Positional Change Used to Manage Postextubation Respiratory Failure in a Child With Cerebral Palsy.

Dental treatment for patients with cerebral palsy (CP) is often performed under general anesthesia due to involuntary movements that can render dental treatment difficult. Since CP is often accompanied by spasticity, care must be taken when positioning patients during general anesthesia. We report the management of a 14-year-old girl with CP and epilepsy undergoing general anesthesia for dental treatment who experienced respiratory failure due to acute thoracoabdominal muscle hypertonia after extubation.

Spratelloides atrofasciatus Schultz, 1943, a valid species of round herring (Clupeiformes: Clupeidae).

The western Pacific marine clupeoid fish, Spratelloides atrofasciatus Schultz, 1943, previously regarded as a synonym of S. gracilis (Temminck and Schlegel, 1846), is redescribed here as a valid species on the basis of the holotype and 115 non-type specimens collected from the Ryukyu Islands. Both S.