Längenverhältnis von Trachealtubus zur Larynxmaske: Kritischer Punkt bei der fiberoptischen Intubation im Kindesalter

Zusammenfassung: Hintergrund: Die fiberoptisch geführte endotracheale Intubation über die Larynxmaske ist eine Standardtechnik im Management des unerwartet schwierigen Atemwegs im Kindesalter. Je nach Produkt kann der Endotrachealtubus (ETT) im Verhältnis zur Larynxmaske kritisch kurz sein und den Erfolg der Technik gefährden. Solche kritischen Konstellationen wurden in vitro untersucht. Material und Methode: Sechs verschiedene supraglottische Atemwegshilfen ("supraglottic airway devices", SAD) der Größen 1 bis 3 und 2 unterschiedliche ETT (gecufft sowie ungecufft) wurden untersucht. Für jede SAD-Größe wurde das vom Hersteller empfohlene Patientengewicht anhand von Wachstumskurven mit dem Patientenalter korreliert und mögliche ETT-Größen festgelegt. Der ETT wurde vollständig in die SAD eingeführt und die den SAD-Cuff überragende ETT-Spitze vermessen. Ergebnisse: Ungecuffte Tuben werden für einen Patienten dicker gewählt als gecuffte. Sie sind damit entsprechend länger und überragen den SAD-Cuff mehr als gecuffte ETT. Vergleicht man die gebogenen SAD-Modelle AuraOnce™ und Aura-i™, hat die Aura-i™ in allen Größen den kürzeren Schaft und lässt den ETT weiter über den SAD-Cuff hinausragen. Die geraden SAD-Modelle cLMA™, AuraStraight™ und Unique™ weisen untereinander ähnliche Längenverhältnisse auf. Im Vergleich mit i-gel® resultieren bei ihnen in den Größen 1 bis 2,5 längere überstehende Tubusspitzen. Einzig in der Größe3 zeigt i-gel® zusammen mit AuraStraight™ die längsten überstehenden Tubusspitzen. Der Einsatz eines Bronchoskopadapters führt teilweise zur kritischen Verkürzung der Längenverhältnisse von SAD und ETT. Schlussfolgerungen: Für die fiberoptische Intubation über eine SAD sind eine für den Patienten eher kleinere SAD sowie ein primär ungecuffter, größerer und damit auch längerer Tubus vorteilhaft. Das Material muss vor Anwendung insbesondere auf Längenverhältnisse überprüft werden. Der Einsatz eines Bronchoskopadapters ist in Anbetracht einer zusätzlichen SAD-Verlängerung kritisch zu evaluiere

The Stripe 82 1-2 GHz Very Large Array Snapshot Survey: Multiwavelength Counterparts

We have combined spectrosopic and photometric data from the Sloan Digital Sky Survey (SDSS) with $1.4$ GHz radio observations, conducted as part of the Stripe 82 $1-2$ GHz Snapshot Survey using the Karl G. Jansky Very Large Array (VLA), which covers $\sim100$ sq degrees, to a flux limit of 88 $\mu$Jy rms. Cross-matching the $11\,768$ radio source components with optical data via visual inspection results in a final sample of $4\,795$ cross-matched objects, of which $1\,996$ have spectroscopic redshifts and $2\,799$ objects have photometric redshifts. Three previously undiscovered Giant Radio Galaxies (GRGs) were found during the cross-matching process, which would have been missed using automated techniques. For the objects with spectroscopy we separate radio-loud Active Galactic Nuclei (AGN) and star-forming galaxies (SFGs) using three diagnostics and then further divide our radio-loud AGN into the HERG and LERG populations. A control matched sample of HERGs and LERGs, matched on stellar mass, redshift and radio luminosity, reveals that the host galaxies of LERGs are redder and more concentrated than HERGs. By combining with near-infrared data, we demonstrate that LERGs also follow a tight $K-z$ relationship. These results imply the LERG population are hosted by population of massive, passively evolving early-type galaxies. We go on to show that HERGs, LERGs, QSOs and star-forming galaxies in our sample all reside in different regions of a WISE colour-colour diagram. This cross-matched sample bridges the gap between previous `wide but shallow' and `deep but narrow' samples and will be useful for a number of future investigations.Comment: 17 pages, 19 figures. Resubmitted to MNRAS after the initial comment

Generating pointing motions for a humanoid robot by combining motor primitives

The human motor system is robust, adaptive and very flexible. The underlying principles of human motion provide inspiration for robotics. Pointing at different targets is a common robotics task, where insights about human motion can be applied. Traditionally in robotics, when a motion is generated it has to be validated so that the robot configurations involved are appropriate. The human brain, in contrast, uses the motor cortex to generate new motions reusing and combining existing knowledge before executing the motion. We propose a method to generate and control pointing motions for a robot using a biological inspired architecture implemented with spiking neural networks. We outline a simplified model of the human motor cortex that generates motions using motor primitives. The network learns a base motor primitive for pointing at a target in the center, and four correction primitives to point at targets up, down, left and right from the base primitive, respectively. The primitives are combined to reach different targets. We evaluate the performance of the network with a humanoid robot pointing at different targets marked on a plane. The network was able to combine one, two or three motor primitives at the same time to control the robot in real-time to reach a specific target. We work on extending this work from pointing to a given target to performing a grasping or tool manipulation task. This has many applications for engineering and industry involving real robots

