41 research outputs found
Performance of emergency physicians utilizing a video-assisted semi-rigid fiberoptic stylet for intubation of a difficult airway in a high-fidelity simulated patient: a pilot study
BACKGROUND: This study was designed to evaluate emergency physician success and satisfaction using a video-assisted semi-rigid fiberoptic stylet, the Clarus Video System (CVS), during a simulated difficult airway scenario. FINDINGS: Emergency physicians (EPs) of all levels were first shown a brief slide show and three example videos, and then given 20 min to practice intubating a mannequin using both the CVS and standard direct laryngoscopy (DL). The mannequin was then placed in a c-collar and set to simulate an apneic patient with an edematous tongue and trismus. Each EP was given up to three timed attempts with each technique. They rated their satisfaction with the CVS, usefulness for their practice, and the effectiveness of the tutorial. Direct laryngoscopy had a 65% success rate on the first attempt, 20% on the second, and 15% required three or more. The CVS had a 100% success rate with a single attempt. Average time for independent DL attempts was 43.41 s (SD = ±26.82) and 38.71 s (SD = ±34.14) with CVS. Cumulative attempt times were analyzed and compared (DL = 74.55 ± 68.40 s and CVS = 38.71 ± 34.14 s; p = 0.028). EPs rated their satisfaction with, and usefulness of, the CVS as ≥6 out of 10. CONCLUSION: Emergency physicians were able to successfully intubate a simulated difficult airway model on the first attempt 100% of the time. Emergency physicians were satisfied with the CVS and felt that it would be useful in their practice
A review of the systematic biology of fossil and living bony-tongue fishes, Osteoglossomorpha (Actinopterygii: Teleostei)
The bony-tongue fishes, Osteoglossomorpha, have been the focus of a great deal of morphological, systematic, and evolutionary study, due in part to their basal position among extant teleostean fishes. This group includes the mooneyes (Hiodontidae), knifefishes (Notopteridae), the abu (Gymnarchidae), elephantfishes (Mormyridae), arawanas and pirarucu (Osteoglossidae), and the African butterfly fish (Pantodontidae). This morphologically heterogeneous group also has a long and diverse fossil record, including taxa from all continents and both freshwater and marine deposits. The phylogenetic relationships among most extant osteoglossomorph families are widely agreed upon. However, there is still much to discover about the systematic biology of these fishes, particularly with regard to the phylogenetic affinities of several fossil taxa, within Mormyridae, and the position of Pantodon. In this paper we review the state of knowledge for osteoglossomorph fishes. We first provide an overview of the diversity of Osteoglossomorpha, and then discuss studies of the phylogeny of Osteoglossomorpha from both morphological and molecular perspectives, as well as biogeographic analyses of the group. Finally, we offer our perspectives on future needs for research on the systematic biology of Osteoglossomorpha
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Workshop on Freshwater Larval Fishes
241 p. : digital, PDF fileTennessee Valley Authority, Division of Forestry, Fisheries, and Wildlife DevelopmentMarine Scienc
Recommended from our members
Water resources review: Wheeler Reservoir, 1990
Protection and enhancement of water quality is essential for attaining the full complement of beneficial uses of TVA reservoirs. The responsibility for improving and protecting TVA reservoir water quality is shared by various federal, state, and local agencies, as well as the thousands of corporations and property owners whose individual decisions affect water quality. TVA's role in this shared responsibility includes collecting and evaluating water resources data, disseminating water resources information, and acting as a catalyst to bring together agencies and individuals that have a responsibility or vested interest in correcting problems that have been identified. This report is one in a series of status reports that will be prepared for each of TVA's reservoirs. The purpose of this status report is to provide an up-to-date overview of the characteristics and conditions of Wheeler Reservoir, including: reservoir purposes and operation; physical characteristics of the reservoir and the watershed; water quality conditions: aquatic biological conditions: designated, actual, and potential uses of the reservoir and impairments of those uses; ongoing or planned reservoir management activities. Information and data presented here are form the most recent reports, publications, and original data available. 21 refs., 8 figs., 29 tabs