Topical Antibiotics Are Not Required: The Diabetic Retinopathy Clinical Research Network Laser-Ranibizumab-Triamcinolone Clinical Trials [Clinical Sciences]
Bhavsar, A. R., Googe, J. M., Stockdale, C. R., Bressler, N. M., Brucker, A. J., Elman, M. J., Glassman, A. R., for the Diabetic Retinopathy Clinical Research Network Objective  To report the incidence of endophthalmitis after intravitreal drug injection by means of a standardized procedure that does not require topical antibiotics, sterile gloves, or a sterile drape. Methods  Intravitreal injections of preservative-free triamcinolone acetonide or ranibizumab were administered in 2 prospective randomized clinical trials performed by the Diabetic Retinopathy Clinical Research Network. The standardized procedure for these trials requires the use of a topical combination product of povidone-iodine, a sterile lid speculum, and topical anesthetic, but does not require the use of topical antibiotics before, on the day of, or after injection. Results  As of February 23, 2009, a total of 3226 intravitreal injections of ranibizumab and 612 injections of preservative-free triamcinolone had been administered. Topical antibiotics were given on the day of injection in 361 (9.4%) of the 3838 cases, for several days after injection in 813 cases (21.2%), on the day of injection and after injection in 1388 cases (36.2%), and neither on the day of injection nor after injection in 1276 cases (33.3%). Three cases of culture-positive endophthalmitis occurred after ranibizumab injections (0.09%), and no cases occurred after triamcinolone injections. In all 3 cases of endophthalmitis, topical antibiotics were given for several days after the injection but not before injection. Conclusions  The results suggest that a low rate of endophthalmitis can be achieved by means of a protocol that includes use of topical povidone-iodine, a sterile lid speculum, and topical anesthetic, but does not require topical antibiotics, sterile gloves, or a sterile drape. Trial Registration  clinicaltrials.gov Identifiers: NCT00444600 and NCT00445003
Short Tag Noose Technique for Optional and Late Suture Adjustment in Strabismus Surgery [Clinical Sciences]
Nihalani, B. R., Whitman, M. C., Salgado, C. M., Loudon, S. E., Hunter, D. G. Objective  To present and evaluate a new technique that allows the second-stage suture adjustment in strabismus surgery to be skipped or delayed if the immediate postoperative alignment is satisfactory. Methods  The "short tag noose" technique replaces long sutures with short tags that can be left under the conjunctiva after adjustment. Retrospectively, the medical records of all patients treated by a single surgeon with this approach between January 1, 2005, and December 31, 2008, were evaluated for success rate (≤10 prism diopters [PD] horizontal and ≤6 PD vertical), reoperation rate, and complications. Results  Of 120 procedures reviewed, 27 (22.5%) were performed in children; 97 procedures (80.8%) were performed in patients with complex strabismus. Mean follow-up was 6 months. The success rate was 81.0% for horizontal strabismus and 70.7% for vertical strabismus at 2 months. The reoperation rate was 10.0% for horizontal strabismus and 19.0% for vertical strabismus. The noose slipped in 1 patient (0.8%) and was corrected by readjustment on day 4. Two patients (1.7%) required in-office excision of cysts or granulomas. Conclusions  The short tag noose technique simplifies the logistics of suture adjustment and avoids the need for sedation in children who do not require adjustment. It provides the ability to defer adjustment for days after surgery.
Dr Thompson's Eye Water [Ophthalmological Ephemera]


 
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