July Effect
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July Effect
The July effect, sometimes referred to as the July phenomenon, is a perceived but scientifically unfounded increase in the risk of medical errors and surgical complications that occurs in association with the time of year in which United States medical school graduates begin residencies. A similar period in the United Kingdom is known as the killing season or, more specifically, Black Wednesday, referring to the first Wednesday in August when postgraduate trainees commence their rotations. United States A ''Journal of General Internal Medicine'' study, published in 2010, investigated medical errors from 1979 to 2006 in United States hospitals and found that medication errors increased 10% during the month of July at teaching hospitals, but not in neighboring hospitals."New residents linked to July med ...
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Medical Error
A medical error is a preventable adverse effect of care (" iatrogenesis"), whether or not it is evident or harmful to the patient. This might include an inaccurate or incomplete diagnosis or treatment of a disease, injury, syndrome, behavior, infection, or other ailment. Definitions The word ''error'' in medicine is used as a label for nearly all of the clinical incidents that harm patients. Medical errors are often described as human errors in healthcare. Whether the label is a medical error or human error, one definition used in medicine says that it occurs when a healthcare provider chooses an inappropriate method of care, improperly executes an appropriate method of care, or reads the wrong CT scan. It has been said that the definition should be the subject of more debate. For instance, studies of hand hygiene compliance of physicians in an ICU show that compliance varied from 19% to 85%. The deaths that result from infections caught as a result of treatment providers ...
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Journal Of Stroke And Cerebrovascular Diseases
The ''Journal of Stroke & Cerebrovascular Diseases'' is a bimonthly peer-reviewed medical journal covering the study of stroke and other cerebrovascular diseases. It was established in 1991 and is published by Elsevier on behalf of the National Stroke Association and the Japan Stroke Society, of which it is the official journal. The editors-in-chief are José Biller (Loyola University Chicago) and Kazuo Kitagawa (Tokyo Women's Medical University). According to the journal's website, it has a 2020 impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculated by Clarivate that reflects the yearly mean number of citations of articles published in the last two years in a given journal, as i ... of 2.136. References External links * Publications established in 1991 Bimonthly journals Cardiology journals Elsevier academic journals English-language journals Academic journals associated with learned and profess ...
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Obstetric
Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgical field. Main areas Prenatal care Prenatal care is important in screening for various complications of pregnancy. This includes routine office visits with physical exams and routine lab tests along with telehealth care for women with low-risk pregnancies: Image:Ultrasound_image_of_a_fetus.jpg, 3D ultrasound of fetus (about 14 weeks gestational age) Image:Sucking his thumb and waving.jpg, Fetus at 17 weeks Image:3dultrasound 20 weeks.jpg, Fetus at 20 weeks First trimester Routine tests in the first trimester of pregnancy generally include: * Complete blood count * Blood type ** Rh-negative antenatal patients should receive RhoGAM at 28 weeks to prevent Rh disease. * Indirect Coombs test (AGT) to assess risk of hemolytic dise ...
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Obstetrics & Gynecology (journal)
''Obstetrics & Gynecology'' is a peer-reviewed medical journal in the field of obstetrics and gynecology. It is the official publication of the American College of Obstetricians and Gynecologists. It is popularly known as the "Green Journal".Journal Homepage > About the journalRetrieved on May 4, 2019 ''Obstetrics & Gynecology'' has approximately 45,000 subscribers. According to the 2014 ''Journal Citation Reports'', it had an impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculated by Clarivate that reflects the yearly mean number of citations of articles published in the last two years in a given journal, as i ... of 4.982, ranking it 5th among 82 reproductive medicine journals. References {{DEFAULTSORT:Obstetrics and Gynecology (journal) Monthly journals English-language journals Lippincott Williams & Wilkins academic journals Publications established in 1953 Obstetrics and gynaecology journals< ...
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Cerebral Shunt
A cerebral shunt is a device permanently implanted inside the head and body to drain excess fluid away from the brain. They are commonly used to treat hydrocephalus, the swelling of the brain due to excess buildup of cerebrospinal fluid (CSF). If left unchecked, the excess CSF can lead to an increase in intracranial pressure (ICP), which can cause intracranial hematoma, cerebral edema, crushed brain tissue or herniation. The drainage provided by a shunt can alleviate or prevent these problems in patients with hydrocephalus or related diseases. Shunts come in a variety of forms, but most of them consist of a valve housing connected to a catheter, the lower end of which is usually placed in the peritoneal cavity. The main differences between shunts are usually in the materials used to construct them, the types of valve (if any) used, and whether the valve is programmable or not. Description Valves types Shunt location The location of the shunt is determined by the neurosurg ...
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Cerebrospinal Fluid
Cerebrospinal fluid (CSF) is a clear, colorless body fluid found within the tissue that surrounds the brain and spinal cord of all vertebrates. CSF is produced by specialised ependymal cells in the choroid plexus of the ventricles of the brain, and absorbed in the arachnoid granulations. There is about 125 mL of CSF at any one time, and about 500 mL is generated every day. CSF acts as a shock absorber, cushion or buffer, providing basic mechanical and immunological protection to the brain inside the skull. CSF also serves a vital function in the cerebral autoregulation of cerebral blood flow. CSF occupies the subarachnoid space (between the arachnoid mater and the pia mater) and the ventricular system around and inside the brain and spinal cord. It fills the ventricles of the brain, cisterns, and sulci, as well as the central canal of the spinal cord. There is also a connection from the subarachnoid space to the bony labyrinth of the inner ear via the perilymphat ...
