Explore the vast range of titles available.

Maternity care has to be available 24 hours a day, seven days a week. It is known that obstetric intervention can influence the time of birth, but no previous analysis at a national level in England has yet investigated in detail the ways in which the day and time of birth varies by onset of labour and mode of giving birth. We linked data from birth registration, birth notification, and Maternity Hospital Episode Statistics and analysed 5,093,615 singleton births in NHS maternity units in England from 2005 to 2014. We used descriptive statistics and negative binomial regression models with harmonic terms to establish how patterns of timing of birth vary by onset of labour, mode of giving birth and gestational age. The timing of birth by time of day and day of the week varies considerably by onset of labour and mode of birth. Spontaneous births after spontaneous onset are more likely to occur between midnight and 6am than at other times of day, and are also slightly more likely on weekdays than at weekends and on public holidays. Elective caesarean births are concentrated onto weekday mornings. Births after induced labours are more likely to occur at hours around midnight on Tuesdays to Saturdays and on days before a public holiday period, than on Sundays, Mondays and during or just after a public holiday. The timing of births varies by onset of labour and mode of birth and these patterns have implications for midwifery and medical staffing. Further research is needed to understand the processes behind these findings.

An obese 49-year-old man with no medical history of note presented in August, 2014, with a 5-week history of bloody diarrhoea, anorexia, and unintentional weight loss. He reported passing 20 bloody stools per day, with nocturnal disturbance, and on admission had pyrexia, tachycardia, anaemia, and a robust inflammatory response. Flexible sigmoidoscopy showed severe confluent colitis, and histopathology confirmed a first presentation of active ulcerative colitis.

The rate of normal birth outcomes (i.e. full-term births without intervention) for women with severe mental illness (SMI - psychotic and bipolar disorders) is not known. We examined rates of birth without intervention (spontaneous labour onset, spontaneous vaginal delivery without instruments, no episiotomy and no indication of pre- or post-delivery anaesthesia) in women with SMI (584 pregnancies) compared with a control population (70 942 pregnancies). Outcome ratios were calculated standardising for age. Women with SMI were less likely to have a birth without intervention (29.5%) relative to the control population (36.8%) (standardised outcome ratio 0.74, 95% CI 0.63-0.87).

An unusual presentation of a life-threatening cerebellopontine abscess shows the importance of re-evaluating existing diagnoses when the clinical picture changes. Despite being rare, brain abscess is a potentially fatal condition that requires early radiological and surgical intervention. It has a varied presentation, with many cases showing no localising typical features, making it hard to diagnose at presentation. A high index of suspicion should be applied to cases exhibiting rapidly changing neurology. This is the first reported case of cerebellopontine abscess with no primary infective foci.

Gibson discusses the effectiveness of Alfred Korzybski's thalamic/cortical model of brain function for post traumatic stress disorder sufferers. The thalamic/cortical \"pause\" involves forcing the patient to question whether the response is appropriate to the stimulus and can reduce the levels of trauma.

More often than not over the past five seasons, Lane 4 -- the alley reserved for an event's top-seeded runner -- has been designated for Saint Stephen's hurdling connoisseur Laura Heyl. Thursday night was no different. Lane 4 was Heyl's assigned lane. As her rivals raced for regional supremacy and spots in next week's Class 1A state championships, Heyl was at St. Anthony's hospital in St. Petersburg, waiting for doctors to tend to her mangled left elbow. Jesuit, which trailed heading into the last two events of the meet, finished just ahead of Immokalee in the 4x400 relay and won the 4x800 meter relay to hang on for the win. Jesuit totaled 102 points to defeat Immokalee's 94. Dunbar was third, followed by Clewiston, Golden Gate, Zephyrhills, Hernando and Avon Park rounded out the top eight.

Drive of the game: Christian took advantage of a Cambridge fumble, scoring with 3:55 left in the half. But the Lancers quickly ended any hopes of a Panther comeback, scoring twice in 11 second on Young's passing TDs.

I too received a belligerent letter from TV Licensing concerning a vacant property I own, which threatened my \"details being passed on to our Enforcement Division for investigation\" if I did not respond promptly.

An unusual presentation of a life-threatening cerebellopontine abscess shows the importance of re-evaluating existing diagnoses when the clinical picture changes. Despite being rare, brain abscess is a potentially fatal condition that requires early radiological and surgical intervention. It has a varied presentation, with many cases showing no localising typical features, making it hard to diagnose at presentation. A high index of suspicion should be applied to cases exhibiting rapidly changing neurology. This is the first reported case of cerebellopontine abscess with no primary infective foci.

A child dies when hit by an auto-- and the public cries.