213 research outputs found

    Tuning accessibility of referring expressions in situated dialogue

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    Accessibility theory associates more complex referring expressions with less accessible referents. Felicitous referring expressions should reflect accessibility from the addressee's perspective, which may be difficult for speakers to assess incrementally. If mechanisms shared by perception and production help interlocutors align internal representations, then dyads with different roles and different things to say should profit less from alignment. We examined introductory mentions of on-screen shapes within a joint task for effects of access to the addressee's attention, of players’ actions and of speakers’ roles. Only speakers’ actions affected the form of referring expression and only different role dyads made egocentric use of actions hidden from listeners. Analysis of players’ gaze around referring expressions confirmed this pattern; only same role dyads coordinated attention as the accessibility theory predicts. The results are discussed within a model distributing collaborative effort under the constraints of joint tasks

    Independent ventilation of graft rejection

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    Background : We herein report the use of independent lung ventilation (ILV) for managing acute allograft rejection after single-lung transplantation (SLT) for end-stage emphysema. Case presentation : A 54-year-old woman was transferred to our hospital with severe hypoxemia and respiratory distress due to unilateral lung disease with diffuse alveolar damage in the right donor lung associated with acute allograft rejection and with hyperinflation of the left native lung due to emphysema. She was unresponsive to immunosuppressive medications and conventional ventilation strategies, so different ventilator settings for each lung were required. A double-lumen endotracheal tube (DLT) was inserted, and ILV was initiated. The right lung was ventilated with high positive end-expiratory pressure (PEEP), intended for lung recruitment, and the left lung was ventilated with lung protective strategies using a low tidal volume and low levels of PEEP to avoid hyperinflation. Two days later, her lung function was dramatically improved, and the DLT was replaced with a single-lumen endotracheal tube. Gas exchange was maintained, and she was successfully weaned from mechanical ventilation on intensive-care unit day 15. Conclusions : ILV appears to be effective and safe for managing acute allograft rejection after SLT for emphysema
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