Comparison of thromboelastometry (ROTEM®) with standard plasmatic coagulation testing in paediatric surgery

Background Thromboelastometry (ROTEM®) might be useful to detect intraoperative coagulation disorders early in major paediatric surgery. This observational trial compares this technique to standard coagulation tests. Methods Intraoperative blood sampling was obtained in children undergoing elective major surgery. At each time point, standard coagulation tests [activated partial thromboplastin time (aPTT), prothrombin time (PT), and fibrinogen level] and ROTEM® analyses (InTEM, ExTEM, and FibTEM) were performed simultaneously by trained hospital laboratory staff. Results A total of 288 blood samples from 50 subjects were analysed. While there was a poor correlation between PT and aPTT to ExTEM clotting time (CT) and InTEM CT, respectively, a good correlation was detected between PT and aPTT to clot formation time, and a very good correlation between fibrinogen level and FibTEM assay (r=0.882, P<0.001). Notably, 64% of PT and 94% of aPTT measurements were outside the reference range, while impaired CT was observed in 13% and 6.3%, respectively. Standard coagulation test results were available after a median of 53 min [inter-quartile range (IQR): 45-63 min], whereas 10 min values of ROTEM® results were available online after 23 min (IQR: 21-24 min). Conclusions PT and aPTT cannot be interchangeably used with ROTEM® CT. Based on the results of ROTEM®, recommended thresholds for PT and aPTT might overestimate the need for coagulation therapy. A good correlation was found between the fibrinogen level and the FibTEM assay. In addition, ROTEM® offered faster turnaround time

SUMSS: A Wide-Field Radio Imaging Survey of the Southern Sky. II. The Source Catalogue

This paper is the second in a series describing the Sydney University Molonglo Sky Survey (SUMSS) being carried out at 843MHz with the Molonglo Observatory Synthesis Telescope (MOST). The survey will consist of ~590 4.3deg. x 4.3deg. mosaic images with 45"x45"cosec|dec.| resolution, and a source catalogue. In this paper we describe the initial release (version 1.0) of the source catalogue consisting of 107,765 radio sources made by fitting elliptical gaussians in 271 SUMSS mosaics to a limiting peak brightness of 6mJy/beam at dec.-50deg.. The catalogue covers approximately 3500deg^2 of the southern sky with dec.<=-30deg., about 43 per cent of the total survey area. Positions in the catalogue are accurate to within 1"-2" for sources with peak brightness A>=20mJy/beam and are always better than 10". The internal flux density scale is accurate to within 3 per cent. Image artefacts have been classified using a decision tree, which correctly identifies and rejects spurious sources in over 96 per cent of cases. Analysis of the catalogue shows that it is highly uniform and is complete to 8mJy at dec.-50deg.. In this release of the catalogue about 7000 sources are found in the overlap region with the NRAO VLA Sky Survey (NVSS) at 1.4GHz. We calculate a median spectral index of alpha=-0.83 between 1.4GHz and 843MHz. This version of the catalogue will be released via the World Wide Web with future updates as new mosaics are released.Comment: 15 pages, 15 figures, accepted by MNRAS, Catalogue at http://www.astrop.physics.usyd.edu.au/sumssca

e-VLBI observations of GHz-Peaked Spectrum (GPS) radio sources in nearby galaxies from the AT20G survey

GHz-peaked spectrum (GPS) radio sources are thought to be young objects which later evolve into FR-I and FR-II radio galaxies. We have used the Australia Telescope 20GHz (AT20G) survey catalogue to select a uniform sample of GPS sources with spectral peaks above 5GHz, which should represent the youngest members of this class. In this paper, we present e-VLBI observations of ten such objects which are associated with nearby (z<0.15) galaxies and so represent a new population of local, low--power GPS sources. Our e-VLBI observations were carried out at 4.8GHz with the Australia Telescope Long Baseline Array (LBA) using a real--time software correlator. All ten sources were detected, and were unresolved on scales of ~100mas, implying that they are typically less than 100pc in linear size.Comment: 7 pages, 7 figures, 3 table

Compact continuum source-finding for next generation radio surveys

We present a detailed analysis of four of the most widely used radio source finding packages in radio astronomy, and a program being developed for the Australian Square Kilometer Array Pathfinder (ASKAP) telescope. The four packages; SExtractor, SFind, IMSAD and Selavy are shown to produce source catalogues with high completeness and reliability. In this paper we analyse the small fraction (~1%) of cases in which these packages do not perform well. This small fraction of sources will be of concern for the next generation of radio surveys which will produce many thousands of sources on a daily basis, in particular for blind radio transients surveys. From our analysis we identify the ways in which the underlying source finding algorithms fail. We demonstrate a new source finding algorithm Aegean, based on the application of a Laplacian kernel, which can avoid these problems and can produce complete and reliable source catalogues for the next generation of radio surveys.Comment: 14 pages, 12 figures, accepted for publication in MNRA