Noticing is integral to the everyday practice of nurses; it is the pre-cursor for clinical reasoning, informing judgement and the basis of care. By noticing the nurse can pre-empt possible risks or support subtle changes towards recovery. Noticing can be the activity that stimulates action before words are exchanged, pre-empting need. In this article, the art of noticing is explored in relation to nursing practice and how the failure to notice can have serious consequences for those in care.

Despite the popularity of performance analysis with high performance rugby environments, limited attention has been paid to understanding how coaches and practitioners use this information to impact on performance. The aim of this case study was to gain an in-depth understanding of how a professional rugby team-playing in New Zealand's ITM cup competition-uses the post-match and pre-match meetings to debrief after performance and preview prior to future performance. Multiple ethnographic techniques were employed to generate a comprehensive picture of the phenomena, including participant observation, video recordings, formal and informal interviews, field notes, descriptive statistics and document analysis. Each meeting was transcribed separately and analysed using an inductive content analysis process and themes were identified. The case study explores how four key factors-the role of the coach-facilitator, player engagement, leadership and the balance between reflection and preparation-impact on the debrief/preview process. The findings reveal that while considerable emphasis was placed on the importance of player learning and engagement in team meetings, delivery was often ad hoc, coach-driven and results-focused.

γ-Butyrolactone (GBL) is a popular drug of abuse which is easily available over the internet. Following a UK classification change to a class C drug in January 2010, internet supply has become difficult. Some of the effects have resulted in sourcing GBL from industrial solvents. We report a case of a 24-year-old man who was admitted for detoxification from GBL. He reported having sourced the GBL by diluting the contents of nail varnish remover pads with water. During his admission he developed a severe withdrawal delirium and acute renal failure. He required admission to the intensive care unit. Physicians and psychiatrists should be aware of toxic sources of GBL leading to renal failure and consider GBL in those presenting with agitation, psychosis or coma.

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