Approach To A Difficult Intubation Case Caused by Tracheal Occlusive Secretions in ICU

Difficult airway, in other means having problems during tracheal intubation, is quite comman in daily practice. When a unknown or unexpected difficult airway is faced, rapid intervention and appropriate management of the situation is life-saving. In this case report a patient who needed re-intubation due to respiratory distress caused by dry secretions in trachea during ICU follow-up after cardiac valve surgery. The process of unexpected difficulty in re-intubation was managed effectively by rapid and appropriate approach.

The Yale Outcome Study: Outcomes for Graduates with and without Dyslexia

Dyslexia is defined in recent federal legislation as an unexpected difficulty in reading for an individual who has the intelligence to be a much better reader. Despite its high prevalence (20%), there have been few studies of the experience and outcome of dyslexic students at selective 4-year colleges. We examined academic and social experiences in college and outcome in the workplace 5 or more years after graduation in Yale graduates with dyslexia compared with a matched group of Yale graduates who were typical readers. Dyslexic college graduates did not differ from typical graduates in college and the workplace. Parents of dyslexic children often ask about their child’s future. These findings should reassure those professionals (including pediatric neuropsychologists, school psychologists and pediatricians) that dyslexic students can be successful in school and go on to succeed and thrive at selective colleges.

Meek as milk and large as logic: A corpus study of the non-standard poetic simile

A novel distinction is proposed between two types of closed similes: the standard and the non-standard. While the standard simile presents a ground that is a salient feature of the source term (e.g. meek as a lamb), the non-standard simile somewhat enigmatically supplies a non-salient ground (e.g. meek as milk). The latter thus violates a deep-seated norm of similes and presents interpreters with unexpected difficulty, whereby the concept set up to be an exemplar of a quality is actually less than ideal to fulfil this role. The main question addressed here is how these two simile types are relatively distributed across poetic and non-poetic corpora. We elaborate the criteria for what constitutes the non-standard simile, including separating it out from adjacent phenomena like the ironic simile (e.g. brave as a mouse), and go on to explain our operational criteria for salience. Then, we report culling 329 closed similes from an anthology of poetry and 350 closed similes from two corpora of non-poetic discourse, the Corpus of Historical American English and the British National Corpus. An independent judge rated the salience of each ground-and-source pair of each of the similes, presented in randomized order. Results show that while the standard simile is found in both types of discourse, the non-standard kind is only marginally present in the non-poetic corpora but makes up over 40% of the similes in the poetic corpus. We conclude by discussing the implications of these results for theories of poetic language and literariness.

Sir Louis Goes out to Dinner

The next day Joe did not make his appearance, and Sir Louis, with many execrations, was driven to the terrible necessity of dressing himself. Then came an unexpected difficulty. How were they to get up to the house? Walking out to dinner, though it...

Airway

Difficult mask ventilation 66 Unanticipated difficult intubation 68 Can’t intubate … can’t ventilate (CICV) 76 Emergency management of the obstructed airway 80 Rapid sequence induction 86 Oesophageal intubation 90 Bronchial intubation 92 Laryngospasm 94 Aspiration 96 Difficult tracheal extubation 100 Airway fire 102 Unexpected difficulty in mask ventilation of the anaesthetized patient....

Toward an Understanding of Developmental Coordination Disorder

We consider three issues concerning unexpected difficulty in the acquisition of motor skills: terminology, diagnosis, and intervention. Our preference for the label Developmental Coordination Disorder (DCD) receives justification. Problems in diagnosis are discussed, especially in relation to the aetiology-dominated medical model. The high degree of overlap between DCD and other childhood disorders appears to militate against its acceptance as a distinct syndrome. In this context, we emphasize the need to determine whether incoordination takes different forms when it occurs alone is combined with general developmental delay or with other specific disorders in children of normal intelligence. Studies of intervention have mostly shown positive effects but do not, as yet, allow adjudication between different sorts of content. We suggest that the study of DCD and its remediation would benefit greatly from the employment of the simple but rich paradigms developed for the experimental analysis of fully formed adult movement skills.