{"id":"https://openalex.org/W2000821257","doi":"https://doi.org/10.1136/bmj.326.7393.810","title":"Educational environment","display_name":"Educational environment","publication_year":2003,"publication_date":"2003-04-10","ids":{"openalex":"https://openalex.org/W2000821257","doi":"https://doi.org/10.1136/bmj.326.7393.810","mag":"2000821257","pmid":"https://pubmed.ncbi.nlm.nih.gov/12689981","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1125718"},"language":"en","primary_location":{"id":"doi:10.1136/bmj.326.7393.810","doi":"https://doi.org/10.1136/bmj.326.7393.810","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmj.326.7393.810","pdf_url":null,"source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W2000821257"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1125718/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5061924578","display_name":"Linda Hutchinson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157707","display_name":"University Hospital Lewisham","ror":"https://ror.org/04vgz8j88","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210157707","https://openalex.org/I4210164769"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Linda Hutchinson","raw_affiliation_strings":["University Hospital Lewisham"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital Lewisham","institution_ids":["https://openalex.org/I4210157707"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5061924578"],"corresponding_institution_ids":["https://openalex.org/I4210157707"],"apc_list":null,"apc_paid":null,"fwci":5.0355,"has_fulltext":false,"cited_by_count":287,"citation_normalized_percentile":{"value":0.94510124,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":100},"biblio":{"volume":"326","issue":"7393","first_page":"810","last_page":"812"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.899399995803833,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.899399995803833,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13323","display_name":"Spinal Hematomas and Complications","score":0.009999999776482582,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10693","display_name":"Blood transfusion and management","score":0.00559999980032444,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/essential-thrombocythemia","display_name":"essential thrombocythemia","score":0.9959999918937683},{"id":"https://openalex.org/keywords/thromboelastography","display_name":"thromboelastography","score":0.9879999756813049},{"id":"https://openalex.org/keywords/epidural-analgesia","display_name":"epidural analgesia","score":0.9909999966621399},{"id":"https://openalex.org/keywords/labor-analgesia","display_name":"labor analgesia","score":0.8560000061988831},{"id":"https://openalex.org/keywords/bupivacaine","display_name":"bupivacaine","score":0.8700000047683716},{"id":"https://openalex.org/keywords/fentanyl","display_name":"fentanyl","score":0.9950000047683716},{"id":"https://openalex.org/keywords/pregnancy","display_name":"pregnancy","score":0.6570000052452087},{"id":"https://openalex.org/keywords/parturients","display_name":"parturients","score":0.4659999907016754}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6673142910003662},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.4343682825565338},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.42151275277137756},{"id":"https://openalex.org/C49774154","wikidata":"https://www.wikidata.org/wiki/Q131765","display_name":"Multimedia","level":1,"score":0.39297205209732056},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3318837881088257},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2519824504852295}],"mesh":[{"descriptor_ui":"D004504","descriptor_name":"Education, Medical, Undergraduate","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D007858","descriptor_name":"Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009042","descriptor_name":"Motivation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012577","descriptor_name":"Schools, Medical","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D013663","descriptor_name":"Teaching","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1136/bmj.326.7393.810","doi":"https://doi.org/10.1136/bmj.326.7393.810","is_oa":false,"landing_page_url":"https://doi.org/10.1136/bmj.326.7393.810","pdf_url":null,"source":{"id":"https://openalex.org/S4393911389","display_name":"BMJ","issn_l":"0007-1447","issn":["0007-1447","0267-0623","1468-5833"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":["anvur-scientific","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"journal-article"},{"id":"pmid:12689981","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12689981","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ (Clinical research ed.)","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:1125718","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1125718/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1125718","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1125718/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":1,"referenced_works":["https://openalex.org/W4297969696"],"related_works":["https://openalex.org/W105786919","https://openalex.org/W2041527141","https://openalex.org/W2418636019","https://openalex.org/W4251193520","https://openalex.org/W3195625210","https://openalex.org/W2011584678","https://openalex.org/W2101136573","https://openalex.org/W2921157997","https://openalex.org/W2813633187","https://openalex.org/W2381085952"],"abstract_inverted_index":{"Background":[0],"and":[1,48,90,107],"Objectives":[2],"It":[3],"is":[4],"often":[5],"considered":[6],"that":[7],"essential":[8,46,132],"thrombocythemia":[9,47],"contraindicates":[10],"placement":[11],"of":[12,17,20,28,32,51,61,67,78,123,145],"an":[13],"epidural":[14,21,33,69,86],"catheter":[15],"because":[16],"the":[18,30,65,76,79,82,121,142],"danger":[19],"hematoma.":[22],"Thromboelastography":[23,112],"offers":[24],"a":[25,36,49,103,115],"possible":[26],"means":[27],"determining":[29,120],"appropriateness":[31],"analgesia":[34,70,87,128],"in":[35,119,129,136],"patient":[37,83,97,138],"with":[38,45,88,131],"this":[39,146],"disorder.":[40],"Methods":[41],"A":[42],"pregnant":[43],"woman":[44],"history":[50],"spontaneous":[52],"abortions":[53],"was":[54,84],"evaluated":[55],"by":[56],"thromboelastography":[57],"at":[58],"38":[59],"weeks":[60],"gestation":[62],"to":[63],"determine":[64],"safety":[66,144],"using":[68],"for":[71,126],"labor":[72,127],"pain":[73,100],"management.":[74],"On":[75],"basis":[77],"thermoelastography":[80],"findings,":[81],"given":[85],"bupivacaine":[89],"fentanyl":[91],"during":[92],"her":[93],"labor.":[94],"Results":[95],"The":[96],"experienced":[98],"good":[99],"relief,":[101],"delivered":[102],"healthy":[104],"infant":[105],"vaginally,":[106],"suffered":[108],"no":[109],"complications.":[110],"Conclusions":[111],"may":[113],"be":[114],"useful":[116],"diagnostic":[117],"test":[118],"suitability":[122],"regional":[124],"techniques":[125],"parturients":[130],"thrombocythemia.":[133],"However,":[134],"success":[135],"one":[137],"does":[139],"not":[140],"prove":[141],"general":[143],"approach.":[147]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":13},{"year":2024,"cited_by_count":14},{"year":2023,"cited_by_count":13},{"year":2022,"cited_by_count":16},{"year":2021,"cited_by_count":19},{"year":2020,"cited_by_count":18},{"year":2019,"cited_by_count":20},{"year":2018,"cited_by_count":17},{"year":2017,"cited_by_count":14},{"year":2016,"cited_by_count":15},{"year":2015,"cited_by_count":20},{"year":2014,"cited_by_count":13},{"year":2013,"cited_by_count":11},{"year":2012,"cited_by_count":11}],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2016-06-24T00:00:00"}