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Pediatrics
Paediatrics ( also spelled pediatrics or pædiatrics) is the branch of medicine that involves the medical care of infants, children, and adolescents. The American Academy of Pediatrics recommends people seek pediatric care through the age of 21. In the United Kingdom, paediatrics covers patients until age 18. Worldwide age limits of pediatrics have been trending up year over year. A medical doctor who specializes in this area is known as a pediatrician, or paediatrician. The word ''pediatrics'' and its cognates mean "healer of children"; they derive from two Greek words: (''pais'' "child") and (''iatros'' "doctor, healer"). Pediatricians work in hospitals and children's hospitals particularly those working in its subspecialties (e.g. neonatology), and as outpatient primary care physicians. History The earliest mentions of child-specific medical problems appears in the ''Hippocratic Corpus'', published in the fifth century B.C., and the famous ''Sacred Disease''. These publi ...
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Mortality
Mortality is the state of being mortal, or susceptible to death; the opposite of immortality. Mortality may also refer to: * Fish mortality, a parameter used in fisheries population dynamics to account for the loss of fish in a fish stock through death * ''Mortality'' (book), a 2012 collection of essays by Anglo-American writer Christopher Hitchens * Mortality (computability theory), a property of a Turing machine if it halts when run on any starting configuration * Mortality rate, a measure for the rate at which deaths occur in a given population * Mortality/differential attrition, an error in the internal validity of a scientific study See also * Case fatality rate, the proportion of deaths within a designated population of people with a medical condition * Cause of death * Fulminant * Mortality displacement, a (forward) temporal shift in the rate of mortality * Mortality rate or death rate * Mortality salience Mortality salience is the awareness by individuals that their de ...
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Morbidity
A disease is a particular abnormal condition that negatively affects the structure or function of all or part of an organism, and that is not immediately due to any external injury. Diseases are often known to be medical conditions that are associated with specific signs and symptoms. A disease may be caused by external factors such as pathogens or by internal dysfunctions. For example, internal dysfunctions of the immune system can produce a variety of different diseases, including various forms of immunodeficiency, hypersensitivity, allergies and autoimmune disorders. In humans, ''disease'' is often used more broadly to refer to any condition that causes pain, dysfunction, distress, social problems, or death to the person affected, or similar problems for those in contact with the person. In this broader sense, it sometimes includes injuries, disabilities, disorders, syndromes, infections, isolated symptoms, deviant behaviors, and atypical variations of structur ...
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Annals Of Surgery
The ''Annals of Surgery'' is a monthly peer-reviewed medical journal of surgical science and practice. It was started in 1885 by Lippincott Williams & Wilkins (United States, United Kingdom). See also * List of medical journals References External linksAnnals of SurgeryFree articles of Annals of Surgery from 1885 to 2007 (Vols. 1 - 246)
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PubMed Central PubMed Central (PMC) is a free digital repository that archives open access full-text scholarly articles that have been published in biomedical and life sciences journals. As one of the major research databases developed by the National Center f ...

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Cardiac
The heart is a muscular organ in most animals. This organ pumps blood through the blood vessels of the circulatory system. The pumped blood carries oxygen and nutrients to the body, while carrying metabolic waste such as carbon dioxide to the lungs. In humans, the heart is approximately the size of a closed fist and is located between the lungs, in the middle compartment of the chest. In humans, other mammals, and birds, the heart is divided into four chambers: upper left and right atria and lower left and right ventricles. Commonly the right atrium and ventricle are referred together as the right heart and their left counterparts as the left heart. Fish, in contrast, have two chambers, an atrium and a ventricle, while most reptiles have three chambers. In a healthy heart blood flows one way through the heart due to heart valves, which prevent backflow. The heart is enclosed in a protective sac, the pericardium, which also contains a small amount of fluid. The wall o ...
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The American Journal Of Surgery
''The American Journal of Surgery'' is a peer-reviewed scientific journal published by Elsevier on behalf of 6 major surgical societies: *The Southwestern Surgical Congress *The North Pacific Surgical Association *The Association for Surgical Education *Association of Women Surgeons *Midwest Surgical Association *The Society of Black Academic Surgeons (SBAS) The journal publishes articles describing original research on abdominal, cancer, vascular, head and neck, breast, and colorectal surgeries. According to Journal Citation Reports, the journal has a 2015 impact factor of 2.403. The journal's editor in chief is Kirby I. Bland of the University of Alabama. In public media This journal is in Robin Cook's Coma A coma is a deep state of prolonged unconsciousness in which a person cannot be awakened, fails to respond normally to painful stimuli, light, or sound, lacks a normal wake-sleep cycle and does not initiate voluntary actions. Coma patients exhi ... (1978) book. Re ...
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