OBJECTIVE: Macrosomia is strongly associated with a range of adverse maternal and neonatal outcomes. The effectiveness screening remains controversial because expecting macrosomic fetus affects intrapartum management, promoting elective cesarean sections. This study aims to identify differences in outcomes management among cases predicted unpredicted macrosomia. STUDY DESIGN: retrospective 779 ...

In many natural scenes, shadows and shading, which are primarily luminance-defined features, proliferate. Hence one might expect that the chromatic variations of natural scenes, which more faithfully represent the layout of object surfaces, will contain relatively fewer and larger uniform regions than the luminance variations, i.e., will be more "patchy." This idea was tested using images of na...

PURPOSE OF REVIEW Difficult airways can lead to critical incidents during anaesthesia, and death. Although many cases can be anticipated, some still go undiscovered before induction, thereby exposing the patient to unexpected risks and the anaesthesiologist to unexpected challenges. In addition to improving prediction of difficult airways, education for skill acquisition and management planning...

We compared implementation of systematic airway assessment with existing practice of airway assessment on prediction of difficult mask ventilation. Twenty-six departments were cluster-randomised to assess eleven risk factors for difficult airway management (intervention) or to continue with their existing airway assessment (control). In both groups, patients predicted as a difficult mask ventil...

The basal ganglia have been associated with processes of reinforcement learning. A strong line of supporting evidence comes from the recording of dopamine (DA) neurones in behaving monkeys. Unpredicted, biologically salient events, including rewards cause a stereotypic short-latency (70-100 ms), short-duration (100-200 ms) burst of DA activity - the phasic response. This response is widely cons...