ABSTRACT
Recent reports observe poorer healthcare outcomes during the weekend. Many attribute this weekend effect to a reduced consultant presence. This study evaluates differences in labour management on weekends vs weekdays. A total of 20,187 deliveries, all resulting from spontaneous labour, in the same large U.K. maternity hospital were examined. Labour management was analysed both for the department as a whole, and separately for each consultant, for differences in weekend and weekday practice. Results showed no statistically significant results of a difference in any of the measures analysed. On a weekend, deliveries were no more likely to be vaginal, p = 0.485, assisted, p = 0.771 or by caesarean section, p = 0.526. There was also no difference between individual consultants. It was concluded that for spontaneous labour, there is no difference in patient management on weekends vs weekdays, either in the department as a whole, or between individual consultants in our study.
Subject(s)
Delivery, Obstetric/statistics & numerical data , Hospitals, Maternity/statistics & numerical data , Obstetrics/standards , Adult , Consultants , Female , Hospitals, Maternity/standards , Humans , Pregnancy , Time FactorsABSTRACT
Analysis of the morphology of all three otolithic organs (sacculus, lagena and utriculus), including macula shape, hair cell morphology, density, orientation pattern, otolith morphology and the spatial relationships of the swimbladder and ear, reveals that butterflyfishes in the genera Chaetodon (which has anterior swimbladder horns) and Forcipiger (which lacks anterior swimbladder horns) both demonstrate the ear morphology typical of teleosts that lack otophysic connections, fishes that have traditionally been considered to be 'hearing generalists'.
